11891 County Road 2
Colborne, ON K0K 1S0
JRTCC JRTRO Ruckus All Breed Fun Day May 31, 2025
Name
First Name
Last Name
Address
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Format: (000) 000-0000.
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Dogs
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First Dog
$
40.00
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Second Dog
$
15.00
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Third Dog
$
5.00
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Go to Ground Certificate Class (JRTCC Members Only)
$
15.00
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Super Earth Certificate Class (JRTCC Member Only)
$
15.00
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I will donate an item to the raffle
$
Free
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I would like to volunteer to support the events
$
Free
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I would like to Contribute a dish to the Potluck
$
Free
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I hereby enter the above at my own risk and I hereby engage to be responsible for any injury, loss or damages that may occur to, or be caused by, any animals, vehicles, or trappings exhibited by me, and I further agree to be absolutely responsible for the physical condition of any animal under my control or ownership and will release, indemnify and save harmless (Trial Site and /or Owner of Property) and the JRTCC and JRTRO from any damage, expense and/or liability arising out of, or resulting from, any act of the Exhibitor or their agents or employees. I hereby certify that my dog(s) are free from contagious disease.
*
I agree
WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19 ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENTIn consideration of being allowed to participate at this event sponsored by the JRTCC and JRTRO and related events and activities, the undersigned acknowledges, appreciates, and agrees that: 1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (the Jack Russell Terrier Club of Canada and Northequest Canine Sports and Training Facility) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
*
I agree
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
*
I agree
I am not bringing a child under the age of 18
I understand that my registration is not complete until I have sent the Total, listed above, to the JRTRO via e-transfer to finance@russellrescue.org with the word Ruckus in the message section.
*
I understand and agree to send payment.
Please type your name into the box below. By doing so, you are providing a legal signature for the waivers and agreements above.
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