Herding Entry Form
 
Dates:  September 29th, 2008
Sponsor:  Samoyed Club of America
Location: Reality Canine Center, Cameron, MO
 
ONE OR TWO  ENTRIES CAN BE SHOWN ON ONE FORM -
PLEASE MARK AM or PM.        
 I AM ENTERING THE MONDAY NOVICE WEIGHT PULL
 
Monday AM     Monday PM   
Dogs Call Name:
Dog's Registered Name:
Color:
Breed:
Sex:   Registry & # : 
Sire:
Dam:
Birthdate:
Breeder:
Name of Owner:
Phone:
Address:
City: State:   Zip:
E-mail:
Check One:     HCT              JHD
Check One:     First Leg       Second Leg
Entry Fees:   $35 per dog per run
Number of Runs:  X $35  =   Total
  I have read and agree to the terms of the
AGREEMENT TO HOLD HARMLESS, WAIVER
AND ASSUMPTION ON RISK
(Must be checked to allow submission)
Name of Person accepting agreement:
Make check payable to: SCA 08

Send check to:
SCA -  Herding
5046 E Grant
Fresno, CA  93727
 


Samoyed Club of America National Specialty --  September 20 - 25, 2004