Participant Information
Full Name
*
First Name
Last Name
E-mail
*
Mobile Number
*
Home Number
Have you participated in anyNosework events?
Yes
No
How long have you been doing Now Work?
Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Type a question
What Kind of Training?
Workshops
Classes
Online training
Nosework Camp
None of the above
What types of NACSW Nosework Trials have you participated in?
ORT
NW1
NW2
NW3
Elite
Summit
Element Trials
None of the Above
What types of Sniffing Dog Sport Trials have you participated in?
Novice
Advanced
Excellent
Iron Dog
None of the Above
What types of AKC trials have you participated in?
Novice
Advanced
Excellent
Master
Detective Class
None of the Above
Other Trials? Please describe.
Registration Preference
You will receive a PayPal link by email once your registration has been confirmed.
Auditing Spot
Please Select
Saturday 2/23 Audit $125
Sunday 2/24 Audit $125
Sat OR Sun Audit $125
Sat AND Sun Audit $240
Working Spot - Note: Price includes One Day Auditing and One Day Working
Sat 2/23Working Spot $340
Sun 2/24 Working Spot $340
Sat OR Sun Spot $340
Dog Information
If you want a working spot, tell us about your dog.
Name of Dog
Age of Dog
Breed of Dog
Sex of Dog
Male
Female
Is your dog able to rest comfortably in your vehicle without barking when he/she is not working?
Yes
No
Does your dog have any health or behavior issues?
Continuing Education Units (CEU)
For CNWI and CCPDT Instructors
Are you a NACSW CNWI?
Yes
No
If you want CEUs for CCPDT, enter your membership number here.
Release of Liability and Informed Consent
Date Signed
*
-
Month
-
Day
Year
Date
Signature
*
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