2024 DVG National Championship Entry Form

2024 DVG National Championship Entry Form

December 13 - 15, 2024 | Clermont, Florida
Handler Information
Handler Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Handler DVG Membership Number*
DVG Membership Expiration*

MonthDayYear
Date
Are you a first time national level handler?

Yes
Dog Information
Dog's Registered Name*
Dog's Call Name*
Breed*
Dog's Date of Birth*

MonthDayYear
Date
Dog's Sex*

FemaleMale
Dog's Tattoo Number
Dog's Microchip Number
Dog's Registration Organization*
i.e., AKC
Dog's Registration Number*
Dog's Scorebook Organization*
Dog's Scorebook Number*
Is your dog HOT or BHOT?

HOTBHOT
Owner Information

Complete only if the owner of the dog is different from the handler.
Owner Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Owner's DVG Membership Number
DVG Membership Expiration

MonthDayYear
Date
Title/IGP Level Information
What title/IGP level are you entering?*

IGP 3IGP 2IGP 1
Please upload a copy of your membership card and scorebook (front and inside)*

Cancelof
Please upload a photo of you and your dog together .*

Cancelof
Waiver of Liability
I, First Name* Last Name* have read and understood the Waiver of Liability. Further, I accept its terms and conditions.
I accept* Today's Date: Date
Please read the Waiver of Liability.
*** NO REFUNDS ON ENTRY FEES ***

All participants understand that the SEKG has no control over extreme weather, acts of God, acts of terrorism, governmental intervention, or any other cause that may prevent, alter or interrupt the event weekend. We will not refund fees due to extreme weather, acts of God, acts of terrorism, or governmental intervention. Announcements regarding cancellation of the event will be made on the event Facebook page.
Checkout*
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2024 DVG Nationals Entry FeeEntry fee for the 2024 DVG National Championship.
$260.00 Quantity

Total

$0.00
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2024 DVG National Championship Entry Form

Handler Information

Dog Information

Owner Information

Title/IGP Level Information

Waiver of Liability