2017 K-9 Seminar Registration
Training Discipline
Basic Information
First Name
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Last Name
Your answer
Home Address
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Contact Phone Number
Your answer
Email Address
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Name of Current Agency/Organization
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T-Shirt Size
Basic K-9 Information
K-9 Name
Your answer
K-9 Age
Your answer
K-9 Breed
Your answer
K-9 Time in Training
Your answer
Current K-9 Certifications
Your answer
Current Vet
Your answer
Current Vet Phone Number
Your answer
Current Vet Address
Your answer
PLEASE send up to date shot records for Rabies and Lepto vaccines prior to September 1st to Info@ManateeCountySAR.org or mail to 7006 122nd Ave East, Parrish, FL 34219
(This is a venue requirement for all K-9's on the property)
Any Additional Information MCSAR or Instructors should know about your K-9
(Ie. Allergies, dog aggression, kid aggression, medical problems, etc)
Your answer
Shirt Upgrade (Optional)
Would you like to upgrade your Short Sleeve T-Shirt to a Long Sleeve for an additional $5.00?
If you would like to order additional SHORT sleeve T-shirts for $10.00 each, please specify quantity of each size below?
(Money due at time of registration for addition shirts and shirt money is non-refundable)
Your answer
If you would like to order additional LONG sleeve T-shirts or $15.00 each, please specify quatity of each size below
(Money due at time of registration for addition shirts and shirt money is non-refundable)
Your answer
Emergency Contact Information
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
WAIVER OF LIABILITY
The undersigned participant recognizes that there is always a possibility or injury related to K9 Training either to the handler or to the K-9. By my signature below I hereby waive and relinquish Manatee County Sear and Rescue, Inc., their affiliates, sponsors, organizers, instructors, and/or all participants of liability for any injury, mental or physical, to myself or to my K-9. I further state that my K-9 and I are in a physical condition necessary to be able to participate in the seminar events, as needed for training. I also agree to abide by all rules and regulations as set forth by Manatee County Search and Rescue Inc. I agree to assume full responsibility for my safety of my property to , during and from the seminar sites and training venues. I furthermore will accept responsibility for any damage caused by my K-9 or myself to any and all property and persons to include the hotel accommodations and/or any training venues. PLEASE TYPE YOUR FULL LEGAL NAME FOLLOWED BY THE DATE IN THE SPACE BELOW ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE ABOVE WAIVER OR LIABILITY
Your answer
WAIVER OF DEPOSIT
The undersigned participant recognizes that a deposit of $225.00 will be due within two weeks of receiving email of confirmation of registration. If at anytime after deposit is made the participant must withdraw from the K-9 Training Seminar then he or she risks forfeiture of deposit. Deposit will be returned to participant IF withdrawal is prior to September 1st AND participant's spot is filled. In the event that a participant must drop after September 1st OR Manatee County Search and Rescue Inc. is unable to fill vacant entry then full deposit of 225.00 will be forfeited to Manatee County Search and Rescue Inc.PLEASE TYPE YOUR FULL LEGAL NAME FOLLOWED BY THE DATE IN THE SPACE BELOW ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE ABOVE WAIVER OR DEPOSIT
Your answer
Please make registration checks payable to Manatee County Search & Rescue, Inc. Please mail checks to 7006 122nd Ave East Parrish, FL 34219 Thank you and we look forward to seeing you!
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