ORT Registration Form

Odor Recognition Test (ORT)

Saturday, September 7, 2024
Magic City Acceptance Center

3130 3rd Avenue South, Birmingham AL, 35233
Handler's Information*

First NameLast NameNACSW#
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Handler's Email*
Mobile Number on Day of Event*
Emergency Contact*

First NameLast Name
Emergency Contact *
Mobile number on Day of Event
Dog*

Call NameBreedDog NACSW#
Dog - Odors to be tested (check all that apply)*

BirchAniseClove
An ORT must be taken and passed at least 14 days before a trial opening date to be eligible for the first draw period.

Please contact your host at least 1 day before the ORT if your female dog will be in season.

I/We hereby assume all risks of, and responsibility for, accidents and/or damage to myself or to my property or to others, resulting from the actions of my dog. I/We expressly agree that Ben Shepard, Sprout and Penny Canine Foundation, Magic City Acceptance Center (3130 3rd Avenue S, Birmingham AL 35233), and/or NACSW or any other person, or persons, of said groups, shall not be held liable personally, or collectively, under any circumstances, for injury, and/or damage to my person, for loss or injury to my property, whether due to uncontrolled dogs or negligence of any member of said groups, or any other cause, or causes.

By submitting this entry you are agreeing to these terms.
Payment instructions will be sent via email.
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