Circle Title Desired:**SchH 1**SchH 2**SchH 3**BH**OB1**OB2**OB3**TR1**TR2**TR3
Tracking-Only Titles are available only as space permits**Circle Day Preference:**********Saturday**********
Dog's Name:____________________________________________________Tatoo#:____________________
Titles:_____________________________________________Scorebook #:____________________________
Handler/Owner Trained?(circle)*****YES*****NO**Date/Club BH earned:______________
Date Whelped:____________________Registration#:_____________________________________________
Breed:___________________________Gender: (circle)*****Male*****Female
Owner Name:______________________________________________________________________________
Owner Address:____________________________________________________________________________
Owner Phone:_________________________________Owner Email:__________________________________
Handler Name: (If different than owner)__________________________________________________________
Handler Address:___________________________________________________________________________
Handler Phone:________________________________Handler Email:_________________________________
USA/DVG/AWDF Member #: ___________________ Exp. Date: _________________________
**ALL COMPETITIORS MEET PROMPTLY AT 0630 HRS. AT THE CLUB GROUNDS, WITH SCOREBOOK**
ENTRIES MAILED AFTER AUGUST 19,2005, please add $5 LATE FEE.
FEES: SchH 1, 2, 3..............$50/Companion "BH"...............$45
It is understood that every dog on the training grounds will be, at all times, in the care and control of the dog's owner/handler. It is further understood that the undersigned agrees to be fully responsible for the actions of the dog while on the training grounds. I agree to release the Club,its Officers, and Members, and the Property Owners of the training or show grounds from any loss, injury, or accident which may occur to myself or my dog while attending this function.
Signature of Owner/Handler:___________________________________________________________________
Print Name:___________________________________________________________________
We provide this form for your convenience. If you wish to enter our upcoming trial, please print the form, fill it out, and contact us for the address to which you should send your entry and fee.