WAIVER
BEND AGILITY ACTION DOGS, INC.
NAME ______________________________________________________ DATE___________________
ADDRESS__________________________________________________CITY_____________________
STATE_____ZIP_____________PHONE__________________EMAIL____________________________
DOGS NAME________________________BREED__________________________ AGE_____________
SEX_________________SPAYED OR NEUTERED?__________________________________________
IS DOG CURRENT ON ALL SHOTS?________________DATE OF LAST VACCINATION______________
DOG TRAINING COMPLETED____________________________________________________________
I understand that participation in this club is not without risk to myself, members of my family or guests who
may attend, or my dog, because some of the dogs to which I will be exposed, as well as my own dog, may
be difficult to control and may be the cause of injury even when handled with the greatest amount of care.
In consideration of and as inducement to the acceptance of my application for participation and/or
membership, I hereby waive and release B.A.A.D., its employees, officers, agents and club members from
any and all liability of any nature, for injury or damage which I, my family, any guests which accompany me,
or my dog may suffer. Including specifically, but without limitation, any injury or damage resulting from the
action of any dog, and I expressly assume the risk of such damage or injury while attending any training
session, practice, or any other function of B.A.A.D. or while on the training grounds or the surrounding
area.
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
B.A.A.D. program or while on the training grounds or the surrounding area.
The owner represents that he/she is the legal owner of said dog(s), and title to said dog is not mortgaged
in any way. It is understood that each dog is participating to the extent of that dog’s and handler’s ability
and the ability of any trainer involved. There will be no refunds of Club fees and dues. All training will
dissipate in the dog unless continually reinforced.
I, as owner of the dog, hereby agree to the foregoing.
SIGNED_______________________________________________ DATE________________________
Last changed: 2/2/2011