AWDF FCI World Championship Declaration

AWDF FCI World Championship Declaration
- Handler Name*
  
  First NameLast Name
- Handler Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Handler Phone Number*
  
  Area CodePhone Number
- Handler Email*
  example@example.com
- Handler and Owner are the same?*
  
  YesNo
- Owner Name*
  
  First NameLast Name
- Owner Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Owner Phone Number*
  
  Area CodePhone Number
- Owner Email*
  example@example.com
- Handler's AWDF Member Club*
- Uniform Jacket Size*
  
  Women's XSWomen's SWomen's MWomen's LWomen's XLMen/Unisex XSMen/Unisex SMen/Unisex MMen/Unisex LMen/Unisex XLOther
- Uniform Pants Size*
  
  Women's XSWomen's SWomen's MWomen's LWomen's XLMen/Unisex XSMen/Unisex SMen/Unisex MMen/Unisex LMen/Unisex XLOther
- Public liability insurance for consequences resulting from being a dog owner*
  
  Yes I have insurance and will upload documents below.I will obtain insurance prior to the event.
- Proof of public liability insurance for consequences resulting from being a dog owner.
  
  Browse Files
  11. Insurance 11.1. The organiser must have taken out an insurance policy with sufficient cover for personnel,supervisors, trial judges and helpers.11.2. Each competitor shall him/herself bear the cost of any damage caused by his/her dog. Eachcompetitor must provide proof with his/her registration application of holding a public liabilityinsurance policy for consequences resulting from being a dog owner. Cancelof
- Dog Registered Name*
- Dog Breed*
- Dog Sex*
  
  Bitch (Female)Dog (Male)
- Dog DOB*
  
  MonthDayYear
  Date
- Club Issuing Scorebook*
- FCI Scorebook's Country*
  The country from which your dog's FCI Scorebook was issued.
- Scorebook Number*
- Copy of ALL Scorebook Pages*
  
  Browse Files
  
  Cancelof
- Microchip Number*
- Microchip Type*
  
  AvidHomeAgainOther
- Tattoo Number and Location*
- Dog Registration Organization (must be FCI Recognized Organization)*
  
  AKCOther
- Dog FCI Recognized Registration Number*
- Copy of Dog FCI Recognized Registration*
  
  Browse Files
  
  Cancelof
- Dog Sire Registered Name*
- Dog Sire Registration Number*
- Dog Dam Registered Name*
- Dog Dam Registration Number*
- Dog is Handler Owner Trained (must have owned the dog from 6 months of age)*
  
  YesNo
- By submitting this form I declare my candidacy for the AWDF FCI World IGP Championship Team. I am a member of my AWDF affiliated club and in good standing. I realize that withdrawal from the team once the selection process has been finished could result in unfavorable reviews in subsequent years. I understand I will be responsible for all expenses not covered by the club or AWDF (check with your club and the AWDF for details).
- Handler Signature*
- Should be Empty: