JAN WESEN CLINIC
April 27-29, 2007

All entries are per dog. Please submit one form for each dog entered.
Return form with payment to:
Sue Honig; PO Box 708; Trumansburg, NY 14886-0708
Handler's Name: 
Handler's Address: 
Handler’s Phone Number: 
Handler’s Email Address: 
Dog’s Name: 
Breed: 
Age of Dog:
Experience with stock (if any):


Clinic Option
Check one Option Cost
  Friday, Saturday, and Sunday (April 27-29) $175
  Friday and Saturday (April 27-28) $150
  Saturday and Sunday (April 28-29) $150
  Friday only (April 27) $100
  Saturday only (April 28) $100
  Sunday only (April 29) $100
  Spectator - no dog (any day) $20


Release Form
I release from liability Sue Honig, Jeffrey C Honig, and Jan Wesenq as well as all people involved in the clinic. I accept that any activity around dogs or livestock is not without some risk to myself or my dog. I accept all responsibility for myself and my dog. I agree to pay for any damage my dog inflicts upon the stock or other dogs or people. For stock, this will be complete market value if stock has to be destroyed or the complete vet bill if injury is slight. (Stock value: sheep $100, goats $50, ducks $10). The right to excuse an aggressive dog is reserved to the organizers of the event.
Date:   Signature of Attendee: