PSA Trial Waiting List 2018

September 28/29, 2024

Filling out this form will put you on the waiting list for the trial! The waiting list will be in order that we receive them; the first received will be offered a spot first. We cannot control which day gets an opening so it may be Saturday or Sunday. If you do not respond within 24 hours then we will offer it to the next person in line. You also must pay your entry within 24 hours to keep a spot once it is offered.

Please select which day and level that you would like to enter. If you are able to enter either day then select both days.

Saturday

Sunday

Note: You must be a member of PSA to show in the trial.

Full Name*

First NameLast Name

Member Number

Phone Number*

Area CodePhone Number

E-mail*

Preferred Method of Contact if a spot opens. *You must respond within 24 hours of us contacting you.**

Dog's Name*

RELEASE: It is the understanding that the above handler / dog team are entering this trial AT THEIR OWN RISK. I understand that serious accidents can and do occur during dog training, competitions and other dog related events / activities. I am assuming all risk, liabilities and responsibilities and will hold harmless PSA K9, Stateline Canine Inc., Elsner Engineering Works, their agents, partners, employees, sponsors from ANY AND ALL liability arising from this dog-related event and practice training while at Elsner Engineering Works. I also agree to hold harmless any of the above mentioned from any property damage, theft, death or personal injury to my dog or myself. I also agree to have complete control over myself and my dog(s) at all times. By signing this entry form I acknowledge that I have read and understood the trial waiver and read and understand all PSA rules that govern trials. There will be no refunds given to any handler that has been ejected from this trial for any reason. In addition, by signing this release I give consent to any representative of PSA or Stateline Canine Inc, to take pictures of events and any activities surrounding the events. Further by submitting this form, I release any rights to the sale, posting or distribution of any pictures taken by Stateline Canine and waive any right to remuneration or compensation for any picture taken or sold of the events in question.

I understand this is to be added to the waiting list and is NOT the entry form for the trial.*

Yes