USMRA MONDIORING 3 CLUB

In order for a dog to be included in the USMRA Mondioring 3 Club, applicant must comply with all of the following: 1. At least one of the dog's Mondioring titles must have been earned at a USMRA sanctioned event in the United States. 2. Dog must not have been titled in Mondioring or any "crossover" sport, in any country, with anyone other than the owner/handler applying for admission to the MR3 Club 3. Dog must have been handled from MR1 through MR3 by the same owner/handler, OR if "crossing over" from another recognized sport, owner/handler must send in supporting documentation proving that any and all titles received were achieved with the owner/handler applying for admission to the MR3 Club. 4. Please send a photo of dog and handler with the form

Dogs that have successfully competed at the Mondioring 3 level in URMRA trials, but do not meet the above criteria are still eligible to be listed with the Mondioring 3 dogs on the USMRA website. Please complete the form and submit to the USMRA Secretary with a photo of dog and handler included.

After your accomplishments are verified, you will become part of the permanent list that is published on the USMRA website. Coming soon: Mondioring 3 Club merchandise available for purchase. Information soon to follow.

Name of Handler*

First NameLast Name

USMRA Membership Number*

Complete mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

Registered Name of Dog*

Date of Mondioring 3 Title*

MonthDayYear

Hosting Club*

Additional Hosting Club

Dogs Titles*

By signing and submitting this form, I authorize USMRA to use my photo and information on the USMRA MR3 Club Webpage

Signature:*

Date*

Date

Attachment - Please attach any documentatoin necessary to verify your accomplishments such as copies of your scorebook. Also please attach a photo of the dog and handler*

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