Golden Valley Working Dogs Trial Entry Form

Golden Valley Working Dogs

2011 Spring Trial

Trial Entry Form

Please check the title you wish to enter:

SchH1

SchH2

SchH3

TR1	TR2	TR3
OB1	OB2	OB3
IPO1	IPO2	IPO3
Fh1	Fh2	Bh

Fees are non-refundable unless your spot can be filled.

Dog’s registered name:

D.O.B.: Tattoo #: Registration #: USA SV AKC

Mark current titles:

SchH A, 1, 2, 3 ; IPO 1, 2, 3 ; FH 1, 2; Location and Date of BH title

Scorebook #: Certified by USA? Yes NO

Handler: E-mail: Cell Phone:

Handler’s address:

Handler's USA membership number and expiration:

This event is being hosted by the Golden Valley Working Dogs, which from this point on shall be known as “the hosting club”. I understand that every dog at this event will be under the control of a designated handler or myself and that I agree to be held fully responsible for the actions of my dog(s) while on the event grounds. I further agree to hold the hosting club, its members, officers and directors, and all property owners HARMLESS for the loss or injury that may have allegedly been caused directly or indirectly to any person or thing as an act of my dog(s) or myself while on the event locations. I assume all responsibility and liability for such claims and agree to hold the hosting club, its members, officers and directors and all property owners HARMLESS for any loss or injury that may have allegedly been caused directly or indirectly to me or my dog(s) during the participation in this event.

By completing and submitting this online form, the entrant acknowledges and accepts the terms and conditions outlined above.