Oct 1, 2022 RAD
Register for 1 to 3 events, 1 dog per form
I am a Paws4Fun Member?
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Yes ($10 per event, or $25 for all 3 events)
No ($12 per event, or $30 for all 3 events)
Handler Name
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First Name
Last Name
Handler Email
*
example@example.com
Dog Name
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Dog's Jump Height
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bar on ground
4"
8"
12"
16"
20"
24"
Dog's Birth Date
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Month
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Day
Year
Date
Events Entered
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Jumpers
Gamblers
Tunnelers
I will submit my payment via:
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e-transfer - to treasurer@paws4funagility.ca using security question "Where is RAD?" with answer "paws4fun"
PayPal - using the PayPal button on the Paws4Fun website at https://www.paws4funagility.ca
No payment required - please explain in the comment field below
Comment (anything you would like to tell Paws4Fun)
Rules and Waivers
Paws4Fun Facilities Waiver & Release
I agree that the organization has the right to refuse this application for cause which the organization shall deem to be sufficient. In consideration of the acceptance of this application and/or the provision of training, I agree to hold the organization (Paws 4 Fun Agility) including its officers, directors, volunteers, agents and owner of the premises harmless from any and all claims for loss or injury which may be alleged to have been caused directly to any person or thing by the act of this dog while in or upon any club premises or grounds or near any entrance thereto, and I personally assume all responsibility and liability for any such claim. I further agree to hold the aforementioned parties harmless form any claim for the loss of this dog by disappearance, theft, death or negligence of any other person, or any other cause or causes. I 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 the law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, 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 agent, or any other person.
By entering my name here I agree that I have read and agree to the terms outlined in the "Paws4Fun Facilities Waiver & Release" above:
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First Name
Last Name
Date
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Month
-
Day
Year
Date
Submit
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