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2. I Hereby Agree:
   I hereby certify that i have read all the rules for facilities at the Val Verde County Fairgrounds.
   
   I agree to hold the County of Val Verde harmless from any bodily injury property damage or medical claims resulting from any activity of myself, my employees, my agents, or assigns.
   
   I hereby certify that, to the best of my knowledge, all animals under my care, custody or control are free from communicable disease.
   
   I agree to pay rent due by no later than the 5th of each month. For example: August1-31 rent is due by August 5. Monthly rental is based on the 1st of the month to the end of the month or any portion thereof. If you are renting for any time during the month, a whole month will be charged, unless a daily rental fee of $5 per day, per stall is preferred.
4. Number of Stalls Assigned
5. Total Amount Owed
7. Fee Required?

   1. Yes

   1. No
8. Deposit Required?

   1. Yes

   1. No
10. Printed Name
11. Phone Number
13. Address
15. City
16. State
17. Zip Code
19. Signature
20. Date
    Date
22. Received By:
23. Title
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25. 1. Receive an email copy of this form.
26. Email address

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27. Submit

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