Just a reminder – there will be no Wednesday evening agility classes with
session.
AGILITY
REGISTRATION FORM
PRINT AND SEND TO:
Canine Companions
1346 Bair Rd
2008 Session
Bainbridge, PA 17502
Registrations and Money Due: ($85)
August 8, 2008
Classes
Begin the week of
August 25, 2008
Dog's
Name: _______________________________________
Handler's Name: _________________________________________________
Phone : ____________________________
Cell:_______________________
Current class day/time:
______________________________________
Any
day/time you cannot attend? ______________________________________
Can
you make a 6PM start time for class. YES____ NO ____
E-mail
address
____________________________________________
Below
is a basic waiver we ask all participants to sign. Please read and sign on
the appropriate line.
I
understand the attendance of an agility event/class is not without risk to
myself, members of my family, guests who may attend or my dog, since
events/classes present obstacles and experiences as well as dogs which may be
difficult to control and may be the cause of injury even when handled with the
greatest care. I hereby waive and release Canine Companions and Coleen Mrakovich
hereinafter referred to as the "Sponsors" and their employees from any and all
liability of any nature for injury or damage which I or my dog may suffer
without limitation and I expressly assume the risk of such damage or injury
while attending any training class or while on the training grounds or
surrounding area. In consideration of and as inducement to the acceptance of
application for training by these sponsors, I hereby agree to indemnify and hold
harmless the sponsors from any and all claims by any members of any family or
any other person accompanying me to any dog event or while on the training
grounds and surrounding area thereto as a result of any actions by any dog,
including my own. I certify that I am 18 years of age or older, that I have read
this entire waiver and that I fully understand the provisions of this waiver and
intend to be legally bound hereby.
Signature of Authorized Person _______________________________________
Date____________________________
Vaccinations given: DHLPP _______________Rabies____________________
Please Make Checks Payable to "Canine Companions"