February 3 Champlain Dog Club Obedience Sanction Match
See premium list for details. ENTRIES NOW OPEN! Entries close Jan 26, 2024 at 9pm. Any questions, please message our Facebook page or email us at champlaindogclub@gmail.com
Dog’s Call Name
*
Dog’s Registered Name
*
Dog’s Breed
*
Dog’s Registration #
*
Dog’s Sex
*
Male
Female
Dog’s Date of Birth
*
-
Month
-
Day
Year
Dog’s Country of Birth
*
Canada
Elsewhere
Breeder(s)
*
Dam
*
Sire
*
Registered Owner(s)
*
Owner(s) Address
*
Name of Agent (if applicable)
Entering the following classes
*
Pre-Novice
Novice A
Novice B
Novice C
Novice Intermediate
Open HA
Open HB
Open 18A
Open 18B
Utility A
Utility B
Exhibition Only
Jump Height
For Novice Intermediate and above competitors
Is my dog competing with a TCN?
*
No
Yes - 11.30$ Listing fee required
Do you have a second dog to enter?
*
Yes
No
Second Dog Information
Second Dog’s Registered Name
Second Dog’s Breed
Second Dog’s Registration #
Second Dog’s Sex
Male
Female
Second Dog’s Date of Birth
-
Month
-
Day
Year
Date
Second Dog’s Country of Birth
Canada
Elsewhere
Second Dog Breeder(s)
Second Dog Dam
Second Dog Sire
Second Dog Registered Owner(s)
Owner(s) Address (if different from first dog)
Name of Agent (if applicable)
Second dog entering the following classes
Pre-Novice
Novice A
Novice B
Novice C
Novice Intermediate
Open HA
Open HB
Open 18A
Open 18B
Utility A
Utility B
Exhibition Only
Second Dog Jump Height
For Novice Intermediate and above competitors
Is my dog competing with a TCN?
No
Yes - 11.30$ Listing fee required
Second Dog Information
Total Entry Fees Due
Back
Next
Waiver
CHAMPLAIN DOG CLUB (hereafter referred to as ‘the Host Club’) RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT. By signing this below you will waive certain legal rights, including the right to sue or claim compensation following an accident. Please read this document carefully. I certify that I am the actual owner of this/these dog(s) or that I am the duly authorized agent of the actual owner whose name I have entered above.In consideration of acceptance of the entry and the opportunity to have the dog judged and to win ribbons or prizes at the events held on the date(s) above, I agree: 1. To hold the Host Club including its members, directors, officers, employees and volunteers (collectively referred to as “the Host Club”), as well as the owner and lessor of the real property on which the event is held, harmless from any claim for loss or injury which may be alleged to have caused directly or indirectly to any person or thing by the act of myself or my dog(s) while in or about the event premises or grounds near the entrance thereto and I assume all responsibility and liability for any such claim. 2. To hold the Host Club harmless from any claim for loss of this dog by disappearance, theft, death or otherwise and from any claim for damage or injury, even if such loss or damage/injury was caused or alleged to be caused by negligence of the Host Club or any other person(s); 3. To assume the sole responsibility for and agree to indemnify, defend and save the Host Club harmless from any and all loss and expense, including legal fees, by reason of the liabilities imposed by law upon the Host Club for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person(s), including myself, or on account of damage to property, arising out of or in consequence of my participation in the event, however such injuries, death or property damage may be caused and whether or not the same may have been caused or may be alleged to be caused by the negligence of the Host Club or any other person(s); 4. That any cause of action, controversy or claim arising out of or related to the attendance at the event between the Host Club and myself or as to the construction, interpretation and effect of this waiver shall be settled by arbitration in the province of Ontario; and. 5. That the Host Club has the right to refuse this entry for cause, which the Host Club will deem sufficient.
By selecting “I agree” and writing my name below, I hereby understand and accept the above waiver.
*
I agree
Owner/Agent’s Full Name
*
Email
*
Confirmation Email
example@example.com
Submit
Should be Empty: