2004 AMERICAN WORKING DOG CHAMPIONSHIPS
AND TEAM CHALLENGE
Entry Form
Please check the appropriate entry category:
__ IPO 3 __ IPO 2
__ IPO 1
Entry fee is $100. All entries
must be postmarked on or before March 10, 2004
Make checks payable to the AWDF
No refunds will be issued for this
event
Dog's registered name:_________________________________ Titles:______________
Breed:_____________ Date of Birth:___________ Sex:______ Tattoo
#____________
American Bred: __Yes __ No
Handler Owned & Trained: __ Yes __ No
Registration Organization: ______________________ Registration
# ______________
Scorebook Organization: _______________________ Scorebook
# ________________
Sire: ______________________________________ Titles:
______________________
Dam: _____________________________________ Titles:
______________________
AWDF Club Being Represented: ____________________________________________
Club Membership #: _________ Training Club Affiliation: _______________________
Owner: ___________________________________ Phone Number: ________________
Handler: __________________________________ Phone Number: ________________
Address: __________________________________ E-mail: _______________________
City: ___________________________________ State: ________ Zip Code:
_________
Please read carefully:
It is hereby understood that every dog at this event 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, including dogs owned
by another but in the undersigned’s care, and to hold harmless all members,
officers and directors of the American Working Dog Federation, Continental
Board and Imports, and any property owners associated with this event in
case of accident or injury. Any and all protests will be submitted in writing
to a member of the trial organizing committee at the event only. No protests
will be heard after the closing ceremony and all decisions concerning any
protests will be made by the time of the closing ceremony and shall be
final. I, the undersigned, do hereby assume all responsibility and liability
for myself and my dogs and agree to abide by all AWDF guidelines and rules.
Owner/Handler/Agent: ____________________________ Date:
____________________
Entries
must be postmarked on or before March 10, 2004
Make checks payable to: AWDF
Mail checks to:
Leslie Fried, trial secretary
107 Colony Place
Woolwich Twp, NJ 08085
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