NW2/3 registration Harvard 2:00 pm class

Please enter the information below to confirm your spot(s) for the NW2/NW3 class at L’ Ark, 44 Littleton County Road, Harvard, MA at 2:00 pm on January 13, 2024. Payment information will be provided upon submission of this form.

Name *

First

Last

Email *

Phone *

Best number to reach you at on class day.

Dog name(s) *

Please list all dogs attending this class

Waiver of liability *

I agree to waiver

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 / me. I/We expressly agree that Cricket Potter, Sheila Cuttell, Priscilla Endicott, and WillowTree Whippets, LLC, Gail McCarthy, Scentinel Nose Work Dog Training, Anne Steciw, New England Scent Dogs, or any other person, or persons of said groups, shall not be held liable personally, or collectively, 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 of said groups, or any other cause, or causes. Owner hereby certifies that Owner has read and understands this Waiver and Release of Liability and the regulations set forth above. By checking “I agree to waiver”, Owner agrees to be bound by its terms and conditions.