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 Name Last Name
Contact Phone Number *

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

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Event Type *

Decoy Camp Mock Trial Trial Training Weekend Seminar/Workshop
Begining Date *

Month Day Year
Date
Ending Date *

Month Day Year
Date
Requested Judge/Instructors: *
Requested Decoys:
Fees *
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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 *

Month Day Year
Date
Should be Empty: