Official Entry Form       entry #________ 
NADAC/ASCA Trial May 12-13, 2001 
Use a separate entry form and general agreement for each dog. 
We must receive your entry form by 6 P.M., Friday, April 27, 2001
Make fees payable to:    MILE HIGH AGILITY CLUB
c/o Gretchen Olson  10347 W. Camden Sun City, AZ 85351-4434
[email protected] 
If you use overnight or express mail, you must specify No Signature Required
Hosted by:  Mile HIgh Agility Club & Northern Arizona Australian Shepherd Assoc.
  

NADAC # (req'd)______________________________

ASCA# (opt'l)_______________________________

or: ____Pending (send Reg Form to NADAC)

Height at Withers 
Standard Jump Height:  
 8"   12"   16"   20"   24"
 
Veteran/Junior Jump Height: 
  4"    8"    12"   16"     20"
Dog's Reg'd Name (for ASCA certificates)
Call Name  Sex  Breed  Birth Date 
Owner's Name
E-mail  Handler
Address  Phone 
City  State  Zip 

 

Class Entered Standard Veteran Junior Novice Open Elite Sat Sun
Regular Run 1       A B        
Regular Run 2       A B        
Gamblers      NA       NA  
Jumpers Run 1               NA
Jumpers Run 2               NA

All runs are $9. each. Full wkend pkg (7runs) @ $60, add'l dog's wkend pkg @ $55, Jr. Handler pkg (4 reg/2 jmpr) @ $50

Novice Regular entries: please indicate if you are a Nov A or Nov B handler. TOTAL ENTRY FEE:____________

_____Yes, I can help (please fill out work preference information on General Agreement). ____No, I cannot help at this trial.
For this entry to be valid you MUST read and sign a General Agreement and attach it to this form.