Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Sex *

Male

Female

Registry *

AKC

USCA

Other

HOT *

Yes

No

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Title(s)

BH VT - $75

IGP 1 - $90

IGP 2 - $90

IGP 3 - $90

IGP V - $90

GPr 1 (APr 1) - $90

GPr 2 (APr 2) - $90

GPr 3 (APr 3) - $90

FPr 1 (TR 1) - $90

FPr 2 (TR 2) - $90

FPr 3 (TR 3) - $90

UPr 1 (OB 1) - $90

UPr 2 (OB 2) - $90

UPr 3 (OB 3) - $90

CWDC Trial Guidelines *

By checking each box below, I have and agreed to the CWDC Trial Guidelines

Dogs MUST be on leash or in crates at all times. Dogs will not be allowed to be tied out

Only those dogs trialing will be allowed near/on trial field

There will be designated spectator viewing areas

This is a non-smoking club