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To register please fill out this form and return it to the Wayne County Fair Office by July 29th, 2010 Wayne County Fair
POB 133 Wayne, NE 68787 I hereby agree, acknowledge and accept the following and am registering for the Hot Dog Eating Contest: 1. I know that participating in a hot dog eating contest and eating numerous hot dogs in one sitting at a fast pace is potentially hazardous and an uncomfortable activity. 2. I should not enter the contest unless I am medicallly able. 3. I agree to abide by all rules. 4. I eat at my own risk. 5. I waive and release The Wayne County Fair, Board Members and Anyone associated with the Hot Dog Eating Contest, from all claims of liabilities of any kind arising out of my participation of this contest. Name:__________________________ Signature:____________________________________ Address:______________________________________________________________________ Phone:________________________ Date of Birth:____________________________________ |


