Barn Hunt Workshop with RAT I & RAT N practice runs Saturday 7/13/2013 Pre-registration form

Please fill out in its entirety and mail with checks payable to: Absolutely Magic Dog Training, 19855 SE Sunnyside Rd, Damascus, OR 97089 WAIVER, ASSUMPTION OF RISK & AGREEMENT TO HOLD HARMLESS I understand that agility training is not without risk for myself, members of my family, my dog, or guests who may attend training classes, workshops, or other events through Absolutely Magic Dog Training, llc. I understand that injury may occur as a result of exposure to other dogs, which could cause injury, even if handled with the greatest amount of care. I also understand that injury may occur due to some failure of equipment used in this sport, even when equipment is properly maintained. I hereby waive and release and hold harmless, Absolutely Magic Dog Training, llc and all affiliates, instructors, including but may not be limited to Barbara Stewart and Amanda Gross from any and all liability of any nature, for injury either people or their dog may suffer, including but not without limitation to any injury or damage resulting from the action of any dog or failure of any training equipment. I expressly assume the risk of any such damage while tending any agility activity or using the facilities provided by Absolutely Magic Dog Training, llc. In consideration of and as an inducement to the acceptance of my application for enrollment in classes, seminars, private lessons, or other activities offered by Absolutely Magic Dog Training, llc, I hereby agree to indemnify and hold harmless Absolutely Magic Dog Training, its officers and instructors, including, but may not be limited to Barbara Stewart & Amanda Gross from any and all claims by any member of the registered students family or any other person accompanying the student to any club activity or while using the facilities provided or surrounding area thereof, as a result of any action of my dog, including my own, or any other animal, the failure of any training equipment, or any other action or condition.

Handler Name:________________________________ Dog Name:___________________________________ Dog Breed:________________Dogs Sex: Male

Sm (13 & under) Size (please circle) Med (13.1-18)

Female
Lrg (over 18)

Owner:______________________________________ Address:_____________________________________ City, State, Zip:________________________________ Phone Number:________________________________ Email Address:________________________________

Signature:_________________________________Date:_________
Workshop $40____________ Workshop w/4 week class $110_ ___________ Additional RAT N Practice runs (max 2) $10 each ____________ Total Enclosed ____________