Clone of ORT Registration & NACSW Liability Waiver January 18, 2026

NACSW Liability WAIVER
We are looking forward to an awesome ORT on Sunday, January 18, 2026. Please Complete Registration, NACSW Liability Waiver and payment.

Reminders:
An ORT must be taken and passed at least 14 days before a trial opening date to be eligible for the first draw period.

Please contact your host at least 1 day before the ORT if your female dog will be in season.

Happy Sniffin'

Nancy Reyes, Host

Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number

Area CodePhone Number

NACSW MEMBER #*
DOG'S NAME*
DOG'S BREED*
DOG'S GENDER*
DOG'S NACSW #*

Please choose the odors you want to test for this dog. You may enter a second dog but must register it separately.

My Products

Birch$30.00

Anise$30.00

Clove$30.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

National Association of Canine Scent Work, LLC® Liability Waiver

WAIVER OF LIABILITY AND INFORMED CONSENT
Name

First NameLast Name
Email
example@example.com
I understand that the behavior of dogs cannot be guaranteed. I also understand that the behavior of domestic animals is sometimes unpredictable and that some domestic animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risks I agree to assume ALL those risks including, but not limited to; assuming the financial responsibility of any possible litigation arising from any incident in which I may be involved. I release, indemnify, and hold harmless Amy Herot, Jill-Marie O’Brien, Ron Gaunt, K9 Nose Work®, National Association of Canine Scent Work, LLC®, For Your K9, Nancy Reyes, and their Employees, Officers, Directors, Agents, or Contractors from any and all damages or personal injury. Any incident involving myself, the location, or those pets or actions of other participants and spectators will be my sole responsibility and I assume all financial liability and will also assume all and any financial costs associated with my actions.*

YesNo
In addition to the above, I understand that participating in this event, even as a volunteer or spectator, holds some risk. My dog and I may be exposed to challenging, treacherous or unstable footing and accept all possible risks associated with participating or observing any type of detection style training or competition. I agree to hold harmless Amy Herot, Jill-Marie O’Brien, Ron Gaunt, K9 Nose Work®, National Association of Canine Scent Work, LLC®, For Your K9, Nancy Reyes, and their Employees, Officers, Directors, Agents, or Contractors including, but not limited to, the event location’s agents or owner and to accept responsibility for all litigation and financial obligations arising from any unforeseen event in which I may be involved.*

YesNo
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. I/We expressly agree that For Your K9, 706 N. Industrial Dr., Elmhurst, IL, 60126, and/or NACSW 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.

YesNo
I have read, understand and agree to the above: *
Name (Print)
Signature (Sign with your finger or a mouse)*

Clear
Date*

MonthDayYear
Date
Name of dogs at event location*
Parental Consent (Minor Competitors)
Is the competitor a minor under the age of 18?*

YesNo
Parental Consent: I am the lawful parent and/or legal guardian of the above named minor. I acknowledge that I have read and understand this Liability Waiver and that I and the above named minor will be bound by said Liability Waiver.
Name (Print)
Parental Consent Date

MonthDayYear
Date
Parental Consent Signature

Clear

Should be Empty:

NACSW Liability WAIVER

National Association of Canine Scent Work, LLC® Liability Waiver

Parental Consent (Minor Competitors)