Fall Club Trial Registration

Fall Club Trial Registration

Sept 30-Oct 1 with Judge Randall Hoadley
Dog's Call Name:*
Title:*

BH-VT (BH)IGP-VIGP 1IGP 2IGP 3U.Pr. 1U.Pr. 2U.Pr. 3G.Pr. 1G.Pr. 2G.Pr.3FH1
Tattoo or Microchip Number:*
Scorebook Number and Type:*
Dog's Registered Name:*
Dog's Registration Number:*
Dog's Registration:*
Breed:
Sex:*

MaleFemale
Date of Birth:*

MonthDayYear
Date
Sire's Registered Name:*
Dam's Registered Name:*
HOT?

yesno
Owner's Name:*

First NameLast Name
Owner's Phone:*

Area CodePhone Number
Handler's Name (if different than Owner):

First NameLast Name
Phone Number (if different than Owner):

Area CodePhone Number
AWDF Member Club Affiliation:*
Membership Number:*
Picture of Scorebook Front Page & Titles*

Browse Files

Cancelof
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:*
example@example.com
In order to be eligible to enter, participants must have an AWDF recognized scorebook, or post a $50 scorebook bond. The bond will be refunded if the handler presents the scorebook to the trial secretary within 48 hours of the completion of the trial.
LIABILITY STATEMENT

It is understood by the owner/handler that every dog at this event shall at all times be in the care, control and custody of the owner/handler. The undersigned agrees to be fully responsible for the actions of his/her dog(s) at all times while on the trial grounds. It is further understood that the undersigned owner/handler agrees to indemnify and hold harmless the Host Club, OG Pablo Working Dogs, its members, its officers and directors, and all property owners from all liability, claims, and causes of action which he/she may have arising from participation in this event.

I hereby assume all responsibility and liability for my dog(s) while on the show premises. I agree to hold harmless the Host Club, OG Pablo Working Dogs, its members or agents for any act committed by this dog or any other dog in my possession.
Signature*

Clear
Date*

MonthDayYear
Date
IMPORTANT: Be sure to HIT Return to Merchant to ensure form is submitted*
prevnext( X )
IGP/U.Pr/G.Pr Titles/FH$85.00

BH Title$60.00

Total $0.00
Should be Empty: