MEMBER OF USA SINCE 1978

ENTRY FORM

 DOGS REGISTERED NAME___________________________________________________

____ MALE  _____    FEMALE     DATE OF BIRTH    ___/____/____  

WHICH DO YOU WANT TO SHOW? ____  SAT ____    SUN

DOGS TITLES: _____________________ BREED OF DOG________________    AKC REG #___________________

USA REG #__________________ TATTOO #________________    SCOREBOOK #__________________

SIRE: ______________________________________________________

DAM: _____________________________________________________

BREEDER: _________________________________________________

OWNER NAME & ADDRESS: ________________________________________________________________________

 ______________________________________________________________________________________

DAY PHONE_______________     EVENING PHONE_______________  

HANDLES NAME& ADDRESS____________________________________________________________________________________________________

_____ BH-$35        ____ SCH1-$45    ___  SCH2-$45     ____ SCH3-$45     ___ AD-$30

                                                                                                                                                           TOTAL ENCLOSED_________

BOOTH RENTAL:    $50 PER DAY

NAME OF COMPANY:_________________________________________________________________

ADDRESS & PHONE #____________________________________________

PRODUCTS TO BE SOLD: _________________________________________

DAYS OF RENTAL __________________________ TOTAL ENCLOSED________

RELEASE STATEMENT

IT IS UNDERSTOOD THAT EVERY DOG AT THIS EVENT WILL AT ALL TIMES BE IN THE CARE AND CONTROL OF THE DOGS HANDLER. IT IS FURTHER UNDERSTOOD THAT THE UNDERSIGNED AGREES TO BE FULLY RESPONSIBLE FOR THE ACTIONS OF THEIR DOG, WHILE ON THE SHOW GROUNDS. I AGREE NOT TO HOLD THE GREATER WASHINGTON, D.C. SCHUTZHUND GROUP, INC., THE UNITED SCHUTZHUND CLUBS OF AMERICA, AS WELL AS THEIR MEM­BERS, OFFICERS, DIRECTORS, AND ALL PROPERTY OWNERS HARMLESS FOR LOSS OR INJURY WHICH MAY HAVE BEEN CAUSED DIRECTLY OR INDIRECTLY TO ANY PERSON OR THING BY ANY ACT OF MY DOG (S) WHILE ON THE SHOW PREMISES.

 I HEREBY ASSUME ALL RESPONSIBILITY AND LIABILITY FOR SUCH CLAIMS. OWNER OR

AGENT________________________________ DATE__________

MAKE CHECKS PAYABLE TO GWDCSG,INC. AND SEND WITH COMPLETED ENTRY FORM TO: MANNY CALIZON, 3522 HONEY LOCUST COURT, FAIRFAX, VA 22033-1209

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