Obedience 4 Agility Workshop Registration
May 2023
Handler's Name
*
First Name
Last Name
Attendance Type?
*
Paws4Fun Member, working spot ($30)
Paws4Fun member, audit spot ($10)
Non-member, working spot ($36)
Non-member, audit spot ($12)
Sorry, Member Only Registration at this time
Email Address:
*
example@example.com
Home Phone:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog's Name:
*
Dog's Date of Birth:
*
-
Month
-
Day
Year
Date
Dog's Breed or Description:
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Do you compete in agility currently? If so, at what level?
*
Do not compete, new to the sport
Starters
Advanced
Masters
Does your dog behave well when interacting with other dogs and people?
*
Yes
No
Please tell us about your dog's previous training, and any concerns you may have about your dog or yourself in an outdoor, multi-dog class environment:
*
Payment will be sent via:
*
e-transfer to treasurer@paws4funagility.ca (if required, question: Where are classes? answer: paws4fun)
PayPal - using the PayPal button on the Paws4Fun Agility Club web site, https://www.paws4funagility.ca/obedience4agility-may-2023
Other (please describe in the comment box below)
Anything else you would like note:
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Agreements
Rabies Statement
I atest that my dog has up to date rabbies vaccinations.
Paws4Fun Facility Waiver & Release (in case event is held outdoors)
I agree that the organization (Paws4Fun Agility Club) has the right to refuse this application for cause which the organization shall deem to be sufficient. In consideration of the acceptance of the application and/or the provision of competition at the matches, I agree to hold the organization including its officers, directors and owner of the premises harmless from any and all claims for loss or injury which may be alleged to have been caused directly to any person or thing by the act of this dog while in or upon any club premises or grounds or near any entrance thereto, and I personally assume all responsibility and liability for any such claim. I further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury, be it caused or alleged to be caused by negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I herby assume the sole responsibility for and agree to indemnify the same afore- mentioned parties from any and all loss and expenses (including legal fees) by reason of liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting there from, sustained by any person or persons, including myself or on account of damage to property, arising out of or in consequence of my participation in any club event, howsoever such injuries, death or damage to property may be caused or may have been alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents or any other person.
SilverDawn Facility Waiver & Release (in case the event is held indoors)
I understand that the sport of dogs can be a high risk sport and that I am participating at my own risk and in the full knowledge that there is some element of risk that an accident could occur and result in the death or injury to the handler or dog. In consideration of acceptance of my presence on the property or in the arena, I agree to save harmless and keep indemnified Silver Dawn owners, organisers and their respective agents, officials servants and representatives from and against all claims, actions, costs and expense and demands in the respect of death, injury, loss or damage to my person, dog or property however caused, arising out of or in connection with my taking part in this event or rental time and not withstanding that the same may have been contributed to or occasioned by negligence of Silver Dawn, their owners, agents officials, servants or representatives. It is understood that this agreement is to be binding on myself, my heirs and assigns.
Rules of conduct
I agree to abide by the Paws4Fun Agility Club Rules of Conduct as stated on the Paws4Fun web site - https://www.paws4funagility.ca/rules-of-conduct
By entering my name here I acknowledge that I have read and agree to the "Rabies Statement", "Paws4Fun Facility Waiver & Release", "SilverDawn Facilities Waiver & Release" and "Rules of Conduct" above
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First Name
Last Name
Date
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Month
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Day
Year
Date
Submit
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