Seminar Registration Form Seminar DateHandler (or auditor) InfoHandler Name* First Last Email* Phone where you can be easily reached up until and on the day of the event*Are you (check all that apply) ANWI CNWI CPDT Professional detection dog handler None of the above Handler Titles-Highest level of NACSW NW title you (handler) has achieved with any dog (check one):* ORT NW1 or L1 EST NW2 or L2 EST NW3 or L3 EST Elite and above None of the abovre I would like to register for (select one):*NW3 & Elite Coaching Team -- 9:00 a.m. - noonNW3 & Elite Coaching & p.m. audit -- All Day 9:00 a.m. - 4:00 p.m.NW1 & NW2 Coaching Team -- 1:00 - 4:00 p.m.NW1 & NW2 Coaching & a.m. audit -- All Day 9:00 a.m. - 4:00 p.m.All Day Audit only -- 9:00 a.m. - 4:00 p.m.Total $0.00 Working Dog Info (Auditors can skip this section)Dogs Call NameDogs ageDogs Sex Female Male Dogs BreedDog Titles-Highest level of NACSW NW title this dog has achieved (check one) ORT NW1 or L1 EST NW2 or L2 EST NW3 or L3 EST Elite and above Does your dog have any behavioral issues (please give details):Are there any health restrictions for your dog (i.e. allergies, arthritis, etc.)? Yes No Details of health issues:Is there anything else you want or need to share about you or your dog?Cancellation Policy and WaiversPlease read and sign cancellation policy and waivers belowCANCELLATION POLICY*All cancellations must be in writing and will be confirmed by return email. Your cancellation will not be valid without a written confirmation of receipt from Let’s Talk Dogs, LLC. Cancellations before April 5, 2021 full refund minus $25.00 administrative fee. No refunds for cancellations after April 5, 2021. No refund for no-shows. I agree*LIABILITY WAIVER*I understand that participating in a Nose Work trial or Odor Recognition Test or training event (the “Event”), whether as a participant, a volunteer or a spectator, holds some risk. These risks include, but are not limited to, that the behavior of dogs and other domestic animals is sometimes unpredictable, cannot be guaranteed, and can result in serious personal injury or death to bystanders, as well as extensive property damage. In addition, I and/or my dog may be exposed to challenging, treacherous or unstable terrain and footing during the Event. I agree*LIABILITY WAIVER*Acknowledging my awareness of the risks associated with participating or observing any type of detection style training or competition. I hereby waive and release any claim or cause of action that I may otherwise have against Christina Bunn, Betschart Investments, Dorothy Turley, Let’s Talk Dogs, LLC, Rachelle Bailey-Austin, About Face K-9 Academy, and their respective employees, officers, directors, agents, or contractors (collectively, the “Released Parties”) for any claim or cause of action for personal injury or property damage (collectively, a “Claim”) arising out of or in connection with events, accidents or other occurrences at the Event, except to the extent that the Claim arises out of the intentional misconduct or gross negligence of the Released Party. I further agree to defend, indemnify, and hold harmless each Released Party from and against any and all claims, damages, costs and expenses arising out of or in connection with any Claim that is based, in whole or in part, on acts or omissions by me or by any person or animal for whom or for which I have or had responsibility or control. I agree*COVID-19 WAIVER*I represent and affirm that to the best of my knowledge and belief: (1) I do not have COVID-19 nor am I waiting for test results; (2) I have not been tested and found positive for COVID-19 or if I have tested positive for COVID-19, I certify that I have been released by government officials and/or health care providers to resume normal activity without limit; (3) I have not during the past 14 days experienced symptoms associated with COVID-19 including fever, coughing, or shortness of breath; and (4) I have not within the past 14 days, to the best of my knowledge and belief, been in contact with or exposed to any known carrier of COVID-19. I am representing my condition as of signing, and if, as of the later time of the event, there has been any change in any of the conditions represented, I am obligated to formally notify the event host of the changed conditions at the time of and before participating in the event. I agree to follow any specific event guidelines, precautions and requirements to mitigate the possibility of event participants or attendees contracting or spreading COVID-19. I understand the risks of contracting or being exposed to COVID-19 associated with my attendance at this event, and I knowingly accept those risks. I agree to waive, release and hold harmless all Released Parties from and against any claim, liability, loss or expense arising out of based upon a COVID-19 infection acquired by myself or any of my family members or associates as a result of or contemporaneous with attendance or participation at this event. I agree*Agree Signature*Signature below verifies I have read, understand and agree to the above. Provide your digital signature in order to indicate your agreement to these terms. Your digital signature can be any combination of letters, numbers, spaces and/or punctuation marks placed between two forward slash " / " symbols. Examples of acceptable signatures include /365-2014/, /jd/ and /john doe/. *Date* Date Format: MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.