Submission Form for LetterboxDog and GeocacheDog Titles

Submission Form for LetterboxDog and GeocacheDog titles
Person's Name(s)*
Dog's Name*
Please include names as you would like them to read on your certificate.
E mail*
example@example.com
YesNo
Dog's CRN Number
LBDLBALBXLB500LB750LB1KLB(x)K (specify number of finds in field below)
Number of Finds for LB(x)K
Checklist for supporting documentation for LetterboxDog
GEODGEOAGEOXGEO500GEO750GEO1KGEO(x)K (specify number of finds in field below)
Number of Finds for GEO(x)K
Checklist for supporting documentation for GeocacheDog
Date title was achieved. If you are submitting more than one title, please provide the additional title(s) and date(s) in the field below.

MonthDayYear
Date
Additional title(s)/date(s)
One title/date per line. Example GEOD - 01/01/2021
Attach your log sheets and copies of supporting documentation. Please check the lists above to make sure you are sending everything we need.

Please include your log sheets (or certificate) for previously completed levels
Cancelof
A title patch will be awarded for the first level title earned in each category. Extra patches cost $3

A number patch will be awarded for subsequent levels. Extra number patches can be purchased for $3
yesno
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
My Products
prevnext( X )
Title Recording Fee
Fee for having your title recorded by DSA

$25.00 How many titles are you submitting?



DSA CRN registration for members
Select this option if you are a DSA member and need a CRN

$15.00



DSA CRN registration for non-members
Select this option if you are not a DSA member and need a CRN

$20.00



Extra Title Patches
If you want extra patches for more than one title, please email us the details to titles@dogscouts.org

$3.00 Quantity



Extra Number Patches
If you want extra mileage patches for more than one title, please email us the details to titles@dogscouts.org

$3.00 Quantity



Total

$0.00
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Submission Form for LetterboxDog and GeocacheDog titles