| WAIVER, ASSUMPTION OF RISK, AND AGREEMENT TO HOLD HARMLESS All members, handlers, guests and participants must sign this Agreement to attend or participate in club activities. Parent or legal guardian must sign for minors. Name:_________________________________________ Address:_____________________________________________________________ Phone number:__________________________ E-mail:_______________________________ In consideration for the opportunity to participate in or observe training, competition and/or exhibition, intending to be legally bound, I agree as follows: I understand that canine sports and training may involve unavoidable risks of injury, loss and disease to persons, dogs and property, including risks from dogs, spectators, participants, vehicles, equipment, training methods, food, drink and travel. I hereby waive and release, indemnify and to hold harmless the KWDC, its employees, officers, members, third- party trainers/educators, property owners and their successors from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, without limitation, any injury or damage resulting from action of any dog(s), and I expressly assume risk of such damage or injury while attending any training session, or any other function, of the KWDC, or while on the training grounds or the surrounding area thereto. I shall personally assume all responsibilities and liabilities for any loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of my dog while participating in a KWDC dog training program, function, or while on the training grounds or surrounding area thereto. “My dog” in the above statements means any dog in my custody upon approaching the training grounds or adjacent areas. I certify that my dog(s) are physically and mentally fit for training, competition, contact with the public, dogs and other participants, have current rabies and other vaccinations and are free from all communicable diseases. In case of emergency, the club may in its sole discretion authorize medical treatment for myself, my family or my dog(s) The club has my permission take and use photographs, videotapes and other recordings of club activities involving myself or my dog(s) for any lawful purpose without compensation I have read the rules of the club and will abide by them. The club hereby disclaims any undertaking or responsibility to protect personal property, including vehicles and contents, equipment, cameras and valuables, from loss, theft, damage or vandalism. Signature______________________________________ Date_________ Witness_______________________________________Date__________ |
| Kansas Working Dog Club Wavier of Liability |