Gathering of the Outcasts
PSA Trial June 8th and 9th
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency contact
First Name
Last Name
Emergency contact phone number
Please enter a valid phone number.
Format: (000) 000-0000.
REMEMBER YOUR SCOREBOOK! - PSA member number
Dog’s Name and Age
Dog’s breed
Dog’s titles
Name of club
Owner trained ?
Yes
No
Entry for June 8th, 2024- waitlist only- no payment required
PDC-$100
Level 1-$100
Level 2 -$100
Level 3- $100
Entry for June 9th,2024- waitlist only, no payment required
PDC - $100
Level 1 - $100
Level 2 - $100
Level 3 -$100
Would you like to enter the photography raffle- all your photos during the competition are included. $10 to enter, raffle will take place after trial is full. - %100 of proceeds donated to Outcast PSA
Yes- sent $10 with entry fee
No thanks
Please provide Instagram if you would like to be tagged.
Once form is completed please wait for a confirmation email from Outcastpsa@gmail.com- once you get the confirmation email you can send all fees to
Venmo- @Elevatedk9
PayPal -@Elevatedk9
Submit
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