_________________________________________________________________
Entry Form
Name of dog:______________________________________________________
Breed:______________________________
Titles:_________________________
Sex:__________
D.O.B.:_______________
Registration #:__________________
Tattoo #:___________________________
Scorebook #:____________________
Handler's Name:_______________________
Phone #:_____________________
Address:______________________________
State:_________
Zip:________
Owner's name and address if different from Handler:_________________________
It is hereby understood that every dog at this trial will be under the direct care and control of its handler. The undersigned agrees to be fully responsible for any and all actions of their dog, including dogs owned by another but in the undersigned's care and to hold harmless all members, officers and directors of the Georgia-lina Schutzhund Club, The United Schutzhund Club of America, and any property owners associated with this event in case of accident or injury. Any and all protests will be submitted in writing to a member of the trial committee (consisting of one handler, one non-participating judge, and one "core" member) at the event only- no protests will be heard after the closing ceremonies, all decisions concerning any protests will be made by the closing ceremony, and will be final. I hereby assume all responsibilities and liabilities for myself and my dogs and agree to abide by all USA guidelines and rules.
Signature of owner or authorized agent (handler):____________________________
Title entered (Please circle)

SchH 1   SchH 2   SchH 3      entry fee: $55
TR 1   TR 2   TR 3   OB 1   OB 2   OB 3   Bh    AD  entry fee: $45
Georgia-lina Schutzhund Club Trial
February 10th & 11th, 2007
Judge: Ms. Carla Griffith
Please make checks payable to William McClure. 
Send completed forms to :Nancy Kille  3114 Goolsby Road, Blythe, Georgia 30805
Handler-Owner-Trained: yes____ no____  HOT/Breeder: yes____ no____
USA Membership # _____________________