Midwest Working Dog Association
This trial is open to all breeds
Circle desired events
|
IPO 1/ VPG1 |
IPO2/VPG 2 |
IPO 3/VPG 3 |
FH 1 |
FH 2 |
! BH |
|
Tracking 1 |
Tracking 2 |
Tracking 3 |
Obed 1 |
Obed 2 |
! Obed 3 |
|
Dog's Registered Name |
Titles |
HOT? yes no |
|
|
Reg. #: AKC/FCI/Other
|
Country |
Sex |
Date of Birth |
|
Breed |
Tattoo or microchip #: |
Scorebook # and type |
Country |
|
Sire |
Reg #: |
||
|
Dam |
Reg #: |
||
|
Owner's Name |
Phone |
||
|
Handler's Name, AWDF/DVG member club affiliation, and membership #
|
|||
|
Address |
|||
|
City/State/ZIP Code |
|||
|
email address |
|||
|
Day Phone |
Evening Phone |
||
|
|
|
|
|
In order to be eligible to enter, participants must have an AWDF/DVG recognized scorebook, or post a $50 scorebook bond. The bond will be refunded if the handler presents the scorebook to the trial secretary within 48 hr of the completion of the trial.
LIABILITY STATEMENT
It is understood by the owner/handler that every dog at this event shall at all times be in the care, control and custody of the owner/handler. The undersigned agrees to be fully responsible for the actions of his/her dog(s) at all times while on the trial grounds. It is further understood that the undersigned owner/handler agrees to indemnify and hold harmless the Midwest Working Dog Association Club, its members, its officers and directors, All State Insurance, and all property owners from all liability, claims, and causes of action which he/she may have arising from participation in this event.
I hereby assume all responsibility and liability for my dog(s) while on the show premises. I agree to hold harmless property owner (Waine Singleton), Midwest Working Dog Association Club, its members or agents for any act committed by this dog or any other dog in my possession.
Signature________________________________________________
Date__________________________________
Please print, fill out and mail the registration form, together with fees, to:
Waine Singleton
4902 Mulberry Ave
St. Anne, Il
60964
Make checks payable to:
Waine Singleton
FEES
IPO/VPG 1, 2, 3 — $60 pre-entry / $70 day of trial
BH & AD — $50 pre-entry / $60 day of trial
Tracking 1, 2 & 3; Obedience 1, 2 & 3; Protection 1, 2, & 3 — $50 pre-entry / $60 day of trial
COMBINATION BH & IPO/VPGH — $100 / $110 day of trial
COMBINATION OB & TR & or Protection — $90 / $100 day of trial
Pre-entries, including payment, must be received by November 14, 2008.
No refunds after entries close.
FOR MORE INFORMATION:
Waine Singleton 708/257/9246 or waine@sweetcornkennels.com