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Bay Area Schutzhund Club Trial

Bay Area Schutzhund Club Trial

March 2-3, 2024.

Dog Entry Information

Dog Full Name *

Gender *

Male
Female

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Microchip or tattoo *

Date of Birth *

Dog's birth country

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AKC Dog Registry #

SV Dog Registry #

Other Registry #

Does Dog Have Any Working Title? *

Yes
No

Working Titles *

List all working titles here

Working Titles from FCI Organization *

GSDCA
Other

If Other, write which one *

Breed Survey Rating

Breed Survey Date

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Hip Certification Rating *

Elbow Certification Rating *

Please type an entry(title) for which your dog is applying on this trial *

Handler Name

First

Last

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Handler Phone

Handler Member #

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HOT

Yes
No

BHOT

Yes
No

Sire and Dam Information

Sire Full Name *

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Sire Registry *

Sire Reg # *

Sire KKL *

Yes
No

Dam Full Name *

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Dam Registry *

Dam Reg # *

Dam KKL *

Yes
No

Owner

Owner Name *

First

Last

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FCI Organization

If other, which one *

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Owner's Member Number

Owner address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Owner Phone # *

Owner email *

Copy of your registration will be sent to this address

Co-Owner Name if Applicable

First

Last

Breeder

Breeder Name *

First

Last

Breeder Street Address

Breeder City

Breeder Zip Code

Breeder Country *

Breeder Phone

Breeder Email

Uploading Documents

Pediree link from database

We already have pedigree file in our database. Do you want to upload new one?

Yes
No

Pedigree (must indicate dog’s tattoo/microchip number)

Click or drag files to this area to upload. You can upload up to 4 files.

Please upload required document here

Scorebook link from database

We already have Scorebook file in our database. Do you want to upload new one?

Yes
No

Scorebook issued by GSDCA, USCA, DVG, WDA, or other FCI recognized organization

Click or drag files to this area to upload. You can upload up to 4 files.

Please upload required document here

Rabies/Health Record link from database

We already have Rabies/Health Record file in our database. Do you want to upload new one?

Yes
No

Rabies/Health Record Upload

Click or drag files to this area to upload. You can upload up to 4 files.

Please upload required document here

AKC Certification link from database

We already have AKC Certification file in our database. Do you want to upload new one?

Yes
No

AKC Certification

Click or drag files to this area to upload. You can upload up to 4 files.

Please upload required document here

Proof of Microchip link from database

We already have Proof of Microchip file in our database. Do you want to upload new one?

Yes
No

Proof of Microchip or Tattoo

Click or drag files to this area to upload. You can upload up to 4 files.

Please upload required document here If not listed on the pedigree

*All dogs must be current on Rabies vaccinations. It is recommended that dogs be current on all vaccinations.

Who submit this form? *

Owner
Co-owner
Breeder
Handler
Other

Payment

TITLES

BH for members - $80.00
BH for non-members - $100.00

AD

AD for members - $80.00
AD for non-members - $100.00

IGP

IGP 1-3 for members - $125.00
IGP 1-3 for non-members - $150.00

GPR

GPR1-3 for members - $100.00
GPR1-3 for non-members - $125.00

FH

FH for members - $100.00
FH for non-members - $125.00

TR

TR1-3 for members - $100.00
TR1-3 for non-members - $125.00

OB(UPR)

OB(UPR) for members - $100.00
OB(UPR) for non-members - $125.00

Total fee

$0.00

Please enter a name who apply *

First

Last

The German Shepherd Dog Club of America, Inc (GSDCA) is not responsible for any injuries or damage suffered by persons or animals participating in this event before, during, or after the actual event. By acting as a spectator and/or participating in any capacity, I waive my right or action against GSDCA and will hold the GSDCA harmless if any action or lack of action by my dog(s) or by me results in any action against the GSDCA. Dogs not entered in the show are not allowed on the show grounds.

I am duly authorized agent to make this entry. I have read, and understand, and agree to the Liability. *

Check box to agree

Signature

Update database with this submited form?

No
Yes

After submitting the form, you will be redirected to Paypal. Login to your paypal account and make a payment to finish your entry.

All entry fees are nonrefundable.

Message

54 Guymard Tpke, Godeffroy NY 12729
+1-718-704-9429 / +1-516-852-9035
info@gsdcasv.org

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