2019 WAE Entry Form

Working Aptitude Evaluation For Temperament Entry Form

Date: 5/18/2019 Time: 9:00 AM Dog Limit: 25Location: Evaluator: Zelda Casanova
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Phone Number *
E-mail *
Date of Birth- mm/dd/yyyy *
Registered Name of Dog *
Sex of Dog *
Call Name of Dog *
Breeder's Name *
AKC Reg # *
Sire's Name *
Dam's Name *
Owner/Co-Owner *
Name of Handler *

Make checks payable to Vita Nova Schutzhund Club and Mail to, 186 Taggert Rd, Darlington PA 1615 or send via paypal @: vitanovaschutzhundclub@gmail.com
WAE Entry Form
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WAE $ 35.00

National Catalog-(must be included with entry) uncheck if this is your 2nd entry $ 15.00

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00
If your dog passes the WAE he/she will thereby earn a Working Aptitude Certificate, copies of existing titles must be attached to this entry form if you wish them to be included on the WAE. If this evaluation completes requirements for a ROM and you have attached copies of required titles, all data will be forwarded to the ROM Secretary. Otherwise, you are responsible for sending all data to the ROM Secretary.
CONDITIONS FOR PARTICIPATION: By submiting, I acknowledge that I have read, understood, and accept the following conditions for participation in this Working Aptitude Evaluation set forth as follows: 1. I understand that this event will be conducted pursuant to the rules and regulations of the Doberman Pinscher Club of America (DPCA). I have read those rules and regulations, understand them, and agree to abide by them. 2. I accept and assume sole responsibility for my actions and the actions of the dog that I handle in this event and any dogs that I may bring to this event. I understand and agree that the DPCA, the club or group holding this event, and their agents and/or employees, including the WAE personnel, assume no responsibility for any loss, damage, or injury sustained by exhibitors, handlers, spectators, their dogs or property, as the result of my actions or the actions of any dogs that I bring to this event, and I release them from any such liability. I further understand that if I bring any children to this event, I am responsible to assure that those children are adequately supervised and controlled at all times.
3. I hereby assume the sole responsibility for, and agree to hold the host club, the DPCA, its board, officers and WAE personnel harmless from, any and all injuries, losses, damages or claims arising from my participation in this event, and to indemnify them in the event of any claim arising out of such injuries, losses, damages or claims.
4. Passing scores shall be published on www.dpca.org.
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Working Aptitude Evaluation For Temperament Entry Form

Make checks payable to Vita Nova Schutzhund Club and Mail to, 186 Taggert Rd, Darlington PA 1615 or send via paypal @: vitanovaschutzhundclub@gmail.com