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Instructions
Please fill out the form below, PRINT a copy for your records and then CLICK the SUBMIT button at the bottom of the screen to send us your registration.

REGISTRATION FORM
$100.00 Deposit due with registration of each participant
Lodging and food are provided by seminar hosts and included in cost of seminar.

Registration will take place at the Ten Killer State Park from 2:00 pm until 5:00 pm on October 6, 2008.

Your Name:	*
Agency Name/Group Name:	*
Address:	*
City:	*
State:	*
Zip:	*
Country:	*
Phone:
Email:	*
K-9 Name:
K-9 age:
Breed:
Select Class:	*
Experience:	*
Type of Training :

Release and Covenant Not to Sue
Please read and acknowledge with your electronic signature below.

Release and Covenant Not to Sue

I,the undersigned, having requested the right to participate in a seminar hosted by The National Bloodhound Training Institute and. Such an enrollment having been made of my own initiative, and, I, specifically understand and acknowledge that I an aware that there are inherent dangers and risks in the training and evaluation of handlers and their canines, and I fully understand that if I am to participate in the seminar, I accept the inherent dangers and risks to me and my canine(s). Now, therefore, in consideration for permitting me to participate in such training and/or activities, I hereby waive and release instructors, The National Bloodhound Training Institute and TASK -9, individual members of The National Bloodhound Training Institute and TASK -9, from all claims, rights or causes of actions accruing in my favor as a result of personal injuries or loss or damage of property (including my canine(s)) caused during such training or activity in conjunction with this Fall October 6-10, 2008 Seminar, including arrival and departure dates and such waiver and release shall apply on behalf of myself and all who may hereafter claim through or for me.

Property Damage Agreement
Please read and acknowledge with your electronic signature below.

Property Damage Agreement
I understand that I am responsible for any and all damages causes by me and/or my canine(s), including but limited to, property damage and/or injuries to individuals and/or their canine(s) during my activities associated with the seminar sponsored by The National Bloodhound Training Institute and Task-9 scheduled for October 6-10, 2008. In addition to the aforementioned payment of damages, said individual(s) and their canine(s) in violation of this agreement may be expelled from the training or activity with no refund.

Facility rules that participants further agrees to:
• All canines shall be on leash or crated, except when they are being worked.
• All canines shall be off lead only while under the supervision of an instructor and at their direction to do so.
• You must clean up after your dog in non-wooded areas.
• You must bring a crate or a pen for your dog, or secure tie outs.
• You must be familiar with your lodging facilities’ pet policies and abide by them.
• You assume full responsibility for any other person(s) attending the seminar.
• Your seminar host(s) will not be responsible for any loss, injury, or death to any person or animal while in attendance at the seminar.

Electronic Signature of Participant::

To mail payment
Make Payment to: NBTI SEMINAR

Robin Monroe Kocher
6916 Harrison Road
Fredericksburg, VA 22407

INFORMATION CONTACT:
Robin Kocher NBTImail@aol.com

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