Piedmont Schutzhund Club

Entry Form

*Entry fees payable by PayPal to midgie1007@yahoo.com. Send fees with the ‘Friends and Family’ option to avoid fees.

You may also mail your entry fees to (Check payable to Richard Shook):

Richard Shook

3092 Catawba St

Claremont, NC 28610

Entry form is for the upcoming trial:

December 6-8, 2019

CLUB TRIAL

JUDGE: Vadim Plotsker - USCA
TITLES OFFERED
IPO 1-3, IGP 1-3, GPR 1-3, FPr 1-3 (TR 1-3), UPr 1-3 (OB 1-3), FH-V, IFH, IFH2, IGP FH, IGP V, AD, BH VT, STp 1-3

Name *
Name
Address
Address
Phone
Phone
Sex *
Registry *
HOT *
Address 1
Address 1
Title(s)