Paws to Consider NADAC Trial 13-14 June 2020 at Moorabbin Paws to Consider NADAC Trial Entry 13-14 June 2020 at Moorabbin Entry form for PTC NADAC Trial to be held on 13-14 June 2020 at Moorabbin Airport Ground Step 1 of 6 16% Name* First Last Please enter your full name.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please provide us with your current residential addressPhone*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. 1. Dogs Call Name* Tell us your dog's name1. NADAC Registration Number* Please provide your dog's NADAC Registration number in the following format 00-000001. What is your dog's Date of Birth ?* MM slash DD slash YYYY 1.What is your dog's height at shoulder in inches ?*We use this information to determine jump height.1.What height do you want your dog to jump?*This information helps us help you.1. Handler's Name if not the owner of the dog First Last If your dog is being handled by someone else please tell us who that person is. If you are handling this dog you can leave this field blank.1. What Category are you entering this dog in?* Proficient Skilled 1. What Division are you entering this dog in?* Standard Veteran Dog Veteran Handler Junior Handler If you enter as a Vet Handler then you must enter Vet handler for all dogs entered.1. Saturday - Regular Agility - Round 1 Elite Level Open Level Novice Level Intro Level 1. Saturday - Regular Agility - Round 2 Elite Level Open Level Novice Level Intro Level 1. Saturday - Touch N Go - Round 1 Elite Level Open Level Novice Level Intro Level 1. Saturday - Touch N Go - Round 2 Elite Level Open Level Novice Level Intro Level 1. Saturday - Chances - Round 1 Elite Level Open Level Novice Level Intro Level 1. Saturday - Chances - Round 2 Elite Level Open Level Novice Level Intro Level 1. Sunday - Jumpers - Round 1 Elite Level Open Level Novice Level Intro Level 1. Sunday - Jumpers - Round 2 Elite Level Open Level Novice Level Intro Level 1. Sunday - Regular Agility - Round 1 Elite Level Open Level Novice Level Intro Level 1. Sunday - Regular Agility - Round 2 Elite Level Open Level Novice Level Intro Level 1. Sunday - Weavers - Round 1 Elite Level Open Level Novice Level Intro Level 1. Sunday - Weavers - Round 2 Elite Level Open Level Novice Level Intro Level 2. Dogs Call Name* Tell us your dog's name2. NADAC Registration Number* Please provide your dog's NADAC Registration number in the following format 00-000002. What is your dog's Date of Birth ?* MM slash DD slash YYYY 2. What is your dog's height at shoulder in inches ?*We use this information to determine jump height.2. What height do you want your dog to jump?*This information helps us help you.2. Handler's Name if not the owner of the dog First Last If your dog is being handled by someone else please tell us who that person is. If you are handling this dog you can leave this field blank.2. What Category are you entering this dog in?* Proficient Skilled 2. What Division are you entering this dog in?* Standard Veteran Dog Veteran Handler Junior Handler If you enter as a Vet Handler then you must enter Vet handler for all dogs entered.2. Saturday - Regular Agility - Round 1 Elite Level Open Level Novice Level Intro Level 2. Saturday - Regular Agility - Round 2 Elite Level Open Level Novice Level Intro Level 2. Saturday - Touch N Go - Round 1 Elite Level Open Level Novice Level Intro Level 2. Saturday - Touch N Go - Round 2 Elite Level Open Level Novice Level Intro Level 2. Saturday - Chances - Round 1 Elite Level Open Level Novice Level Intro Level 2. Saturday - Chances - Round 2 Elite Level Open Level Novice Level Intro Level 2. Sunday - Jumpers - Round 1 Elite Level Open Level Novice Level Intro Level 2. Sunday - Jumpers - Round 2 Elite Level Open Level Novice Level Intro Level 2. Sunday - Regular Agility - Round 1 Elite Level Open Level Novice Level Intro Level 2. Sunday - Regular Agility - Round 2 Elite Level Open Level Novice Level Intro Level 2. Sunday - Weavers - Round 1 Elite Level Open Level Novice Level Intro Level 2. Sunday - Weavers - Round 2 Elite Level Open Level Novice Level Intro Level 3. Dogs Call Name* Tell us your dog's name3. NADAC Registration Number* Please provide your dog's NADAC Registration number in the following format 00-000003. What is your dog's Date of Birth ?* MM slash DD slash YYYY 3. What is your dog's height at shoulder in inches ?*We use this information to determine jump height.3. What height do you want your dog to jump?*This information helps us help you.3. Handler's Name if not the owner of the dog First Last If your dog is being handled by someone else please tell us who that person is. If you are handling this dog you can leave this field blank.3. What Category are you entering this dog in?