All Canine June 2017 Trial
Name
*
First Name
Last Name
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Dog's Registered Name
*
Dog's Call Name
*
Breed
*
Gender
*
Male
Female
Registration #
*
i.e AKC DN123456
Scorebook #
*
Tattoo/Microchip #
*
Handler's AWDF Club Membership #
*
Sire's Name
*
Dam's Name
*
Title
*
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( X )
BH
$
80.00
IPO 1
$
100.00
IPO 2
$
100.00
IPO 3
$
100.00
FH
$
100.00
FH 2
$
100.00
APr 1
$
100.00
APr 2
$
100.00
APr 3
$
100.00
FPr 1
$
80.00
FPr 2
$
80.00
FPr 3
$
80.00
UPr 1
$
80.00
UPr 2
$
80.00
UPr 3
$
80.00
SPr 1
$
80.00
SPr 2
$
80.00
SPr 3
$
80.00
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