Schutzhund Club of Buffalo
2024 Fall Trial
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
Membership Organization and Membership Number
Please upload a picture of Scorebook
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Please upload a picture of membership id
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Date and Location of BH
Previous Titles
What title are you competing for?
HOT?
Yes
No
Dog Name
Identification tattoo number/ chip number
Dog registration and number
Dog date of birth
Gender of dog
Male
Male Neutered
Female
Female spayed
Breed
Owner Name and Address
Owner phone number and Address
Please double check all information before submitting. BH: $75IGP: $100All additional titles: $100 Fees can be paid by cash, check or Venmo (@Jacqueline-Slocum (7991))
Cash
Check
Venmo
In submitting this application, I recognize all trial rules by USCA. I will send my trial entry fee by Venmo, check or cash, by Friday May 17th. I am fully liable for any damage caused by my dog. All entry information on this application is true and correct. PLEASE SIGN YOUR NAME
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