Handler's Name:_____________________________________

Address ___________________________________________

City ________________________ State ____ Zip __________
Home Phone: _______________Day Phone________________
Dog's Name : ________________Breed ____________Sex___
How old will your dog be when the series begins?____________
Date of Last Parvo?_________ Date of Last Rabies?_________
Level of Training:____________________________________
 (Conformation, Puppy-KPT, Puppy Beginners,  Young  Beginners,  Adult Beginning,

  Advanced Beginners-1,  Advanced Beginners-2, Pre-Novice, Novice, Open, Utility)

Which hour do you prefer? (7:00 P.M., 8:15 P.M.)_____________
Encanto Park Training Series Beginning Date: _______________
I (we) agree that Phoenix Field and Obedience Club (“Club”) has the right to refuse this

entry for cause which the Club shall deem sufficient.  In consideration of the acceptance

of my (our) Registration in this class, I (we) agree to hold the Club, its members,

directors, officers, agents and the owner and/or lessor of the premises and any 

provider of services that are necessary to hold this event and any employees or

volunteers of the aforementioned parties harmless from any claim for loss or injury which

may be alleged to have been caused directly or indirectly to any person or thing by the

act of this dog while in or about the event premises or grounds or near any entrance thereto,

and I (we) personally assume all responsibility and liability for any such claim, and

I (we) further agree to hold the aforementioned parties harmless from any claim for loss,

injury or damage to this dog.

Additionally, I (we) hereby assume the sole responsibility for damages or injury and agree

to indemnify, defend and save the aforementioned parties harmless from any and all loss

and expense (including legal fees) by reason of the liability imposed by law upon any of the

aforementioned parties for damage because of bodily injuries, including death at any time

resulting there from, sustained by any person or persons, including myself (ourselves) or on

account of damage to property, arising out of or in consequence of my (our) participation

in this event or class(es) however such injuries, death or property damage may be caused,

and whether or not the same may have been caused or may be alleged to have been

caused by negligence of the aforementioned parties or any of their employees, agents, or

any other persons.  I (we) agree that any cause of action, controversy or claim arising out of

or related to the entry, exhibition or attendance at the event  between the Club and

myself (ourselves) or as to the construction, interpretation and the effect of this agreement

shall be settled by Arizona law and in Arizona courts.  However, prior to litigation, all

applicable Club bylaws, rules regulations and procedures must first be followed as set forth

in the Club bylaws, rules, regulations, published policies and guidelines.

 

Signature of Owner/ Handler ____________________________________Date______________

Print Name _____________________________________

Signature of Co-Owner/Handler _________________________________Date______________

Print Name ______________________________________

Dog’s Name ____________________________ Breed ____________________

Have you printed and read the rules?    Yes_____     No_____

Please mail this completed form and a check made out to PFOC for $40.00 to

Marilyn Bennett, 7148 West Caribbean Lane,  Peoria, AZ 85381

Class Information

 

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 For Comments or Questions contact Denise Hirth

 Last Updated: March 19, 2006