Obedience 4 Agility Workshop Registration
5:30pm - 8pm, 28 May 2024
Attendance Type?
*
Paws4Fun Member, Working ($40)
Paws4Fun Member, Auditing ($13)
Non-Member, Working ($48)
Non-Member, Auditing ($16)
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Minutes
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Handler's Name
*
First Name
Last Name
Dog Owner's Name, if different from Handler
First Name
Last Name
Handler's Email Address:
*
Confirmation Email
Please re-enter your address for verification
Handler's Phone:
*
Handler's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Handler's Emergency Contact Name:
First Name
Last Name
Emergency Contact Phone:
Dog's Name:
*
Dog's Date of Birth:
*
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Month
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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 environment:
Anything else you would like note:
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Agreements
Paws4Fun Facility Waiver & Release (in case event is held outdoors)
We (the Handler and the Dog's Owner) 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 the application and/or the provision of competition at the matches, we 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 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 herby 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 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.
Rules of conduct
We understand that all participants in this workshop are expected to help with course set up and tear down. We 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
Rabies Statement
We atest that this dog has up to date rabbies vaccinations.
By entering my name here I acknowledge that I have read and agree to the "Rabies Statement", "Paws4Fun Facility Waiver & Release", and "Rules of Conduct" above
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Last Name
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