2024 K9 Kup Team Member Individual Registration
June 30, July 21, August 25, Sept 29
Entering Individually? Every effort will be made to place you on a team with vacancies.
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Yes, individually
No, I will specify Team Name below
Team Name:
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Type "Individual" if you need to be assigned to a team.
Handler's Name:
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First Name
Last Name
Handler's Email:
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example@example.com
Is the Handler a Paws4Fun Member:
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Yes
No
Handler's Emergency Contact Name & Phone Number
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Please enter name and phone number
Dog Owners's Name:
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First Name
Last Name
Dog's Name:
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Dog's AAC # if applicable
Breed:
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Jump Height:
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24"
20"
16"
12"
8"
4"
Division:
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Regular
Special
Veteran
Double Drop
Junior Handler?
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Yes
No
How many years has your dog competed in K9 Kup? Include this year
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Payment Method to be used ($35 for Paws4Fun Members, $50 for Non-Members)
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e-transfer to treasurer@paws4funagility.ca (with message "K9 Kup")
Other - please describe in the comment box below
Comment
Anything else you would like Paws4Fun to know
Paws4Fun Standard Waiver & Release
We (the submitter of this application, the Handler and the Dog Owner specified in this application) agree that the organization (Paws4Fun Agility) has the right to refuse this application for cause which the organization shall deem to be sufficient. In consideration of the acceptance of this application, we agree to hold the organization including its officers, directors and the premise land owner harmless from any and all claims for injury, death, property damage or any other loss 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 organization premises or grounds or near any entrance thereto, and we personally assume all responsibility and liability for any such claim. We 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. We hereby assume the sole responsibility for and agree to indemnify the same aforementioned 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 ourselves or on account of damage to property, arising out of or in consequence of our 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.
By entering my name here I acknowledge on behalf of The Handler and The Dog Owner, that I have read, and I agree to, the "Standard Waiver & Release" above
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First Name
Last Name
Date
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Month
-
Day
Year
Date
Submit
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