North Texas Nosework Club July 27, 2024 ORT Entry Form/Liability Release

North Texas Nosework Club

National Association of Canine Scent Work, LLC
North Texas Nosework Club

NACSW - Odor Recognition Test

Saturday - July 27, 2024

5:00PM

Lucky Dog Training Center

5824 Kroger Dr.

Keller, TX 76244

Entry Cost: $25 per Odor Search
Dog's Call Name*
Breed(s)*
Dog's NACSW #*
Handler's Name*
Handlers NACSW #*
Address*

Street Address Line 1

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
Please enter a valid email address
WAIVER OF LIABILITY AND INFORMED CONSENT

I/We hereby assume all risks of, and responsibility for, accidents and/or damage to myself or to my property or to others, resulting from the actions of my dog. I/We expressly agree that North Texas Nosework Club and Lucky Dog Training Center and/or NACSW or any other person, or persons, of said groups, shall not be held liable personally, or collectively, under any circumstances, for injury, and/or damage to my person, for loss or injury to my property, whether due to uncontrolled dogs or negligence of any member of said groups, or any other cause, or causes.
I have read, understand and agree to the above:*
Type Full Name Here
Date*

MonthDayYear
Date
Name of dog(s) at event location.*
Please Type Dog name(s)
Parental Consent (If applicable):

I am the lawful parent and/or legal guardian of the below named minor. I acknowledge that I have read and understand this Liability Waiver and that I and the below named minor will be bound by said Liability Waiver.
Please select the odor tests to be added to the Wait List. You will not be charged until you are moved from the Wait List.
prevnext( X )
NACSW ORT - Birch
$25.00



NACSW ORT - Anise
$25.00



NACSW ORT - Clove
$25.00



Total

$0.00
Name(s) of Minor
I have read, understand and agree to the above:
Type Full Name Here
Date

MonthDayYear
Date
Should be Empty: