Your Name *

First Name

Last Name

We acknowledge that participating in activities at the venue involves a risk of personal injury to myself and injury to any accompanying dogs. I hereby agree to assume all risks involved in participating in the event, to indemnify and hold harmless the organizer from any and all liabilities or claims including those made by a third party as a result of participating in this event. My dog is in good health, is on external parasite prevention, and not on heat (if it is a bitch). *