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Tracking Registration form.docx

 

Mail or FAX w/ payment (PayPal button below for your convenience) to:


Kay Schauer-Truss 

11002 Greenwood Ct Waldorf MD 20601
240-346-6766 (cell)  FAX: 301-702-1508

                  

 rottymom@verizon.net

 

 _____________________________________________

Name

 

_______________________________________________________

Address

 

____________________   __________________________________

Phone                                            Email

 

____  Working ($175.00)         _______ Auditing  ($100.00)

 

____________________            _________________

Car Make/Model                License Plate (for passes at Rosaryville State Park)

 

Make Check to:  American Boerboel Club

Credit card payment can be made via Paypal to ambbclub@ymail.com

 

 

* Hotel info and tracking questionnaire will be sent with confirmation.

 

A full refund of the TD/TDX seminar registration fee will be given if the cancellation is received by January 15, 2012. Refunds of 50% of the registration fee will be given if the cancellation is made on or before February 15, 2012.   No refunds if cancelled after February 15, 2012.  Downgrading from working slot to auditing, with a refund of the difference in the price, allowed until February 15, 2012.  Downgrades from working to auditing after February 15, 2012 will not receive a refund of the price difference UNLESS there is a waiting list for working slots.

 

Waiver, Assumption of Risk and Agreement to Hold Harmless

 

I hereby waive and release Kay Schauer-Truss, Vincent Ramirez, Rosaryville State Park, Baymark Construction, American Boerboel Club,  all owners of any other animals in attendance, and any of the above mentioned employees, owners, and agents from any and all liability of any nature for injury or damage which I or my dog may suffer, including specifically, but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of any such damage or injury while attending the seminar, while supervising or interacting with a dog while on the grounds or surrounding area thereto. In consideration of my attendance and participation in the seminar, I waive the right from any and all claims or claims by any member of my family or any other person accompanying me during the course as a result of any action by any dog, including my own.

 

 

 __________________________________

 

Signature


"When your dog is ready for the test, all you provide is transportation." Vince T. Ramirez