Workshop Registration

[INTRODUCTORY CONTENT]

Name(Required)

First Last

Phone(Required)

Department Name(Required)

Department Address(Required)

Street Address Address Line 2 City State ZIP Code

Department Phone

Email(Required)

Comments/Questions

Waiver(Required)

I hereby waive and relinquish Excel K9 Services Inc., their affiliates, training site, owners, sponsors, organizers and/or all participants for any injury, mental or physical, to my canine or myself. I also agree to abide by all rules and regulations set forth by the event organizers. I furthermore state that I am insured by my law enforcement agencies workers compensation and any injuries incurred will be covered by my employer. I furthermore state that my canine and I are in a physical condition necessary to participate in the events, as needed for training purposes.