WMU/AK9 Entry Form

TRIAL 3 and 2021 WMU IGP National Championship

May 1st and 2nd, 2021 Judge: Randall Hoadley, AWMA
This entry form is for two one day trials. Entries will be broken down by optimal timing closer to the event. One day will be an All Canine Working Dog Club (AWMA) club trial, the other the Working Molossers United National IGP Championship. Both are AWDF member clubs. Both trials are open to all breeds.
Titles Offered *
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FCI BH-VT $ 100.00
Obedience and Temperament

FCI IGP1 $ 120.00
Tracking, Obedience, Protection

FCI IGP2 $ 120.00
Tracking, Obedience, Protection

FCI IGP2 3 $ 120.00
Tracking, Obedience, Protection

FCI APr1 $ 110.00
Obedience and Protection

FCI APr2 $ 110.00
Obedience and Protection

FCI APr3 $ 110.00
Obedience and Protection

FCI FPr1 $ 100.00
Tracking Only

FCI FPr2 $ 100.00
Tracking Only

FCI FPr3 $ 100.00
Tracking Only

FCI UPr1 $ 100.00
Obedience Only

FCI UPr2 $ 100.00
Obedience Only

FCI UPr3 $ 100.00
Obedience Only

FCI SPr1 $ 100.00
Protection Only

FCI SPr2 $ 100.00
Protection Only

FCI SPr3 $ 100.00
Protection Only

FCI FH1 $ 120.00
Advanced Tracking (PENDING AVAILABLE SPACE)

FCI FH2 $ 120.00
Advanced Tracking (PENDING AVAILABLE SPACE)

Total $ 0.00
Handler Name *

First Name Last Name
Handler Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Handler Email *
example@example.com
Handler Phone Number *

Area Code Phone Number
Handler AWDF Member Club Member # *
AWMA, DVG etc.
Handler and Owner are the same? *

Yes No
Owner Name

First Name Last Name
Owner Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Owner Email
example@example.com
Owner Phone Number

Area Code Phone Number
Owner AWMA Member #
Registered Name of Dog *
The name as it appears on your registration certificate.
Registration # *
AKC Registration, or FCI Country Registration
Registration Organization *
AKC or FCI
Dog's Gender *

Dog (Male) Bitch (Female)
Dog's Birth Date *

Month Day Year
Date
Dog's Microchip # *
Dog's Microchip Type *
Avid, HomeAgain, etc.
Registered Name of Sire *
Registered Name of Dam *
Scorebook Number *
Scorebook Type *
AWMA, DVG, etc.
Current Titles *
High quality photo of the dog entered for the catalog.

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In order to be eligible to enter, participants must have an AWDF recognized scorebook.

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 All Canine Working Dog Club, Working Molossers United, 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 All Canine Working Dog Club, Working Molossers United, its members or agents for any act committed by this dog or any other dog in my possession.
Signature *

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This form takes payment via PayPal, to arrange for alternate payment, contact annielwildmoser@gmail.com
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TRIAL 3 and 2021 WMU IGP National Championship