Cmr Entry Form 2009 October Trial[1]

2009 Colorado Mondioring Entry Form USMRA Mondioring Trial October 31 and November 1, 2009 Saturday & Sunday MONDIORING BREVET, Level 1, 2 and 3  Sunday ($40 for 1st entry, $25 for 2nd entry, same dog, same trial) MONDIORING Obedience Only Sunday ($25 per entry)

 Saturday

 Saturday

Entry Fo rms must include fees

Ma il Entry and Fees to:

Make checks able to: CMR Closing Date: October 20, 200 9 Late Fee: Add’l $ 10.00 per e ntry

Laura Hilto n 1668 So uth Brentwo od St reet Lakewood, CO 80 232

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Questions? Contact Laura Hilton Email: [email protected] or call 720.231.5337

Please print clearly, fill in completely, one entry form per each dog Dog’s Registered Name Registration Number Breed Tattoo # Handler’s Full Name Mailing Address City / State / Zip code Phone number Email Address

DOB: Gender (circle one): Male Female Call name:

City: Cell:

State: Home:

Zip Code:

Name of Club Affiliation Score book # USMRA Member # *Handlers for each entry must provide current USMRA member number. *All dogs must have proof of current rabies vaccinations. *All entries must present an FCI recognized scorebook. * All entries must be signed below, showing agreement with the following disclosure: It is understood that every dog at this event will at all times be in the care and control of the dog's handler. It is further understood that the undersigned agrees to be fully responsible of the actions of his/her dog(s) while at this event. I agree to hold the USMRA and Colorado Mondioring Club as well as their members and officers and directors and all property owners HARMLESS for loss or injury which may have allegedly been caused directly or indirectly to any person or thing by any act of my dog(s) while on the show premises. I hereby assume all responsibility and liability for such claims. I further relinquish all claims and agree to hold these host clubs, their parent organizations, their members, officers, and directors and all property owners HARMLESS for loss and injury which may have allegedly been caused directly or indirectly to myself or my dogs(s) during participation in this event.

Signature of Handler:

Date:

2009 Colorado Mondioring Entry Form USMRA Mondioring Trial October 31 and November 1, 2009 Saturday & Sunday