2019 Contestant Packet - Otero County Fair Dusty Diamond
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Otero County Fair Dusty Diamond
2019 Contestant Packet
Entry Deadline: July 15, 2019
Contact: Marnee Singer 575-491-4418 or oteroqueens@gmail.com
Dear Contestant,
On behalf of the Otero County Fair and Rodeo, I am inviting you to become one of our
contestants for the 2019-2020 Otero County Fair Dusty Diamonds. Our pageant is set for September
15, 2019 at the Otero County Fairgrounds with horsemanship held the evening of September 13, 2019
at the Otero County Fairgrounds Rodeo Arena. We will have one mandatory Orientation which will
be July 20, 2019 at 2:00 at the Otero County Fairgrounds and one mandatory dress rehearsal which
will be determined at the Orientation.
The Otero County Fair Dusty Diamond is an elite group of young girls who aspire to become
a Fair and Rodeo Queen and/or Princess. This is a mentorship program and is limited to the first ten
girls to submit a complete entry. Each Dusty Diamond will compete in four phases of the pageant
and will work along with the Queen and Princess contestants.
There are four (4) phases of this competition which I will detail below:
Western Trendy (Fashion Forward) Modeling: The purpose of the western trendy or fashion
forward modeling is as a Fair Princess you must keep your appearance professional and trendy. This
will test each contestant’s knowledge of current fashion trends. This is also a way to showcase the
many sponsors of the rodeo and fair community, as many of them are clothing labels. For this
competition, you choose your own outfit and you are scored on the way you put your outfit together.
Each outfit should keep the professional appearance of the title and the current trends in fashion. If
you choose a skirt or dress, we do follow the rules of Miss Rodeo America which states: Skirts and
dresses need to be no shorter than 3 inches above the knee, dresses should not show cleavage, noth-
ing extremely low in the back, and must be longer than a cap sleeve, or you need to wear a jacket
over it. Immediately following the modeling, each contestant will stay on stage for their impromptu
question.
Impromptu Question: The purpose of the impromptu question is to test a contestant’s ability
to think quickly and respond gracefully and intelligently under pressure. Each contestant will draw a
question, this could relate to the contestant’s person, current events or the Otero County Fair and
Rodeo. Each contestant will answer a different question. The impromptu question immediately
follows the western trendy modeling and is performed in your western trendy outfit.
Elegance/apppearance Modeling: The elegance modeling competition allows the judges to
evaluate each contestant’s posture, poise, projection of self-confidence, grooming, and elegance.
Each contestant is responsible for a dressy outfit. All dresses shall be within the guidelines as stated
above. Immediately following the elegance modeling, each contestant will be handed a microphone
to begin their prepared speech.Otero County Fair & Rodeo
Pageant Competition Information and Rules
Entry Deadline: July 15, 2019
Contact: Marnee Singer 575-491-4418 or oteroqueens@gmail.com
We would like to remind all who are involved that the Queens Committee for the Otero County Fair & Rodeo
Queen Pageant and Scholarship Program are all volunteers who donate many hours without any kind of
monetary compensation. They do this willingly out of passion and for their love of the young women who
compete.
Conduct
The Otero County Fair Dusty Diamonds, Fair Princess, Rodeo Princess, Fair Queen and Fair & Rodeo Queen and
contestants serve as ambassadors of Otero County Fair Association to the general public, portraying excellence
in sportsmanship, high moral and ethical character, and reflect careful and humane treatment of animals. She
is expected to act, speak and dress according to the prestige of the titles at all times.
Eligibility
Each contestant regardless of category below must:
*Be a natural born female,
*Have been a resident of Otero County for 12 consecutive months prior to entry date,
*Have never been pregnant or married, and
*If selected as titleholder must surrender the title if for any reason not be able to fulfill her oblications
Each Dusty Diamond Contestant must:
*Be at least 6 and not more than 10 years of age by Wednesday of Otero County Fair of theyear of
competition.
*Entries are limited to the first ten (10) completed entries.
Each Fair Princess Contestant must:
* Be at least 10 and not more than 13 years of age by Wednesday of Otero County Fair of the year of
competition.
Each Rodeo Princess Contestant must:
*Be at least 13 and not more than 16 years of age by Wednesday of Otero County Fair of the year of
competition.
Each Fair Queen Contestant must:
*Be at least 14 and not more than 17 years of age by Wednesday of Otero County Fair of the year of
competition.
Each Fair and Rodeo Queen Contestant Must:
*Be at least 17 and not more than 23 years of age by Wednesday of Otero County Fair of the year of
competition.
Entry
Entry dates will be announced through various media, and entry deadlines will not be extended. Each entry
must be accompanied by:
*Completed Entry form plus one-page essay stating the reason why you would like to be
considered for the category you are applying for.
*Entry Fees:
Dusty Diamonds - Fifty Dollars ($50.00) Entry Fee plus minimum Fifty Dollars ($50.00)
Sponsorship.
All other age categories - One hundred dollars ($100.00) plus minimum of one hundred dollars
($100.00) sponsorship.
** Completed Entry consists of fully completed application, written essay and entry fee (paid in full)
** All Entry fees and Sponsorships go towards awards and other fees such as offical photos and other miscellaneous
costs to run the program.Judged Categories
Contestants will be judged on the over-all effect of their performance. This includes, but is not limited:
appearance, personality, skill, charisma, gracefulness and knowledge. The number of Judges may vary from
year to year but will be no less than three (3). Divisions of judging include, but are not limited to:
*Demonstration - Fair Queen and Fair Princess Contestants will participate in a Demonstration. The
Demonstration should be entertaining, resemble a typical demonstration with an introduction, body and a
conclusion. Each contestant is responsible for providing all props needed for the demonstration. No live
animals allowed. No parents allowed on stage; the current Queens Court will assist the contestant to set up
their props. The time limit for Queens Contestants is 5-7 minutes and 3-5 minutes for Princess Contestants.
Each contestant is required to enter a project into the fair. This can be entered in either 4-H, FFA or Open
divisions.
*Written Essay - Contestants will write at least one-page essay stating why they want to be selected as
the title position, they are competing for.
*Impromptu questions - Contestants will be asked an impromptu question during the Modeling
portion of the contest. The question will be pulled from a hat and read aloud by the master of ceremonies.
The questions will be designated for the appropriate age categories.
*Modeling (Western Trendy) - Modeling will be done individually. Must be western trendy attire.
Western skirt or dress is optional. Western style felt hat is mandatory.
*Appearance (Elegance) - Modeling will be done individually. Must be western formal attire. Western
style felt hat is mandatory.
*Personal Interview - Each contestant will have a personal interview before a panel of judges. This may
include discussion of personal opinions, as well as current affairs.
*Prepared Speech - Contestant does not have to author speech. It should be memorized and reading
off note cards may cause points to be deducted from score. Time limit is up to 3-5 minutes for Queen
Contestants and 2-3 minutes for princess contestants.
*Written Test - Contestants will take written test pertaining to Otero County Fair, Rodeo,
Horsemanship, and Current Events. Test will be age appropriate for each division.
*Congeniality - Contestant will be judged by how she interacts with other contestants and judges.
*Horsemanship - Fair & Rodeo Queen and Rodeo Princess will participate in Horsemanship and must
have a minimum score of 75% in this division. Contestants shall be prepared to compete in the horsemanship
pattern as set forth in this document. Contestants in this judged category shall ride a horse of their choosing,
keeping in mind the safety of other riders. All horses will be healthy and in good physical condition.
Horsemanship judging includes: control of the contestant’s mount and the way she handles any situation
which may occur; balance of the ability to sit properly in the saddle; positions - positioning of hands and feet
and seat; mounting and dismounting - “Queen mounts” are acceptable, however not required, and should only
done if they are done properly. The skill of the contestant will be judged, not the horse or the equipment. All
tack should be clean and in good working order - any safety issues with tack will be grounds for
disqualification. Contestants will not be allowed to use spurs, chaps, or other aids during the horsemanship
phase of the competition. Tack items which are standard for the contestant’s horse (i.e. tie-downs) will be
allowed.
Otero County Fair & Rodeo Pageant Information and Rules Page 2Rodeo Princess Horsemanship Pattern
1. Walk through gate to left past judges’ box
2. Pick up trot at the center of arena/continue to south end
3. Pick up lope to center of arena/opposite judges’ box
4. Do a small figure eight, starting to right
5. Do a large figure eight
6. Continue on to cone and stop and back
7. Dismount
Otero County Fair & Rodeo Pageant Information and Rules Page 3Fair & Rodeo Queen Horsemanship Pattern
1 to 2 Run with speed, past center marker
2. Stop and back up to center of pattern
3. Settle horse for approximately 10 seconds. Start lope to the right Figure Eight should be made
inside the end markers.
4. & 5 ride small figure eight at a slow lope
6. &7 Ride a larger figure eight at a faster lope
8. Left roll back over hocks (should be made past end markers)
9. Right roll back over hocks (should be made past near end markers)
10. Stop (should be made past center marker), let horse settle and in approximate area of stop, do
pivots.
11. Pivots, right or left, no more than 90 degrees.
12. Pivot opposite direction, no more than 180 degrees.
13. Walk to judge and stop for inspection until dismissed
Otero County Fair & Rodeo Pageant Information and Rules Page 4Horsemanship Continued:
** All contestants will do a flag run and a Queens Run
** It will be the judge’s option whether or not to require a demonstration of mounting and dismounting.
saddling and unsaddling, or any other horsemanship skills.
**After the pattern is complete the judges will ask each contestant some horsemanship related questions.
A CONTESTANT MUST RECEIVE A TOTAL SCORE OF SEVENTY-FIVE PERECENT (75%) TO BECOME A
TITLEHOLDER. IF THERE IS ONLY ONE CONTESTANT AND THE CONTESTANT DOES NOT RECEIVE AT
LEAST A 75% ON THEIR HORSEMANSHIP SCORE, THERE WILL BE NO TITLEHOLDER AWARDED.
IF A FAIR QUEEN OR FAIR PRINCESS CONTESTANT WOULD LIKE TO RIDE THEIR HORSE IN A RODEO,
CARRYING FLAGS, ETC, THEY MUST COMPLETE THE PRINCESS PATTERN, FLAG RUN, AND QUEENS RUN
IN HORSEMANSHIP AND RECEIVE AT LEAST A 75% ON THEIR SCORE. THIS SCORE WILL NOT EFFECT
ANYTHING IN THEIR COMPETITION, JUST ALLOWS US TO KNOW THEY CAN SAFELY HANDLE THEIR
HORSE.
Finality of Judge’s Scoring
The decision of the Judges if Final, and no appeal will be considered with the Judges. In the event the
Contestant feels the need to appeal the results of the Judges, all appeals must be submitted in writing and
submit a check for $100.00 to the Pageant Director no later than one hour after the conclusion of the
coronation. The appeal will be considered at the first meeting of the Queen committee following the
coronation. All appeals shall be reviewed by the Queens Committee and brought to the attention of the Otero
County Fair Association. Action if deemed necessary of said appeal will be determined by the Otero County
Fair Association upon the recommendation of the Queens Committee.
Contestant Requirements
*Fully Completed Entry
*Attend orientation, clinics/workshops
*Represent Otero County Fair & Rodeo in parades, county functions and other activities wearing
appropriate attire. All appearances as a contestant must be approved by the Queens Committee.
*Must participate in her coronation, and if selected as title holder must appear at next year’s coronation.
*Contestants are expected to appear in “full western attire” at all times unless otherwise specified.
Examples are: western pants and long-sleeve shirt or blouse; vest and/or jacket; western skirt and
blouse or shirt; or western dress; all with western style felt hat, boots and belt. Shirt-tails shall always
be tucked in unless the style indicates otherwise.
*All dresses, skirts and blouses must reflect a western theme. Cocktail type dresses are not acceptable.
*All dresses and skirts must follow Miss Rodeo America’s rules which state, skirts and dresses need to
be no shorter than 3 inches above the knee, dresses should not show cleavage, nothing extremely low
in the back, and must be longer than a cap sleeve, or you need to wear a jacket over it.
*Dress for the horsemanship competition for all age division will be white, long-sleeve western shirt,
a blue denim “wrangler type” pant product and black western style felt hat (with hair pulled
back), boots and belt. NOTE: “Fashion” or “modern” type boots are not acceptable, and
chaps, jackets, vests or gloves are not permitted. All riding attire should be neat and fit properly.
*Dress for fair demonstration competition for all age division will be white, long-sleeve western shirt,
a blue denim “wrangler type” pant product and black western style felt hat, boots and belt. NOTE:
Fashion or trendy styles are not permitted in this competition.
*Any event designated as “trendy” will indicate the following type of wardrobe: Clothing that would be
worn to a “western” theme party and could be either a dress or pants. Will also include western style
felt hat, boots and belt. If a dress is worn, it must fit within the Miss Rodeo America guidelines as
stated above.
*Any event designated as “Elegance” will indicate the following type wardrobe: Dressy attire that would
be worn to enhance poise, posture and projection of self-confidence. All dresses should follow the
guidelines of Miss Rodeo America stated above. Each outfit will also include, western style felt
hat, boots and belt. Otero County Fair & Rodeo Pageant Information and Rules Page 5Awards
*Awards will be presented to category winners and titleholders at the coronation on Saturday
morning of the fair.
*Dusty Diamonds will be crowned at their own coronation either at the pageant or during the fair.
This date is to be determined.
*Any cash or scholarship prizes will not be awarded until after the fulfillment of the contest
requirements.
*Contestants should be aware that titleholders do not receive a salary.
*Titleholders will receive an official crown, trophy buckle and sash, as funds are available. All crowns,
with the exception of the Dusty Diamonds, are perpetual and will be turned over at the completion of
the titleholder’s reign. A complete listing of awards will be posted when available.
THE OTERO COUNTY FAIR & RODEO PAGEANT AND SCHOLARSHIP PROGRAM RESERVES THE RIGHT TO
REVISE THESE RULES AT THEIR DISCRETION AND WITHOUT PRIOR NOTICE.
Otero County Fair & Rodeo Pageant Information and Rules Page 6Otero County Dusty Diamond
2019 Entry and Biological Information
Fill out the form in its entirety as this will be used for press releases, Fair book, Fair Website Bios, and for the
Judges. You are not limited to the space provided, please attach another sheet if needed. Also submit an essay
limited to one paragraph describing “Why I want to be an Otero County Dusty Diamond”. Dusty Diamond
Contestant and natural born female and must be between the ages of 6 and not more than 10 years of age by the
Wednesday of the fair.
Name: ____________________________________________________________________________________
Date of Birth _______________________________________________________________________________
Mailing Address: ____________________________________________________________________________
Physical Address: ___________________________________________________________________________
Phone Number: ____________________________________________________________________________
Parents/Guardian: __________________________________________________________________________
Parents Mailing Address (if different from above): _________________________________________________
Parent’s Physical Address (if different from above): _________________________________________________
__________________________________________________________________________________________
Parent’s phone number(s):_____________________________________________________________________
Parent’s Email(s): ___________________________________________________________________________
School of Attendance and Grade:_______________________________________________________________Describe your favorite areas of the Otero County Fair, the Contestant can answer impromptu questions about:
__________________________________________________________________________________________
_________________________________________________________________________________________
__________________________________________________________________________________________
Name any Civic or Social Clubs the Contestant belongs to or attends: __________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
List all previous Titles the Contestant has held and dates as a Title holder.
__________________________________________________________________________________________
__________________________________________________________________________________________
Describe any livestock experience the Contestant has, and what type of livestock.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
List any special interests or hobbies the Contestant has:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Otero County Dusty Diamond Entry - Page 2Otero County Dusty Diamond
2019-2020 Contract
THIS CONTRACT is entered by and between the Otero County Fair & Rodeo Queen Committee
(hereinafter referred to as “Committee”) and _______________________________ (hereinafter referred to as
“Contestant”.)
WHEREAS Contestant is desirous of representing the Otero County Fair and Rodeo as its 2019-
2020 Otero County Dusty Diamond, and
WHEREAS Committee is desirous of having Contestant, if selected as the 2019 -2020 Otero
County Dusty Diamond, represent the Otero County Fair and Rodeo at various events around New
Mexico, and
IT IS HEREBY AGREED AS FOLLOWS:
1. Contestant understands that by signing this contract and the Expectation Statements
that
she is committing herself to the Otero County Fair and Rodeo Queen Program. This is to include one
(1) year as the titleholder. During this entire period, she shall conduct herself with dignity and ethical
behavior befitting the title. She understands that she will be living in the public eye for this period and
will be a role model. She should always be properly attired at all public events, including social media
websites.
2. Committee shall furnish a crown, buckle, sash and other awards as is feasible, but shall
offer no form of financial assistance, nor assume the financial responsibility for reimbursement to
Contestant for any expenses incurred during her reign. The furnished crown will be handed down at the
end of her reign to the next year’s Contestant/title holder. The Contestant understands and agrees that
if she loses or damagers the crown that she is financially responsible to replace the damaged or lost
crown with one in kind of the same monetary value.
3. Contestant is required and agrees to attend events, including but not limited to the
following:
a. Otero County Fair and Rodeo Events
b. Fair Parade
c. Christmas Parade
d. Fourth of July Parade
e. Kiwanis Pancake Breakfast
f. First National Bank Popcorn Fridays
g. Pageant Workshops, Orientation, Rehearsal, and Pageant
h. Any other events as required by Committee4. It is agreed that Contestant agrees to provide information on what she has done during
her reign. This information will be used for future contacts and to ensure legitimacy of the Otero
County Fair and Rodeo Queen Program.
5. It is agreed that should Contestant fail to attend the required events or fulfill the duties of
the Otero County Dusty Diamond, bring embarrassment or negative attention to the Committee or the
Otero County Fair and Rodeo Association, she shall be in danger of losing her title and any prizes
awarded thereof. Contestant receives a second disciplinary action or breach of contract, she shall forfeit
her title, crown, sash, and buckle to Committee immediately.
6. Committee reserves the right to the title of Otero County Dusty Diamond. If Contestant
wishes to use her title in some form of media other than the official avenues, she must first get approval
from Committee in order to protect Committee and title. All outside media items, other than interviews
shall get prior approval from Committee. This is including websites, articles, and news releases.
7. The decision of the Judges is Final, and no appeal will be considered with the Judges. In
the event Contestant feels the need to appeal the result of the judges, all appeals must be submitted in
writing and submit a check for $100.00 to the Pageant Director no later than one hour after the
conclusion of the coronation. All appeals shall be reviewed by Committee and brought to the Otero
County Fair Association. Action if deemed necessary of said appeal will be determined by the Otero
County Fair Association upon the recommendation of Committee.
8. Any and all appeals of disciplinary action must be filed in writing with Committee no later
than one hour after disciplinary action. The appeal will be considered by Committee within ten (10)
days of the appeal. All parties will be duly notified at the time and place for consideration of appeals.
The decision of any disciplinary action from Committee are Final.
9. It is agreed that failure to follow this contract or conduct herself in any way not befitting
the title of the Otero County Dusty Diamond, said title holder will be asked to relinquish her title. If it
comes to the attention of Committee that Contestant has participated in activities that could be
negative to the reputation of Committee, or title, either prior to or after the contest, she may be asked
to relinquish the title and awards immediately.
MY SIGNATURE SIGNIFIES THAT I HAVE READ, UNDERSTAND AND AGREE TO THE FOREGOING
DOCUMENT.
