SWDC (WDA) TRIAL ENTRY FORM

SEAGOVILLE WORKING DOG CLUB

Trial Date: Saturday, Dec 12th, with  FH only on Sunday Dec 13, 2009

Trial Hours 8:00am – 5pm                  Entry Deadline: Dec 7, 2009

GSDCA-WDA JUDGE: Joe Tacket      Helpers: C. Webber and/or A. Ayala

OFFERED: BH – OB 1-3 – TR 1-3 – SCH A – SCH 1-3 - IPO 1-3 (with FH (on Sunday)

Location: SWDC training grounds @ Lake Simonds Park      Tracking: grass/natural terrain

 

Dog’s Registered Name: ___________________________________________________________________________________________________ Breed:______________________________ Class you are entering in:________________________________________________________________

 

SV, AKC or FCI recognized Registration #: ____________________________________________________

(Note: USCA registration numbers are not acceptable)

 

Sex: _________ Tattoo #:_______________________ Scorebook #: _____________ Current Titles: ________________________________________

 

Sire:________________________________________________________________________________________

 

Dam:_______________________________________________________________________________________

 

Owner Name: _____________________________________________________________________________________________

WDA Membership #: ___________

 

Address: ________________________________________________________________________________________________________________

 

Phone: __________________________________________ Email: __________________________________________________________________

 

Handler Name: ____________________________________________________________________________________________

WDA Member #: _______________

 

Address: _______________________________________________________________________________________________________­­­­­­­­­­­­­­­_______

Phone: __________________________________________ Email: ________________________________________________________________

 

Please enter my dog in the following classes:  Total amount enclosed $____________

 

‫ BH $75     ‫ SchHA $75     ‫ SchH1/IPO $75     ‫ SchH2/IPO $75     ‫ SchH3/IPO $75    ‫ OB1-3 $75     ‫ TR 1-3  $75    ‫ FH  $75   
Junior Handler entry fee: $25 (all classes)

 

Electric shock collars are strictly forbidden at all GSDCA-WDA events and on all GSDCA-WDA event grounds

 

RELEASE STATEMENT.  It is understood that every dog at this event will at all times be in the care and control of the dog’s owner or handler.  It is further understood that the undersigned agrees to be fully responsible for the actions of his/her dog(s) while on the event grounds.  I agree to hold HARMLESS the event-giving club, the German Shepherd Dog Club of America, the German Shepherd Dog Club of America-Working Dog Association, as well as their members and officers and directors and all property owners for the loss or injury which may have allegedly been caused directly or indirectly to any person or thing by any act of my dog while on the event premises.  I hereby assume all responsibility and liability for such claims.  I further relinquish all claims and agree to hold HARMLESS the event-giving club, the German Shepherd dog Club of America, the German Shepherd Dog Club of America-Working Dog Association, their members, officers and directors and all property owners for loss and/or injury which may have allegedly been caused directly or indirectly to myself or my dog during participation in this event.

 

WAIVER OF LIABIITY.  I indemnify and hold harmless the German Shepherd Dog Club of America-Working Dog Association, Inc. and the German Shepherd Dog Club of America, Inc., their members, board of directors, officers, agents, employees, instructors, and staff members from any and all claims, demands, actions, causes of action or liability of any kind whatsoever, for death, bodily injury or property damage caused in whole or in part by our acts, omissions and/or negligence, the acts, omissions and/or negligence of any of our agents, servants, employees or assigns, or brought onto the premises by us, our agents, servants, employees or assigns.

 

The right of indemnification granted above, will exist irrespective of whether the acts, omissions and/or negligence of the German Shepherd Dog Club of America-Working Dog Association, Inc. and/or the German Shepherd Dog Club of America, Inc. or the acts, omissions and or negligence of any third person or party, also contributed to the loss and will exist as set forth above in all circumstances except where the loss was caused solely as a result of the negligence of the German Shepherd Dog Club of America-Working Dog Association, Inc. and/or the German Shepherd Dog Club of America, Inc.

 

I have read and understand and agree to the foregoing RELEASE STATEMENT and WAIVER OF LIABILITY

 

 

Signature: ___________________________________________ Printed name: ________________________________________ Date:__________________________

 

You must enclose copies of the dog’s registration, pedigree and scorebook with this entry.

The original documents must be presented to the Trial Secretary at check-in.

INCOMPLETE ENTRIES, ENTRIES THAT ARE NOT SIGNED, AND ENTRIES WITHOUT PROPER DOCUMENTATION

WILL NOT BE ACCEPTED

FMI: ((903)) 356-4789

Mail completed entries, fees, and copies of the required documents to:

SWDC, PO BOX 607, MIDLOTHIAN, TX 76065 

Entries that are not received on or before the event deadline dates will not be accepted.