ALS Benefit Registration Family

Raise money for ALS by getting pledges for running the race. To read more about this benefit or to build your donation page go to https://fundraise.als.net/k9gladiators

ALS Benefit for Pescadero Family Registration July 2019

Name
First Last
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Gender*
- Male
- Female
Birthdate*
MM slash DD slash YYYY
Dog's Name

Competitors without dogs can leave this blank
Dog's Birthdate
MM slash DD slash YYYY
Dog's Height in inches
Dog's Breed
Course Length*
- 6 mile
- 3 mile
- 1 mile
Waiver and Hold Harmless Agreement
In consideration of permission granted by K9 Gladiators and Steven and Jessica Cloug, Montana K9 Sports, LLC allowing me to participate in the Mud and Obstacle Course and/or Extreme Recall (the "Activity"), which will occur on August 11-12, 2018, I (together with my parent or guardian, if I am under the age of eighteen (18) or under a legal disability) represent, covenant and agree, on behalf of myself and my heirs, assigns, and any other person claiming by, under or through me, as follows: 1. I acknowledge that participating in the Activity involves certain risks (some of which I may not fully appreciate) including, but not limited to: sprains; strains; fractures; heat and cold injuries, heat-related illness and hypothermia; injuries involving the acts of other Event participants or vehicles; animal bites and/or stings; contact with poisonous plants; heart attack; diseases from exposure to fecal contaminated water or mud; permanent paralysis and that injuries, death, property damage or other harm could occur to me, my dog or others. I accept and voluntarily incur all risks of any injuries, damages, or harm which arise during or result from my participation in the Activity, including any associated travel, regardless of whether or not caused in whole or in part by the negligence or other fault of K9 Gladiators, trustees, affiliates, employees, officers, agents or insurers ("Released Parties"). 2. I waive all claims against any of the Released Parties for any injuries, damages, losses or claims, whether known and unknown, which arise during or result from my participation in the Activity, regardless of whether or not caused in whole or part by the negligence or other fault of any of the Released Parties. I release and forever discharge the Released Parties from all such claims. 3. I agree to indemnify and hold the Released Parties harmless from all losses, liabilities, damages, costs or expenses (including but not limited to reasonable attorneys' fees and other litigation costs and expenses) incurred by any of the Released Parties as a result of any claims or suits that I (or anyone claiming by, under or through me) may bring against any of the Released Parties to recover any losses, liabilities, costs, damages, or expenses which arise during or result from my participation in the Activity, regardless of whether or not caused in whole or part by the negligence or other fault of any of the Released Parties. 4. The insurance fee below is liability only and not personal medical insurance and is in no way a replacement for or supplement to your personal health insurance plan should you sustain any injury while participating in the race or while on the property.
Acknowledgement*
- I agree to terms and insurance
By checking the agree box, you are agreeing with the terms of the Hold Harmless Agreement above and agree to the $7 insurance charge.
Acknowledgement*
- I agree to terms and insurance
By checking the agree box, you are agreeing with the terms of the Hold Harmless Agreement above and agree to the $7 insurance charge.
Acknowledgement*
- I agree to terms and insurance
By checking the agree box, you are agreeing with the terms of the Hold Harmless Agreement above and agree to the $7 insurance charge.
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Early Early Price Deadline date
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Early Price Deadline date
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Regular Deadline date
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T-shirt deadline date
Early Early Family Registration*
- 2 at $80.00 each
- 3 at $75.00 each
- 4 at $70.00 each
- 5 or more at $65.00 each
Early Family Registration*
- 2 at $90.00 each
- 3 at $85.00 each
- 4 at $80.00 each
- 5 or more at $75.00 each
Family Registration*
- 2 at $100.00 each
- 3 at $95.00 each
- 4 at $90.00 each
- 5 or more at $85.00 each
Family Name*
T-shirt size
Limited availability so sign up early
Event T-shirt
Price:
Overnight Camping
Please select the nights you will be camping on the event property. The camping fee is $25 per night.
Overnight Camping Charge
- Friday night camping
Overnight Camping Charge
- Saturday night camping
Overnight Camping Charge
- Sunday night camping
Total
$0.00
The submit button will take you to PayPal to pay for insurance and camping (if selected). You can either pay with your PayPal account or a credit card. Please make note that your registration fee is waived in lieu of the donation to ALS. You can find more details at https://fundraise.als.net/k9gladiators

Filed Under: registration

K9 Gladiator events and K9Ratpack! are sponsored by Canine Sports Dynamics.

3600 Norfolk Rd Fremont, CA 94538 [email protected]

For event questions contact:
510-516-1474 or
[email protected]

ALS Benefit for Pescadero Family Registration July 2019

Waiver and Hold Harmless Agreement