* Proficient Skilled 3. What Division are you entering this dog in?* Standard Veteran Dog Veteran Handler Junior Handler If you enter as a Vet Handler then you must enter Vet handler for all dogs entered.3. Saturday - Regular Agility - Round 1 Elite Level Open Level Novice Level Intro Level 3. Saturday - Regular Agility - Round 2 Elite Level Open Level Novice Level Intro Level 3. Saturday - Touch N Go - Round 1 Elite Level Open Level Novice Level Intro Level 3. Saturday - Touch N Go - Round 2 Elite Level Open Level Novice Level Intro Level 3. Saturday - Chances - Round 1 Elite Level Open Level Novice Level Intro Level 3. Saturday - Chances - Round 2 Elite Level Open Level Novice Level Intro Level 3. Sunday - Jumpers - Round 1 Elite Level Open Level Novice Level Intro Level 3. Sunday - Jumpers - Round 2 Elite Level Open Level Novice Level Intro Level 3. Sunday - Regular Agility - Round 1 Elite Level Open Level Novice Level Intro Level 3. Sunday - Regular Agility - Round 2 Elite Level Open Level Novice Level Intro Level 3. Sunday - Weavers - Round 1 Elite Level Open Level Novice Level Intro Level 3. Sunday - Weavers - Round 2 Elite Level Open Level Novice Level Intro Level 3. Sunday - Weavers - Round 1 Elite Level Open Level Novice Level Intro Level 4. Dogs Call Name* Tell us your dog's name4. NADAC Registration Number* Please provide your dog's NADAC Registration number in the following format 00-000004. What is your dog's Date of Birth ?* MM slash DD slash YYYY 4. What is your dog's height at shoulder in inches ?*We use this information to determine jump height.4. What height do you want our dog to jump?*This information helps us help you.4. Handler's Name if not the owner of the dog First Last If your dog is being handled by someone else please tell us who that person is. If you are handling this dog you can leave this field blank.4. What Category are you entering this dog in?* Proficient Skilled 4. What Division are you entering this dog in?* Standard Veteran Dog Veteran Handler Junior Handler If you enter as a Vet Handler then you must enter Vet handler for all dogs entered.4. Saturday - Regular Agility - Round 1 Elite Level Open Level Novice Level Intro Level 4. Saturday - Regular Agility - Round 2 Elite Level Open Level Novice Level Intro Level 4. Saturday - Touch N Go - Round 1 Elite Level Open Level Novice Level Intro Level 4. Saturday - Touch N Go - Round 2 Elite Level Open Level Novice Level Intro Level 4. Saturday - Chances - Round 1 Elite Level Open Level Novice Level Intro Level 4. Saturday - Chances - Round 2 Elite Level Open Level Novice Level Intro Level 4. Sunday - Jumpers - Round 1 Elite Level Open Level Novice Level Intro Level 4. Sunday - Jumpers - Round 2 Elite Level Open Level Novice Level Intro Level 4. Sunday - Regular Agility - Round 1 Elite Level Open Level Novice Level Intro Level 4. Sunday - Regular Agility - Round 2 Elite Level Open Level Novice Level Intro Level 4. Sunday - Weavers - Round 1 Elite Level Open Level Novice Level Intro Level 4. Sunday - Weavers - Round 2 Elite Level Open Level Novice Level Intro Level 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.1. Trial credit note number If you have a trial credit note you wish to redeem please enter the credit note number. eg CN-10001. Trial credit note amountPlease enter the credit note dollar value here.2. Trial credit note number If you have a second trial credit note you wish to redeem please enter the credit note number. eg CN-10002. Trial credit note amountPlease enter the 2nd credit note dollar value here.Trial Entry Agreement* I have read, understand and accept the terms of the trial entry agreementAGREEMENT 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 Moorabbin Airport (including its officers, agents, and employees) and the Local, State and Federal Governments of Australia 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 COVID-19 Trial Guidelines* I have read, understand and accept the covid-19 trial guidelinesNADAC AUSTRALIA COVID-19 GUIDELINES FOR CLUBS AND EXHIBITORS AIMS: • Reduce risk of potential contact with covid-19 positive individuals. • Manage gathering size according to Government Restrictions • Maintain safe social distancing of 1.5 metres • Provide handwashing/sanitising facilities • Limit handling of agility equipment • Provide appropriate personal protective equipment (PPE) to volunteers and workers • Reduce paperwork and restrict handling of necessary paperwork • Prevent cross contamination via leashes and other objects • To ensure host clubs comply with COVID-19 guidelines PROCEDURES: Reduce risk of potential contact with covid-19 positive individuals • Signed exhibitor Health check and covid-19 exposure declaration on day of competition required for competition • Signed assumption of risk waiver