___________________________________________________________ _________________________
CONTESTANT SIGNATURE DATE
__________________________________________________________ ________________________
PARENT/GUARDIAN SIGNATURE DATE
Otero County Dusty Diamond Contract Page 2Otero County Dusty Diamond
Expectation Statement &
Code of Conduct
I, ________________________________, understand that participation with the OTERO COUNTY FAIR & RODEO
and the FAIR & RODEO QUEENS Pageant is voluntary and I am free to resign at will at any time, and that the
OTERO COUNTY FAIR BOARD, and/or Committee, may terminate the relationship at will any time, with or without
notice or cause.
I hereby agree to participate in any and all events scheduled by the Committee. I will make myself available
during the OTERO COUNTY FAIR & RODEO will represent the FAIR & RODEO to the best of my ability. My duties
to the Committee will take precedence over other activities during the OTERO COUNTY FAIR & RODEO.
POSSIBLE REASONS FOR DISQUALIFICATION:
I further understand that I may be disqualified and terminated, including but not limited to the following:
1. Use of tobacco products, illegal drugs, non-prescribed medications, drinking alcohol, or any
behavior or language unbecoming of a representative of the OTERO COUNTY FAIR & RODEO.
2. Tardiness or leaving before an activity is over, without prior authorization from the Committee.
3. Being disrespectful to any member of the Committee, Fair Board, Contestant, or any representative
thereof, in body language, spoken word, written word, or body gesture.
4. Attempting to influence to harass any of the Judges, Committee members, Fair Board, Contestant,
or any representative thereof.
5. Any contestant and or title holder disqualified, will not be able to participate in the Otero County
Fair and Rodeo Queens Pageant for at least one year after disqualification and not until the
next age group
.
MY SIGNATURE SIGNIFIES THAT I HAVE READ, UNDERSTAND AND AGREE TO THE FOREGOING
DOCUMENT.
________________________________________________________ ___________________
CONTESTANT SIGNATURE DATE
________________________________________________________ ___________________
PARENT/GUARDIAN SIGNATURE DATE
DustyDiamond Expectation Statement and Code of ConductOtero County Dusty Diamond
Parent/Guardian
Expecation Statement and Code of Conduct
I, ________________________________, understand that as an adult I should model positive behaviors and lead
by example, and that my behavior affects my child’s reign as a DUSTY DIAMOND. I understand my child’s
participation with the OTERO COUNTY FAIR & RODEO and the FAIR & RODEO QUEENS Pageant may be
terminated at the discretion of the Committee, or the Fair Board. I agree to conduct myself in a responsible and
professional manner and abide by all expectations including but not limited to the following:
1. To cooperate with, and support the OTERO COUNTY FAIR & RODEO QUEEN COMMITTEE, FAIR
BOARD, parents, and other contestants.
2. To oversee the health, safety, and whereabouts of my child during her reign as a DUSTY
DIAMOND.
3. To refrain from the use or possession of alcohol, drugs, or weapons, before, during, or after an
event while my child is representing the OTERO COUNTY FAIR & RODEO.
4. To orient my child’s expectations of dress, manners, safety, punctuality, etc. for all events during
her reign as a DUSTY DIAMOND.
5. To refrain from causing or demonstrating conflict with other parents, volunteers, chaperons, or
agents at any Committee/FAIR & RODEO QUEEN event.
6. To communicate with the Committee, Fair Board, and the reigning QUEENS, PRINCESSES, DUSTY
DIAMONDS and FAIR & RODEO QUEENS in an appropriate manner with no swearing, cursing, or
abusive language in all forms of communication including social media.
7. To avoid sexual contact of any type with the youth, the Committee, Fair Board, and the reigning
QUEENS, PRINCESSES, DUSTY DIAMONDS and FAIR & RODEO QUEENS and/or displays of
affection with other adults during any event of the OTERO COUNTY FAIR & RODEO.
MY SIGNATURE SIGNIFIES THAT I HAVE READ, UNDERSTAND AND AGREE TO THE FOREGOING
DOCUMENT AND AGREE TO BE BOUND BY IT.
