EVENT REGISTRATION

WDCH EVENT REGISTRATION

Event Date

Event Type

Handler Information:

First Name

Last Name

Owner is same as Handler.

Address

City/State

Email

Phone

Zip Code

Organization

Organization Other

Membership #

Expiration

Scorebook Number

Dog Information

Registered Name

Sex

Bitch

Dog

Sire & Title

Dam & Title

Date of Birth

Tattoo # / Microchip #

Breed

Registration #

Registered With

Registered Other

Club Name

Level

BH

IGP 1

IGP 2

IGP 3

Check your requsted level:

UPr 1 (OB1)

UPr 2 (OB 2)

UPr 3 (OB 3)

FPr 1 (TR 1)

FPr 2 (TR 2)

FPr 3 (TR 3)

Date BH title earned

Participation Type

Audit Spot

I would like to attend on:

Friday

Saturday

Sunday

Comments

I understand that my entry or event registration is not complete until payment is received in full.

Your entry has been submitted!

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