Central Valley Dog Club Winter 2026 Trial

Handler Information
Handler Name*

First NameLast Name
Club Affiliation*
Type NONE if you are not a current member of any USCA club
USCA Region*
Email and confirm your email*

Confirmation Emailexample@example.com
Phone Number*
Please enter a valid phone number.
Handler Address*

Handler Street Address *

Handler Street Address Line 2

Handler City *Handler State / Province *

Handler Zip / Postal Code *
Handler Membership Org*

USCADVGSVOther
Handler Membership Number*
Handler Membership Expiration*

MonthDayYear
Date
Club and Date Where handler first took BH written test*
If none, enter NONE. Please be prepared to take the written exam if you have not passed the BH exam.

Dog Information
Registered Name of Dog*
Call Name
Current Titles*
Tattoo / Microchip Number: *
Dog Registration Organization*

AKCUSCASVOther
Dog Registration Number*
Scorebook Number*
Breed*
Date of Birth*

MonthDayYear
Date
Sex*

MaleFemale
Is the dog BHOT (Breeder, Handler, Owner trained) or HOT (Handler Owner Trained)*

BHOTHOTNone of the above
Please upload a current copy of your USCA Membership Card

Cancelof
Please upload a copies of 1) of the inside of your scorebook showing dog information including chip number, registration number, etc., and 2) both pages showing the most current trial scores*

Cancelof

Owner Information (only if different than Handler)
Owner Name (if different from handler)

First NameLast Name
Owner Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner USCA Membership Number
Owner Membership Expiration

MonthDayYear
Date
Release Statement

It is understood that every dog at this event will at all times be in the care and control of the dog’s handler. It is further understood that the undersigned agrees to be fully responsible for the actions of his/her dog(s) while on the trial grounds. I agree to hold Central Valley Dog Club, as well as its members, officers, directors, and all property owners HARMLESS for loss or injury which may have allegedly been caused directly or indirectly to any person or thing by any act of my dog(s) or to my dog(s) while on the trial premises. I hereby assume all responsibility and liability for such claims. I further relinquish all claims and agree to hold Central Valley DogClub, as well as its members, officers, directors, and all property owners HARMLESS for loss or injury which may have allegedly been caused directly or indirectly to myself or my dog(s) during participation in this event.

Release Statement
Photo Release

By submitting this form you are hereby granting permission to the Central Valley Dog Club, the USCA North Western Region, the United Schutzhund Clubs of America or the event photographer to use photographs and/or video of you and/or your dog taken at this event in publications, news releases, online, and in other communications related to the mission of the USCA. Should you wish to opt out, please send an email with your name, your email address, and your dog's name to placerschutzhund@gmail.com.
Type your full name below to indicate you have read and understood and agreed with this form:*

Central Valley Dog Club Winter Trial