FLEETWOOD SCHOOL
MT LAUREL, NJ 08054
OPENING DATE. - TUESDAY MAY 16, 2023
NW3: https://nacsw.net/trial-registration/6009
NW2: https://nacsw.net/trial-registration/6010
NW1: https://nacsw.net/trial-registration/6011
TO VOLUNTEER - USE THIS LINK:
Anne Rosenberg / ev-ry earthdog
NACSW™ – Odor Recognition Test
$35.00 Registration Fee - Payment by PayPal as friends and family to annelrosenberg@hotmail.com Please mail this completed form via email with your registration fee to: annelrosenberg@hotmail.com Questions: Contact: Anne Rosenberg (609) 519-8289 or annelrosenberg@hotmail.com
Odor: □ Birch □ Anise □ Clove
Test date(s):
Dog’s Call Name _____________________________________________________ Breed(s) ______________________ Dog’s NACSW #________________
Handler’s Name ____________ Handler’s NACSW Membership #________
Address _____________________________ City ___________ State _________ Zip________
Phone where you can easily be reached __________________________ E-mail 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 and payment. If you require a confirmation via USPS, you must provide a self-addressed stamped envelope. I/We hereby 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 Anne Rosenberg and ev-ry earthdog of Mt Laurel, NJ 08054,, 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 any other cause, or causes.
Signed: ___________________________________Date: ______________________
National Association of Canine Scent Work, LLC®
Official NACSW™
ODOR RECOGNITION TESTS
Odors Tested: BIRCH, ANISE, CLOVE
Date:
Test Site Hours: 8AM TO 2PM
Test Location:
Test Host: EV-RY EARHDOG LLC
Test Secretary: Anne Rosenberg – annelrosenberg@hotmail.com 609-519-8289