USDAA® Official Entry Form - Keystone Agility Club |
October 10 - 11, 2009 - Closing Date: Monday, September 21, 2009 |
Return to: Helen McNenly, 2265 Sand Trap Road Jamison, PA 18929 |
Make check payable to: Keystone Agility Club |
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Dog's Call Name
USDAA #
Height at Withers
Birthdate:
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Breed
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Name
Email:
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Address
City, St/Pr/Region:
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Postal Code:
Day Phone:
Night Phone:
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| Select A Jump Height: |
Championship: 12" 16" 22" 26" |
Performance: 8" 12" 16" 22" |
| If entering classes at DIFFERENT HEIGHTS in the SAME PROGRAM, submit a separate entry form for each height class in that program. |
| Sun. Oct 11, 2009 |
Championship |
Performance |
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$0.00 |
Standard |
Masters |
Advanced |
Starters |
PIII |
PII |
PI |
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$0.00 |
Jumpers |
Masters |
Advanced |
Starters |
PIII |
PII |
PI |
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$0.00 |
Snooker |
Masters |
Advanced |
Starters |
PIII |
PII |
PI |
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$0.00 |
Tournaments |
Dog Agility Steeplechase® |
Performance Speed Jumping |
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$20.00 |
Dog Registration (if not previously registered) - ATTACH SEPARATE FORM or Register Online |
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SUB-TOTAL |
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Discount (see footnote below for terms, if any discount is offered) |
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TOTAL FEES |