Registration for Amy Herot Workshop - March 4-5, 2023 - Lawrenceville, GA
Flint Hill K-9 Training LLC – K9 Nose Work® Event Liability Waiver

By submitting the registration form below, I am agreeing to all stipulations contained in this liability waiver and audio/videotaping policy below. 

AUDIO/VIDEOTAPING:  ONLY one other VIDEO camera (and only at the request of the handler currently running a dog) besides the presenter’s camera may be operating at any given time during the event. Absolutely NO other audio or video-taping is allowed. Videos may only be posted on social media if the sound has been removed (you do not have permission to post a video if the Presenter can be heard speaking). Thank you for your cooperation.

PHOTOS: Everyone is WELCOME to post PHOTOS of themselves, Presenter, their dogs, etc. on social media at any time during or after the seminar. Be sure you have permission of other participants before posting photos that include them or their dogs. 

I understand that participating in and/or auditing/observing the K9 Nose Work event by Leah Gangelhoff and Flint Hill K-9 Training LLC includes an element of risk for myself, members of my family, guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed may be difficult to control and may be the cause of injury and/or damage even when handled with the greatest amount of care.

I agree to abide by any decisions of the host and instructor/speaker relative to the dog’s ability and my ability to participate in the event safely. I further assume any and all risks associated with participating in this event including, but not limited to, illness, falls, contact with other participants and dogs, and environmental and surface conditions, all risks being understood and appreciated by me. I also affirm that the dog I will be participating with has current vaccinations appropriate to his/her age. I agree to abide by all rules of the event, whether written or spoken in the event briefing.

Having read this waiver and knowing these facts, and in consideration of the acceptance of my registration, I hereby for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge Flint Hill K-9 Training LLC, Leah Gangelhoff and any other organizations, businesses, facilities and locations used for K9 Nose Work® activities during this event, as well as their agents, employees, officers, directors and volunteers in any way assisting or connected to this event, from any claims or liability of any kind whatsoever arising out of my participating in this event.

I will hold the above harmless and expressly assume the risk for any injury and/or damage which I, my family, my guests, or my dog may suffer, including, but not limited to, any injury or damage resulting from the action of any dog(s) during the event or on the event grounds, on the visited grounds, or surrounding areas.

I hereby agree to indemnify, compensate, and hold harmless Organizers, Leah Gangelhoff, and Flint Hill K-9 Training LLC from any and all claims that may be asserted against them by any person(s) as a result of any action by me or my dog that causes injury and/or damage.
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Your Registration:  *
First Name *
Last Name *
Email Address *
Cell Number *
Dog(s) Name(s) - PLEASE REVIEW WORKING SPOT REQUIREMENTS - Indicate "S" (spayed), "N" (neutered), or "I" (intact) after each dog's name.
Dog(s) Breed(s) - if entering more than one dog, please re-enter each dog's name before the breed to differentiate.
Dog(s) Age(s) - - if entering more than one dog, please re-enter each dog's name before the age to differentiate.
Dog(s) Gender(s) - if entering more than one dog, please re-enter each dog's name before the gender to differentiate.
Highest (ONLY) NACSW title this dog has achieved - if entering more than one dog, please re-enter each dog's name before the title to differentiate.
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Do you or your dog have any physical challenges?
Does your dog have any medical conditions or FOOD allergies?
Does your dog have any behavioral challenges it may be important for us to understand?
Please enter the NAME & CELL PHONE NUMBER of who you would like us to call in the case of an emergency having to do with you
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