ORT Registration Revised 1.10.13

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  • 8/12/2019 ORT Registration Revised 1.10.13

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    NACSW ORT Registration Saturday, March 9, 2013Ringers Pet Dog Training

    Please submit this form to sign up for the Odor Recognition TestPre-registration and payment are required.

    Registration closes February 23, 2013 at 5:00 pm EST

    Cost : $30 First dog, first odor. $25 for each subsequent odor(s)$25 Second dog first odor $25 for each subsequent odor(s)

    Maximum 2 dogs per handler per odor.Please fill out separate registration form for each dog to be tested.

    Odors: Birch, Anise and Clove

    Location: Trinity United Methodist Church

    847 Tenth Ave., Brackenridge, PA 15014Start Time: To be announced with test schedule.

    Dogs must be contained in your car as there is no inside crating available. There willbe separate area for reactive dog parking. ALL dogs must be ON LEASH at all times.Please potty dogs in designated areas and clean up after your dog. Be respectful;keep a safe distance from all other dogs and handlers.

    Note: All dogs participating in the ORT must be registered with the NACSW. Allhandlers must also be members of the NACSW . Membership and registration areavailable at: http: //nacsw.net/nacswmembership.html . Membership and Registration must be completed at least 6 weeks prior to the ORT toallow for processing time.

    Depending on the number of registrations, we may assign time slots to minimize waittime.

    Pre-payment is required. Checks and registration form(s) must be mailed to andmade payable to:

    Ringers Pet Dog Training 405 E 6 Th Ave.

    Tarentum, PA 15084

    Registrations will NOT be accepted without payment. A full refund will be given forcancellations received in writing (email is fine) before February 23, 2013.

    ORT participants are allowed to have a friend or family member video/photograph their test.ORT participants are not allowed to video/photograph one another. ORT hosts are notobligated to provide someone to video/photograph.

    If you have questions about the ORT, please email: [email protected] or call 724-226-4822

    http://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.htmlmailto:[email protected]:[email protected]:[email protected]:[email protected]://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.htmlhttp://nacsw.net/nacswmembership.html
  • 8/12/2019 ORT Registration Revised 1.10.13

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    NACSW ORT Registration Saturday, March 9, 2013 in Brackenridge, PA

    First Dog All info below is required to secure a space in our ORT (please print clearly)

    One registration form per dog.

    NACSW Member ID: ____________________________

    Handler Name:___________________________________

    Contact Telephone #:_____________________________

    Email:_________________________________________Note: You must enter your email address to receive your confirmation prior to theORT with your assigned time and details.

    NACSW K9 ID:_________________________________

    Dogs call name:_________________________________

    Breed:_________________________________________** this helps us to identify whos who the day of the ORT so we can get you on deckand into the test faster. Its not mandatory, but it is helpful.

    Odors testing (please circle all that apply)$30 first odor, $55 for two odors, $80 for three odors

    BIRCH ANISE CLOVE

    Total amount enclosed:$__________________________

    Please feel free to include any comments on the reverse side of this form. If you have questions

    about the ORT, please:email: [email protected] or phone 724-226-4822

    Checks must be made payable to Ringers Pet Dog Training and mailed with yourregistration form to 405 E 6 th Ave., Tarentum, PA 15084

    I/We hereby assume all risks of, and responsibility for, accidents and/or damage to myself or to my property or to others, resulting from the actions of my dog. I/We expressly agrthat Ringers Pet Dog Training, and/or Trinity Untied Methodist Church, and/or NACSW or any other person, or persons, of said groups, shall not be held liable personally, orcollectively, under any circumstances, for injury, and/or damage to my person, for loss or injury to my property, whether due to uncontrolled dogs or negligence of any member osaid groups, or any other cause, or causes.

    Signed: ________________________________________________________________________

    mailto:[email protected]:[email protected]:[email protected]
  • 8/12/2019 ORT Registration Revised 1.10.13

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    NACSW ORT Registration Saturday, March 9, 2013 in Brackenridge, PA

    Second dog All info below is required to secure a space in our ORT (please print clearly)One registration form per dog.

    NACSW Member ID: ____________________________

    Handler Name:___________________________________

    Contact Telephone #:_____________________________

    Email:_________________________________________Note: You must enter your email address to receive your confirmation prior to theORT with your assigned time and details.

    NACSW K9 ID:_________________________________

    Dogs call name:_________________________________

    Breed:_________________________________________** this helps us to identify whos who the day of the ORT so we can get you on deckand into the test faster. Its not mandatory, but it is helpful.

    Odors testing (please circle all that apply)$25 first odor, $50 for two odors, $75 for three odors

    BIRCH ANISE CLOVE

    Total amount enclosed:$__________________________

    Please feel free to include any comments on the reverse side of this form. If you have questionsabout the ORT, please:

    email: [email protected] or phone 724-226-4822

    Checks must be made payable to Ringers Pet Dog Training and mailed with yourregistration form to 405 E 6 th Ave., Tarentum, PA 15084

    I/We hereby assume all risks of, and responsibility for, accidents and/or damage to myself or to my property or to others, resulting from the actions of my dog. I/We expressly agrthat Ringers Pet Dog Training, and/or Trinity Untied Methodist Church, and/or NACSW or any other person, or persons, of said groups, shall not be held liable personally, orcollectively, under any circumstances, for injury, and/or damage to my person, for loss or injury to my property, whether due to uncontrolled dogs or negligence of any member osaid groups, or any other cause, or causes.

    Signed: ________________________________________________________________________

    mailto:[email protected]:[email protected]:[email protected]