Keystone State River Jam
Sunday June 1, 2014
Skyhoundz DiscDogathon World Qualifier
Jim Dietrich Park, 4899 Stoudts Ferry Road, Reading, PA 19605
DiscDogathon
World Qualifying Events/Games:
1. Pairs Distance and Accuracy
2. Freestyle
3. Spot Landing
4. Bullseye
5. Time Trial
Additional Event/Game (if time permits):
6. Distance and Accuracy
Notes:
a) Please identify your Pairs D/A partner on the Pre-Reg form or request to be paired up
b) No Skyhoundz Hyperflite Divisions
c) World Qualifier – Top Team (Handler(s)/Canine) for each Event/Game (ie 5 World Qualifiers at each competition … 1 Pairs Distance/Accuracy, 1 Freestyle, 1 Spot Landing, 1 Bullseye & 1 Time Trial)
2014 Qualifying Teams To Date
See www.skyhoundz.com
Note: 1st Place determines the qualifying teams unless the team has already qualified. In this scenario, the qualification will go to the next placement team that has not already qualified. Also, the entire team is the basis for who has qualified, so if any part (Handler(s) or Canine) of the team differs they will be considered a different team and are eligible to qualify.
MAD Dogs Divisions
MicroDog Division - 16 " and under at the shoulder.
Note: The Team (Handler/Canine) can only enter in one MAD Dogs’ Division for all Toss & Fetch Games. Teams are able to enter a different Division for Freestyle if they so choose (AA-Advance, A-Intermediate, B-Beginner, MicroDog or Youth-Under 15 Yrs). Also, as a club member, your Division remains constant for the season in order to determine Club Cup Points.
Please fill out the following registration form accordingly.
1. NEW for 2014: Registration AND Payment must be received by deadline in order to participate in this event.
2. Check payable to MAD Dogs
3. Payments can also be made via Square Market https://squareup.com/market/mid-atlantic-disc-dogs-club-mad-dogs
4. Mail Hyperflite Skyhoundz/MAD Dogs’ registration form & check to Melanie Griggs, 25230 Trunk Line Road, Henderson, MD 21640, Phone: 410-482-2636
5. All entries are non-refundable* and required to be received by Sunday, May 25, 2014 (if mailed, receipt required by Saturday, May 24, 2014) … so mail it early.
6. Pre-Registration forms and Payment is REQUIRED in order to compete. You can email the Registration to Melanie Griggs @ by Sunday, May 25, 2014. NO EXCEPTIONS!
*Refundable with either Vet or Doctor Certificate
Check# ______Amount______
Cash Amount______
Skyhoundz Hyperflite DiscDogathon World Qualifier
Hosted by MAD Dogs
Sunday June 1, 2014
Jim Dietrich Park, 4899 Stoudts Ferry Road, Reading, PA 19605
PRE-REGISTRATION by May 25, 2014 WITH PAYMENT ONLY
Check-In 8:00 am; Starts 9:00 am
7.
Handler Name:Address:
City: / State: / Zip Code:
Phone: / Email:
Are you a MAD Dog Member? (Check one) / Yes / No / Club Affiliation:
8.
Dog Name / Breed / Member Fee / Non Member Fee / Total Fee1 / $25 / $30
2 / $20 / $25
3 / $15 / $20
4 / $10 / $15
Grand Total
9.
# / Skyhoundz HyperfliteEvent / MAD Dogs Divisions
AA Advanced / A
Intermediate / B
Beginners / M
Micro Dog / Y
Youth / Team
1 / Pairs Distance & Accuracy / Second Handler
Freestyle
Spot Landing
Bullseye
Time Trial
Distance & Accuracy (MAD Dogs)
2 / Pairs Distance & Accuracy / Second Handler
Freestyle
Spot Landing
Bullseye
Time Trial
Distance & Accuracy (MAD Dogs)
3 / Pairs Distance & Accuracy / Second Handler
Freestyle
Spot Landing
Bullseye
Time Trial
Distance & Accuracy (MAD Dogs)
4 / Pairs Distance & Accuracy / Second Handler
Freestyle
Spot Landing
Bullseye
Time Trial
Distance & Accuracy (MAD Dogs)
10. Release and Waiver of Liability
For and in consideration of my participation in the, Skyhoundz Hyperflite, and Mid Atlantic Disc Dogs event, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I the undersigned, intending to be legally bound do hereby for myself, my heirs, assigns, executors and administrators, waive and release any and all rights and claims for damages or injuries arising out of, or in any way related to, my participation in the Event, which I may have against the following parties: Skyhoundz Hyperflite, and MAD Dogs, the administration and owner of the facility hosting the Event; together with the contractor, agents, employees and representatives of each of them. I certify that my canine and I are healthy and fit to compete in the Event.
I hereby grant to, Skyhoundz Hyperflite, and MAD Dogs the exclusive right to record, broadcast, photograph, film and videotape my performances and related interviews at the Event and to utilize such recordings, broadcasts, photographs, films or videotapes together with my name, image, likeness, voice, and biographical information, for such publicity, promotional or commercial purposes as they may desire. I understand that, Skyhoundz Hyperflite, and MAD Dogs may assign the right to use the recordings, broadcasts, images, photographs, film and videotape of my performance(s) together with my name, image, likeness, voice and biographical information to such person or other entity (including, but not limited to a television broadcaster) as they may desire without my further consent or knowledge and I expressly agree to such assignment.
Signature of / Parent or GuardianCompetitor / Signature (under 18)
Date / Date