MDS Agility Fun Match
Handler Information
Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Emergency Contact Information
Emergency Contact Name
*
EC First Name
EC Last Name
Emergency Contact Phone Number
*
EC Primary Phone Number
Dog's Information
Dog's Name
*
Dog's Breed or Mix
*
Dog's Date of Birth
*
-
Month
-
Day
Year
Date
Dog's Status
Please Select
Female, Intact
Female, In Season
Female, Altered
Male, Intact
Male, Altered
Using the information provided on the fun match premium, please complete this electronic registration form.
Events:
Course #1
*
Not Entering
1 Attempt ($8)
2 Attempts ($16)
Course #2
*
Not Entering
1 Attempt ($8)
2 Attempts ($16)
This is your total amount owing before taxes:
Volunteering Status
Volunteering Status
*
I understand that competitors are being required to indicate whether they will be volunteering at this event or not during the payment process; competitors that volunteer at this event will pay a lower entry fee. Competitors will be assigned jobs at the discretion of the Trial Secretary. Each competitor can expect to be assigned to one (1) job assignment per class entered; the more you enter, the more you will be required to volunteer. These assignments will occur immediately before the competitor's first class (including morning set up), immediately after their last class (including evening clean up), or between classes if a break occurs.
If you can volunteer more, please let us know.
Terms and Conditions to Registration
Submit & Proceed to Payment
Should be Empty: