Disc Dog Entry

C.D.D.A ( Canadian Disc Dog Association)Disc Dog Entry Form:
*Please note that there will be no refunds after the closing date without a note from your Vet.
  *For more information on the official rules and classes of the CDDA please refer to your rule book or visit www.canadiandiscdogs.com
  * All cheques are to be made out to Rob Van Tassel and mailed to: Rob Van Tassel
                                                                                                              749 Horne Settlement Rd
                                                                                                              Enfield, NS
                                                                                                              B2T 1H3
                                                                                                              902 818 0993
* Email money transfer are to be sent to robertvantassel@gmail.com. $5 chrage for any credit card payments via PayPal
* You will be taken back to the Home page once your form is submitted. Confirmation will be sent via email within 24hrs.

Disc Dog Entry Form

Please fill in the blanks and click submit. Don't forget to check the Waiver box and submit as well. Thanks!

Handler's Name:
Street Address:
City:
Postal Code:
Phone:
Email:
Dog's Name:
Breed:
CDDA Number:	Regular MiniJunior
Class: Trial 1&2 ($70)
Junior Single Disc/ Furthest Catch:
Novice Single Disc/ Furthest Catch:
Advanced Single Disc/ Furthest Catch:
Class:
RPT ( Retrieval Proficiency Test) $15
Novice Freestyle $10 PER Trial
Total Fees:

HEAT Waiver

I (we) agree that the club holding this event has the right to refuse this entry for cause which the organizing committee shall deem to be sufficient. In consideration of the acceptance of this entry, the holding of this event and the opportunity to have the dog participate or be judged, I (we) agree to hold the organizing committee, the organization which it represents, including its members, officers and directors, owners of premises upon which the event is held and their employees, harmless from any claim for loss of injury which may be alleged to have been caused directly or indirectly to any person of thing by the act of this dog while in or upon 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 of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss disappearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the parties aforementioned, or by the negligence or any other person, or any other cause or causes. I (we) hereby assume the sole responsibility for and agree to indemnify and same the aforementioned parties harmless from any and all loss and expenses (including legal fees) by reason of the liability imposes by the 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, howsoever such injuries, death or damage to property may be caused or may have been alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other person.

	I Agree to the terms listed above
Date:

Main Navigation