Event Registration If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Event Event Date Event Cost First Name * Last Name * Address 1 * Address 2 City * State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Phone * Email * Animal Name * Animal Breed * Animal Sex * Animal Age * Are you a Pet Partners National Member? Pet Partners ID # * Expiry Date * First Evaluation? Requested Day & Time Slot (For Evaluations Only) Saturday A.M.Saturday P.M.Sunday A.M.Sunday P.M. Please verify that you have taken the required Pet Partners Handler Training Course (if not, please do not register for these evaluations). You must bring your certificate of completion (from either the online or instructor-led class). Renewing teams do not need to complete this section. I took the online course I attended a class with a qualified instructor Name of Instructor: * Date of Class: * I understand that I am responsible for any damage my animal causes during the course or evaluation. I indemnify and hold Pet Partners® Instructors, Evaluators, and all sponsoring organizations harmless from and against all claims, losses, liabilities, and damage to persons or property, governmental charges or fines, and attorney’s fees arising out of the acts or omissions of Pet Partners courses and evaluations including, but not limited to, interactions with instructors, attendees, or animals, screening or demonstrations involving my pet, or transportation of my pet to or from the training/evaluation site or within the training/evaluation site. By submitting this form I understand it constitutes as an e-signature. * What is thirteen minus 6? * Total If this is a paid event you will be taken to Paypal after submission for payment.