Utah GSD Schutzhunde Club Trial Entry Form

Utah GSD Schutzhunde Club Trial Entry Form

Please fill out all required fields to enter the trial and review the waiver before submitting. Trial Entry fee for all Levels is $150. For Non Club Members Entry Fee is $200
Trial Information
Trial Date

MonthDayYear
Date
Dog Information
Name of Dog
Sex
Breed
Registration Number
Scorebook Number
Date of Birth

MonthDayYear
Date
Microchip / Tattoo Number
Title Entered For
Title Entered For

Other
Present Titles
Breeder/Handler/Owner Trained (BHOT)?
Handler/Owner Trained (HOT)?
Handler Information
Handler Name

First NameMiddle NameLast Name
Handler Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Handler Phone
Please enter a valid phone number.Format: (000) 000-0000.
Handler Email
example@example.com
Handler Organization / Club Affiliation
Handler Membership Number
Handler Membership Expiration Date

MonthDayYear
Date
Owner Information (if different from handler)
Is the owner different from the handler?
Owner Name

First NameLast Name
Owner Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Owner Phone
Please enter a valid phone number.Format: (000) 000-0000.
Owner Email
example@example.com
Acknowledgment
I acknowledge that participation in IGP/Schutzhunde trials carries inherent risks. I release the Utah GSD Schutzhunde Club, host club, judge, and all officials from liability for injury or damages. I certify that all information provided is accurate.
Entrant Signature
Venmo Payment

Venmo handle: utah-GSD-SC
Date of Submission

MonthDayYear
Date
Should be Empty:

Utah GSD Schutzhunde Club Trial Entry Form

Trial Information

Dog Information

Title Entered For

Handler Information

Owner Information (if different from handler)

Acknowledgment

Venmo Payment