Paws to Consider NADAC Trial 10-11 APRIL 2021 at Brown Hill Reserve, Ballarat

Paws to Consider NADAC Trial Entry 10-11 April 2021

Entry form for PTC NADAC Trial to be held on 10-11 April 2021 at Ballarat. When you submit your entry the form will take you to the Health Declaration and Risk Waiver for COVID - you must complete both these forms. You will receive an invoice for your entry via email from the Trial Secretary once she has reviewed your entry. Please ensure you pay the invoice by the due date. You will also receive via email an entry confirmation once the Trial Secretary has reviewed and entered your entry into the show database. Please check the details carefully. The trial secretary usually announces on the Facebook group for NADAC in Australia once all the entries have been processed. If you haven't received an invoice or entry confirmation once that announcement has been made you need to contact the Trial Secretary.

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Name*
First Last
Please enter your full name.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please provide us with your current residential address
Phone*
If we need to contact you we generally use email but in case we need to contact you more urgently then a telephone number is helpful.
Email*
Enter Email Confirm Email

Please provide us with a valid email address. All trial information will be sent to this email address.
Emergency Contact*
First Last
In case we need to call someone due to an emergency (eg if you get ill or injured at the trial). Who would you like us to contact?
Phone number for your emergency contact*
How many dogs are you entering?*
- 1
- 2
- 3
- 4
This single form will allow you to enter up 4 dogs. If you have more than 4 dogs you will need to fill out an additional entry form.
Do you want ribbons or trial credits?*
- Ribbons
- Trial Credits
Please refer to the premium for details.

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How many runs in total have you entered (total of all dogs and all runs)?*
Runs cost $9.00 per run. You will be invoiced for your entry and the payment options are paypal or direct deposit. Instructions will be on your invoice as to how to pay.
Is your entry Day of Show?*
- Yes
- No
If your entry was received after entry close date and time the entry fee is $12.00 per run. Please refer to the premium for time and date of entry close.
Trial Credit Notes
- Yes please apply any trial credits I may have
- No thanks i am saving them up and don't want to use them at this time
You may have earnt Trial Credits from previous NADAC Trials would you like them applied to this entry. Your trial credits are stored on file with Paws to Consider. If you select yes and don't have any valid credits you will be invoiced the full amount for your entries
Trial Entry Agreement*
I have read, understand and accept the terms of the trial entry agreement
AGREEMENT
The person who signs this agreement represents that he/she is authorized to enter into this agreement on behalf of both exhibitor and the owner of the entered dog. In consideration of the acceptance of this entry:
1.1. As used here "NADAC" means the North American Dog Agility Council, LLC. And NADAC Australia, its members,officers, directors, employees, show chairs, show committees and agents.
1.2. Exhibitor/owner agree to abide by the rules and regulations of NADAC and any other rules and regulations appearing in the premium for this event.
1.3. Exhibitor/owner certify that the entered dog is not a hazard to persons, dogs or property and that the entered dog's rabies vaccination is current in accordance with the requirement of the state in which the dog resides.
1.4. Exhibitor/owner acknowledge all hazards presented by the event and the event premises, including, but not limited to, the condition of the surface, restrooms, security measures or lack of, electrical appliances, fittings, show rings, parking areas and the presence of unfamiliar animals and people; exhibitor and owner assume the risk of any harm arising from these.
1.5. Exhibitor/owner releases NADAC (including its respective officers, directors, employees, and members), Paws to Consider (including its officers, directors, members, and event organizing committee), and Ballarat Dog Obedience Club (including its officers, agents, and employees) and the Local, State and Federal Governments of Australia and the local city council and will defend them and hold them harmless from all present and future loss, injury, damage, claims, demands and liabilities involving the entered dog, the event or event premises. Without limiting the generality of the foregoing hold harmless provisions, exhibitor/owner hereby specifically assumes sole responsibility for and agrees to indemnify and save the aforementioned parties harmless from any and all loss and expenses (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damages because of bodily injuries, including death, at any time in consequence of my (our) participation in this event, howsoever such injury or death may be caused and whether or not the same may have been 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 persons
Email address of extra handler

If you nominated an extra handler for any of your dogs we need their email address so we can ensure they complete a risk waiver and health declaration as part of our COVID safe plan
Do you need to tell or ask the trial secretary anything?
Lucky Door Prize*
- Yes
- No
To participate in our lucky door prize just select YES. When you select YES then $2.00 will be added to your trial entry fee and will appear on the invoice emailed to you. We will draw the winner from those entered in the draw. That person will receive a $9.00 trial credit voucher. The winner will be announced after the trial. All money raised via the lucky door prize will go towards the event costs for the 2021 Australian Nationals. Thank you for your support.
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Paws to Consider NADAC Trial 10-11 APRIL 2021 at Brown Hill Reserve, Ballarat

Paws to Consider NADAC Trial Entry 10-11 April 2021

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