2025 USMRA FCI World Team Declaration Form

2025 USMRA International Team Declaration - FCI Championship

Deadline July 15th 23:59 EST
(PLEASE NOTE DEADLINE FOR YOUR TIMEZONE)

USMRA International Team Selection Criteria for 2023 Championships

October 8 to 12, 2025
Borgo San Dalmazzo
Province of Cuneo, Italy

Event Website: Coming Soon

You MUST have FCI /AKC registration in owner/applicant name. WC now requires dogs to be registered in the country they are representing. ALL documents MUST be submitted electronically via this form. Selected teams must agree to shoulder the financial burden of participation. USMRA is not responsible for any financial responsibilities for team, but may allocate grants when funding is available.

Dog's FULL Registered Name*

Breed*

Gender*

MaleFemale

Dog's Date of Birth*

Date

Handler-Owner Trained?*

YesNo

Is dog spayed/neutered?*

YesNo

Color - Listed on AKC Registration Certificate*

Dog's AKC Registration Number. You will need to provide a copy of the dog's AKC Registration Certificate and Pedigree*

Chip make and # - MUST be 15 digit International chip or 9 digit chip IF handler brings a reader and the reader DOES verify the chip*

Dog's SIRE, Registry Name, AND Reg #*

Dog's DAM, Registry Name, AND Reg #

Breeder's Name*

Owners name & contact info if different than handler*

List Top Three Score(s), Trial Location(s) & Date(s). *

Handler's Name*

Handler USMRA #*

Handler's USA Citizenship Status*

Handler's Phone #*

Handler's Club*

Additional Handler's Club*

Emergency Contact Name & phone #*

Handler's e-mail address*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Handler's Passport Expiration Date*

Uniform Size Pants/Jacket/T-shirt*

Application Deposit

FCI World Team Member Application$250.00

Deposit to apply for the FCI Mondioring World Team. If not selected, this deposit will be refunded after the team is announced. If selected, this deposit will be refunded after the team member competes.

Quantity

Total $0.00

By submitting this application, I attest that this information is correct and true. I agree to abide by the rules and regulations of the FCI/SMCU, the hosting country and the USMRA (United States Mondioring Association,) and it's stated purposes of promoting Mondioring, sportsmanlike conduct and fair and humane training at all dog sport activities. I attest that my dog is social and will be under my control at all times. I realize that withdrawal from the team once the selection process has been finished could result in unfavorable reviews in subsequent years as well as possible forfeit of deposit. I understand I will be responsible for all expenses not covered by USMRA.*

Agree

Signature*

TODAY'S Date:*

Date

Please attach copies of the following:

If forms will not attach, please email to the USMRA Secretary at secretary@usmondioring.org

AKC Registration*

Upload a File

Please upload a clear image in PDF or jpegof the dog's AKC registration. The image need to be orientedcorrectly and the file needs to be labeled appropriately.

CGC Certificate or Scorebook page with Sociability*

Upload a File

Please upload a clear image, in PDF or jpeg format of your dog's CGC certificate or scorebook page with your sociability test. Orient the image correctly and label the file appropriately before uploading (i.e. Fido's CGC certificate).

Scorebook Page 1

Upload a File

Please upload a clear image in PDF or jpeg of the first pages of the scorebook with the dog and handler information and the scorebook pages containing the relevant scores you are using in your application. The image(s) need to be oriented correctly and the file needs to be labeled appropriately.

Scorebook Pages with Scores

Upload a File

Please upload a clear image in PDF or jpeg ofthe first pages of the scorebook with the dog and handler informationand the scorebook pages containing the relevant scores you are usingin your application. The image(s) need to be oriented correctly andthe file needs to be labeled appropriately.

Rabies Certificate

Upload a File

Please upload a clear image, in PDF orjpeg format of your dog's rabies certificate. The certificate must show the dog's correct microchip number and have a veterinarian's signature. The image needs to be oriented and the file needs to belabeled appropriately.

FCI Testicle Certificate

Upload a File

Please upload a clear image, in PDF orjpeg format of your dog's testicle certificate if applicable. The certificate mustshow the dog's correct microchip number and have a veterinarian's signature. The image needs to be oriented and the file needs to belabeled appropriately.

Handler Photo

Upload a File

Please upload a clear jpeg image in portraitorientation showing you and your dog with no equipment on the dog.Please label the file with your name and dog's name.

Dog's Pedigree

Upload a File

Please upload a clear image in PDF or jpegof the dog's pedigree. The image need to be orientedcorrectly and the file needs to be labeled appropriately.

For questions and more information Contact International Committee Chair: Milan Hess - 5280ringsport@gmail.com