Pat Stuart NePoPo® Seminar - Waitlist
Hosted by Banks K9 Solutions from 4/2/20 - 4/5/20 at Champion Kennels in Sterling Massachusetts. Tickets are $575 for working and audit spots. ALL SPOTS ARE FULL. Fill out this form to be put on a waitlist.
Email address *
First Name *
Last Name *
Phone Number *
Address *
City *
State/Province *
Zip/Postal Code *
Country *
Would you like to be considered for a working spot? No extra cost for working spot, (FULL).
Clear selection
Dogs name (if interested in working spot).
If yes, please provide a brief description of the dog you'd like to bring and what you hope to achieve from a working spot.
Shirt Size *
RELEASE: By selecting "I Agree" hereunder, I certify that I have been informed and understand that there is always some unavoidable risk of injury involved when working with animals. I acknowledge that dogs can be inherently difficult to control and that not all dogs will be under control at all times. I understand and acknowledge the possibility of injury to myself, my dog, my family members, or third parties. I have had full opportunity to discuss all concerns I have about the foregoing risks with Banks K9 Solutions, Operant Canine, Champion Kennels, and its authorized representatives. I have also made all inquiries and investigations to my satisfaction related to such risks, including, but not limited to, an examination of the training area at Champion Kennels 149 Clinton Road Sterling MA 01564 (if applicable). I hereby accept and assume, without reservation, all risks associated with my participation in the Workshop, including, but not limited to: the risks of any and all injuries to myself, my dog and any of my family members or third parties who may attend; the risks that my dog may cause injury to other persons and/or dogs involved in the Workshop; and the risks associated with the presence of saliva, water, food, snow, waste and/or other debris in the training area. As lawful consideration for participating in the Workshop, I, for myself, my heirs, executors, administrators, legal representatives, successors and assigns (the “Releasing Party”), hereby waive, release, discharge and agree not to sue and to indemnify, defend and hold harmless Banks K9 Solutions, Operant Canine, Champion Kennels and its owners, stockholders, members, managers, agents, and employees (the “Released Party”) from any and all injuries, losses, claims and damages to any person(s) or property (including my above named dog) of any nature whatsoever, including claims arising from the Released Party’s own negligence, and all costs associated therewith, including reasonable attorney’s fees and costs, consultant fees, and/or expert witness fees, incurred or suffered as a result of an incident arising out of my participation in the Workshop. This Waiver of Liability & Informed Consent Release shall be legally binding on the Releasing Party. Should the Releasing Party assert a claim found to be contrary to what is agreed to in this Waiver, he/she/it shall be liable for all expenses (including attorney’s fees, court costs and consultant fees) incurred by the Released Party in defending the same. No waiver or modification of any provision herein shall be valid unless expressly agreed to in writing by both the Released Party and the Releasing Party and attached hereto. I hereby consent to my dog being the subject of photographs and/or audiovisual recording and authorize the Released Party to cause the same to be exhibited for educational and/or advertising purposes as still photographs, transparencies, motion pictures, television, video or other similar media. I hereby release Banks K9 Solutions, Operant Canine, and Champion Kennels from any and all claims for damages for libel, slander, invasion of privacy or any other claim based on use of the before described material(s). Every provision herein is intended to be severable. If any one or more of the provisions herein is found to be unenforceable or invalid, that shall not affect the other terms and provisions hereof, which shall remain binding and enforceable. I represent that I am at least 18 years of age. *
A copy of your responses will be emailed to the address you provided.
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