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Registration forms  49er WAB Jan 24-25th IWPA weight pull
IWPA Weight  Pull  Pre Reg both days, IWPA Members: ___ $30  Fri __$15  Sat__$15 (price per dog)
Non IWPA  members both days __$40 Fri__$20  Sat__$20
# of dogs entered_______    Name of dog(s)_________________________________
Breed__________________
IWPA member   Yes____    No____
Go to IWPA link on home page to join IWPA (if you are not an IWPA member you will
not get points for title & must compete as provisional)




Name, please print______________________________________

Ph#_________________         E-Mail address___________________



All dogs must be on leash or crated when not in events, no staking out, and are the responsibility of the owner/handler. No aggressive dogs will be tolerated.
ALL COMPETITORS MUST SIGN THIS WAIVER,IN CONSIDERATION FOR THE OPPORTUNITY TO PARTICIPATE IN THE 49er WAB & Weight Pull Club Event on Jan 24 & 25  2003, I/WE AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE 49er WAB Club, IT'S MEMBERS, OFFICERS AND AGENTS (INCLUDING JUDGES), THE IWPA AND  Guasti Regional Park FROM ANY CLAIM FOR LOSS OR INJURY WHICH MAY BE CAUSED TO ANY PERSON OR THING BY ANY DOGS BROUGHT TO THIS EVENT WHILE UPON OR NEAR THE PREMISES. I/WE AGREE THAT I/WE MY/OUR SUCCESSORS, ASSIGNEES, HEIRS AND LEGAL REPRESENTATIVES WILL NOT BRING ANY CLAIM AGAINST THE AFOREMENTIONED CLUB OR PARTIES FOR ANY LOSS, LIABILITY, INJURY AND/OR EXPENSE ARISING OUT OF MY/OUR PARTICIPATION IN THIS EVENT, WHETHER OR NOT SUCH LOSS, LIABILITY, INJURY, AND/OR EXPENSE MAY BE CAUSED BY NEGLIGENCE, (INCLUDING ACTIVE NEGLIGENCE) OF THE AFOREMENTIONED CLUB AND/OR PARTIES. I/WE AGREE TO BE FULLY RESPONSIBLE FOR THE ACTIONS AND SAFETY OF MY/OUR DOGS AND/OR ANY MINOR CHILDREN WHO ATTEND THIS EVENT WITH ME/US. I/WE HEREBY WAIVE AND RELEASE AND AGREE TO INDEMNIFY THE AFOREMENTIONED CLUB AND PARTIES AGAINST ANY CLAIMS, ACTIONS OR CAUSE OF ACTION RESULTING FROM PERSONAL INJURY OR DEATH SUSTAINED BY ANY DOG AND/OR MINOR CHILDREN ATTENDING THIS EVENT WITH ME/US. I/WE AGREE TO PAY ALL COSTS, INCLUDING ATTORNEYS FEES, INCURRED BY THE AFOREMENTIONED CLUB AND/OR PARTIES TO ENFORCE THIS AGREEMENT.

Sign here_________________________________ Date_____________

Copy, sign, and send with check payable to:       Steve or Cindy Lewis     
                                                                17532 Incense Ct.
                                                                Penn Valley Ca. 95946