With this K9...

HRD Test

Tracking Test

Trailing Test

Area Search Test

Training Only
1st
With this K9...

HRD Test

Tracking Test

Trailing Test

Area Search Test

Training Only
2nd
With this K9...

HRD Test

Tracking Test

Trailing Test

Area Search Test

Training Only
3rd
If you have more than three dogs that you wish to test or train please contact Sandy Vernlund at 605-695-8444.
Release of Liability
I, the undersigned, request to participate in the 2017 South Dakota NAPWDA Workshop (here after referred to as
workshop) to be held in/around Brookings, South Dakota, June 23-25,2017..

1. I certify that I am over the age of 18 and in suitable physical condition to withstand the training rigors that may be
associated with this workshop. I acknowledge that it is possible I may come in contact with blood borne diseases including,
but not limited to, hepatitis and HIV or diseases which may be transmitted through contact with other bodily fluids or tissue.
I agree to handle all HRD sources within strict aseptic procedures. It is solely my responsibility to consult with my physician
to: (a) learn about the risks I may be exposed to as a result of search and rescue activities and appropriate vaccinations, if
any, to reduce the risk of infection, (b) I am solely responsible to maintain the appropriate fitness level for such activities
and (c) I am solely responsible to take (or decline to take) the advice of my physician with respect to such matters.

2. I agree to personally assume ANY AND ALL RISKS INVOLVED IN OR ARISING FROM MY INVOLVEMENT IN ANY
ACTIVITY CONNECTED with this workshop including, without limitation, but not limited to, the risks of death, bodily injury,
property damages, falls, canine bites to myself or to others, fire or explosion, the unavailability of emergency medical care,
or the negligence or deliberate act of another person.

3. It is my responsibility to carry personal property insurance, medical insurance and insurance coverage for personal
vehicles used during (including, without limitation, but not limited to) demonstrations or practice sessions during this
workshop.

4. I agree to indemnify, defend and hold Brookings County K9 Search and Rescue, NAPWDA and NAPWDA Master
Trainers and all of its representative members, associate members, agents, successors, assigns, affiliates, officers, and
directors COMPLETELY HARMLESS AND NOT LIABLE and release them from ALL liability whatsoever and AGREE NOT
TO SUE them on account of or in connection with any and all claims, causes of actions, injuries, damages, judgements,
costs or expenses, including attorney’s fees, arising out of my personal actions or those of my canine(s) during (including,
without limitation, but not limited to) demonstrations, training, or practice sessions based on death, bodily injury, canine
bites, property damage, including consequential damages to myself or any other person.

5. I agree to release Brooking County K9 Search and Rescue, NAPWDA and NAPWDA Master Trainers and all of its
representative members, associate members, agents, successors, assigns, affiliates, officers, and directors from any claim
whatsoever which arises or may arise in the future on account of any first aid treatment or other medical services that are
conducted in connection with an emergency during my time at the workshop.

6. My canine(s) shall be free from infection, contagious or transmissible disease. I am solely responsible for the health and
safety of my canine(s) during, without limitation, but not limited to, this workshop.

Property Damage Agreement
I, the undersigned, understand and agree that I am responsible for any and all damages caused by my canine(s) and
myself, including, but not limited to, property damage and/or injuries to other dogs or people during activities associated
with the 2017 South Dakota NAPWDA Workshop held in/around Brookings, South Dakota, June 23-25,2017.

I acknowledge the above statements by entering my first and last name in fields below.
First Name

Last Name
When checking in to this event you will be asked to sign an original copy of the Liability Forms  for BCK9SAR
and NAPWDA records.
Brookings County K9 Search and Rescue
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Online Application Form
2017 NAPWDA Dakota Testing Event
Brookings, South Dakota
June 23, 24 and 25, 2017