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S & G Date:
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10/02/10
01/29/11
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Release From
RELEASE
FROM LIABILITY -
I
hereby waive and release Atlanta’s Dogwood Obedience Group, LLC (“ADOG”)
and Ambassador Corp, its employees, officers, members and agents
from any and all liability of any nature, for injury or damage which I
or my dog may suffer, including specifically, but without limitation, any
injury or damage resulting from the action of any dog, and I expressly
assume the risk of such damage or injury while attending any training class,
or any other function while on the training grounds or the surrounding
area. In consideration of and as inducement to the acceptance of
my application for training membership by ADOG, I hereby agree to indemnify
and hold harmless the above from any and all claims, or claims by any member
of my family or any other person accompanying me to any of the training
activities or other sponsored functions, or while on the facility or neighboring
area thereto as a result of any action by any dog, including my own.
Disagree
Agree
(R) I agree with and accept
the conditions of the above disclaimer. By selecting "Agree", I
confirm that it has the same effect of my personal signature
agreeing to the conditions of the above disclaimer.
Dog #1 Info:
Call Name:
(R) Breed:
(R)
Jumps:
(if applicable)
First Class:
Class - Select
Novice
Open
Utility
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# Runs - Select
1
2
3
(R)
2nd Class (same dog):
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Novice
Open
Utility
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1
2
3
3rd Class (same dog):
Class - Select
Novice
Open
Utility
# Runs - Select
1
2
3
Dog #2 Info:
Call Name:
Breed:
Jumps:
(if applicable)
First Class:
Class - Select
Novice
Open
Utility
# Runs - Select
1
2
3
2nd Class (same dog):
Class - Select
Novice
Open
Utility
# Runs - Select
1
2
3
3rd Class (same dog):
Class_Select
Novice
Open
Utility
#Runs - Select
1
2
3
Dog #3 Info:
Call Name:
Breed:
Jumps:
(if applicable)
First Class:
Class - Select
Novice
Open
Utility
# Runs - Select
1
2
3
2nd Class (same dog):
Class - Select
Novice
Open
Utility
# Runs - Select
1
2
3
3rd Class (same dog):
Class - Select
Novice
Open
Utility
# Runs - Select
1
2
3
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