TEE CREEK DOG TRAINING INC.

JAN WESENHERDING CLINIC REGISTRATION FORM

NAME: ______

ADDRESS: ______CITY: ______

PROVINCE/STATE: ______POSTAL CODE/ZIP: ______

PHONE: ______FAX: ______

E-MAIL: ______

BREED OF DOG: ______NAME: ______

LEVEL OF TRAINING/EXPERIENCE/TITLES: ______

I AM SIGNING UP FOR / DATES / CAN$
4 DAY WORKING CLINIC / JULY11-14, 2015 / $425
SAT SUN MON TUES
AUDITOR
PLEASE CIRCLE WHICH DAY(S) YOU PLAN TO AUDIT / SAT SUN MON TUES
$55 PER DAY
SUB-TOTAL / $
KATE’S PLACE / TUES WED THUR FRI
$47 per night / $
TOTAL DUE / (sub-total plus ACCOM.) / $
NON-REFUNDABLE DEPOSIT / due on sign-up to hold space / -$100.
BALANCE DUE / BALANCE TO BE PAID 30 DAYS PRIOR TO EVENT / $

NOTE: Price includes 13% HST

Upon receiving your FULL PAYMENT, you will be E-MAILED a page listing the Property Rules and other information to help make your visit to TEE CREEK enjoyable and safe.

Please note all deposits are non-refundable.

MAKE ALL CHEQUES PAYABLE TO: TEE CREEK DOG TRAINING INC.

SEND TO: Sue Neave

1355 Line 9, RR 1

Niagara-on-the-Lake, ON L0S 1J0

or leave in my mailbox in Kate’s Place. OR e-mail funds to

PLEASE DO NOT MAIL CASH NOR LEAVE CASH IN THE MAILBOX.

TEE CREEK DOG TRAINING INC.

INDEMINIFICATION AND WAIVER OF LIABILITY AGREEMENT

In consideration of my/our participation in this/these event(s), I/we agree to assume all responsibility for any claim, loss or damage, of whatever kind or nature, whether to person or property, which may be caused at or near this event. I/we further agree that I/we will hold Tee Creek Dog Training, its officers and agents, and the owners of the facility and stock, and all volunteers harmless and defend them from any and all liability for any injury, death, damage or loss, of whatever kind or nature, whether to person or property, caused at or near this/these event(s) whether directly or indirectly, by or to me or any dog I have entered in and/or brought to this/these event(s). I agree to indemnify Tee Creek Dog Training Inc., its officer and agents, the owners of the facility and the stock, and any volunteers from any loss, cost or expense including, but not limited to, attorneys’ fees and costs to which any of the aforesaid parties may be subject to as a result of any claim, suit, loss of damage caused in any way by any act or negligence on my part or on the part of any dog or dogs which I have entered in and/or brought to this/these event(s).

I/we agree that the any of the parties holding this/these event(s) have the right to refuse this entry at their sole discretion.

I/we certify and represent that the dog(s) which I have entered in and/or brought to this event do not pose a hazard to other dogs, livestock or people.

I/we agree to pay the full market value ($900. for cattle, $350. for St. Croix sheep and goats, $200. for other sheep, $20. for ducks, $35. for geese, $50. for turkeys) of any livestock whose death results from the actions of me and/or my dog(s), whether willful or accidental. In the case of injury to any livestock resulting from the actions of me and/or my dog(s) I/we agree to pay all veterinary fees up to the market value of the animal.

I/we agree to pay the cost of supplies and labour to repair any damage to fences/gates/equipment which occurs as a result of the actions, either direct or indirect, of me and/or my dog(s), whether willful or accidental.

I/we understand that there are risks and dangers inherent in training stock dogs to herd, handle and move livestock. I/we also understand that in order to be allowed to participate and use any animal in this/these events, I/we understand and agree to be responsible for injury or damage caused by me or my dog(s). I/we also understand and accept any and all risks associated with this/these events including, but not limited to, falls, contacts with livestock, the effects of weather and any other potentially hazardous conditions associated with the event site.

I/we understand and agree that this indemnification and waiver is binding on all owners and handlers of dogs entered, is enduring in nature and may not be withdrawn or cancelled while I/we continue to participate in events at the premises of Tee Creek Dog Training Inc.

Name:______

(please print)

Signature: ______Date:______

ROOM/CAMPING RESERVATIONS

DATE(S) / # of NIGHTS / RATE per NIGHT / TOTAL
TENT / $15.00
CAMPER (no hook-ups) / $15.00
SHOWER ACCESS
For campers / $ 5.00
BUNKIE – single occupant / $50.00
BUNKIE-double occupants / $59.00
KATE’S PLACE
Per person / $47.00
TOTAL
(13% HST IS INCLUDED / $

PLEASE NOTE THAT MEALS (OTHER THAN LUNCH OFFERED WITH THE EVENT) ARE NOT INCLUDED ABOVE.

IF you are bringing any food (human or canine) which requires refrigeration, please BRING YOUR OWN COOLER. We do not have room in our fridges to accommodate guests’ food.