Youth & Family Participation Rules and Entry / Waiver Form
General Rules :
� Participants do NOT need to be a 4-H or FFA member .
� Participants will be competing for prizes only . No live animals will be given away in these events .
� Participants can register for one or two of these events , as long as he / she meets the required age / weight limit .
� Waiver of liability forms must be signed by participant and parent / guardian in order to compete in Mutton Busting and the Calf Scramble .
� ONLINE signups are available at www . stephensoncountyfair . org under “ BE APART OF THE FAIR ”
Chicken Scrambles : This is a contest designed to give younger children an opportunity to participate and have fun in a livestock area event .
� Participants must be 5 , 6 or 7 years old ( as of July 15 , 2022 ). No pre-registration or waiver is required .
� There will be one scramble for each age group ( 3 total ).
� Prizes will be awarded .
Mutton Busting : Participants clamber aboard a wild , wooly sheep ... rodeo style , and try to hold on for as long as possible .
� Pre-registration and waiver forms are required for this event , deadline is July 14 .
� Participants must be 5 , 6 or 7 years old ( as of July 15 , 2022 ) and CANNOT weigh more than 50 pounds . Participants will be weighed at check-in .
� Participants are required to supply and wear their own bicycle / motorcycle helmet . Additional protective equipment may be worn , if desired .
� Prizes will be given for top 3 longest ride times : 1 st ($ 20 ), 2 nd ($ 15 ) and 3 rd ($ 10 ) place winners in each age group .
ALL PARTICIPANTS MUST BE AT THE GRANDSTAND BY 5:50PM IN ORDER TO PARTICIPATE
2023 Youth & Family Night Entry Form and Waiver and Release of Liability
Participant Name : Phone : Email : Parent / Guardian :
I wish to participate in the following event : Mutton Busting
The participant ,
, wishes to compete in the Stephenson County Fair - Youth & Family Night contests . As the parent or legal guardian of participant , I understand there are risks inherent with physical activity of this nature , and I accept full responsibility and agree to indemnify and hold harmless for any and all claims or accidents whatsoever arising out of participating in the Chicken Scramble , Calf Scramble and / or Mutton Busting events . I agree that participation is fully voluntary and I will not hold Stephenson County Fair Association , Stephenson County Farm Bureau , or any of their employees or volunteers responsible for any harm that may result from participating in this event . I further agree that if participating in the Mutton Busting event , I have supplied the participant with a durable and safe helmet for his / her protection .
Parent / Legal Guardian Printed Name Parent / Legal Guardian Signature Parent / Legal Guardian Email Address
Date Parent / Legal Guardian Phone Participant ’ s Date of Birth
THIS FORM MUST BE COMPLETED AND RETURNED BY JULY 14 , 2023 For questions , please call Christin Keeffer ( 815 ) 275-4331 https :// stephensoncountyfair . org / youth-family-night / 16