2008 Spring Helper Seminar Online Sing Up Form

Please fill out the form below to join the Johann Platt Schaeferhunde Verein Spring 2008 Helper Seminar

*Please bring a dog to work*

Name    Street Address 
City,State and Zip Code
Phone Number Alt Phone Email Address
USA Helper Book Number

*Helper Books must be presented the day of registration

Current :Level of Certification Please select one None Basic Club Regional

Seeking Certification New/Basic Club Regional National

Regional Helper Try Outs ? please select one yes No

Seminar Fees: $25.00 for entrant    $25.00 for spectators    # of Spectators

Method of payment please select one check credit card   Visa Mastercard (Leave blank, if check)

CardNumber    Exp. Date   CVV/CVC Code

Make checks payable to: Johann Platt Schaeferhunde Verein. Please mail checks to Joyce Burdette.

ENTRIES ARE DUE NO LATER THAN MAY 12, 2008

Please scroll down and read carefully before you hit Sumbit

To all seminar participants, visitors and guests: Agreement to hold harmless, waiver and assumption of risk. I understand that attendance to a Schutzhund Helper Seminar is not without risk to me, members of my family, guest who may attend, or my dog because some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.

I hereby WAIVE and RELEASE the Johann Platt Schaeferhunde Verein, Misty Ridge Animal Resort and Joyce Burdette, their employees, officers, members and agents FROM ANY AND ALL LIABILITY OF ANY NATURE, for injury or damages resulting from the action of any dog, and I expressly assume the risk of such danger or injury while attending this seminar, or any other function of the Johann Platt Schaeferhunde Verein or while on the training (seminar) grounds or the surrounding area thereto.

I further AGREE TO INDEMNIFY AND HOLD HARMLESS the organizations and individuals listed above, their employees, officers, members and agents from any and all claims by members of any family or any other person accompanying me to the seminar while on the grounds or the surrounding area thereto as a result of any action by any dog including my own.

I verify that the dog attending has all vaccinations up to date. It is also understood by every handler/owner and exhibitor that every dog at this seminar will at all times be in the care, control and custody of the owner and also agree to assume full responsibility for the animal and its actions as all times.

All dogs on the premises NOT participating in the seminar will kept within the confines of their owner’s vehicle during the seminar.

I have read and understand the rules as stated above and will be in full compliance:

Online Signature Spectator
Spectator Spectator

Date

Please click here for directions to the event.