Cobbitty Open Day Registration
Fill out the form carefully for registration
Attendee Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
E-mail Address
*
example@example.com
Any additional people coming to watch?
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Dog Details
If more than one dog, please record all in each field
Dog Name
*
Dog Breed
*
Dog Age
*
Vaccination Record: To help with the safety of all dogs in attendance at our workshops, we ask that you please send through a copy of your dog’s current vaccinations.
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Dietary Requirements
Do you have any dietary requirements or allergies?
*
Yes
No
If yes, please list details below
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Indemnity Agreement Information
This indemnity Agreement Form is to be completed by any participant who wishes to attend a workshop with Downunder Working Dogs.
Workshop Date
29th July 2023
Your Name
*
First Name
Last Name
Dog Name
*
By signing the below you acknowledge that:
*
Working with sheep may put you at risk of illness or injury, and that attending this workshop you accept that you may be injured from both foreseen and unforeseen events associated with working sheep and dogs.
You agree not to hold Downunder Working Dogs responsible for any illness or injury that occurs as a direct result of attending this workshop.
You certify that the above dog(s) registered is not a hazard to persons, dogs, stock or property.
Signature
*
Today's Date
*
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Month
-
Day
Year
Date
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