ORT Entry - Sunday, May 16, 2021
Canine Country Academy
NACSW™ – Odor Recognition Test Sunday, May 16, 2021 (Birch, Anise and Clove)
Canine Country Academy - 975 Cripple Creek Drive, Lawrenceville, GA 30043
$35 Registration Fee - payable by PayPal, Check or Money Order

Please mail complete form and submit fee via PayPal or Mail to:975 Cripple Creek Drive, Lawrenceville, GA 30043

Checks payable to: Canine Country Academy

Questions: Contact the Host/Secretary Paula Nowak 678-979-2016, info@caninecountryacademy.com, Monday - Saturday 9am to 7pm ET
Odor(s) *
Required
Handler NACSW # (required) *
Handler Last Name *
Handler First Name *
NACSW Dog ID (required) *
Dog's Call Name *
Dog's Breed(s): *
Email Address: *
Street Address *
City, State and Zip Code *
Phone where you can easily be reached: *
Statement
An ORT must be taken and passed at least 14 days before a trial opening date to be eligible for the first draw period.

Please contact your host at least 1 day before the ORT if your female dog will be in season.

All confirmations will be sent via e-mail with attachment within 7 days of receipt of complete registration form and payment. If you require a confirmation via USPS, you must provide a self-addressed stamped envelope.

I/We hereby assume all risks of, and responsibility for, accidents and/or damage to myself or to my property or to others, resulting from the actions of my dog. I/We expressly agree that Canine Country Academy (Paula Nowak), 975 Cripple Creek Drive, Lawrenceville, GA 30043 and/or NACSW or any other person, or persons, of said groups, shall not be held liable personally, or collectively, under any circumstances, for injury, and/or damage to my person, for loss or injury to my property, whether due to uncontrolled dogs or negligence of any member of said groups, or any other cause, or causes.

Please type your name that you agree with the above statement. *
PAYMENT  FYI
You may need to scroll up after submitting your registration to see the PayPal option.  Thanks!
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