Central Georgia K9 SAR 2008 Winter Seminar

Camp Kaleo, Forsyth, GA         January 21-25             www.centralgeorgiak9sar.com

Participant’s Registration: (Please Print)

Last Name: ______________________________________  First Name: ___________________________________

Affiliation: ____________________________________________________________________________________

Mailing Address: _______________________________________________________________________________

City: ____________________________________________ State: _______________ Zip Code: ________________

Home Phone: ____________________________________  Cell Phone: ___________________________________

Email Address: _________________________________________________________

             YES! Please send me an email confirmation of my registration!

Dog Registration:

Dog’s Name: _____________________________________ Breed: _______________________________________

Age: __________________ Specialty: ______________________________________________________________

** Please include a copy of your shot records including Rabies, Bordetella, and DHLP or titer results taken within the past year if you do not vaccinate. All dogs from out of state are required to have a canine health certificate with them at the seminar. We strongly suggest that your canine be on heartworm, flea and tick prevention.

Emergency Contact:

Last Name: _____________________________________     First Name:___________________________________

Home Phone: ___________________________________     Cell Phone: ___________________________________

Work Phone: ___________________________________      Pager: _______________________________________

Select the primary class that you plan on attending:

      Tracking/Trailing          Select a level:                 Beginner            Intermed.          Advanced

      Airscent                          Select a level:                 Beginner            Intermed.           Advanced

      Land Cadaver                Select a level:                 Beginner            Intermed.           Advanced and Scent Theory

      Water Cadaver              Select a level:                Beginner             Advanced

      Article Search (if available)

Deposits: Due by Dec. 15th, 2007. A deposit of $100.00 MUST be included with your registration. This deposit will be non-refundable, except under extreme circumstances. Your check will be your receipt. There will be a $25.00 fee assessed for any returned checks. Make checks payable to: Central GA K9 SAR Seminar 2008.

Amount Enclosed:

      $100.00  Deposit due by Dec. 15th (with registration)- the remainder due at registration).  

      $250.00  Full Amount

Special Requests:

_____ I would like to share a cabin with, Group(s): ____________________________________________________

             Names: _________________________________________________________________________________

_____ If available, I would like to request a lower cabin, more centrally located, due to my age or Limited physical abilities, not just for convenience.

_____ I have special diet requirements. Please specify: ________________________________________________

(We will try to accommodate special dietary requirements, but are not guaranteeing that we can accommodate them all or to the specifications of the attendees. Please be prepared in the case that we can not.)

Sleeping Arrangements:      (8 or 9 bunks per cabin, all cabins are winterized, shower and toilet facilities)

    -Seminar price does not change if you are “not” staying in cabins provided by Camp Kaleo.

_____ Bunker style Cabins “with” your dogs inside, 18-20 per cabin.

_____ Bunker style Cabins “without” your dogs, but allowed in crates on porch, sleeps 18-20 per cabin.

 

 

 

 

 

I, ____________________________________________________,  the undersigned, having requested the right to participate in a seminar hosted by Central Georgia K9 Search and Rescue, Inc. Such an enrollment having been made of my own initiative, and I, specifically understand and acknowledge that I am aware that there are inherent dangers and risks in the training and evaluation of handlers and their canines, and I fully understand that if I am to participate in the seminar, I accept the inherent dangers and risks to me and my canine(s). Now, therefore, in consideration for permitting me to participate in such training and/or activities, I hereby waive and release instructors, individual members of CGK9SAR and/or Camp Kaleo, from all claims, rights or causes of actions accruing in my favor as a result of personal injuries or loss or damage of property (including my canine(s) caused during such training or activity in conjunction with this 2008 January 21-25 Seminar, including arrival and departure dates and such waiver and release shall apply on behalf of myself and all who my hereafter claim through or for me.

 

Signature of Participant: _____________________________________________ Date: ______________________

 

Property Damage Agreement

 

My signature above also indicates that I understand that I am responsible for any and all damages causes by me and/or my canine(s), including by not limited to, property damage and/or injuries to individuals and/or their canine(s) during my activities associated with the seminar sponsored by CGK9SAR scheduled for January 21-25, 2008. In addition to the aforementioned payment of damages, said individual(s) and their canine(s) in violation of this agreement may be expelled from the training or activity with no refund.

 

Facility rules that participants further agrees to:

·                                                                                                                                                                                 All canines shall be on leash or crated, except when they are being worked.

·                                                                                                                                                                                 All canines shall be off lead only while under supervision of an instructor and at their direction to do so.

·                                                                                                                                                                                 You must clean up after your dog in wooded and non-wooded areas.

·                                                                                                                                                                                 You must bring a crate or a pen for your dog, no tie outs.

·                                                                                                                                                                                 Dogs are not allowed in the dinning area.

·                                                                                                                                                                                 No alcohol or tobacco products on camp grounds.

·                                                                                                                                                                                 You must be familiar with your outside lodging facilities’ pet policies and abide by them.

·                                                                                                                                                                                 You assume full responsibility for any other person(s) attending the seminar.

·                                                                                                                                                                                 You seminar host(s) will not be responsible for any loss, injury, or death to any person or animal while in attendance at the seminar.

 

Signature of Participant: _____________________________________________ Date: ______________________

 

Mail completed Registration and payment to:

Dee Park - 194 Park Road, Eatonton, GA 31024

Registration:

·                                                                                                                                                                                 Please be aware that check-in time will be Sunday January 20th after 3:00pm, Check out on Friday.

·                                                                                                                                                                                 Follow signs to Registration.     

·                                                                                                                                                                                 Breakfast, Lunch, and Dinner will be served from Monday morning through Friday morning.

·                                                                                                                                                                                 Sunday night meals will not be provided.

·                                                                                                                                                                                 If you have any items for the silent auction, all items will be greatly appreciated.