Pat Nolan Seminar Registration Form

Registration Form:
Please send this in to register for the seminar.
Send to: Tarheel Canine Training, Inc. PO Box 1694, Sanford, NC 27330.
Schedule of events will be provided by contact person(s) after registration has been received.

Address:____________________________________ ____________________________
State:_______Zip: __________
Tel # ____________________ (C) ____________________ (W)
Dog’s Name:_____________________________________________________________
Level of Training:_________________________________________________________

Working Spots(limited to 20 dog/handler teams ONLY): $200.
Spectator Spots(unlimited): $100, shall not be pro-rated.
$_______ is enclosed. Make Checks Payable to Tarheel Canine Training, Inc.


This release is intended to discharge Tarheel Canine Training, Inc. and their owners, officers, agents, and sponsors or Onno Brens from and against any and all liability arising out of or in connection with my participation in any of the seminar events for which I am registered or in which I am participating.
I understand that serious accidents can occur during dog training, events, and other dog-related activities. Participation in such activities may occasionally result in serious personal injury and/or property damages. Knowing and appreciating such risks, nevertheless, I hereby agree to assume those risks and full responsibility for the actions of my dog(s) and myself.
By signing below I acknowledge that I have read, understand, and agree to this hold harmless agreement.

________________________________________________________ __________
Applicant’s Signature Date



Point of Contact:
Jerry Bradshaw
Cell: 919-244-8044

Hotel Information:
Comfort Suites
1891 Bragg Street
Sanford, NC 27330

Hampton Inn
1904 South Horner Blvd
Sanford, NC 27330

Holiday Inn Express
2110 Dalrymple Street
Sanford, NC 27330