Liability Waiver
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Area Code
Phone Number
K9 NOSE WORK®WAIVER OF LIABILITY AND INFORMED CONSENT
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WAIVER OF LIABILITY AND INFORMED CONSENT I understand that participating in Rawhide Ranch NW3and Elite trial , whether as a participant, a volunteer or a spectator, holdssome risk. These risks include, but arenot limited to, that the behavior of dogs and other domestic animals issometimes unpredictable, cannot be guaranteed, and can result in seriouspersonal injury or death to bystanders, as well as extensive property damage.In addition, I and/or my dog may be exposed to challenging, treacherous orunstable terrain and footing during the Event. Acknowledging my awareness of the risks associatedwith participating or observing any type of detection style training orcompetition, I hereby waive and release any claim or cause of action that I mayotherwise have against Amy Herot, Jill-Marie O’Brien, K9 Nose Work®,National Association of Canine Scent Work, LLC®, Linda Buchanan, DBA K9s, Kittiesand Kritters and their respective employees, officers, directors, agents, orcontractors (collectively, the “Released Parties”) for any claim or cause ofaction for personal injury or property damage (collectively, a “Claim”) arisingout of or in connection with events, accidents or other occurrences at theEvent, except to the extent that the Claim arises out of the intentionalmisconduct or gross negligence of the Released Party. I further agree to defend, indemnify, and holdharmless each Released Party from and against any and all claims, damages,costs and expenses arising out of or in connection with any Claim that isbased, in whole or in part, on acts or omissions by me or by any person oranimal for whom or for which I have or had responsibility or control. Irepresent and affirm that to the best of my knowledge and belief: (1) I do nothave COVID-19 nor am I waiting for test results; (2) I have not been tested andfound positive for COVID-19 or if I havetested positive for COVID-19, I certify that I have been released by governmentofficials and/or health care providers to resume normal activity without limit;(3) If I have experienced symptomsassociated with COVID-19 including fever, coughing, or shortness of breath orif I have been in contact with or exposed to any known carrier of COVID-19, Ihave met the current CDC recommendations regarding testing and/or quarantine. I am representing my condition as of signing,and if, as of the later time of the event, there has been any change in any ofthe conditions represented, I am obligated to formally notify the event host ofthe changed conditions at the time of and before participating in the event. Iagree to follow any specific event guidelines, precautions and requirements tomitigate the possibility of event participants or attendees contracting orspreading COVID-19. I understand the risks of contracting or being exposed toCOVID-19 associated with my attendance at this event, and I knowingly acceptthose risks. I agree to waive, releaseand hold harmless all Released Parties from and against any claim, liability,loss or expense arising from or based upon a COVID-19 infection acquired by myself or anyof my family members or associates as a result of or contemporaneous withattendance or participation at this event. Participation in NACSWevents requires adherence to all host, facility, and jurisdictional guidelinesand requirements relating to COVID-19. This may include testing, vaccinations,quarantines, temperature checks and other safety measures.I have read, understand and agree to the above
Name of dogs on site:
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Parental Consent: I am the lawful parent and/or legal guardian of the above named minor. I acknowledge that I have read and understand this Liability Waiver and that I and the below named minor will be bound by said waiver (type n/a if non applicable)
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Date Signed
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By signing I agree to the above
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