Terrier Performance Club NASDA Online Entry

Email *

Owner Name

Phone Number

Address

NASDA Reg #

Dog's Call Name

Dog's Registered Name

Breed

Urban Locating Puppy Aptitude Test $10

Urban Locating Level I $15

Trial 1 Sat

Trial 2 Sat

Trail 3 Sun

Trial 4 Sun

Urban Locating Level II $15

Trial 1 Sat

Trial 2 Sat

Trial 3 Sun

Trial 4 Sun

Trailing & Locating Puppy Aptitude Test $10

Trailing & Locating Level I $15

Trial 1 Sat

Trial 2 Sat

Trial 3 Sun

Trial 4 Sun

Trailing & Locating Level II $15

Trial 1 Sat

Trial 2 Sat

Trial 3 Sun

Trial 4 Sun

Agreement *

I (we) acknowledge that if this application for the entry of this dog is made available to me (us) for participation in a working dog trial, that I (we) agree that this facility has the right to refuse the entry of this dog and/or they reserve the right to dismiss the dog and myself for cause which NASDA deems to be sufficient. In consideration of the acceptance of this and the opportunity to train my dog(s), I (we) agree to hold North American Sport Dog Association, Terrier Performance Club of Northeast Oklahoma, and all associates 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 or dogs while in or upon the premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for such claim, and I (we) further agree to hold the aforementioned parties harmless from any claim for damage or injury to the dog or myself, either physically or mentally, whether such loss, disappearance, theft, damage or injury, be caused or alleged to be caused by negligence while in or upon the premises of the NASDA grounds. The terms of this agreement bind the parties for the current period of training, and all subsequent classes/training/ events in which they hereafter participate.

Amount