2022 USMRA Decoy Training Camp Request Form

2023 USMRA Training Decoy Camp Request Form

Requests must be submitted 60 days prior to date of camp.

Club Name Hosting Camp*

Additional Club Name Hosting Camp

Location where camp will be held*

Event website and/or Facebook page url

Camp Date Start*

MonthDay Year

Camp Date End*

MonthDay Year

Instructor Requested*

Additional Instructors Requested

Guidelines for hosting USMRA-sponsored decoy training camps (please select that each of the following criteria are understood)*

Any instructor/s must be approved by the USMRA BODAll members in attendance must be USMRA membersApplications and fees must go through the USMRAMust have a minimum of four members in attendanceThe club must take responsibility to ensure that there are a sufficient number of safe and experienced dogs, as well as ensure that attendees have suits or the club will provide a number of suits

Please include the proposed topic list for your camp:*

Please explain a proposed budget for your camp (provide as much detail as possible):*

Below please write costs for attendees.

If zero, please put zero.

Cost for decoys without a dog:*

Cost for decoys with a dog:*

Cost for auditing*

Expected number of training decoys to attend*

Please explain how you will be promoting the event:*

How many suits can the hosting club provide?*

Do you intend to include a decoy certification with your camp?

YesNoNot sure

If a decoy certification is included with your camp, please ensure that you have read in its entirety and understand the requirements for hosting a certification. This information is available on the USMRA website under the decoy tab. A separate decoy certification form must be submitted in order for a decoy certification to be approved.

Contact Person*

First Name Last Name

Contact Phone

Area Code Phone Number

Insurance Company for Club Insurance. If none, state USMRA. Insurance Certificate Request must be submitted*

Insurance Person Contact Info

Email address to send Camp Entry form submissions*

Do you want a Paypal link on your Camp Entry Form*

YesNo

If PayPal link is desired, please provide PayPal account email address

By submitting this document, this club and it's members and agents agree to abide by USMRA by-laws, USMRA Code of Conduct and policies and procedures. We also agree to notify USMRA Secretary in writing of any changes, as well as event incidents and procedure deviations. USMRA is committed to an anti-discrimination policy in all of its programs. Membership entitles all members in good standing to attend all USMRA sanctioned events. We agree to be responsible for procuring insurance coverage either through USMRA or private club policy.*

Agree

Signature*

Date*

Date

Comments, questions and feedback

Copy of Insurance Policy if Individual Club Policy