Rockstars in the Ring - Mentor Form

Join us for the Annual Rockstars in the Ring at the Dane County Fair! Rockstars in the Ring is a livestock show for youth with an intellectual disability between the ages of 8-19 years of age. Two mentors will be paired up per youth participant and have the opportunity to mentor these youth to show a pig, rabbit, or sheep!

Mentors must be a youth exhibitor and the pig/rabbit/sheep must be a registered exhibit project at the 2024 Dane County Fair.

COST: No cost to participate, however must be pre-registered by June 15^th. There is no limit to the number of mentors, but the participants are limited to the first 10 registered participants. All mentors will receive a Rockstars in the Ring T-Shirt, lunch, and a ribbon award.

REGISTRATION DEADLINE: June 15, 2024

EVENT DATE: Saturday, July 20, 2024

QUESTIONS: Please contact Jamie Morris at 608-620-4693 or email Rockstarsinthering@gmail.com

Information collected on this form is for registration and event communication purposes only for the currently year's event.

Mentor Information

First Name

Last Name

Email Address

Sign me up for email updates

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Animal for show (select all that apply)

Pig
Rabbit
Sheep

Pig

Rabbit

Sheep

T-Shirt Size

Dietary Restrictions for Pizza Party Lunch

Why are you interested in being a Mentor?

Parent/Legal Guardian Information:

Parent/Legal Guardian Name

Address if different from Mentor:

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Emergency Contact Information

Name

Cell Number

Relationship to participant

RELEASE TO BE COMPLETED BY PARENT OR GUARDIAN

I am the parent/legal guardian of the participant.

I verify my child meets the participation requirements (8-19 years of age and has an intellectual disability) and has my permission to participate in the Dane County Fair Rockstars in the Ring Show.

I understand the nature if the Rockstars of the Ring show and believe my child is qualified, in good health, and is mentally and physically able to participate. I fully accept and assume all risks and responsibilities for losses, costs and /or damages my child may incur because of his/her participation. If I, or the Rockstars in the Ring Show management, feel my child’s participation is unsafe at any time, I agree my child will discontinue participation immediately.

In allowing my child to participate, I am specifically granting my permission, (during and/or after), to use my child’s likeness, photo’s, name, voice and words on television, radio, video, print and other media for promoting the Dane County Fair.

I fully understand that the animal project being worked with is not my child’s animal and her/she is expected to care of the animal with the utmost respect.

Applicant/guardian further agrees to indemnify the Dane County Fair, its staff, its officers, its sponsors, and its contractors, and the owner of the animal being shown from and against any and all claims, losses, damages, or expenses (including and without limitation, reasonable attorney’s fees) incurred or threatened against the Dane County Fair Association (and related parties mentioned above) or any of the foregoing in connection with or as a result of any claim, injury, or damage by or on behalf of any participant or members of his/her family.

APPROVAL BY PARENT OR GUARDIAN
*

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