Sea Change Canine

Street Address

Sequim, WA, 98382

(360) 477-8401

Best dog training in Sequim, Port Angeles

SeaChangeCanine@gmail.com

Sea Change Canine

Event Form

ORT Registration Form

Sarah Becker, Sea Change Canine LLC

NACSW™ – Odor Recognition Test

Saturday, November 4,2023

Sea Change Canine Facility, 151 Ruth’s Place unit 2, Carlsborg, WA 98324

$30.00 per odor Registration Fee - Payment by check or money order made out to Sea Change Canine please specify exactly what payment options are available

Please mail this completed form via USPS with your registration fee to:

Made out to: Sea Change Canine P.O. Box 1176, Carlsborg, WA 98324

Questions: Contact: Sarah Becker , seachangecanine@gmail.com

Odor

Birch

Anise

Clove

Test date: Saturday November 4,2023

Dogs Call Name

Breed(s)

Dog's NACSW #

Handler's Name

First Name

Last Name

Handler's NACSW Membership #

Mailing Address

Phone where you can be easily reached

(###)

###

####

Email Address

An ORT must be taken and passed at least 14 days before a trial opening date to be eligible for the first draw period.

Please contact your host at least 1 day before the ORT if your female dog will be in season.

All confirmations will be sent via E-Mail with attachment within 7 days of receipt of complete registration form . Payment must be made via snail mail (postmarked by) within 7 days to complete your entry and maintain your trial space. Payment options are check or money order. If you require a confirmation via USPS you must provide a self addressed stamped envelope with your payment.

Waiver Statement: I/We assume all risks of, and responsibility for, accidents and/or damage to myself or to my property or to others, resulting from the actions of my dog. I/We expressly agree that Sarah Becker , Sea Change Canine llc and/or NACSW or any other person, or persons, of said groups shall not be held liable personally, or collectively, under any circumstances, for injury, and/or damage to my person, for loss or injury to my property, whether due to uncontrolled dogs or negligence of any member of said groups or for any other cause, or causes.

Yes, I agree

Signed:

Date

Thank You!

K9 Nose Work ® classes for Sequim, Carlsborg, Port Angeles, and surrounding areas in WA. We are taking a break from : Behavior Rehabilitation for aggressive, reactive, anxious, fearful, or worried dogs, teenage dogs, pulling on leash, manners, new puppy or dog, and dog obedience. Sea Change Canine, LLC is owned by certified professional dog trainer Sarah Becker, KPA CTP, CNWI, National Association for Canine Scent Work (NACSW)-Trial and ORT Judge, Cyber Scent Work Evaluator, United States Canine Scent Sports (USCSS) Judge, Tellington TTouch® P1.