by all trial site attendees (officials, exhibitors and spectators) • Excusal of exhibitors from trial if they attend the trial whilst unwell. Manage gathering size according to Government Restrictions • Closely monitor entry numbers – checking people numbers (trial is full when we reach the gathering number allowed – Agility Unscrambled tracks Handler Numbers in Trial stats) • Prohibit spectators – only allow exhibitors and essential people for the running of the event • No group briefings – all briefings to be pre-recorded and available prior to the trial Maintain safe social distancing of 1.5 metres • Signage on trial site reminding exhibitors of social distancing • Crating to adhere to social distancing • Limiting people in score gazebo to 2 people (timekeeper and scribe – no scorer) • Separate table for the 2 workers in score gazebo – social distance 1.5 metres • Marshalling chute – only one team at a time in chute (we already do this) • Maintain distancing in marshalling area (we already encourage distance between dogs) Provide handwashing/sanitising facilities • Handwashing facilities/ hand sanitiser readily available • Promote exhibitors having their own hand sanitiser Limit handling of agility equipment • Specify a ring crew for the day and the ring crew will be the only people involved in course building and course changes Provide appropriate personal protective equipment (PPE) to volunteers and workers • Handwashing/sanitising facilities available. Sanitiser should be available at the score table, the equipment trailer and in the marshalling area. Exhibitors are also encouraged to have and use their own sanitiser as part of the own personal trial kit • Bar Setters and course builders will required to hand sanitise before and after handling agility equipment. • Table workers will be required to hand sanitise before the class starts and upon completion of the class. • Masks are not required as per Government recommendations but if a handler wishes to wear one by choice whilst at the trial or whilst running their dog they shall be permitted to do so. Reduce paperwork and restrict handling of necessary paperwork • Providing exhibitor paperwork online prior to trial day (eg run orders and job rosters) • Instruct exhibitors to print out their own hardcopies of rosters and run orders • Post results online (Adobe online, google docs, Facebook (photo and post results), email exhibitor results after each class is entered – all require internet connection) • Ziplock bag – containing scoresheet, small pencil and eraser and clipboard for each class collected and handled only by scribe and club data entry person. Prevent cross contamination via leashes and other objects • Allow handlers a choice of leash handling options. Option 1: to carry leashes on course in their pockets or in a bum bag without penalty (leash must not be visible and bum bag discreet). Option 2: Family member or friend can leash run for those not wanting to carry leash on course (handler should provide hand sanitiser/gloves to their leash buddy). Option 3: Rostered leash walker will use a grabber tool to move the leash from the start line to the finish line. The gripper will be dipped into appropriate cleaner between runs so as to reduce cross contamination. The gripper Handle will be cleaned appropriately after use by the rostered leash walker. • No communal food – this includes BBQ’s, score table lollies • Ribbons will be collated and bagged for those wanting ribbons by a trial official and collected at the end of the trial day. Exhibitors are encouraged to consider trial credits instead of ribbons where offered by a club. The trial official will hand sanitiser regularly whilst collating ribbons. • The timing console will be wiped down frequently throughout the day. • Highest in Trial prizes will only be handled by the club official and recipient of the Award. To ensure host clubs comply with COVID-19 guidelines • Club signature on covid-19 release of liability form (see attached) ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19 Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 512 MB, Max. files: 4. Every attendee must supply the club with a signed assumption of the risk and waiver of liability relating to corona virus/covid- 19. This document is found in the trial premium for this trial. The trial premium can be found on the NADAC Australia website on the event page. You can print it from there, sign and scan it and then upload now with your entry or you can submit your entry now without the form and email it separately later to the club contact. You will need one signed form for every person attending the trial. You can upload multiple forms here. Your entry will not be processed until this is receivedCAPTCHA