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October 2008 Tenkiller, OK TenKiller Second S.I.C.K.O.  Registration Form N.B.T.I. 2nd ANNUAL SCENT INTENSITY CAMPOUT AND K-9 OUTING Registration Form Participant's Registration: Last Name: First Name: Mailing Address: Home Phone: Cell Phone: Email Address: YES! Please send me an email confirmation of my registration. Dog Registration: Dog's Name: Breed: Age: **Please include a copy of your shot records including Rabies, Bordetella and DHLP or titer results within the past year if you do not vaccinate. All dogs from out of state are required to bring a canine health certificate with you to the seminar. Select the class that you plan on attending: Beginner tracking/trailing Intermediate tracking/trailing Advanced tracking/trailing Beginner airscent Intermediate airscent Advanced airscent Type Training Needed: example Urban, Rural, Law Enforcement, Search and Rescue ________________________________________________________________________ Amount Enclosed: $400 (Full Amount) $100 (Deposit due with registration) 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. Signature of Participant: Date: Property Damage Agreement My signature above also indicates that 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. Signature of Participant: Date: Make Payment to: NBTI SEMINAR Mail completed registration and payment to: Robin Monroe Kocher 6916 Harrison Road Fredericksburg, VA 22407 For further information contact: Robin NBTImail@aol.com Registration: Registration will take place at the Ten Killer State Park from 17:00 until 20:00. Housing and Food Information Lodging and food are provided by seminar hosts and included in cost of seminar. | Return Home | Seminar Info | Our Services Contact Us | Great Links | Evaluations and Standards | Free Training Downloads | Sofia Silva Award | What's Missing? | Catalog | |
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