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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