UDC Declaration form for the AWDF National Championship

UDC Declaration form for the AWDF National Championship
Handler Information

Please fill name and contact information of the dog handler
Handler Name

First NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the handler a UDC Member?
Handler shirt/jacket size
Is the handler same as Owner?
Owner Information

Please fill in the information for the owner of the dog (if different than the handler)
Owner Name

First NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the Owner a UDC Member?

Acknowledgement
Please upload scanned Scorebook (pdf or jpg)

Cancelof
I understand that this form is NOT an event entry form, and that I bear sole responsibility for completing the appropriate entry form for the event that I wish to enter and represent UDC. I further understand that I must confirm with the AWDF Team Coordinator that this form was received by them after I submitted it.

I also confirm that I understand I must submit a completed entry form to the competition directly via AWDF Entry form.
Any special questions or concerns?
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Handler Information