Schnauzerfest 2009 IPO Trial Entry Form by uxe11155

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									                                 Schnauzerfest 2009 IPO Trial Entry Form
                                  Fri- Sat October 9 & 10 Ventura, California / Judge: Herr Ralf Achilles
                                                    Entries close September 11, 2009
                          Entries received before September 1, 2009 will be printed in the Schnauzerfest catalog

                                                              (Please fill out one application for each dog entered)


Name of Dog________________________________________________________D.O.B_____/____/_____

Current degrees_______________________________Sex: M / F                                                 Registration #_____________________________

Tattoo #_____________________________________Microchip #_____________________________________________

Registration Type: (circle one ) WRSF PSK USA SV AKC                                              Other_______________________________________

Scorebook Type:             (circle one) WRSF PSK SV USA AWDF                                     Other___________________#____________________

                       Entry (Please Circle One) BH AD OB1 OB2 OB3 Tr1 Tr2 Tr3 (Fee: $50.00)
                                              IPO1 IPO2 IPO3 (Entry Fee: $75.00)

Name of Handler______________________________________________________________________

Address____________________________________________________________________________________________

Phone #________________________ Email_______________________________________________________________

Club Affiliation__________________________________________________Member # (if any)_________________________

Name of Owner_________________________________________________________
                                                                                                                             Hosted by:
Address________________________________________________________________

Phone #________________________ Email___________________________________

Club Affiliation_____________________________________Member #______________

Name of Co-Owner_______________________________________________________

Address________________________________________________________________

Phone #________________________ Email___________________________________

Club Affiliation_____________________________________Member #______________

I understand that this event will be conducted pursuant to the current rules and regulations administrated by the WorkingRiesenschnauzer Federation. I agree to
abide by these rules and regulations. I understand and agree to be fully responsible for theaction of said dog and any and all dogs that I bring to this event. I agree to
indemnify and hold harmless the Working Riesenschnauzer federation, property owners, and any other persons sponsoring this event, for loss or injury by my
actions or theactions of my dog(s) either directly or indirectly, to any person or thing. I agree to assume all responsibilities and/or liability fromany claim arising out of
such conduct.


Authorized Agent/ Owner______________________________________Date:___/___/___ Phone #_________________

                                            Mail Entry and Check (payable to WRSF)
                       Chantal Philipona Young 4220 Paradise Drive Tiburon, CA, 94920 Tel: 415-435-4419

								
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