Schenectady Dog Training Club Obedience, Rally-O, Agility Match Registration

Event Date:   Thursday, Dec. 10, 2009
Time:            5:30 P.M. First dog on line
Location:      SDTC ~ 823 Gower Rd. Scotia, NY
Contact:        Program Director, Ann Benjamin
E:mail:          sashaeskimo@yahoo.com
Cost:            $5.00 due to be paid day of event.
Amt. Paid:     ______

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RALLY REGISTRATION FORM: 

DATE:  ___________________________________________________

YOUR NAME _____________________________________________

YOUR E-MAIL ____________________________________________

DOG’S NAME _____________________________________________

BREED: ___________________________________________________

RALLY

EXCELLENT ______ JUMP HEIGHT _________

ADVANCED ______ JUMP HEIGHT _________

NOVICE ______

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I CERTIFY that I am the registered owner(s) of the dog or that I am the authorized agent of the owner(s) whose name(s) I have entered above and accept full responsibility for all statements made in this entry. In consideration of the acceptance of this entry, I (we) agree to be bound by the rules and regulations of the SDTC and by additional rules and regulations.