2022 K9 Kup Registration
June 26, July 24, August 28, Sept 18
Paws4Fun Member:
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Yes
No
Team Name and Captain:
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Type "Individual" if you need to be assigned to a team.
Name:
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First Name
Last Name
Phone Number:
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Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
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example@example.com
Emergency Contact Name:
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First Name
Last Name
Emergency Contact Phone Number:
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Dog's Name:
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Breed:
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DOB
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-
Month
-
Day
Year
Date
Height at Withers:
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Division:
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Regular
Special
Veteran
Double Drop
Junior Handler?
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Yes
No
Dog's AAC # if applicable
Jump Height:
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24"
20"
16"
12"
8"
4"
How many years has your dog competed in K9 Kup? Include this year
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Payment Method to be used ($35 for Paws4Fun Members, $50 for Non-Members)
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e-transfer to treasurer@paws4funagility.ca - use security question "Where is K9 Kup?", with answer "paws4fun"
PayPal - use the PayPal button on the Paws4Fun website at www.paws4funagility.ca
Other - please describe in the comment box below
Comment
Anything else you would like Paws4Fun to know
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Waivers & Releases
Paws4Fun Standard Waiver & Release
We agree that Paws4Fun Agility has the right to refuse this application for cause which the organization deems to be sufficient. In consideration of the acceptance of this application, we agree to hold Paws4Fun Agility, including its officers, directors and the premise land owner, harmless from any and all claims for injury, death, property damage or any other loss which may be alleged to have been caused by the act of our dog(s) while in or upon any club premises or adjacent grounds, and we personally assume all responsibility and liability for any such claim. We further agree to hold the aforementioned parties harmless from any claim for loss of our dog(s) by disappearance, theft, death or otherwise, and from any claim for damage or injury, be it caused or alleged to be caused by negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. We hereby assume the sole responsibility for and agree to indemnify the same aforementioned parties from any and all loss and expenses (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 ourselves or on account of damage to property, arising out of or in consequence of our participation in any club event, howsoever such injuries, death or damage to property may be caused or may have been alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other person.
By entering my name here I acknowledge that I have read, and I agree to, the "Standard Waiver & Release" above
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First Name
Last Name
Date
-
Month
-
Day
Year
Date
Submit
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