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TLRA 2023 Apprentice Supervisor Registration & Liability Waiver Form

TLRA 2023 Apprentice Supervisor Registration Information

List of Apprentices Registered:

Apprentice Supervisor Consent

As the registering Apprentice’s Supervisor and employer representative, I certify that the apprentice is approved to compete and is a qualified climber, as per OSHA standards.

27th Annual Texas Lineman’s Rodeo Waiver

I, , a resident of the City of , located in the County of , in the State of , in the country of , with the intent to hereby bind myself, my heirs, my legal representatives, and my assignees, hereby execute this release as my own free act and deed.

IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE TLRA’s TEXAS LINEMAN’S RODEO (THE “RODEO”), I, FOR MYSELF, MY EXECUTORS, ADMINISTRATORS AND ASSIGNS, HEREBY RELEASE AND FOREVER DISCHARGE THE TEXAS LINEMAN’S RODEO ASSOCIATION, INC., ALL SPONSORS, ALL PARTICIPANTS, ALL OFFICIALS OF THE RODEO (INCLUDING WITHOUT LIMITATION ANY AND ALL MEDICAL OR OTHER PROFESSIONAL PERSONNEL ASSOCIATED THEREWITH WHO MAY RENDER ASSISTANCE) AND THEIR RESPECTIVE OFFICERS, DIRECTORS, STOCKHOLDERS, PARTNERS, AGENTS, EMPLOYEES, HEIRS, SUCCESSORS IN INTEREST (EACH A “RELEASEE” AND, COLLECTIVELY, THE “RELEASEES”) OF AND FROM ANY AND EVERY CLAIM, DEMAND, ACTION OR RIGHT OF ACTION, OF WHATEVER KIND OR NATURE, WHETHER IN LAW OR EQUITY, WHETHER ARISING IN TORT, CONTRACT OR OTHERWISE, ARISING FROM, IN CONNECTION WITH OR BY REASON OF MY PARTICIPATION IN THE RODEO, INCLUDING WITHOUT LIMITATION DEATH OR ANY BODILY OR OTHER PERSONAL INJURY OR INJURIES TO ME OR ANY OTHER PERSON OR PERSONS, KNOWN OR UNKNOWN AND WHETHER CAUSED BY NEGLIGENCE OF ANY RELEASEE OR OTHERWISE.

I AGREE TO INDEMNIFY AND HOLD HARMLESS THE RELEASEES, AND EACH OF THEM, FROM ANY LOSS, LIABILITY, DAMAGE, OR COST, INCLUDING REASONABLE ATTORNEY’S FEES, THAT ANY OF THEM MAY INCUR AS A RESULT OF, ARISING OUT OF OR IN CONNECTIONS WITH MY PARTICIPATION IN THE RODEO OR MY PRESENCE ON THE RODEO GROUNDS DURING THE RODEO WHETHER CAUSED BY NEGLIGENCE OF RELEASEES OR OTHERWISE.

Further, I warrant and state that:

Check all boxes that apply:

Registrant Type

I am a qualified Journeyman Lineman as described by the TLRA.

I am Journeyman #1, Team Captain

I am Journeyman #2

I am a qualified Apprentice as described by the TLRA.

I am a qualified climber.

I am a qualified Groundman (non-climber).

I am a Judge

I am a Volunteer

Signed and Executed on