CWA National Entry Form

CWA National

Racing & Fun Match Entry Form
Call Name
Call Name
Registered Name
Registered Name
Is this dog an AKC/CKC Bench Champion?
Is this dog an AKC/CKC or ASFA Field Champion?
Has this dog earned any of these titles? Please select all that apply.
How many total titles does this dog have from any and all organizations?
Registration Number (AKC/CKC)
If unknown, please leave blank.
CWA Number
If unknown, please leave blank.
DOB

MonthDayYear
DOB
Sex
Breeder(s)
Breeder(s)
Sire
Sire
Dam
Dam
Owner(s)
Owner(s)
Owner's Email
example@example.com
Owner's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Friday - Fun Match Class
Friday's Legend Showcase
Saturday Racing - CWA National
Sunday Racing
How are you paying?
Checks can be sent and made payable to:

Georgia Rag Racing

c/o Chris Durance-Watkins

1488 Crabapple Hollow Rd.

Hull, GA 30646

NO ENTRY IS CONSIDERED COMPLETE UNTIL PAYMENT IS RECEIVED
Waiver: By signing and submitting this form, I and my heirs, legal representatives and assigns shall hold harmless and defend the Continental Whippet Alliance and its member clubs, its officers, directors, committeemen and agents from any claim for personal injury, illness or property damage arising out of my participation in this event. I agree to abide by the Rules and Regulations of the Continental Whippet Alliance during the period of this event.
Signature
Should be Empty: