TopDogPSA Southern Regionals Trial Registration Form

TERMS AND CONDITIONS

Regional trial is limited to 20 competitor slots. The trial fee is $100 per dog.

Available levels at Regionals are PSA1, PSA2, PSA3

Registration is not complete until payment is accepted.
Competitors will be notified via email and/or text of successful registration and be provided with instructions to make payment.

If payment is not received within 72 hours of the notification email, the trial slot will be offered to the next competitor on the waiting list. Notification will also be made via a post on the official Southern Regional Trial Facebook event page that notification emails have been sent out for payments.

All accepted registrations are final and no refunds will be provided.

Competitors must submit their own registrations. (This form must be completed by the handler of the dog)

Regional Competitors will have priority for available trial slots on Sunday, October 15th.

After regional registration is completed trial slots for Sunday's club trial will be made available.

I accept the above listed registration terms*

Yes

Level*

PSA1PSA2PSA3

Leg Attempting ( are you attempting your 1st or 2nd leg or have you previously earned a title at this level)*

ATTEMPT 1ST LEGATTEMPT 2ND LEGPREV. EARNED

Membership # (You can look this up on the PSA website at the link below. If you don't have one yet because you just signed up put "Pending".)

Lookup Membership Number

PSA Membership # *

PSA-AS Membership Number

Handler*

First NameLast Name

Dog Name*

Owner Trained*

YesNo

BREED*

Owner Name if Different from Handler Showing Dog

First NameLast Name

PSA Club Affiliation (if you are with a club please list club below)

Your email address*

example@example.com

Would you also like a slot for the club trial on Sunday Oct 15th?*

Yes, I would like a slot for both the regional event and the club trialNo, I am only interested in showing at the regional event on Saturday the 14th

Cell Phone Number - We may text you if we have any questions, issues, or to notify you of any important information*

Please enter a valid phone number.

The submit button is at the bottom of the page

How would you like to submit payment once registration is confirmed?*

PaypalVenmoCashappApplePay

I agree and understand that serious accidents can and do occur during dog training. competitions , and other dog related events and activities. I am assuming all risk liabilities and responsibilities and will hold harmless PSAK9, Clay’s Top Dog, Top Dog K9, their agents, partners, members, and employees from any and all liability arising from this dog-related event and any practice, training, or open field. I also agree to hold harmless any of the above mentioned from property damage, theft, death or personal injury to my dog or myself.

I agree to have complete control and responsibility over my dog and myself at all times. By submitting this registration form I acknowledge that I have read and understand the trial waiver and read and understand all PSA rules that govern trials.

There will be no refunds given to any hander that has been ejected from this trial for any reason. In the event a handler / team is unable to attend this event and their reserved spot in the trial is able to be filled by the trial secretary by another paying competitior.

In the event of any unintentional overbooking of the event a full refund will be issued to any registrant who did not receive one of the alloted slots.

In the event all slots are sold you may contact the hosting club or trial secretary and request to be placed on a waiting list. All registrations and waiting lists will be served first come - first served bases.

I agree to stay informed of any event updates and changes via the PSA website event listing, and the Facebook Event Listing for this particular Trial.

Entry forms submitted without payment are not offical. All payments must be received prior to any registration becoming official. I agree it is my responsibility to ensure that I have properly fllled out above registration form and will be submitting payment upon receipt of email notification or other notification of successful registration.

In addition, I agree and give consent to any representative of PSA K9, Clay’s Top Dog, Top Dog K9 to take pictures of the events and activities surrounding the events, and that said pictures shall be the sole and exclusive property of Clay’s Top Dog for any use or distribution at their sole discretion. Further I release any rights to any videos or photographs taken by Top Dog K9, Clay’s Top Dog or other photographs taken at this public event.

We have 2 trial shirt designs for this trial.

Both are available in black or Navy, T-shirt or Hoodie. Photos provided are mock ups of the design and not the actual product.

The designs are below Design #1 is for Friday the 13th, open field day design. Design #2 is Nightmare on Elm theme Regional's design for Saturday.

Once registration is accepted we will message you to see if you would like to order a shirt or hoodie to be picked up at the event. We will also be posting a link on the event page where people may order to have shirts shipped to their residences.

Send a message to the secretary with anything else you'd like us to know or questions you have?