A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | |
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1 | Timestamp | What is your name? | What activity are you attending? Which class or workshop instructor should review this sign-in form? (Select 'Other" if not entering the building for a class/workshop) | If you are not entering the building for a class/workshop, provide a short description of the purpose (examples: training, private lesson, cleaning, etc). Otherwise skip to the next section. | I, the undersigned, hereby state that I, to the best of my knowledge, am not infected with the virus SARS-CoV-2 or any other virus known to cause the disease currently referred to COVID-19. I also state that I am free of symptoms of such infection or have tested negative for covid-19 within 3 days after being symptomatic. | I also hereby agree to contact ODTC if I am diagnosed or show symptoms of SARS-CoV-2 / COVID-19 / Coronavirus 2020 or I have been in close contact for 15 minutes or more with someone diagnosed with SARS-CoV-2 / COVID-19 / Coronavirus 2020 within 14 days of my signature date. The designated contact for Oriole is Rose Kane who can be contacted by email at rose.aimee.kane@gmail.com or by phone at 443-610-3364) | I have read and understood all of the ODTC policies concerning SARS-CoV-2 / COVID-19 / Coronavirus 2020 and agree to abide by all stated ODTC policies (updated on 07/29/2021) in addition to State and Federal Guidelines concerning the above listed conditions. NOTE: the policies can be viewed at this link: https://odtc.clubexpress.com/content.aspx?page_id=22&club_id=413318&module_id=406009 | By choosing option "Yes" below and entering the property located at 9 AZAR COURT HALETHORPE MD 21227, or other designated training locations for an ODTC class, I agree to hold harmless Oriole Dog Training Club, Its Officers, Members and Volunteers in the event of my contracting SARS-CoV-2 / COVID-19 / Coronavirus 2020 or any symptoms . | Finally, I also agree to abide by the current ODTC Hold Harmless agreement regarding Dog Sports and Dog Activities:I agree to hold harmless the Oriole Dog Training Club, Inc., and/or its Officers, Board of Directors, Members, Instructors, ODTC Volunteer Workers, Seminar Presenters and property owners on which classes and workshops are held from any claims or loss, injury or death that may be alleged to have been caused directly or indirectly to me or my dog(s) while participating in the sport of Dog Obedience, Agility, Flyball, Tracking, Conformation, Nosework or other ODTC activities. I personally assume all responsibility and liability when entering the ODTC activities/premises for whatever purpose at my own risk. I hereby warrant that the dog(s) I will train or exhibit are sound, physically and temperamentally, and pose no threat to any other person or dog. I agree that any cause of action, controversy or claim arising out of or related to the entry, exhibition or attendance at any club event between the event-giving club and myself, 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. | ||||||||
2 | 1/1/2023 8:20:05 | Ken Briefel | Tue - EL AG537 - Mas/Exc Skills and Drills 4:45pm (Herman) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
3 | 1/2/2023 8:46:59 | Karen Albert | Mon - ELAG540 - Agility Private with Terry Herman | Private Lesson | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
4 | 1/2/2023 14:23:27 | Pat Parkent | Tue - OB101B - Puppy Kindergarten 10:30am (Lachow) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
5 | 1/2/2023 14:24:44 | Pat Parkent | Wed - AG050 - Foundations for Dog Sports 8:15pm (McDowell, Mihalik, Culp) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
6 | 1/2/2023 14:25:54 | Pat Parkent | Thu - FB110 - Beginner Flyball 7:00pm (McGuire) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
7 | 1/3/2023 6:56:18 | Kara O’Connor | Tues - ELOB205 - Obedience Run-Runthrs (Meyer) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
8 | 1/3/2023 13:47:32 | Robert Reinhardt | Mon - ELAG540 - Agility Private with Terry Herman | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
9 | 1/3/2023 15:14:47 | Judy Harding | Tue - EL AG537 - Mas/Exc Skills and Drills 4:45pm (Herman) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
10 | 1/3/2023 15:15:14 | Tom Harding | Tue - EL AG537 - Mas/Exc Skills and Drills 4:45pm (Herman) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
