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| Attendee | First Name | Last Name |
| Mailing Address: | ||
| Prov. / State | Postal / Zip Code | |
| email: | ||
Home phone: | BusinesS | |
| BREED OF DOG | MALE
FEMALE
NEUTERED | |
| NAME OF DOG NOM DU CHIEN |
AGE: | |
| PARTICIPANT | FULL |
FULL |
| AUDITORS |
$50.00 per person |
|
| Start Time | 8:30 |
|
| LIMITED TO 10 PARTICIPANTS |
AUDITORS UNLIMITED | |
| The owner of the above mentioned dog, agrees to take full responsibility for the actions of his or her dog, while in the testing area, or on the grounds.The owners agrees to keep his or her dog "on leash" at all time. The owner agrees not to hold the judge, or committee members or the community centre responsible for loss or injury to himself/herself or their dog. | ||
| Le
proprietaire du chien est responsable pour les action du chien dans la classe,
et sure le terrain d'entrainment. Le proprietarie du chien est d'accord que l'juge,
les membre de committee, et le centre communautaire n'ons pas responsable pour
les accidents produits pas lui/elle ou sont chien dans la class ou sur le terrain
du teste. Le proprietaire devrais garder le chien sur laisse. | ||
| Signature: |
Date: | |
| Mailing Address | U
Herders |
PAYMENT CHEQUE
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