Dog Sports Club
Course Registration Form
Tuesday, May 27: ____ 6:30pm Beginner 1 Agility $100 ____7:30 pm Beginner 1 Agility $100
Thursday, May 29:____ 6:30pm Intermediate Agility $100 ____7:30pm Advanced/Masters Agility $100
Please make cheques payable to: Krazy Kanines Dog Sort Club
Mail to: Amy Richard, 961 Charlton Dr., Ottawa, ON K1K 3Z4
Handler’s Name (if different from above)_____________________________________________________
City:______________________________ Province___________________Postal Code_______________
Phone Number:_____________________________ Email:______________________________________
Dog’s Name:_______________________________ Breed:______________________ Age:____________
In consideration of the acceptance of this application, I(we) agree to hold the Krazy Kanines Dog Sports Club (KK9), the organization which is represents, including its’ members, offices and employees harmless from any claim for loss or injury that may alleged to have been caused directly or indirectly to any person of thing by the act of this dog while in or upon the training premises or grounds or near any entrance thereto, and I(we) personally assume all responsibility and liability for any such claim: and I(we) further to agree to hold the aforementioned parties harmless from any claim for loss of this dog disappearance, theft damage or injury caused by the negligence of the aforementioned or by the negligence or any person or any other cause or causes.
The owner/handler of the dog agrees to take full responsibility for any damage his/her dog causes to another dog, person or property. The owner/handler also agrees to take full responsibility for their dogs, whether on or off leash, on the training premises or at any event.
(if under 18, parent signature is required)