Nose Work Event Volunteer Form

Nose Work Event Volunteer Form

LeRoy Jr. / Sr. High School, 505 E. Center, LeRoy, IL - March 25/26, 2023
Your Name

First Name Last Name
Your email address:
Your primary contact phone #:
Availability & Preferred Assignment
Days Available - Select all that apply (NW3):

Saturday 3/25/23 - AMSaturday 3/25/23 - PMSaturday 3/25/23 - All Day
Days Available - Select all that apply (L2C/L1I):

Sunday 3/26/23 - AMSunday 3/26/23 - PMSunday 3/26/23 - All DaySunday 3/26/22 - Tear Down Shift (11am to 6pm)
Preferred Assignment - Select all that apply:

TimerVideoJudge's StewardBox Setter (Odor)Box Setter (Clean)Sheet RunnerGate StewardMorning Set-upAfternoon Clean-upCompetitor/Volunteer Check-inJust put me anywhere you need me!
Are you entering one of the trials?

YesNo
Have you ever volunteered at a trial before?

YesNo
Vehicle Usage
If you have a vehicle that we can use in the Vehicle search, which day can we use it?

Saturday 3/25/23No vehicle available
The vehicle must not have had any odor on it in the last 4 weeks. There is a chance dogs will jump on or paw at the vehicle...we do our best to prevent it, but please do not volunteer your vehicle if this concerns you as we cannot reimburse you for damages.
What type of vehicle are you volunteering?
Other information - Please include information such as dietary restrictions, or other volunteer specific information.
National Association of Canine Scent Work, LLC® & Kudos for Canines Liability Waiver

WAIVER OF LIABILITY AND INFORMED CONSENT
I understand that the behavior of dogs cannot be guaranteed. I also understand that the behavior of domestic animals is sometimes unpredictable and that some domestic animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risks I agree to assume ALL those risks including, but not limited to; assuming the financial responsibility of any possible litigation arising from any incident in which I may be involved. I release, indemnify, and hold harmless Amy Herot, Jill-Marie O’Brien, K9 Nose Work®, National Association of Canine Scent Work, LLC®, Lisa Godfrey/Kudos for Canines LLC, and their Employees, Officers, Directors, Agents, or Contractors from any and all damages or personal injury. Any incident involving myself, the location, or those pets or actions of other participants and spectators will be my sole responsibility and I assume all financial liability and will also assume all and any financial costs associated with my actions.*

YesNo
In addition to the above, I understand that participating in this event, even as a volunteer or spectator, holds some risk. My dog and I may be exposed to challenging, treacherous or unstable footing and accept all possible risks associated with participating or observing any type of detection style training or competition. I agree to hold harmless Amy Herot, Jill-Marie O’Brien, K9 Nose Work®, National Association of Canine Scent Work, LLC®, Lisa Godfrey/Kudos for Canines LLC, and their Employees, Officers, Directors, Agents, or Contractors including, but not limited to, the event location’s agents or owner and to accept responsibility for all litigation and financial obligations arising from any unforeseen event in which I may be involved.*

YesNo
I represent and affirm that to the best of my knowledge and belief: (1) I do not have COVID-19 nor am I waiting for test results; (2) I have not been tested and found positive for COVID-19 or if I have tested positive for COVID-19, I certify that I have been released by government officials and/or health care providers to resume normal activity without limit; (3) I have not during the past 14 days experienced symptoms associated with COVID-19 including fever, coughing, or shortness of breath; and (4) I have not within the past 14 days, to the best of my knowledge and belief, been in contact with or exposed to any known carrier of COVID-19. 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 of the conditions represented, I am obligated to formally notify the event host of the changed conditions at the time of and before participating in the event. I agree to follow any specific event guidelines, precautions and requirements to mitigate the possibility of event participants or attendees contracting or spreading COVID-19. I understand the risks of contracting or being exposed to COVID-19 associated with my attendance at this event, and I knowingly accept those risks. I agree to waive, release and hold harmless K9 Nose Work®, National Association of Canine Scent Work, LLC®, Amy Herot, Jill-Marie O’Brien, Lisa Godfrey/Kudos for Canines LLC, the event location’s agents or owners, and each of their respective employees, officers, directors, agents, or contractors from and against any claim, liability, loss or expense arising out of based upon a COVID-19 infection acquired by myself or any of my family members or associates as a result of or contemporaneous with attendance or participation at this event.*

YesNo
I have read, understand and agree to the above:*
Name (Print)
Signature*

Clear
Date*

MonthDay Year
Date
Name of dogs at event location:*
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 above named minor will be bound by said Liability Waiver.
Name (print)
Date

MonthDay Year
Date
Signature

Clear
Please press Submit below to complete the form.

Please email lisa@kudosforcanines.com with any questions.

Thank you for your interest in volunteering!
Should be Empty:

Availability & Preferred Assignment

Vehicle Usage

National Association of Canine Scent Work, LLC® & Kudos for Canines Liability Waiver