AWDF FCI World Championship Declaration

Dog Information
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*

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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*

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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

Submit Declaration
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*

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