10th Annual Redline's Ruckus PSA Trial September 23/24 in memory of our beloved, Sniper and Eddie
Please complete this registration form by 5:00 PM EST Sunday, September 10th, 2023 to register for the 2023 2 Day PSA Trial hosted by Redline Shepherds, in Binbrook, Ontario. Please fill out a new registration form for each dog with which you will be showing. Please note that an additional $5.00 will be added to all entries submitted after Sunday September 10th, 2023. Please be sure to visit www.psak9.org to purchase up to date membership and scorebook prior to trial. Additional fees will be added if not completed prior.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
E-mail
MEMBER NUMBER
DOGS NAME
DOGS AGE
Titles/Certifications you have achieved with your dog
OWNER TRAINED
Trials this dog has been shown at this season (this will be confirmed). Please put N/A if you are eligible to compete in the 3s and have not shown this year)
CLUB’S NAME
Check the level in which you will be competing in for Saturday September 23rd, 2023:
PSA PDC Sleeve $85.00
PSA PDC Suit $85.00
PSA Level 1 $95.00
PSA Level 2 $105.00
PSA Level 3 $110.00
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Check the level in which you will be competing in for Sunday September 24th, 2023:
PDC Sleeve Division $85.00
PDC Suit Division $85.00
PSA Level 1 $95.00
PSA Level 2 $105.00
PSA Level 3 $110.00
Please read
By submitting this form, 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, Redline Shepherds and the owners of 4300 Binbrook Road, Binbrook Ontario Canada, L0R1C0 and their agents, partners, employees, sponsors from ANY AND ALL liability arising from this dog-related event and practice training while at the trial field. I also agree to hold harmless any of the above mentioned from any property damage, theft, death or personal injury to my dog, myself or my guests. I agree to have COMPLETE control over myself and my dog(s) at all times. By signing this registration form, I acknowledge that I have read and understood the trail wavier and read and understand all PSA rules that govern this trial. 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 and Redline Shepherds to take pictures and video of events and any activities surrounding the events. Said pictures and video shall be the exclusively property of Redline Shepherds for their sole and exclusive use and distribution. Further by signing this, I release any rights to the sale, posting or distribution of any pictures or video taken by Redline Shepherds and waive any right to renumeration or compensation for any pictures or video taken or sold of the events in question.
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