Tricks Titling Event

Tricks – All Levels

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Please Register for the Tricks Test to be held at the Obedience Training Club of Palm Beach County. Levels to be tested:

Novice
Intermediate
Advanced
Performer
Performer Elite

Please use this form to register one dog for this event. You may select one or more Trick Test Levels. Registration is not complete until payment has been successfully processed.

Tricks Test Date*

Select Date of Tricks Test

December 9, 2024

Name*

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Dog's Name*

Breed*

Sex*

Age*

Trick Test Levels*

Novice – $15

Intermediate -$15

Advanced – $20

Performer – $25

Performer Elite – $30

Select Level of Trick Dog Test. Novice and Intermediate $15 , Advanced $20 each test. Performer $25 and Performer Elite $30.00 each.

PO Tricks Test Levels Selected

Price: $0.00

Price for Selections will be shown in the Total item below.

Hold Harmless True and Accurate and Signature*

In case of accident or injury to my dog or myself, including dog bites, I hold harmless Obedience Training Club of Palm Beach County (OTCPBC), its instructors, and its Board of Directors, from any claim or liability resulting from said accident or injury. I understand that animals, including my own dog(s), are unpredictable and that dog sports by nature are not without risk.

COVID-19 Sign and Acknowledge Below Affirmation and WaiverSignature*

By signing below, I affirm that to the best of my knowledge I am COVID-19 free. I also agree to refrain from coming to class and to notify OTCPBC, should my condition change. Further, I agree to follow club procedures and guidelines, precautions and requirements to mitigate the possibility of class attendees or building users contracting or spreading COVID-19. I understand the risks of contracting or being exposed to COVID-19 associated with my attendance at this class, and I knowingly accept those risks. I agree to waive, release and hold harmless the Obedience Training Club of Palm Beach County (OTCPBC), its instructors, and its Board of Directors, from any claim or liability related to COVID-19. COVID-19 free means that within the past 14 days I have not experienced the symptoms of COVID-19, (fever, coughing, shortness of breath). Also, I am not waiting for test results. If I have tested positively I have been released to resume normal activity. In addition, I believe that I, or any household member, or any close family member of frequent contact, have not been in contact with or exposed to any known carrier of COVID-19.

CANINE INFLUENZA/VIRUS WAIVER – Sign and AcknowledgeSignature*

Canine Influenza has recently been diagnosed in Palm Beach County. It is recommended that you contact your vet regarding preventative measures for your dog(s). I understand that participation in this class/activity holds some risks. No vaccine offers complete immunity. Please be aware that all dogs may not have received an inoculation.. I state that at this time my dog is symptom free of the canine virus and any other communicable diseases. I therefore agree to hold harmless the Obedience Training Club of Palm Beach County and its officers, directors and instructors and to accept responsibility for all litigation and financial obligations, arising from any and all loss or liability of any kind, including but not limited to any personal injury or property damage or infectious disease in which I, my dog(s) or any member of my family, or other persons accompanying me may be involved.

Total

Date*

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