________________________________________________________ ___________________
PARENT/GUARDIAN SIGNATURE DATE
Dusty DiamondParent/Guardian Expectation Statement and Code of ConductOtero County Dusty Diamond
Medical Authorization
MEDICAL EMERGENCY CONTACT INFORMATION:
DUSTY DIAMOND CONTESTANT NAME: _____________________________________________________________
EMERGENCY CONTACT INFORMATION:
NAME: _________________________________________ NAME: _______________________________________
RELATIONSHIP: _______________________________ RELATIONSHIP: ______________________________________
PHONE: ________________________________________ PHONE: ______________________________________
PHYSICIAN INFORMATION & INSURANCE INFORMATION:
PHYSICIAN NAME: _______________________________________ PHONE: _____________________________________
INSURANCE: _______________________________________________________________________________________________________
POLICY HOLDER’S NAME: _________________________________________________________________________________________
POLICY #: __________________________________________________________________________________________________________
RELATIONSHIP TO PARTICIPANT: __________________________________________________________________________________
HEALTH INFORMATION:
Please list any health or medical conditions of the participant.
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Please list any allergies.
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Please list any medications (prescriptions or over the counter) the participant is currently taking.
__________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
The health history/special accommodation needs provided is correct and complete to my knowledge. I understand that
should information change throughout the course of the program year, I am responsible for updating this information and
providing a revised form to the Committee prior to any event. If an injury or other medical condition occurs or arise, I
hereby give permission to the Committee or Fair Board representative to consent on my behalf to routine treatment and/
or seek emergency medical treatment. I further authorize any licensed medical person/facility to treat my child. I agree to
assume full financial responsibility for any medical services provided.
________________________________________________________________ __________________________
Parent/Guardian Date
Dusty Diamond Medical AuthorizationOtero County Dusty Diamond
Media Release &
Waiver of Liability
Media Release
I hereby, allow the OTERO COUNTY FAIR & RODEO QUEEN COMMITTEE, OTERO COUNTY FAIR
ASSOCIATION to use photos, and/or name in various media projects. Please read the following, date and sign
where indicated. Thank you.
YES, I CONSENT. I grant permission for my child to participate and appear in video, audio recordings,
films, photographs, written articles, or on websites, and social media sites. This consent includes the use and
editing of my child’s image, voice, and name in media projects by the OTERO COUNTY FAIR & RODEO QUEEN
COMMITTEE, OTERO COUNTY FAIR ASSOCIATION and their representatives to print, broadcast, such as social
media, newspapers, flyers, radio and television broadcasts. In consideration of the opportunity for my child to
partici-pate, I release the OTERO COUNTY FAIR & RODEO QUEEN COMMITTEE, OTERO COUNTY FAIR
ASSOCIATION and their representatives from all claims resulting from the use and editing of my child’s image,
voice, or name and the use, sale, editing and release to media outlets.
NO, I DO NOT CONSENT to non-OTERO COUNTY FAIR & RODEO QUEEN COMMITTEE, OTERO COUNTY
FAIR ASSOCIATION, and their representatives to use my child’s photograph, voice and/name in various media
projects.
Your selection remains valid for all media projects occurring during the pageant year in which this form is
signed. You may change your selection at any time by completing a new form.
Contestant Name: __________________________________________________________________________________________________
Contestant Signature: ______________________________________________________________________________________________
Parent/Guardian Name: ____________________________________________________________________________________________
Parent/ Guardian Signature: _______________________________________________________________________________________
Date: _______________________________________________________________________________________________________________
Waiver of Liability
I hereby release the OTERO COUNTY FAIR & RODEO QUEEN COMMITTEE, OTERO COUNTY FAIR
ASSOCIATION and the owners or operators of any property where the activity may take place, from liability in
the event of illness, injury, or loss occurring to myself, or my personal belongings and will make no claim as a
result thereof. I also understand that some activities may involve certain risks associated with physical activity or
potential harm, including recreational games/activities and may travel by motor vehicle to off-site locations for
such activities.
Contestant Name: _________________________________________________________________________________________________
Contestant Signature: _____________________________________________________________________________________________
Parent/Guardian Name: ___________________________________________________________________________________________
Parent/ Guardian Signature: ________________________________________________________________
Dusty Diamond Media Release and Waiver of Liability
Date: __________________________________________________________________________________You can also read
