West Coast Ring Club
Marc Villain Seminar Registration Form
April 21st through April 24th, 2009
If you are only participating in the seminar, please complete only the dogs name , your name, contact information and what day(s) you are participating.
Dog’s Name:
Competing at:
Brevet
Participating in Seminar on:
Ring I
April 21
Ring II
April22
Ring III
April 23
April 24
Entire week
Handler’s Name:
Address:
City:
Prov/State:
Telephone #:
PC/Zip:
Email:
Owner’s Name (if different from handler):
It is understood that every dog at this event will ay all times be in control by the dogs’ handler. By signing this
form I agree to be held fully responsible for my dogs’ actions while on the trial grounds. I agree to hold West
Coast Ring Club, its members, officers, directors and all property owners harmless for loss or injury, which may
have been directly or indirectly caused by a dog in my care at this event location. I agree that should loss or
injury be allegedly caused to me or my dog as a direct or indirect consequence of participating in this event, I will
hold harmless West Coast Ring Club, its members, officers, directors and all property owners
Owner/Handler’s Signature:
Date:
Witness Signature:
Date:
Seminar Fees:
$100 per day per dog
Send Completed forms and payment to:
West Coast Ring Club
c/o Chrystal Peters
4190 Eckert Street
Chilliwack, BC
V2R 5J6