I declare that I am the owner/trainer of the dog named on this form and verify that this dog is not a hazard to other dogs or people. I agree to abide by all rules and decisions of the Kenosha Kennel Club, Inc. I agree to hold harmless the club and all persons connected with the club in any capacity from any and all liability. I further agree that I will be responsible for any and all injuries to people and dogs and any damage to property caused by me or any dog which I may bring to training class or any other function of the Club.
If the owner and trainer is under 18, a parent must sign as the owner, which gives permission for the child to participate in the program and accepts responsibility as stated above.