Mountain View Agility
Registration Form

Memorial Day 2008 Games
Monday, May 26, 10 AM

Please call Mountain View (540-937-5805) by 9 AM if there is a question of cancellation on account of bad weather.

All agility dogs are welcome to participate, including mixed breeds.

Entry fee: $10 per dog for all games (UKC AG-II runs are extra; see below)

Please send completed form and entry fee to Mountain View Agility, PO Box 36, Amissville, VA 20106. DON'T FORGET TO SIGN THE RELEASE BELOW.

Your Name ______________________ Address_________________________

Address, continued ________________________________________________

Phone ________________ E-mail Address ______________________________

Dog's name _______________________ Breed _________________________

USDAA Jump Height (please circle one):   8     12     16     22     26

Bringing Salad __ Main course dish __ Dessert __ Other ____________________

UKC AG-II practice runs (2): Yes ___ No ___

UKC Jump Height (please circle one)     8     14     20

Please remit $7 for your two runs plus $10 if you will be playing the games

Please volunteer! Help us run this event:
We need Gate ___ Scribe ___ Timer ___ Bar setters ___

Waiver (Please sign)

I/We will be participating in a dog agility event to be held at the property owned by Kenneth and Averill Ring, 766 Viewtown Road, Amissville, VA, sponsored by U-NAMIT Inc. d.b.a. Mountain View Dog Training. I/We hereby release U-NAMIT Inc. d.b.a. Mountain View Dog Training, Kenneth and Averill Ring (property owners), their representatives, instructors, members and guests, from any and all liability in the event of injury to myself, my family members, spectators accompanying me, or my dog while attending any training session or event or while on said property. In addition, I will agree to pay any damages to said property that is caused by me due to violation of Mountain View Dog Training's Standard Operating Policies, which will be posted at the entry table.

Signature:_______________________________________

Date: ____________________