Liability Waiver August 2020
The following is the Waiver of Liability and Informed Consent form for the Aug 8, 9 and 10, 2020,  nose work trials occurring at Gervais Elementary & Middle Schools in Gervais, OR. By electronically signing this document you are acknowledging you have read and agree to the terms shown below.

The NW3 trials are located at  300 Douglas St, Gervais, OR 97381
The Elite trial is located at 150 E Douglas St, Gervais, OR 97381

The trial hosts are Helix Fairweather and Doglandia, LLC (Kristina Leipzig)
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Email *
First Name *
Last Name *
Telephone # on day of trial *
Day(s) you will be trialing or volunteering (there will be no spectating): *
Required
Name of any dog(s) you will bring with you onto the property *
******************* PLEASE NOTE COMPETITORS !! ******************* PAYMENT LINK IS ON THE NEXT SCREEN AFTER YOU CLICK SUBMIT
I UNDERSTAND THAT A COVID-19 SCREENING WAIVER WILL BE EMAILED TO ME ONE TO TWO DAYS PRIOR TO THE TRIAL AND THAT MY PARTICIPATION, AS A VOLUNTEER OR COMPETITOR, WILL BE BASED ON SUBMITTING THAT FORM IN A TIMELY MANNER. That means, if you are traveling, you must be on the look-out for this email and certify your health status at that time.   NO, NONE, ZERO exceptions! *
Required
I understand that the behavior of dogs cannot be guaranteed. I also understand that the behavior of domestic animals is sometimes unpredictable and that some domestic animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risks I agree to assume ALL those risks including, but not limited to:  assuming the financial responsibility of any possible litigation arising from any incident in which I may be involved. I release, indemnify, and hold harmless, Helix Fairweather, Doglandia, LLC, Kristina Leipzig, Silverton Middle School, Amy Herot, Jill-Marie O’Brien, Ron Gaunt, K9 Nose Work®, National Association of Canine Scent Work, LLC®, and their Employees, Officers, Directors, Agents, or Contractors from any and all damages or personal injury. Any incident involving myself, the location, or those pets or actions of other participants and spectators will be my sole responsibility and I assume all financial liability and will also assume all and any financial costs associated with my actions. *
Required
In addition to the above, I understand that participating in this event, even as a volunteer or spectator, holds some risk. My dog and I may be exposed to challenging, treacherous or unstable footing and accept all possible risks associated with participating or observing any type of detection style training or competition. I agree to hold harmless Helix Fairweather, Doglandia, LLC, Kristina Leipzig, Silverton Middle School , Amy Herot, Jill-Marie O’Brien, Ron Gaunt, K9 Nose Work®, National Association of Canine Scent Work, LLC®, and their Employees, Officers, Directors, Agents, or Contractors including, but not limited to, the event location’s agents or owner and to accept responsibility for all litigation and financial obligations arising from any unforeseen event in which I may be involved. *
Required
I have read and agree to all of the information shown on this electronic Waiver and Consent Form. I also acknowledge that submission of this form is a valid electronic completion of this form and will be utilized in lieu of signing a paper waiver form at trial check-in. I understand that I have the option to not sign this form electronically, but have elected to do so. *
Required
A copy of your responses will be emailed to the address you provided.
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