CWDC AS Trial Entry Form

CWDC Fall 2024 Trial Entry

December 7-8, 2024
Location: Willow Park, Bennington, VT
Judge: Tim Vaillancourt
Helper: Adriel Linyear
Event Contacts: Caitlin Tilley or Alexis Crowe
Email any questions to catamountWDC@gmail.com

Trial schedule will be determined after close of entries and emailed to all trial competitors at that time.
Handler Name*

First NameLast Name
Handler Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Handler Phone Number
Please enter a valid phone number.
Handler Email*
example@example.com
PSA/AS membership number*
Membership must be valid at time of trial
Per AS rulebook, you must have ordered a scorebook 2 weeks prior to the trial. Do you have a scorebook or have you ordered one?

I have a scorebookI have ordered one
Handler's Club (if applicable)
Owner Name (if different than handler)

First NameLast Name
Registered Name of Dog*
Dog's Call Name
Dog's Date of Birth*

MonthDayYear
Date
Sex of Dog*
Breed Type*
Dog's Registration Organization and Number*
Organization ex: AKC, CKC, CKMU etc...
Dog's Microchip (or tattoo) ID*
HOT/BHOT*

BHOTHOTN/A
Previously obtained titles (if applicable)
Entry Type*

BT (obedience and environmental) $100AS1 $125AS2 $125AS3 $125SW1 $75SW2 $75SW3 $75OB1 $75OB2 $75OB3 $75Environmental evaluation only $75JRAS-BT $75
Payment must be sent via friends and family NOT as goods/services. Any payment received in any other manner than via friends and family will be refunded and your trial entry will not be considered complete until payment is received correctly.*

Payment sent via Venmo to @cetilleyPayment sent via Paypal to @CatamountWDCI have not sent payment and understand that other paid entries will take priority over my entry until payment is received in full by Catamount WDC via one of the methods above.
I understand that attendance at the trial hosted by Catamount Working Dog Club (CWDC) is not without risk to myself, my dog or any guests in attendance. I hereby waive and release CWDC, it's members, officers, guests, trial personnel and other agents from any and all liability of any nature, for injury or damage resulting from the actions of any dog, individual or training activity. I expressly assume the risk of such damage or injury while attending this function held by CWDC or while on any grounds used by CWDC in association with this event.

I also agree to release from responsiblity any person or company whose property CWDC may be using to host this event.

I hereby agree to indemnify and hold harmless CWDC and PSA/AS and their members, officers, guests, trial personnel and other agents free of any and all claims by myself or any person accompanying me to this event or while on the grounds used for CWDC events.
I have read the above liability notice and agree to these terms for entry to this event. Selecting yes on this form provides electronic consent to this waiver.*

Yes, I have read the above liability notice.I do not agree to these terms.
Should be Empty:

CWDC Fall 2024 Trial Entry