RMIWA December Jingle Bell Dash 2022 Fast_Entries
ONE Form Submission PER DOG

Completing this Entry Form online I have read and agree to abide by all the rules and regulations covered in the RMIWA Jingle Bell Dash Premium. 

Entries not paid for will not be accepted. 

Entries close December 5, 2022, or when full. 
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Email *
Breed *
AKC Registration /Listing #: *
Dog Full AKC Name *
Dog Call Name *
Dog Sex
Clear selection
Dog Height *
Required
Saturday  Registration
Preferred Running Time on Saturday
1st choice
2nd Choice
3rd Choice
9 - 11
11 - 1
1 - 3
Clear selection
Sunday  Registration
Preferred Running Time on Sunday
1st choice
2nd Choice
3rd Choice
9 - 11
11 - 1
1 - 3
Clear selection
Owner Name *
Payment Confirmation -
Must be external to this registration form.
 $22 per run, per dog.
Please include all AKC #(s) in payment notes online or on your check.
 *
Required
Volunteer: I am volunteering to work the event!
The club can't do this alone. It takes a village.
SPECIAL PROVISIONS RELATED TO THE COVID-19 VIRUS

If you participate in, enter, or attend any event listed in this premium list, you 

will be deemed (without having to sign any document) to have agreed to the following indemnification, waiver of liability and assumption of risk agreement. 

INDEMNIFICATION, WAIVER OF LIABILITY AND ASSUMPTION OF RISK

I acknowledge and agree that Rocky Mountain Irish Wolfhound Association and each of its members, directors, governors, officers, agents, the superintendents and/or event secretary, and the owner and/or lessor or operator of the premises and any provider of services that are used to hold the event(s) and any employees or volunteers of the aforementioned parties, other participants, and any judge judging at the event (collectively, the “Released Parties”) are participating in the event(s) and allowing me to enter, participate in and/or attend the event(s) in reliance on my agreement to this indemnification, waiver of liability and assumption of risk agreement. 

I understand that Rocky Mountain Irish Wolfhound Association has the right to refuse my participation in, or attendance at the event(s). In consideration of permitting my participation in, or attendance at the event(s) and of the holding of this event and of the opportunity to have dogs judged and to win prizes, ribbons, or trophies:

  1. I UNDERSTAND THAT PARTICIPATION IN, OR ATTENDANCE AT ANY EVENT(s) LISTED IN THIS PREMIUM LIST INCLUDES POSSIBLE EXPOSURE TO RISK OF SERIOUS ILLNESS AND/OR DEATH AND OTHER RISKS FROM THE COVID-19 VIRUS AND OTHER INFECTIOUS DISEASES.

  2. I KNOWINGLY AND VOLUNTARILY ASSUME ALL SUCH RISKS, BOTH KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF ONE OR MORE OF THE RELEASED PARTIES, OR OTHERS AND ASSUME FULL RESPONSIBILITY FOR MY PARTICIPATION AND/OR ATTENDANCE.

  3. I represent that neither I nor, to my knowledge, anyone in my household has had any illness or disease, or been diagnosed with any illness or disease relating to the COVID-19 virus or any other infectious disease in the last 30 days.

  4. I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, agree and hereby assume the sole responsibility for and agree to indemnify, defend, not to sue, and to hold harmless, the Released Parties from any and all liability, damage, loss, causes of action of any kind, claims, cost and expense (including legal fees) by reason of liability which may be caused or alleged to have been caused directly or indirectly to any person or imposed upon any of the Released Parties for present and future damage, because of illness, personal and bodily injuries, including death at any time resulting there from, sustained by any person or persons, including myself, or on account of damage to property, arising out of or in consequence of my participation in, or attendance at, the event(s) listed in this premium list, related to the COVID-19 virus or any other infectious disease, or however else such injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of any of the Released Parties.

  5. I understand that this agreement is intended to be broad and inclusive to the fullest extent permitted by the laws of the state in which the event(s) listed in this premium list will take place. I agree that if any portion of this agreement is invalid or unenforceable the remainder will continue in full force and effect

I HAVE READ THIS AGREEMENT FULLY AND UNDERSTAND I WILL GIVE UP SUBSTANTIAL RIGHTS BY PARTICIPATING IN OR ATTENDING ANY EVENT(S) IN THIS PREMIUM LIST, REGARDLESS OF WHETHER I SIGN A DOCUMENT. 
AKC Rules
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website:
www.akc.org
AGREEMENT:
 I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual
owner whose name l have entered above. In consideration of the acceptance of this entry,I(we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this event and any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them.I(we) agree that the dub holding this event has the right to refuse this entry for cause which the dub shall deem sufi (we) certify and represent that the dog entered is not a hazard to persons or other dogs. In consideration of the acceptance of this entry and ofthe holding of this eventand of the opportunity to have the dog judged and to win prizes, ribbons, or trophies,l(we) agree to hold the AKC, the event giving club, their members, directors, governors, offi agents, superintendents or eventsecretary and the owner and / orlessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, andl(we) personally assume all responsibility and liability for any such claim; and I(we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally , l(we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of orin consequence of my (our)participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or
may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other person. 1(we) agree that the determination of whether the injury is serious shall be made by the event veterinarian andis binding on me (us).

I(WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
Electronic Signature *
Required
A copy of your responses will be emailed to the address you provided.
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