TEAM TRUE HAUS, SERVICE DOGS OF AMERICA
__________________________________________________________________________________________________ TRIAL DATE : Nov 6, 2010 8:00 AM SIGN UP 9:00 AM START TIME LOCATION: TRUE HAUS KENNELS 2280 Louis Ave Oroville, Ca. 95966 JUDGE: TBA ENRTY CLOSING DATE: Oct. 23, 2010 Entries will be accepted up to 9:00 am on day of trialif their is space available, however, there will be a $20 convenience fee added for any entry form and/or fee postmarked and/or submitted after the closing date. Enrties will be limited to 25. ____________________________________________________________________________________________________ Mail entry with fee to : Cindy Reed 2280 Louis Ave Oroville, Ca 95966 Make checks payable to “Cindy Reed” ____________________________________________________________________________________________________ DOG’S FULL REGISTERED NAME:______________________________________________________________________ DOG’S CALL NAME (if different):__________________________________________________________________ DOG’S SDA REGISTRATION NUMBER ___________________________________________________________________ BREED:___________________________________SEX:________ COAT COLOR_________________________________ DATE OF BIRTH: ____________________ CURRENT TITTLE/DEGREE(S): _______________________________________________________________________ SIRE’S NAME: ____________________________________________________________________________________ DAM’S NAME: _____________________________________________________________________________________ _____________________________________________________________________________________________________ OWNER NAME: ___________________________________ HANDLER NAME:____________________________________ OWNER’S ADDERSS: ________________________________________________________________________________ CITY/STATE/ZIP: _________________________________________________________________________________ TELEPHONE : ____________________________________________ EMAIL: _________________________________ _____________________________________________________________________________________________________ EVENTS ENTERED (circle applicable): FO, OB1, OB2, OB3, PA, P1, P2, P3, PD1, PD2 AGREEMENT: I (we) the undersigned and all those who accompany me (us) hereby agree to wave and release the Service Dogs of America, Team True Haus, it’s employees, officers, members, agents, all property owners of said event from any and all liability of any nature for loss, injury, or damage with I (we) or my dog(s) may suffer, while in or upon event grounds or near any entrance thereto for myself and all those that accompany me to this event. OWNER/HANDLER SIGNATURE:____________________________________ DATE:____________


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 james@truehaus.com
Cindy Reed
2280 Luois Ave
Oroville, Ca
530-534-5678