Text Box:                                               Official Entry Form - Fall Trial      September 9 & 10, 2006 GSSCC Judge, Frank Mensing                                                                                                                                                                                                               

Circle the desired title and amount:

        BH: $50         SchH1 / SchH2 / SchH3: $60    OB 1 / 2 / 3 or TR 1 / 2 / 3: $50

Registered Name of Dog:_________________________ Call name: ____________________

Titles:___________________     Breed:____________________ Sex:___ DOB :____________

Reg. #:__________  Tattoo#:__________ Score Book #:_________ GSSCC #:______________

Sire:______________________________________________ Titles:_______________________

Dam:_____________________________________________ Titles:_______________________

Breeder:_______________________________________________________________________

Owner: _________________________________Handler:_________________________________

Owner address: _________________________________________________________________

Phone #:_______________________________ Email:__________________________________

Text Box: Please make cheques payable to the Toronto Schutzhund Club - forward payment and completed entry form (before entry deadline of Sept 1' 06) to : Susan Stragapete, 52 Dixon Rd., Toronto Ontario, M9P 2L3 *Please note registration will be accepted on a first come first paid basis; individual title entries will be accommodated only if space allows (SchH title entries take priority)* I enter the above said trial at my own risk and understand that by signing this document I hereby agree to indemnify and save harmless the Toronto Schutzhund Club, it's members, directors and agents; the owner's of the trial grounds, the event and all persons affiliated with this event. ______________________________________      ________                                                      Signature                                                          Date