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TimestampWhat 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, 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
9/12/2021 9:43:05Ann Pribyl
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
3
9/12/2021 11:23:24Debra Slaybaugh
Mon - ELAG540 - Agility Private with Terry Herman
PL with T Herman
I agree with this statement
YesYesYesYes
4
9/12/2021 18:14:15Lynn Richardson
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
5
9/12/2021 20:11:29Lisa Stevens
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
6
9/13/2021 6:58:38Judy Whitbred
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
7
9/13/2021 7:23:48Craig Sholey
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
8
9/13/2021 7:32:00Laurie McClain
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
9
9/13/2021 17:20:28Lorinda McKisson OtherMeeting
I agree with this statement
YesYesYesYes
10
9/13/2021 19:56:15Maryann Bechta
Mon - OB101 - Puppy Kindergarten (Cox, Lavoy)
I agree with this statement
YesYesYesYes
11
9/13/2021 20:02:24Rachel Dorchak
Mon - OB101 - Puppy Kindergarten (Cox, Lavoy)
Training
I agree with this statement
YesYesYesYes
12
9/13/2021 21:54:37Elaine O’CarrollOtherTraining
I agree with this statement
YesYesYesYes
13
9/14/2021 7:39:02Val EarwoodOtherTraining
I agree with this statement
YesYesYesYes
14
9/14/2021 8:17:25Janet Boss
Tues - OB110A - 3:15pm Advanced Basic/CGC & Tricks (Ruff, R. Bobb)
I agree with this statement
YesYesYesYes
15
9/14/2021 8:18:04Janet Boss
Tues - OB110A - 3:15pm Advanced Basic/CGC & Tricks (Ruff, R. Bobb)
I agree with this statement
YesYesYesYes
16
9/14/2021 10:38:22Christopher Schroeder
Tues - OB110A - 3:15pm Advanced Basic/CGC & Tricks (Ruff, R. Bobb)
I agree with this statement
YesYesYesYes
17
9/14/2021 10:56:37Jane McKenzie-White
Tues - OB110A - 3:15pm Advanced Basic/CGC & Tricks (Ruff, R. Bobb)
training
I agree with this statement
YesYesYesYes
18
9/14/2021 11:08:53ann mccallum Other
I agree with this statement
YesYesYesYes
19
9/14/2021 11:18:28Michael SikorksiOther
I agree with this statement
YesYesYesYes
20
9/14/2021 11:20:51Rosalyn Dupont Other
I agree with this statement
YesYesYesYes
21
9/14/2021 11:21:25Ashley DonaldsonOther
I agree with this statement
YesYesYesYes
22
9/14/2021 11:46:01judi ruff
Tues - OB110A - 3:15pm Advanced Basic/CGC & Tricks (Ruff, R. Bobb)
I agree with this statement
YesYesYesYes
23
9/14/2021 12:39:07VJ Iannone Other
I agree with this statement
YesYesYesYes
24
9/14/2021 13:14:05Ann Truffa
Wed - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
25
9/14/2021 13:14:47KATHY Munger
Tues - OB110A - 3:15pm Advanced Basic/CGC & Tricks (Ruff, R. Bobb)
I agree with this statement
YesYesYesYes
26
9/14/2021 14:10:22Donald Louis Grskovich
Tues - OB209 - Novice Foundations, Part 2 (Kaminski, Carlton)
I agree with this statement
YesYesYesYes
27
9/14/2021 14:42:18judith eargle
Wed - ELAG540 - Agility Private with Terry Herman
private lesson
I agree with this statement
YesYesYesYes
28
9/14/2021 15:11:19david havelka
Tues - OB110A - 3:15pm Advanced Basic/CGC & Tricks (Ruff, R. Bobb)
I agree with this statement
YesYesYesYes
29
9/14/2021 15:11:58Gayle prescott
Tues - OB110 - Advanced Basic/CGC & Tricks (Anderson/Hoppes)
I agree with this statement
YesYesYesYes
30
9/14/2021 15:12:33Carol Carr
Tues - OB105A - Basic Obedience (Kramp)
I agree with this statement
YesYesYesYes
31
9/14/2021 15:52:51Tamalee Kramp
Tues - OB105A - Basic Obedience (Kramp)
teach
I agree with this statement
YesYesYesYes
32
9/14/2021 16:11:13Dana Hoppes
Tues - OB110 - Advanced Basic/CGC & Tricks (Anderson/Hoppes)
I agree with this statement
YesYesYesYes
33
9/14/2021 16:18:19Elvis Andino
Tues - OB105A - Basic Obedience (Kramp)
I agree with this statement
YesYesYesYes
34
9/14/2021 16:21:28Jean WilkinsWed - AG539 - Distance Training (Wilkins)seminar/nadac
I agree with this statement
YesYesYesYes
35
9/14/2021 16:56:11Diane Myers
Tues - OB105A - Basic Obedience (Kramp)
I agree with this statement
YesYesYesYes
36
9/14/2021 17:03:05Sara tagget
Tues - OB105A - Basic Obedience (Kramp)
I agree with this statement
YesYesYesYes
37
9/14/2021 17:09:35Holly Johnson
Tues - OB105A - Basic Obedience (Kramp)
I agree with this statement
YesYesYesYes
38
9/14/2021 17:15:00Lorinda McKisson
Tues - OB105B - Basic Obedience (Grimm/Hoppes)
NADAC
I agree with this statement
YesYesYesYes
39
9/14/2021 17:31:36Linda Miles
Wed - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
40
9/14/2021 17:34:23Susan. von Suhrke
Tues - OB345 - Adv. Open/Begin Utility (O'Carroll/Earwood)
Tues 14 SEPT workshop
I agree with this statement
YesYesYesYes
41
9/14/2021 18:01:05Michele Long
Tues - OB110 - Advanced Basic/CGC & Tricks (Anderson/Hoppes)
I agree with this statement
YesYesYesYes
42
9/14/2021 18:02:16Bev Hiltner
Tues - OB110 - Advanced Basic/CGC & Tricks (Anderson/Hoppes)
I agree with this statement
YesYesYesYes
43
9/14/2021 18:04:07Alex/Jeff
Tues - OB105A - Basic Obedience (Kramp)
I agree with this statement
YesYesYesYes
44
9/14/2021 18:13:50Tanya Grim
Tues - OB110 - Advanced Basic/CGC & Tricks (Anderson/Hoppes)
I agree with this statement
YesYesYesYes
45
9/14/2021 19:29:08Betsy Flagg
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
46
9/14/2021 21:50:49Shirley Harry
Tues - OB105A - Basic Obedience (Kramp)
Training
I agree with this statement
YesYesYesYes
47
9/15/2021 0:28:32Darlene Paul
Wed - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
48
9/15/2021 8:07:12Laurene Galgano
Wed - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
49
9/15/2021 8:07:59Jenn Galgano
Wed - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
50
9/15/2021 10:54:14Judy Harding
Wed - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
51
9/15/2021 10:54:51Tom Harding
Wed - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
52
9/15/2021 17:25:49Sue Cox
Wed - NW200 - Beginners NW2/Continuous NW2
I agree with this statement
YesYesYesYes
53
9/16/2021 16:57:22Jacqueline Reardon
Thu - NW100 - Foundation to K9 Nose Work (Reardon/Tagget)
I agree with this statement
YesYesYesYes
54
9/16/2021 17:12:01Marian Krause
Thu - NW100 - Foundation to K9 Nose Work (Reardon/Tagget)
I agree with this statement
YesYesYesYes
55
9/16/2021 17:43:32Margaret McDowelm
Thu - NW100 - Foundation to K9 Nose Work (Reardon/Tagget)
I agree with this statement
YesYesYesYes
56
9/16/2021 18:02:10Linda Miles
Thu - NW100 - Foundation to K9 Nose Work (Reardon/Tagget)
I agree with this statement
YesYesYesYes
57
9/16/2021 20:46:56Nancy Anderson
Thu - NW100 - Foundation to K9 Nose Work (Reardon/Tagget)
I agree with this statement
YesYesYesYes
58
9/17/2021 16:06:46Isabel Other
Measurement equipment
I agree with this statement
YesYesYesYes
59
9/17/2021 16:07:36Sue Other
Measurement equipment
I agree with this statement
YesYesYesYes
60
9/19/2021 8:12:01Maureen Shea
Wed - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
61
9/19/2021 12:28:26Melissa Van Roey Thu - AG100 - Agility 1
I agree with this statement
YesYesYesYes
62
9/19/2021 13:43:04Sharlyn Tabernero Mon - AG120 - Agility 3 (Deubler)
I agree with this statement
YesYesYesYes
63
9/19/2021 16:11:18DEb Slaybaugh
Mon - ELAG540 - Agility Private with Terry Herman
Pl
I agree with this statement
YesYesYesYes
64
9/19/2021 18:45:21Judy Whitbred
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
65
9/19/2021 19:57:53Barry Palmer
Mon - OB470 - AKC Rally Runthrus (Long/Shanley)
I agree with this statement
YesYesYesYes
66
9/19/2021 20:05:53Tish pehrMon - AG120 - Agility 3 (Deubler)
I agree with this statement
YesYesYesYes
67
9/19/2021 21:20:14Lisa Stevens
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
68
9/20/2021 7:41:46Dianne Harab
Tues - OB345 - Adv. Open/Begin Utility (O'Carroll/Earwood)
I agree with this statement
YesYesYesYes
69
9/20/2021 8:41:35Lynn Richardson
Mon - ELAG540 - Agility Private with Terry Herman
PL
I agree with this statement
YesYesYesYes
70
9/20/2021 8:46:42Diana Schaub
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
71
9/20/2021 9:54:19Mary anne Dresler
Mon - OB470 - AKC Rally Runthrus (Long/Shanley)
I agree with this statement
YesYesYesYes
72
9/20/2021 9:55:15Mary anne dresler
Tues - EL OB205 - Obed. Run-Thrus All Levels (Meyer)
I agree with this statement
YesYesYesYes
73
9/20/2021 10:46:51Barry Palmer
Tues - OB345 - Adv. Open/Begin Utility (O'Carroll/Earwood)
I agree with this statement
YesYesYesYes
74
9/20/2021 10:47:17val earwood
Tues - OB345 - Adv. Open/Begin Utility (O'Carroll/Earwood)
I agree with this statement
YesYesYesYes
75
9/20/2021 11:39:59Lorinda McKisson Mon - AG120 - Agility 3 (Deubler)
I agree with this statement
YesYesYesYes
76
9/20/2021 12:39:22Craig Sholley
Mon - ELAG540 - Agility Private with Terry Herman
I agree with this statement
YesYesYesYes
77
9/20/2021 13:06:10Lori SolbergMon - AG120 - Agility 3 (Deubler)
I agree with this statement
YesYesYesYes
78
9/20/2021 13:08:28Katie Meyer
Tues - EL OB205 - Obed. Run-Thrus All Levels (Meyer)
I agree with this statement
YesYesYesYes
79
9/20/2021 13:11:17Joan Faltot
Tues - EL AG535 - Contact and Weave Skills (Paul/Lape/Flagg)
I agree with this statement
YesYesYesYes
80
9/20/2021 13:32:51Susan von Suhrke
Tues - OB345 - Adv. Open/Begin Utility (O'Carroll/Earwood)
I agree with this statement
YesYesYesYes
81
9/20/2021 14:05:04Barbara Davit
Mon - OB470 - AKC Rally Runthrus (Long/Shanley)
I agree with this statement
YesYesYesYes
82
9/20/2021 14:05:55Barbara Davit
Tues - EL OB205 - Obed. Run-Thrus All Levels (Meyer)
I agree with this statement
YesYesYesYes
83
9/20/2021 14:06:49Gerry Davit
Mon - OB470 - AKC Rally Runthrus (Long/Shanley)
I agree with this statement
YesYesYesYes
84
9/20/2021 16:19:00Rosemary Hanes
Mon - AG300 - Pre-Competition Skills (Gauntt/Deubler)
I agree with this statement
YesYesYesYes
85
9/20/2021 17:17:10Janet Gauntt
Mon - AG300 - Pre-Competition Skills (Gauntt/Deubler)
I agree with this statement
YesYesYesYes
86
9/20/2021 17:23:20Sue Clark Mon - AG120 - Agility 3 (Deubler)
I agree with this statement
YesYesYesYes
87
9/20/2021 17:23:51Isabel Martinez Mon - AG120 - Agility 3 (Deubler)
I agree with this statement
YesYesYesYes
88
9/20/2021 17:24:14Frank Clark Mon - AG120 - Agility 3 (Deubler)
I agree with this statement
YesYesYesYes
89
9/20/2021 17:38:16Tiffany Schuffert
Mon - OB470 - AKC Rally Runthrus (Long/Shanley)
I agree with this statement
YesYesYesYes
90
9/20/2021 17:41:42Cristiane
Mon - AG300 - Pre-Competition Skills (Gauntt/Deubler)
I agree with this statement
YesYesYesYes
91
9/20/2021 17:42:06Susan BoswellMon - AG120 - Agility 3 (Deubler)
I agree with this statement
YesYesYesYes
92
9/20/2021 18:00:54Cristin Treaster
Mon - AG300 - Pre-Competition Skills (Gauntt/Deubler)
I agree with this statement
YesYesYesYes
93
9/20/2021 18:08:31Sue CoxMon - AG120 - Agility 3 (Deubler)
I agree with this statement
YesYesYesYes
94
9/20/2021 18:29:14Kirsti LaVoy
Mon - AG300 - Pre-Competition Skills (Gauntt/Deubler)
I agree with this statement
YesYesYesYes
95
9/20/2021 19:01:34Merideth Erusha
Mon - AG300 - Pre-Competition Skills (Gauntt/Deubler)
I agree with this statement
YesYesYesYes
96
9/20/2021 19:05:42Kim JonesOther
I agree with this statement
YesYesYesYes
97
9/20/2021 19:23:41Diane Myers
Mon - AG300 - Pre-Competition Skills (Gauntt/Deubler)
I agree with this statement
YesYesYesYes
98
9/20/2021 19:33:48Nancy Monseaux
Mon - AG300 - Pre-Competition Skills (Gauntt/Deubler)
I agree with this statement
YesYesYesYes
99
9/20/2021 22:28:09Darlene Paul
Tues - EL AG535 - Contact and Weave Skills (Paul/Lape/Flagg)
I agree with this statement
YesYesYesYes
100
9/21/2021 2:28:32Barbara Novak
Tues - OB208 - Novice Foundations, Part 1 (Kaminski, Carlton)
I agree with this statement
YesYesYesYes