Squirrel K9 Club Trial Form
PSA Trial June 1 & 2, 2024
Name
Email
Phone Number
Address
Dogs Name
Dogs Age
Dog Breed
Club Name
PSA Member Number
Titles Earned
Owner Trained
Yes
No
Level and Day Competing
PDC Sleeve $100
PDC $100
PSA 1 $110
PSA 2 $110
PSA 3 $110
Saturday
Sunday
Both
Judge and Decoys
Judge: Jonathan Katz Decoys: Jeff Riccio, Andrew Gallegos, Terry Bocai, DJ, and ??
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 activities/events. I am assuming all risk, liabilities, and responsibilities and will hold harmless PSA K9 Trial Squirrel K9 Cub , and the owners of the property trial is held on and their agents, partners, employees, sponsors, volunteers from any and all liability arising from this dog-related event and practice training while at the trial location. I also agree to hold harmless any of the above mentioned from any property damange, 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 trial waiver, and also read and understand all PSA rules that govern this trial. There will be no refunds given to any handler who withdraws or is removed from this trial for any reason. In addition, by signing this release, I give consent to any representative of PSA and Squirrel K9 Club to take pictures and videos of the event(s) and any activities surrounding the event(s).
Signature
Submit
Should be Empty: