ROCHESTER FAIR LUMBERJACK COMPETITION
CONTESTANT APPLICATION
SATURDAY - SEPTEMBER 23, 2006 - NOON

NAME:_________________________________________________________

ADDRESS:______________________________________________________

CITY:_______________________STATE:________ZIPCODE:_____________

TELEPHONE:____________________________________________________

SOCIAL SECURITY NUMBER: ______________________________________

CHECK EACH EVENT YOU WISH TO PARTICIPATE IN:

I, the undersigned, assume full and complete responsibility for all personal injuries and/or loss or damage to personal equipment I may receive as a result of participating in the above event(s) and/or other activities associated with this event. I further hereby completely release and hold harmless the Rochester, New Hampshire Fair Association and grounds, timers, judges and any other personnel associated with the Lumberjack Competition.

Signature:_____________________________________________Date:___________

Signature:_____________________________________________________________
(Parent or guardian if contestant is under 18 years old)

Both competitors must pre-register for two person events and pay an entry fee. REGISTRATION FORMS MUST BE IN BY FRIDAY, AUGUST 18, 2006(no entries will be accepted after this date). Request to compete in additional events after August 18, 2006 will not be accepted. Rules and other pertinent information will be mailed after your registration is received. Prize money is as follows: 1st=$50, 2nd=$35, 3rd=$25, 4th=$20, 5th=$10, Overall=$200 and Runner-up=$100.

ENTRY FEE: $5 per event, or $25 for five events or more. Please make checks payable to: Rochester Fair Association.
Mail to: Rose Chagnon
47 Silver Street
Farmington, NH 03835
(603)755-9769