BGDS FUN TEST
May 1, 2021
Name
First Name
Last Name
Email
example@example.com
I have entered a dog in a BGDS or KBH trial since 2019:
No (fil in all fields)
Yes (skip to dog information)
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog Info
Dogs Call Name
Registered Name
BH Number (if they have one)
I have entered this dog in a BGDS or KBH trial since September 2019:
Yes (proceed to class selection)
No (enter all fields
Breed
Date of Birth
-
Month
-
Day
Year
Date
Sex
Height
Class Selection
# of Instinct Runs
# of Novice Runs
# of Open Runs
# of Senior Runs
# of Master Runs
# of Crazy 8s Runs
Total Number of Runs (please enter total runs)
Entry Fees Due
Tax
Total Due
Total Amount Due
prev
next
( X )
USD
Description
RELEASE AGREEMENT FORM Certification of Agreement upon Registration or Entry of Dog I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of the Barn Hunt Associations, LLC in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the liability waiver enclosed with my entry. I (we) certify and represent that the dog entered is not a hazard (dog or human aggressive) to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all Barn Hunt Association, LLC Rules and Regulations and to abide by any decisions made in accord to them. Liability Waiver I (we) agree that Bluegrass Dog Sports has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to win prizes, ribbons, and/or trophies, I (we) agree to hold Barn Hunt Association, LLC, Bluegrass Dog Sports, their members, directors, governors, officers, agents, or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any BHA LLC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting there from, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been cause or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I hereby authorize club-appointed videographer and/or photographer to use, reproduce, and/or publish photographs and/or video that may pertain to me, including my image, likeness and/or voice without compensation. I understand that this material may be used in various publications, public affairs releases, recruitment materials, the BHA LLC website, the Bluegrass Dog Sports web site, yahoo group or Facebook page, or for related endeavors. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. I have read the above. Signature of owner or his agent duly authorized to make this entry:
*
Submit
Should be Empty: