Carolina Hundesport   
Schutzhund Training and more...
Trial Entry Form

Carolina Hundesport

24-25 Oct 09 trial with Randell Hoadley

Please indicate what title you will be seeking:

 

All Schultzhund titles are $50.00.  All other titles are $35.00

A USA or foreign scorebook certified by USA is required for the entry along with the membership card.

Handler USA Membership Number___________________ Expiration Date_________________________

Hot- Yes  /  No

 

Owner USA Membership Number____________________ Expiration Date________________________

 

Make check payable to:  Carolina Hundesport

Mail entries to:                  Liz King – cowcutterk@yahoo.com

Or e-mail                             6651 Parkton RD.                

                                              Parkton, NC 28371

Info call                                Liz- (910-858-2141)  or Jay (919-801-0104)

                                            

                                                                    (PLEASE PRINT)

 

Dog’s Registered Name: _____________________________________________________

 

Breed: ________________________Sex:_________________Date of Birth____________

 

Registry:___________________Registration:____________________Tatto:____________

 

Handler:____________________________________phone:________________________

 

Address:_________________________________________________________________

 

City;__________________________________State:_______________Zip:_____________

 

Owner(s):___________________________________phone:________________________

 

Address:___________________________________________________________________

 

City:__________________________________State:_______________ZIP:______________

 

 

Carolina Hundesport

24-25 Oct 09 trial with Randell Hoadley

 

 

Please read the following statement: Must be signed before competing.

 

 It is hereby understood that every dog at this trial will be under the direct care and control of its handler. The undersigned  agrees to be fully responsible for any and all actions of their dog(s), including dogs owned by another, but in the care of the undersigned’s  and to hold harmless all members, officers and directors of Carolina Hundesport Schutzhund Club and any property owners associated with this event in case of accident or injury.

I herby assume all responsibilities and liabilities for my dog(s) and myself and agree to abide by all USA guidelines and rules.

 

 

Signature of Owner/Handler:___________________________Date:______________

 

 

 

 

 

 

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