11 | 1/3/2023 16:50:32 | Deb Slaybaugh | Tue - EL AG537 - Mas/Exc Skills and Drills 4:45pm (Herman) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
12 | 1/3/2023 16:51:40 | Laurie McClain | Tue - EL AG537 - Mas/Exc Skills and Drills 4:45pm (Herman) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
13 | 1/3/2023 17:16:41 | Cindy Deubler | Wed - OB341 - Intermediate Open 8:00pm (Kavanagh) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
14 | 1/3/2023 17:47:21 | Allison Machnicki | Tue - Agility 3 Handling 6:30pm (Herman) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
15 | 1/3/2023 17:47:49 | Allison Machnicki | Tue - Agility 3 Contacts and Weaves 8:15pm (McClain, Foster) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
16 | 1/3/2023 18:30:12 | Monique Bocock | Tue - Agility 3 Contacts and Weaves 8:15pm (McClain, Foster) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
17 | 1/3/2023 21:33:14 | Terry Herman | Wed - ELAG540 - Agility Private with Terry Herman | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
18 | 1/3/2023 21:48:53 | Carolyn Harrison | Wed - ELAG540 - Agility Private with Terry Herman | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
19 | 1/4/2023 7:43:28 | Lucas Zmroczek | Wed - AG050 - Foundations for Dog Sports 8:15pm (McDowell, Mihalik, Culp) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
20 | 1/4/2023 8:04:18 | Barbara Novak | Wed - ELAG540 - Agility Private with Terry Herman | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
21 | 1/4/2023 13:20:19 | Lorinda McKisson | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
22 | 1/4/2023 14:22:58 | Donna M Crozier | Wed - ELAG539 - Distance Training 6:30npm (Wilkins) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
23 | 1/4/2023 14:24:53 | Kimberly Acton | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
24 | 1/4/2023 14:41:33 | Jean Wilkins | Wed - ELAG539 - Distance Training 6:30npm (Wilkins) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
25 | 1/4/2023 15:48:47 | Kate Christian | Tues - OB105 - Basic Obedience 6:00 pm (Bethea) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
26 | 1/4/2023 16:48:28 | Kimberly Culp | Wed - AG050 - Foundations for Dog Sports 8:15pm (McDowell, Mihalik, Culp) | n/a | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
27 | 1/4/2023 16:56:44 | Karen Keegin | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | N/A | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
28 | 1/4/2023 17:48:41 | Susan von Suhrke | Wed - ELAG539 - Distance Training 6:30npm (Wilkins) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
29 | 1/4/2023 19:33:16 | Sharon Martinez | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
30 | 1/4/2023 20:28:48 | Patricia Pierre | Wed - AG050 - Foundations for Dog Sports 8:15pm (McDowell, Mihalik, Culp) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
31 | 1/5/2023 10:35:02 | Ashley Moriarty | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
32 | 1/5/2023 10:35:19 | Allison Machnicki | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
33 | 1/5/2023 10:35:27 | Scott moriarty | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
34 | 1/5/2023 10:36:18 | Jennifer Hohl | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
35 | 1/5/2023 10:42:56 | Charisse Sary | Thu - AG110 - Agility 2 8:15pm (Deubler, McKisson) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
36 | 1/5/2023 12:31:43 | LINDA MILES | Mon - ELAG540 - Agility Private with Terry Herman | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
37 | 1/5/2023 14:47:58 | Joseph T. Moran, Jr. | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I cannot confirm I meet any or all of the conditions in this statement | Yes | Yes | Yes | Yes | |||||||||
38 | 1/5/2023 14:48:06 | Vera Glazkova | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
39 | 1/5/2023 15:01:53 | Suzanne F. Moran | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
40 | 1/5/2023 16:15:44 | Emily Mininsohn | Other | Focus class for agility, Novak | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
41 | 1/5/2023 16:22:33 | Rachel Kleespies | Other | Barb Novak's Focus Class | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
42 | 1/5/2023 16:30:59 | Rosemary Hanes | Other | Focus class | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
43 | 1/5/2023 16:55:23 | Nancy Monseaux | Other | Focus class | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
44 | 1/5/2023 17:14:11 | Janice Cornell | Thu - AG100 - Agility 1 6:30pm (Deubler, McKisson, Novak) | N/A | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
45 | 1/5/2023 20:03:11 | Eileen Martin | Thu - AG110 - Agility 2 8:15pm (Deubler, McKisson) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
46 | 1/5/2023 20:09:29 | Allison Battisti | Thu - AG110 - Agility 2 8:15pm (Deubler, McKisson) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
47 | 1/5/2023 20:10:07 | Victoria Herr | Thu - AG110 - Agility 2 8:15pm (Deubler, McKisson) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
48 | 1/8/2023 13:33:36 | Helena Dahlen | Mon - OB470 - AKC Rally Run-Thrus 6:30pm (Long/Shanley/Fitchitt) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
49 | 1/8/2023 13:34:52 | Helena Dahlen | Tues - OB208 - Novice Foundation Part 1 7:00 pm (Carlton/Kaminski) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
50 | 1/8/2023 14:43:46 | Jane Terry | Mon - OB470 - AKC Rally Run-Thrus 6:30pm (Long/Shanley/Fitchitt) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
51 | 1/8/2023 15:35:11 | Barbara Cavelius | Tues - OB105 - Basic Obedience 6:00 pm (Bethea) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
52 | 1/8/2023 16:29:13 | Lisa Stevens | Mon - ELAG540 - Agility Private with Terry Herman | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
53 | 1/8/2023 16:49:29 | Maureen Shea | Mon - ELAG540 - Agility Private with Terry Herman | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
54 | 1/8/2023 17:25:39 | Brian Rosen | Mon - ELAG540 - Agility Private with Terry Herman | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
55 | 1/8/2023 20:36:33 | Debby Brannan | Tues - OB110 - Continuing Basic/CGC & Tricks 6:30 pm (Hoppes) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
56 | 1/8/2023 20:37:48 | Debby Brannan | Wed - OB210 - Advanced Novice 7:00pm (Palmer) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
57 | 1/8/2023 20:38:33 | Debb Brannan | Tue - Agility 3 Handling 6:30pm (Herman) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
58 | 1/8/2023 20:41:29 | Debby Brannan | Other | AG private 1/9 & 1/23 10am Mon | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
59 | 1/8/2023 20:42:51 | Bob Brannan | Other | AG Priv 1/9&1/23 10am Mon | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
60 | 1/8/2023 20:43:46 | Bob Brannan | Tue - Agility 3 Handling 6:30pm (Herman) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
61 | 1/8/2023 20:44:31 | Bob Brannan | Wed - OB210 - Advanced Novice 7:00pm (Palmer) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
62 | 1/9/2023 11:10:33 | Elaine O’Carroll | Tue - OB345 - Adv Open / Beg Utility 12:15pm (O'Carroll/Earwood) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
63 | 1/9/2023 12:49:39 | cliona odriscoll | Mon - OB470 - AKC Rally Run-Thrus 6:30pm (Long/Shanley/Fitchitt) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
64 | 1/9/2023 14:55:43 | Diane Gilliam | Tue - OB345 - Adv Open / Beg Utility 12:15pm (O'Carroll/Earwood) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
65 | 1/9/2023 15:29:57 | Barry Palmer | Mon - ELAG580 - Advanced Handling 6:30pm (Deubler/Morris) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
66 | 1/9/2023 15:31:17 | Barry Palmer | Tue - OB345 - Adv Open / Beg Utility 12:15pm (O'Carroll/Earwood) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
67 | 1/9/2023 15:39:06 | Cristiane Fitchitt | Tue - OB345 - Adv Open / Beg Utility 12:15pm (O'Carroll/Earwood) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
68 | 1/9/2023 17:24:50 | Glauco lima | Mon - OB470 - AKC Rally Run-Thrus 6:30pm (Long/Shanley/Fitchitt) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
69 | 1/9/2023 17:51:02 | Val Earwood | Tue - OB345 - Adv Open / Beg Utility 12:15pm (O'Carroll/Earwood) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
70 | 1/9/2023 19:54:11 | Rachel Kleespies | Mon - AG300 - Agility PreCompetition Skills 8:15pm (Gauntt) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
71 | 1/10/2023 0:04:39 | Susan Cowles | Tue - OB345 - Adv Open / Beg Utility 12:15pm (O'Carroll/Earwood) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
72 | 1/10/2023 0:06:04 | Susan Cowles | Tues - ELOB205 - Obedience Run-Runthrs (Meyer) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
