Event Authorization Form

EVENT AUTHORIZATION FORM

Once approved this completed document certifies that authority has been granted for this event by the American Protection & Patrol Dog Association.
Name of Club*
Contact Person*

First NameLast Name
Contact Phone Number*

Area CodePhone Number
Contact E-mail*
Club Website
Property Owner*
Event Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Event Type*

Decoy CampMock TrialTrialTraining WeekendSeminar/WorkshopOther
Begining Date*

MonthDayYear
Date
Ending Date*

MonthDayYear
Date
Requested Judge/Instructors:*
Requested Decoys:
Fees*
prevnext( X )
Event Insurance$75.00

Total $0.00
Once your application has been approved, Please send payment FRIENDS AND FAMILY to Events@theAPPDA.com using http://PayPal.com

The APPDA Website
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: