| I hereby affirm that I am in good physical condition and do not suffer from any disability which would prevent or limit my participation in RIDING or GETTING THROWN OFF THE MECHANICAL BULL. |
| I hereby release J G & L Enterprises, Inc., its employees, owners, and participants from any claims, demands and causes of action arising from my participation in RIDING or GETTING THROWN FROM THE MECHANICAL BULL. |
I fully understand that I may injure myself and hereby release J G & L Enterprises, Inc., its owners, employees and participants from any injury or illness, however caused, occurring during or after my participation in RIDING or GETTING THROWN FROM THE MECHANICAL BULL. |
DATE: _________________
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