Fast CAT - Fun Run Entry
Please complete the following form FOR EACH DOG to hold your spot and send payment either via PayPal to ekcmember@gmail.com (check Friends and Family) or mail a check to Taylor Hayes at 8134 Venshire Drive Wattsburg, PA 16442. Your spot will NOT BE CONFIRMED until we receive payment.

The track is enclosed with snow fencing and we will have a professional photographer, Cindy Noland Photography on-site. Contact her for money-saving pre-order packages at cindy@cindynolandphotography.com
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Email *
Owner Full Name *
Dog's Call Name *
Dog's Breed *
Dog's DOB *
MM
/
DD
/
YYYY
Which day would you like to enter?
Clear selection
How many fun run's would you like to do? *
If it's your first time we recommend 2 runs - it usually takes a dog the first one to "understand the game"!
Questions? Ask them here and someone will reach out to you!
Emergency Contact *
Emergency Contact Phone Number *
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 I have entered above. I(we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient (we) certify and represent that the dog entered is not a hazard to persons or other dogs. I(we) agree to hold the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or less or of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, 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, and I(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, I(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 there from, sustained by any person or persons, including myself(ourselves), or on account of damage to property, arising out of or inconsequence 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. I(we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is 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 EVENT-GIVING CLUB 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.
Required
PAYMENT - YOUR SLOT WILL NOT BE CONFIRMED UNTIL WE HAVE RECEIVED PAYMENT!
Please submit $10 per run payment through PayPal to ekcmember@gmail.com (select the Friends and Family option to avoid a fee surcharge)

Or you can mail a check to the event secretary:

Taylor Hayes, Event Secretary
8134 Venshire Drive
Wattsburg, PA 16442


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