Intro to Scent Work Seminar Registration, Sept 20th
Fill out the form carefully for registration
Which session?
*
Introduction (includes Kit, Lunch, and practice) $120
Intro Refresher (Bring your own kit, lunch, and practice) $60
Practice only (1-3pm) $30
Handler Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dog
*
Call Name
AKC Number
Breed
List any training issues or concerns you may have:
Liability Waiver and Assumption of Risk Agreement to Hold Harmless
*
I understand that attendance at a dog training event is not without risk to myself, my dog, or to members of my family or guests who may attend because some of the dogs to which I (we) will be exposed to may be difficult to control and may cause injury even when preventative measures are taken. I hereby waive and release the instructors, members, and guests of LOUISIANA CAPITAL CITY OBEDIENCE CLUB, INC. from any and all liability of any nature, for injury and/ or damage which I or my dog may suffer, including specifically, but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending any training session or club event or while on the training grounds or surrounding area thereto. In consideration of and as an inducement to the acceptance of my participation as a guest in this dog group, I hereby agree to indemnify and hold harmless the instructors, members, and guests of LOUISIANA CAPITAL CITY OBEDIENCE CLUB,INC. from any and all claims, or claims by any member of my family or any guest that may accompany me to group events, while on the training grounds or surrounding area thereto, as a result of any action by any dog, including my own.
I've ready the Waiver and agree to the terms and conditions. Signature (Parent or guardian if minor)
*
Payment Information
Pay through PayPal or Venmo. Follow this link: https://www.lccoc.org/pay-online and click "PayPal". Once in PayPal, click the dropdown and select Seminars/Other. Click the Plus sign below "Quantity" until the amount matches what your total. Then click PayPal or Venmo button. Make checks payable to "LCCOC" and write "Scent Class" in Memo. Mail check to: LCCOC Treasurer, 10115 Tams Drive, BR 70815
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: