Sandwich 2024 NW3/NW3 Nosework Volunteer Form

October 5 & 6, 2024 NW3 & NW3 Trial in Sandwich, IL
Your Name*

First NameLast Name
Your E-mail Address*
Phone Number*

Area CodePhone Number
Are you entering one of the trials?*

YesNo
Are you a CNWI or ANWI?*

CNWIANWINo
Have you volunteered at a trial before?*

YesNo
Have you taken Nose Work classes?*

YesNo
If yes, where (Facility & Instructor):
Assignment & Availability
Days Available - (Select all that apply)

Saturday 10/5/2024 AMSaturday 10/5/2024 PMSaturday 10/5/2024 All DayNot Available Saturday
Days Available - (Select all that apply)

Sunday 10/6/2024 AMSunday 10/6/2024 PMSunday 10/6/2024 All DayNot Available Sunday
Assignment you would like - (Select all that apply)*

No PreferenceTimerVideoJudge's StewardBox Setter - OdorBox Setter - CleanCompetitor/Volunteer Check-inEvent Set-up (morning)Event Clean-up (afternoon)ScorekeeperGate StewardScore RunnerHospitalityMain Gate - Competitor CallerOther
Vehicle Information
Do you have a vehicle that we can use for the trial?*

YesNo10/5/202410/6/2024Both Days
What type of vehicle?
Other Information (** Please include dietary restrictions **)
National Association of Canine Scent Work, LLC® Liability Waiver

WAIVER OF LIABILITY AND INFORMED CONSENT
Name

First NameLast Name
Email
example@example.com
I understand that the behavior of dogs cannot be guaranteed. I also understand that the behavior of domestic animals is sometimes unpredictable and that some domestic animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risks I agree to assume ALL those risks including, but not limited to; assuming the financial responsibility of any possible litigation arising from any incident in which I may be involved. I release, indemnify, and hold harmless Amy Herot, Jill-Marie O’Brien, K9 Nose Work®, National Association of Canine Scent Work, LLC®, For Your K9, and their Employees, Officers, Directors, Agents, or Contractors from any and all damages or personal injury. Any incident involving myself, the location, or those pets or actions of other participants and spectators will be my sole responsibility and I assume all financial liability and will also assume all and any financial costs associated with my actions. Initials*

YesNo
In addition to the above, I understand that participating in this event, even as a volunteer or spectator, holds some risk. My dog and I may be exposed to challenging, treacherous or unstable footing and accept all possible risks associated with participating or observing any type of detection style training or competition. I agree to hold harmless Amy Herot, Jill-Marie O’Brien, Ron Gaunt, K9 Nose Work®, National Association of Canine Scent Work, LLC®, For Your K9, Nancy Reyes, and their Employees, Officers, Directors, Agents, or Contractors including, but not limited to, the event location’s agents or owner and to accept responsibility for all litigation and financial obligations arising from any unforeseen event in which I may be involved.*

YesNo
I represent and affirm that to the best of my knowledge and belief: (1) I do not have COVID-19 nor am I waiting for test results; (2) I have not been tested and found positive for COVID-19 or if I have tested positive for COVID-19, I certify that I have been released by government officials and/or health care providers to resume normal activity without limit; (3) I have not during the past 14 days experienced symptoms associated with COVID-19 including fever, coughing, or shortness of breath; and (4) I have not within the past 14 days, to the best of my knowledge and belief, been in contact with or exposed to any known carrier of COVID-19. . I am representing my condition as of signing, and if, as of the later time of the event, there has been any change in any of the conditions represented, I am obligated to formally notify the event host of the changed conditions at the time of and before participating in the event. I agree to follow any specific event guidelines, precautions and requirements to mitigate the possibility of event participants or attendees contracting or spreading COVID-19. I understand the risks of contracting or being exposed to COVID-19 associated with my attendance at this event, and I knowingly accept those risks. I agree to waive, release and hold harmless K9 Nose Work®, National Association of Canine Scent Work, LLC®, Amy Herot, Jill-Marie O’Brien, Nancy Reyes/For Your K9, the event location’s agents or owners, and each of their respective employees, officers, directors, agents, or contractors from and against any claim, liability, loss or expense arising out of based upon a COVID-19 infection acquired by myself or any of my family members or associates as a result of or contemporaneous with attendance or participation at this event. InitialsInitials*
I have read, understand and agree to the above: *
Name (Print)
Signature (Sign with your finger or a mouse)*

Clear
Date*

MonthDayYear
Date
Name of dogs at event location*
Parental Consent (Minor Competitors)
Is the competitor a minor under the age of 18?*

YesNo
Parental Consent: I am the lawful parent and/or legal guardian of the above named minor. I acknowledge that I have read and understand this Liability Waiver and that I and the above named minor will be bound by said Liability Waiver.
Name (Print)
Parental Consent Date

MonthDayYear
Date
Parental Consent Signature

Clear
Please email barb@foryourk9.com or nancy@foryourk9.com with any questions. Thanks for your interest in volunteering!
Should be Empty:

October 5 & 6, 2024 NW3 & NW3 Trial in Sandwich, IL

Assignment & Availability

Vehicle Information

National Association of Canine Scent Work, LLC® Liability Waiver

Parental Consent (Minor Competitors)