South Central Region Championship 2006

Enter Online

Entry is limited to 36 dog/handler teams.
Click here for entry form to print (MS Word 95 document)

Dog's Registered Name:

Titles:

Breed:

Sex:

Date of Birth:

Tattoo:

USA Reg#:

HOT Y/N:

Other Registry Name (AKC, SV, LOSH...):

Other Registration #:

Scorebook Issuer:

Scorebook #:

Sire:

Dam:

Handler:

Handler Phone #:

Handler Membership Org.(USA, VDH, FCI or other AWDF...):

Handler Membership #:

Handler Membership Expiry Date:

T-Shirt Size
(S, M, L, XL, XXL)

Street Address:

Email:

City:

State:

Zip:

Owner Information if different from above:

Owner:

Owner Phone #:

Owner Membership Org.(USA, VDH, FCI or other AWDF...):

Owner Membership #:

Owner Membership Expiry Date:

Owner Street Address:

Owner Email:

Owner City:

Owner State:

Owner Zip:

Titles Entered For:

SchH 1:

SchH 2:

SchH 3:

FH:

Read the following statements carefully:

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 his/her dog, including dogs owned by another but in the undersigned's care and to hold harmless all members, officers and directors of DFW Working Dogs, the United Schutzhund Clubs of America, and any property owners associated with this event in case of accident or injury. Any and all protests will be submitted in writing to the Trial Secretary at the event only. No protests will be heard after the closing ceremonies. All decisions concerning any protests will be made by the time of the closing ceremony, and will be final. By typing my name in the box below, I hereby assume all responsibilities and liabilities for myself and my dogs and agree to abide by all USA guidelines and rules. My typed name shall act as a signature.

Name:

Date:

Please send check (made payable to DFW Working Dog Club) to

Randall Hoadley, 222 Cedar Street, Duncanville, TX 75137.

Entry fees: $100

Entry fee includes free food and drinks at the Stadium, a T-Shirt and a DVD of the trial.