Sheepvention trial - Victorian Yard Utility Farm Dog Association Inc. All rights reserved.

Name

First

Last

Phone

Email

Select Event

Membership Number

Dog 1 Name

Dog 1 Class

Open
Novice
Both O & N

Dog 1 Cost

Dog 2 Name

Dog 2 Class

Open
Novice
Both O & N

Dog 2 Cost

Dog 3 Name

Dog 3 Class

Open
Novice
Both O & N

Dog 3 Cost

Dog 4 Name

Dog 4 Class

Open
Novice
Both O & N

Dog 4 Cost

Dog 5 Name

Dog 5 Class

Open
Novice
Both O & N

Dog 5 Cost

Dog 6 Name

Dog 6 Class

Open
Novice
Both O & N

Dog 6 Cost

Risk Waiver

Your entry is considered acceptance of the following:

I enter entirely at my own risk and undertake not to make a claim against the VYUFDA members or event organiser's, for any damage or injury arising at, out of, or in connection with this trial.

I accept full responsibility for any damage or injury caused to a member of the public by myself or my dog/s.

Total

EFT Details

Account Name Josh Latty

BSB: 633 000

Account No: 143 224 970
*** Your name in remittance box

Membership Dog 6

COPRICE VICTORIAN FARM DOG CHAMPIONSHIP