Paws4Fun PAL Registration

Date

This league is open to Paws4Fun Members only.

Please do not send payment until your registration is confirmed by the PAL Coordinator. The PAL Coordinator will provide fees to be paid via etransfer to Treasurer@paws4funagility.ca (mention PAL in the etransfer message).

Are you a Paws4Fun Member?

Handler's Name

First NameLast Name

Handler's Email

example@example.com

Handler's Phone #

Format: (000) 000-0000.

Dog's Name

Dog's Jump Height

Select Level of play

Paws4Fun Facilities Waiver & Release

We (the Handlers and Dog Owners specified in this application) agree that the organization (Paws4Fun Agility) has the right to refuse this application for cause which the organization shall deem to be sufficient.&#13;&#10;&#13;&#10;In consideration of the acceptance of this application, we agree to hold the organization including its officers, directors and the premise land owner harmless from any and all claims for injury, death, property damage or any other loss which may be alleged to have been caused directly to any person or thing by the act of these dogs while in or upon any organization premises or grounds or near any entrance thereto, and we personally assume all responsibility and liability for any such claim.&#13;&#10;&#13;&#10;We further agree to hold the aforementioned parties harmless from any claim for loss of these dogs 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.&#13;&#10;&#13;&#10;We hereby 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 our participation in any organization 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.&#13;&#10;&#13;&#10;We hereby grant the organization all rights and permission to use or appropriate these handlers’ and dogs’ names, likeness, photograph, voice, performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any media known now or in the future. Further, we hereby release the organization from any claim or cause of action for invasion of the rights of privacy, right of publicity, right of personality, or any similar rights.&#13;&#10;&#13;&#10;We agree to abide by the Rules of Conduct, including Harassment Policy, Code of Conduct, and Rules posted on the website at www.paws4funagility.ca .

By entering my name here I agree that I have read and agree to the terms outlined in the "Paws4Fun Facilities Waiver & Release" above:

First NameLast Name

Paws4Fun Agility League Registration