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WELCOME to Freestyle Fun-Day Sunday! Please fill this form out as completely as possible, read and sign at the bottom. We hope you have a great time and look forward to doing this again very soon.

Name:
Address:
City:     State: Zip:
Preferred Contact Method: Phone or Email
Phone Number:
Email Address:
Dog's name (if handling multiple dogs, please list on back of sheet):
Breed or Mix (if known):
Age:      Current on shots?     Yes      No (You may be asked to provide proof.)
Title of song(s) performing to today:

Approximate Length of Routine:

Please categorize this routine:

pMusical Freestyle   pHeelwork to Music   pWCFO Style
pNovice On-Lead   pIntermediate On-Lead pAdvanced On-Lead
pNovice Off-Lead   pIntermediate Off-Lead pAdvanced Off-Lead
pBrace (2 dogs/1 handler)        pTeam (multiple dogs/multiple handlers)
pOther:

(If you are performing as a team, all handlers must individually complete this form.)
Please give us an interesting tidbit about you or your dog (1-2 sentences) to use when introducing you:

 
 
 
 
 

Hold Harmless Waiver

I hereby release Creative Trainers of Papillion, Nebraska, IN-Style: Musical Freestyle Organization and Dana Fedman, their trainers, employees, officers and agents from any and all liability of any nature, and for injury or damage, which I or my dog may suffer, including specifically, but not limited to, any injury or damage resulting from the action of any dog. I expressly assume the risk of such damage or injury while attending training sessions, while performing at the Freestyle Fun-Day Sunday event or while on the training premises or surrounding area.

Signature:

Date:

IN-Style Use Only Please

Amount Paid:
Method: