USABC MAY-HEM Weekend, May 16th-18th, 2025 in Ottsville, PA
Registration and Waiver
Handler's Name
*
First Name
Last Name
Handler's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Handler's Date of Birth:
*
-
Month
-
Day
Year
Date
USABC Member Number (Please Type "New Member" if Applicable)
*
Dog's Full Name (list names of all dogs attending)
*
Breed(s)
*
Dog's Date of Birth (estimates are fine if needed)
*
-
Month
-
Day
Year
Date
Include additional dog dates of birth, if applicable:
-
Month
-
Day
Year
Date
Include additional dog dates of birth, if applicable. If more than 3 dogs will be attending, list additional dog birth dates in Level of Training field.
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Month
-
Day
Year
Date
Level of Training/Work, and areas you'd like to work on or learn about this weekend
*
Titles:
Vaccination Record (must be up to date):
*
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Member Working Slot (includes meal ticket)
$
175.00
Quantity
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Non-Member Working Slot
includes meal ticket & 2025 membership
$
250.00
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Individual Meal Ticket
includes 2 day lunch and Saturday grill dinner, Coffee, water, continental breakfast available(additional)
$
50.00
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Audit/Spectator: Member
$
Free
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Audit/Spectator: Non-Member
Includes 2025 membership
$
40.00
Quantity
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Waiver: I verify that the dog(s) attending is/are up to date on all vaccinations. I agree to abide by the rules and regulations set forth at the event. I understand and agree to be fully responsible for the actions of said dog(s) and any and all dogs that I bring to the event. I agree to hold harmless the USABC, all officers and members, and any associated property and landowners or organization sponsoring the event for loss or injury to myself or anyone/anything caused by the actions of my dog(s), either directly or indirectly. I agree to assume all responsibility and/or liability from any claim arising from any conduct associated with my dog. All dogs must be leashed unless actively training or competing. I also grant permission for the USABC to use photos and video footage from this event for future use.
*
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