ADOG/DTA - Show & Go E-registration

First Name:

(R)

Last Name:

(R)

Address:

(R)

City:

(R) State: (R) Zip: (R)

Telephone Home:

(R) XXX-XXX-XXXX

Telephone Work/Cell:

XXX-XXX-XXXX

E-mail:

(R) Check if new/changed.

Confirm E-mail:

(R) Re-enter your e-mail address.

Events Mailing:

(R)

Dog Info:

Call Name: (R) Breed: (R)

S & G Date:

(R)

First Class:

(R)

2nd Class (same dog):

Jump Heights:

/ (if applicable)

Payment Method:

(R)

Entry Fee:

$ (R)

$7 per run

Release From
Liability:

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.

(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.

NOTE: See instructions on next page to enter multiple classes, dogs or S & G's. Please click "Submit Entry" only once and WAIT FOR THE CONFIRMATION PAGE TO DISPLAY. Clicking again will duplicate your registration.