“Understanding Hide Placement” with Ron Gaunt, K9 Nose Work® and NACSW™ Co-Founder Date and Time: Saturday, October 17, 2015 from 9:00 am – 5:00 pm (approx.) and Sunday, October 18, 2015 from 9:00 am – 5:00 pm (approx.) Registration starts at 8:30 am each morning in the Shaffer Building - see COH map: http://www.centraloakheights.org/assets/coh_map.pdf Cost per person: $125.00/day before September 1, 2015; $140.00/day after September 1, 2015 $225.00/both days before September 1, 2015; $250.00 after September 1, 2015 Panera lunch: $15.00 extra per day Address and Directions: Central Oak Heights, 75 Heritage Road, West Milton, PA 17886 Directions (NOTE: Most GPS devices will NOT pick up the address!) From I-80: Take Route 15 South. Immediately after the West Milton exit, stay in the right lane. You will see a yellow DRIVEWAY sign. Just after the sign you will turn right, up a hill (large entrance sign for COH) and into The Heights. At the top of the hill park in the field to your right. From Danville: Take Route 642 through Milton and West Milton. Get on 15 South, but stay in the right lane. You will see a yellow DRIVEWAY sign. Just after the sign you will turn right, up a hill (large entrance sign for COH) and into The Heights. At the top of the hill park in the field to your right. From Lewisburg: Take Route 15 North. Get off at the West Milton exit. Turn left at the light and get on 15 South. Stay in the right lane. You will see a yellow DRIVEWAY sign. Just after the sign you will turn right, up a hill (large entrance sign for COH) and into The Heights. At the top of the hill park in the field to your right. From Bloomsburg: Take I-80 W to Route 15 South (Lewisburg) exit. Travel about 3-4 miles south and look for, but do NOT take the West Milton exit. Once you pass the exit you will see the ramp from that exit - at that point get over onto the right lane of the road. At the end of the oncoming ramp you will see a yellow driveway sign - the entrance is a couple hundred feet past that sign. You will see the large entrance sign for COH. At the top of the hill park in the field to your right. NOTE: If you are traveling with traffic at 55 mph on Route 15, you will not be able to get over and turn in time!! Look for the K9 Nose Work® sign at the bottom of the driveway! What to Bring Bring a comfortable chair, a notebook and pen, and wear weather-appropriate clothes and shoes, as we may be working outside. Food We will provide beverages and snacks. We will also provide lunch by Panera, if requested. Lunch break will be one hour. Please bring your own food if you have special dietary requirements. Other food places are about 1-2 miles away in Lewisburg, PA Video and audio-taping Please no unauthorized video- or audio-taping – please sign the photography/video release form below. Hide Placement Registration - Ron Gaunt 10.15 Page 1 of 4 Dog Policy This is a non-working seminar (except for working/demo dogs). Please leave your dogs at home or in appropriate vehicles if you must bring your dog; dogs must be able to remain quiet out of sight of their owners. Please clean up after your dogs. Local Dog-Friendly Hotels – please check pet policies before making reservations! 4 miles - Comfort Inn, 330 Commerce Park, New Columbia, PA 17856, Tel. (570) 568-8000, www.comfortinn.com 4 miles - Holiday Inn Express, 160 Commerce Park Dr, New Columbia 17856, PA, Tel. (570) 568-1100, www.hiexpress.com 5 miles - Days Inn Lewisburg, 409 N Derr Dr, Lewisburg, PA 17837, Tel. (570) 523-1171, www.daysinn.com 15 miles - Red Roof Danville, 300 Red Roof Road, Danville, PA 17821, Tel. (570) 275-7600, www.redroof.com 15 miles - Super 8 Danville, 35 Sheraton Road, Danville, PA 17821, Tel. (570) 275-4640, www.Super8.com/Danville 15 miles - Quality Inn & Suites, 15 Valley West Road, Danville, PA 17821, Tel. (570) 275-5100, www.qualityinn.com 15 miles - Days Inn Danville, 50 Sheraton Rd, Danville, PA 17821, Tel. (570) 275-5510, www.daysinn.com Local Hotels - NO DOGS ALLOWED 4 miles - Hampton Inn, 140 International Drive, Lewisburg 17837, PA 17837, Tel. (570) 522-8500, www.hamptoninn.com 4 miles - Best Western plus Country Cupboard Inn, 7701 West Branch Highway, Lewisburg, PA 17837, Tel. (570) 5245500, www.bestwestern.com PLEASE FILL OUT PAGE 3 AND 4 AND RETURN TO: HeRo Canine Consulting LLC Attn. Ron’s seminar 175 B Tunnel Road Bloomsburg, PA 17815 Hide Placement Registration - Ron Gaunt 10.15 Page 2 of 4 Registration Form “Understanding Hide Placement” with Ron Gaunt Saturday, October 17, 2015 ___ $125.00 before September 11, 2015; $140.00 after September 1, 2015 ___ $15.00 Panera lunch Sunday, October 18, 2015 ___ $125.00 before September 1, 2015; $140.00 after September 1, 2015 ___ $15.00 Panera lunch Saturday, October 17 AND Sunday, October 18, 2015 ___ $225.00 before September 1, 2015; $250.00 after September 1, 2015 ___ $30.00 Panera lunch for both days Full payment (incl. Panera lunch, if desired) is required to reserve a spot in the seminar. Please make check or money order payable to HeRo. Alternatively, send payment via paypal to [email protected] Please fill out the form and sign the cancellation policy, photography and video release authorization form and liability waiver. You will receive an email confirmation upon receipt of your registration and payment. Please email Silke at [email protected] if you have any questions. Name: _____________________________________________ Are you a CNWI™: Yes ___ No ___ Are you a CPDT: Yes ___________ (list cert. no.) No___ Are you a professional detection dog trainer/handler: Yes (please list) ___________________ No___ Address: ____________________________________________________________ City: ________________________________ State: __________ Zip: ______________ Phone: _______________________________ Cell: _________________________________ E-mail (please print clearly):_____________________________________________________________ Working Teams We will be choosing 8-10 working teams for each day (total 16-20). Requirements: Handler must attend both workshop days. Only one dog per handler per day. Dog must be on odor (minimum Birch ORT), comfortable being watched by a large group of people and able to stay quietly in crate or vehicle out of sight from their handlers. If you would like us to consider your dog for this workshop, please fill out the information below. Please note that you are NOT guaranteed a working spot by filling out the questionnaire, and that even a selected dog may not be worked on that day. Dog’s Name: ____________________________ Breed: ______________________________________ Age: ____________________ Gender: _____________________ Intact or Neutered/Spayed: _________________ Title achieved: ORT - date ______________ NW3 – date: _____________ NW1 – date: _____________ NW2 – date: _____________ NW3 Elite – date: _____________ Does your dog have any behavioral issues, e. g. fear of strangers, reactivity towards other dogs, apprehension in new environments, fear of noises or slippery floors, other) ___ Yes (please elaborate: ___________________________________________________________) ___ No Hide Placement Registration - Ron Gaunt 10.15 Page 3 of 4 Is your dog current on vaccinations/titers: Yes __ No __ If no, please explain_________________________________________________ Are there any health restrictions for you or your dog: Yes __ No __ If yes, please explain________________________________________________ Cancellation Policy All cancellations must be in writing and will be confirmed by return email. Your cancellation will not be valid without a written confirmation of receipt from HeRo Canine Consulting LLC. Full refund up to September 1, 2015 minus $25.00 administrative fee 50% refund up to September 15, 2015 No refunds after October 1, 2015; no refund for no-shows Non-working spots may be transferred to another person. The person originally registered is responsible for organizing replacement. The person originally registered MUST give HeRo Canine Consulting 24 hours’ notice prior to the event and provide HeRo with the name, phone number and email address of replacement. The person originally registered is responsible for organizing reimbursement. An additional administrative fee of $25.00 applies, to be paid by check, money order or cash to HeRo Canine Consulting, by the replacement person at the sign-in desk. _______________________________________________________________________________________________ Name (Print) Signature Date Photography and Video Release Authorization Form I understand that education and public relations are an important part of participating in a National Association of Canine Scent Work, LLC® (NACSW™) or K9 Nose Work® event. I give the NACSW™, K9 Nose Work®, and their representatives or agents the right and permission to use my name, likeness, and voice, in all types of advertising, promotional, or educational materials. This right and permission includes, but is not limited to, photographs, video recordings, audio recordings, and all other media in which my name, likeness, or voice may be reproduced. I ask that the above-mentioned use reasonable efforts to give me advance notice of any such use, but such notification is not a condition to release media for educational or public relations purposes. Audio and/or videotaping is not permitted in general, however, working participants only may have someone videotape only their own dog if they wish. The rule is that only ONE other video camera that is not one of the presenters can be taping and only if requested by the current person running their dog. I have read, understand and agree to the above: _______________________________________________________________________________________________ Name (Print) Signature Date Liability Waiver I understand that attendance at a canine event is not without risk to myself, members of my family, guests who may attend, or my dog, because some of the dogs to which I (we) will be exposed may be difficult to control and may be the cause of injury and/or damage even when handled with the greatest amount of care. I hereby waive, release, and agree to hold harmless, Silke Wittig, HeRo Canine Consulting LLC, Central Oak Heights, NACSW™, Ron Gaunt, volunteers, and/or agents, for injury and/or damage which I, my family, my guests, or my dog may suffer, including, but not limited to, any injury or damage resulting from the action of any dog(s) during the event or on the facility grounds. In addition, I expressly assume the risk of such injury or damage while attending any event, any other function of Organizers, and/or while on the facility grounds or surrounding areas thereto. I hereby agree to indemnify, compensate, and hold harmless Silke Wittig, HeRo Canine Consulting LLC, Central Oak Heights, NACSW™, Ron Gaunt, volunteers, and/or agents from any and all claims that may be asserted against them by any person(s) as a result of any action by me or my dog(s) that causes injury and/or damage. I have read, understand and agree to the above: _______________________________________________________________________________________________ Name (Print) Signature Date Hide Placement Registration - Ron Gaunt 10.15 Page 4 of 4
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