NWK9 Canada / Malligators
French Ring Seminar and Trial Entry Form
CRA Championship - October 10th though 13th, 2002

Dog’s Registered Name:									
Dog’s Call Name:										
Seminar on   _______________ October 10th    _______________ October 11th 		
Competing at:Brevet		Ring I		Ring II			Ring III		
Scorebook #:				Tattoo #:			Breed:			
Date of Birth:					Gender:  M  or F
Handler’s Name:										
Address:											
City:				Prov/State:			PC/Zip:			
Telephone #:					Email:						
Membership #:				Club Name:					
Owner’s Name (if different from handler)							
Address:											
City:				Prov/State:			PC/Zip:			
Telephone #:					Email:						

If you are only entering the Seminar, please complete only the dog’s name and your name (and contact information), and what day(s) you will be attending the seminar.

It is understood that every dog at this event will at all times be in control by the dog’s handler.  By signing this form I agree to be held fully responsible for my dogs actions while on the trial grounds.  I agree to hold NWK9 Canada / Malligators Ring Club, its members, officers, directors, and all property owners harmless for loss or injury, which may have been directly or indirectly caused by a dog in my care at this event location.  I agree that should any loss or injury be allegedly caused to me or my dog as a direct or indirect consequence of participating in this trial, I will hold harmless NWK9 Canada / Malligators Ring Club, it’s directors, officers, and members, as well as all property owners.

Owner/Handler’s Signature:					Date:			

Seminar Fees:
Fees are for one dog; extra dog is $ 10.00 CAD per day – maximum 2 dogs per handler
$ 50.00 CADfor October 10th, only 
$ 30.00 CADfor October 11th, only 
$ 75.00 CAD for both days.
Trial Fees:
$ 75.00 CAD 
$ 50.00 CAD for same dog, second level
No Charge for Open Field

Send Forms to:	NWK9 Canada		For Further Information:
			C/o Lydia Nelles		Contact: Vince or Lydia Nelles
		420-16233 82nd Ave		email:  vlnelles@shaw.ca
		Surrey, BC  V3S 8T5		604-596-9303