Novice Puppy, Biathlon, Triathlon $7.00
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| Non-Regular & Non-LicensedClasses Entry Form���������������������������������������������������� | |||||||||||||||||||||||||||||||
| Please print or type all information. | |||||||||||||||||||||||||||||||
| UNITED BELGIAN SHEPHERD DOG ASSOCIATION National Specialty | |||||||||||||||||||||||||||||||
| October 4-7, 2007���������������� Entries close September 8, 2007 . Pre-entry only | |||||||||||||||||||||||||||||||
| Entry fees:� ������� Altered, Brood Bitch, Sweepstakes, Stud Dog, $17.00 Novice Puppy, Biathlon, Triathlon $7.00 |
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| Make checks payable to "UBSDA" | |||||||||||||||||||||||||||||||
| Mail to: National Specialty Show Treasurer, Nikki Swap, 10447 Mountain View Road, Dexter, MI 48130 | |||||||||||||||||||||||||||||||
| Breed of Dog : BSD�� ����������������������������� Variety (circle):�� Groenendael���� Laekenois���� Malinois��� Tervuren | |||||||||||||||||||||||||||||||
| Dog's Name _____________________________________________________________________________ | |||||||||||||||||||||||||||||||
| Date of Birth _______________________ Sex ______________� | |||||||||||||||||||||||||||||||
| Dog's� UKC Permanent reg.#��� � UKC TL #� UKC LP #: _________________________________ | |||||||||||||||||||||||||||||||
| Sire ____________________________________________________________________________________ | |||||||||||||||||||||||||||||||
| Dam ___________________________________________________________________________________ | |||||||||||||||||||||||||||||||
| Breeder(s)_______________________________________________________________________________ | |||||||||||||||||||||||||||||||
| Owner(s) ________________________________________________________________________________ | |||||||||||||||||||||||||||||||
| Address of owner _________________________________________________________________________ | |||||||||||||||||||||||||||||||
| City_______________________________________________State ________� Zip ____________________ | |||||||||||||||||||||||||||||||
| Telephone (day) _________________________________ (evening) _________________________________ | |||||||||||||||||||||||||||||||
| E-mail _________________________________________� Total entry fee ____________________________ | |||||||||||||||||||||||||||||||
| Handler's name (if different) _________________________________________________________________ | |||||||||||||||||||||||||||||||
| CLASSES ENTERED (Circle class) | |||||||||||||||||||||||||||||||
| Sweepstakes | |||||||||||||||||||||||||||||||
| ��������������� Youth:�� 6 to under 9 mo.���� 9 to under12 mo.��� 12 to under18 mo.������ 18 to under24 mo. | |||||||||||||||||||||||||||||||
| ��������������� Elder:���� 8 to under 10 yrs.��� 10 to under 12 yrs.���� 12 to under 14 yrs.��� ���������� Over 14 yrs. | |||||||||||||||||||||||||||||||
| ��������������� Working*:��� Level 1��� ����� Level 2�������� Level 3�������� Level 4 | |||||||||||||||||||||||||||||||
| ��������������� *Photocopies of certificates and/or score books of all titles required for class/eligibility must be�submitted along with the entry form | |||||||||||||||||||||||||||||||
| Non-Regular Classes | |||||||||||||||||||||||||||||||
| Altered Class��� ��������������Stud Dog� ��������� �����Brood Bitch� ������������������������Novice Puppy | |||||||||||||||||||||||||||||||
| Biathlon To compete in the Biathlon a dog must be entered in 2 events, conformation and agility or obedience | |||||||||||||||||||||||||||||||
| Triathlon To compete in the Triathlon a dog must be entered in 3 events, conformation, agility and obedience | |||||||||||||||||||||||||||||||
| � I hereby agree to waive any claim, action, or lawsuit, and further agree to indemnify and hold UBSDA and any approved UBSDA Judge harmless from any claims, actions, or lawsuits resulting from my participation in this event, and any action, decision, or judgment made by any UBSDA representative or approved Judge under the rules and regulations governing this event.� I swear that this dog is not being handled by a professional handler. | |||||||||||||||||||||||||||||||
| �Signature of owner/handler _____________________________________ Date _________________ | |||||||||||||||||||||||||||||||