Registration is a two step process: 1)Filling and Submitting your Registration Form, and 2) Paying for the Clinic.

Step 1: Filling and Submitting your Registration Form

*Required Fields

Name: *

Additional Attendees Name(s):

Address: * City: * State: * ZIP: *

Home Phone: Cell/Alt Phone:

Email: *

Dog Name(s):

Dog Breed(s):

Years of Experience: Pulling equipment you own:

Comments/Suggestions/Questions:

RELEASE OF LIABILITY:

Loss and injury - K9 Scooters Northwest corporation, board, it's members and participants and their associates will not be responsible for any loss, damage to equipment and or property or injury to participants, dogs or any third party while participating in a club sponsored event. Each participant will be responsible for any injury or damages that may be associated with any participant, dog or third party whom so ever by any dogs owned by or handled by him and shall indemnify the afore mentioned individuals and organization against all claims and demands of any kind or nature that may grow out of an injury associated by any dogs owned or handled by him or arise from the negligence of the person in charge of such dog. The owner, handler and any other agents or representatives acknowledge that they participate voluntarily in the event fully aware of potential risks inherent in dog sports and by participating they expressly assume any risks of injury and loss and agree to hold the event and it's officials, directors, employees or agents harmless.

Each participant is responsible for awareness and compliance with county and state pet regulations in all public and private locations.

Participant acknowledges reading and agrees to above release of liability*
(You will also be required to sign this form at the event when you pick up your registration packet.)