73 | 1/10/2023 9:18:33 | Carol Carr | Tues - OB105 - Basic Obedience 6:00 pm (Bethea) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
74 | 1/10/2023 9:36:01 | Debbie Kaminski | Wed - OB402 - Beginning Utility 8:00pm (Palmer) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
75 | 1/10/2023 10:02:33 | Dana Hoppes | Tue - OB101B - Puppy Kindergarten 10:30am (Lachow) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
76 | 1/10/2023 14:02:48 | Janet bowen | Tues - OB110 - Continuing Basic/CGC & Tricks 6:30 pm (Hoppes) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
77 | 1/10/2023 14:03:56 | Kate Christian | Tues - OB105 - Basic Obedience 6:00 pm (Bethea) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
78 | 1/10/2023 14:13:06 | Sara tagget | Mon - ELAG580 - Advanced Handling 6:30pm (Deubler/Morris) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
79 | 1/10/2023 14:14:01 | Sara tagget | Tues - OB110 - Continuing Basic/CGC & Tricks 6:30 pm (Hoppes) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
80 | 1/10/2023 14:15:08 | Sara tagget | Wed - NW301 - NW2 K9 Nosework 6:00pm (Reardon) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
81 | 1/10/2023 14:15:51 | Sara tagget | Wed - NW401 - NW3 K9 Nosework 6:oopm (Reardon) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
82 | 1/10/2023 15:30:09 | Liz Miller | Mon - AG300 - Agility PreCompetition Skills 8:15pm (Gauntt) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
83 | 1/10/2023 16:23:51 | Beth Pointer | Tues - OB105 - Basic Obedience 6:00 pm (Bethea) | training | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
84 | 1/10/2023 16:28:46 | Courtney Pierson - Hoppes | Tues - OB110A - Continuing Basic/CGC & Tricks 6:15 pm (Hoppes/Brannan) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
85 | 1/10/2023 16:32:40 | Pilar Gimenez | Tues - OB110A - Continuing Basic/CGC & Tricks 6:15 pm (Hoppes/Brannan) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
86 | 1/10/2023 16:44:30 | Denise McHarg | Tues - OB110A - Continuing Basic/CGC & Tricks 6:15 pm (Hoppes/Brannan) | class | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
87 | 1/10/2023 16:47:48 | Denise McHarg | Tue - Agility 3 Contacts and Weaves 8:15pm (McClain, Foster) | class | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
88 | 1/10/2023 17:06:33 | Morgan Ward | Tues - OB105 - Basic Obedience 6:00 pm (Bethea) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
89 | 1/10/2023 17:30:48 | Rosemary Hanes | Mon - AG300 - Agility PreCompetition Skills 8:15pm (Gauntt/Hanes) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
90 | 1/10/2023 17:33:10 | Dawna Andrews | Mon - ELAG580 - Advanced Handling 6:30pm (Deubler/Morris) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
91 | 1/10/2023 17:54:50 | Sheila Mehring | Tues - OB105 - Basic Obedience 6:00 pm (Bethea) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
92 | 1/10/2023 17:55:11 | George Mehring | Tues - OB105 - Basic Obedience 6:00 pm (Bethea) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
93 | 1/10/2023 18:06:58 | Jasmine Carastro | Tues - OB110A - Continuing Basic/CGC & Tricks 6:15 pm (Hoppes/Brannan) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
94 | 1/11/2023 11:00:42 | Janet Gauntt | Mon - AG300 - Agility PreCompetition Skills 8:15pm (Gauntt/Hanes) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
95 | 1/11/2023 11:11:28 | judith eargle | Wed - ELAG540 - Agility Private with Terry Herman | private lesson | I agree with this statement | Yes | Yes | Yes | Yes | ||||||||
96 | 1/11/2023 20:34:12 | Felicitie Bell | Thu - ELAG585 - Focus/Connection/Impulse Control 4:45pm (Novak) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
97 | 1/12/2023 9:49:59 | Sara tagget | Thu - NW102 - Intro to Odor/Birch/K9 Nose Work 6:00pm (Tagget/Cox) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
98 | 1/12/2023 9:50:42 | Sara tagget | Thu - NW201 - ORT/NW1 Preparation 6:00pm (Tagget/Cox) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
99 | 1/12/2023 9:51:21 | Sara tagget | Thu - FB300 - Competition Flyball 7:30pm (Fedder/Miller) | I agree with this statement | Yes | Yes | Yes | Yes | |||||||||
100 | 1/12/2023 11:45:45 | VERA GLAZKOVA | Thu - AG100 - Agility 1 6:30pm (McKisson/Novak/Sorgenfrei) | I agree with this statement | Yes | Yes | Yes | Yes |