Monday, June 1, 2009

2009 Canadian National Disc Dog Championships Registration Form

2009 Canadian National Disc Dog Championships
Registration Form

Competitor Name: _______________________

Contact Information: (email) _________________ (cel. phone # in case of last minute emergencies) ________________________

1) Please Enter Your Dogs Name beside Dog 1, Dog 2 etc; check off which class you wish to enter that dog in (toss/fetch or freestyle or both); and then check off which division you wish to enter the dog in.

2) Print out this completed form and send with a chq. payable to Jackie Parkin, 1625 Norfolk County Road 19 East, RR 1, Wilsonville, Ontario, N0E-1Z0

OR

3) Copy/Paste this completed form and email it to besslin@sympatico.ca & pay your entry fees online

Fee Schedule is at the bottom of this page
*****************************************

Dog 1 > Name: ______________

Class Entered:
Toss/Fetch ___
Freestyle ___

Division Entered:
Novice A ___ Novice B ___
Open ___ Youth ___
Veterans ___ MicroDog ___
MicroMini Dog ___
Tether Class ___

******************************

Dog 2 > Name: ______________

Class Entered:
Toss/Fetch ___
Freestyle ___

Division Entered:
Novice A ___ Novice B ___
Open ___ Youth ___
Veterans ___ MicroDog ___
MicroMini Dog ___
Tether Class ___
******************************

Dog 3 > Name: ______________

Class Entered:
Toss/Fetch ___
Freestyle ___

Division Entered:
Novice A ___ Novice B ___
Open ___ Youth ___
Veterans ___ MicroDog ___
MicroMini Dog ___
Tether Class ___
******************************

Dog 4 > Name: ______________

Class Entered:
Toss/Fetch ___
Freestyle ___

Division Entered:
Novice A ___ Novice B ___
Open ___ Youth ___
Veterans ___ MicroDog ___
MicroMini Dog ___
Tether Class ___
******************************

Dog 5 > Name: ______________

Class Entered:
Toss/Fetch ___
Freestyle ___

Division Entered:
Novice A ___ Novice B ___
Open ___ Youth ___
Veterans ___ MicroDog ___
MicroMini Dog ___
Tether Class ___
******************************

Dog 6 > Name: ______________

Class Entered:
Toss/Fetch ___
Freestyle ___

Division Entered:
Novice A ___ Novice B ___
Open ___ Youth ___
Veterans ___ MicroDog ___
MicroMini Dog ____
Tether Class ____
**********************************
Fee Schedule:
SODH, ADDCO, YFDDC, MADDog members
Dog 1 = $15 for first class entered & $10 for subsequent classes entered
Dog 2 = $10 for first class entered & $5 for subsequent classes entered
All Subseqent Dogs = $5 per dog per class entered

Non-Members
Dog 1 = $20 for first class entered & $15 for subsequent classes entered
Dog 2 = $15 for first class entered & $10 for subsequent classes entered
Dog 3 = $10 for first class entered & $5 for subsequent classes entered
All Subsequent Dogs = $5 per dog per class entered

To Pay Online Click Here