National Association of Canine Scent Work, LLC®
VOLUNTEER REGISTRATION & WAIVER OF LIABILITY AND INFORMED CONSENT
K9 Nose Work® Element Specialty Trials Mater Academy Mountain Vista Campus
Saturday, February 23 & Sunday, February 24
Mobile Phone Number
Dates/Times you Can Volunteer
SAT ALL DAY - 7:45 am to 5 pm
SAT AM ONLY - 7:45 am to 12:30 pm (L1C)
SAT PM ONLY - 12:30 pm to 4:00 pm (L2C)
I CAN ARRIVE AT 7 AM TO HELP WITH SET UP ON SAT
SUN ALL DAY - 7:45 am to 4 pm
SUN AM ONLY - 7:45 am to 12:30 pm (L1I)
SUN PM ONLY - 12:30 pm to 4:00 pm (L2I)
I CAN ARRIVE AT 7 AM TO HELP WITH SET UP ON SUN
Have you volunteered at a trial before? If so, what roles have you helped with?
Do you have any limitations with volunteer tasks you can assist with?
I agree (check box)
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, Ron Gaunt, K9 Nose Work®, National Association of Canine Scent Work, LLC®, imPETus Animal Training by Holistic Hounds, Holistic Hounds LLC, Veronica Selco 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.
I agree (check box)
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®, imPETus Animal Training by Holistic Hounds, Holistic Hounds LLC,Veronica Selco 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.
I have read, understand and agree to the above:
Signature (use mouse or finger)
© Copyright 2012 Amy Herot, Jill Marie O’Brien and Ron Gaunt. All Rights Reserved.
Should be Empty: