UK9BG PSA CLUB TRIAL REGISTRATION “RUMBLE IN THE ROCKIES XI” July 26th-28th, 2024
Please fill out the form to register to our event. Friday will be PDC’s ONLY Saturday and Sunday will be reserved for PSA Levels 1-3 Please note ALL fields must be filled in. We will notify you by email once we’ve received your form to let you know if you have a spot at our trial. Once you get an email from us confirming you have a spot in our trial, trial fees MUST be paid to hold your spot. If not paid your spot will be given to the next person on the waitlist. THERE WILL BE NO REFUNDS
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
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-
Area Code
Phone Number
K9’s Name, Breed and Age
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List any Certificates or Titles that your K9 has earned
PSA Membership Number and Expiry
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OWNER TRAINED
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YES
NO
In order to compete your dog needs a SCOREBOOK Do you have this?
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YES
NO
If you need to purchase one at the trial it is $60 USD
FRIDAY July 26th, 2024 Please Select Division
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PDC SLEEVE DIVISION $100
PDC SUIT DIVISION $100
NO ENTRY
SATURDAY July 27th, 2024 Please Select Division
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PSA LEVEL 1 $100
PSA LEVEL 2 $100
NO ENTRY
PSA LEVEL 3 $100
SUNDAY July 28th, 2024. Please Select Division
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PSA LEVEL 1 $100
PSA LEVEL 2 $100
PSA LEVEL 3 $100
NO ENTRY
RELEASE: It is the understanding that the above handler / dog team are entering this trial AT THEIR OWN RISK. I understand that serious accidents can and do occur during dog training, competitions and other dog related events / activities. I am assuming all risk, liabilities and responsibilities and will hold harmless PSA K9, UK9BG PSA CLUB, ULTIMATE K9 BODYGUARDS, their agents, partners, employees, sponsors from ANY AND ALL liability arising from this dog-related event and practice training while at Ultimate K9 Bodyguards I also agree to hold harmless any of the above mentioned from any property damage, theft, death or personal injury to my dog or myself. I also agree to have complete control over myself and my dog(s) at all times. By signing this entry form I acknowledge that I have read and understood the trial waiver and read and understand all PSA rules that govern trials. There will be NO REFUNDS given to any handler that has been ejected OR chooses to withdraw from this trial for any reason. In addition, by signing this release I give consent to any representative of PSA or Ultimate K9 Bodyguards, UK9BG PSA CLUB to take pictures of events and any activities surrounding the events. Further by submitting this form, I release any rights to the sale, posting or distribution of any pictures taken by UK9BG and waive any right to remuneration or compensation for any picture taken or sold of the events in question.
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If you have any questions, please text Tammy Thankachen at 403-690-9282 or by email UK9BGPSAClub@hotmail.com Thank you!
Please send Payment by ETRANSFER to UK9BGPSAClub@hotmail.com
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