Janet E Larson Versatile BC
Award - Entry Form Type your information in the
fields below then select the "print" option on your browser.
Maximize page for easier entry.
OWNER(S):
ADDRESS:
CITY/STATE/ZIP:
TELEPHONE:
E-MAIL:
REGISTERED
NAME:
CALL NAME/SEX:
Dog
Bitch
VENUES
AND
CLASSES
ENTERED:
Agility
- Classes:
Agility
Preferred - Classes:
Conformation
- Classes:
Herding - Classes:
Obedience - Classes:
Tracking - NOT OFFERED 2012:
AMOUNT
ENCLOSED:
Fee $10
PAYMENT
METHOD:
Check US Mail to BCSA Treasurer,
4729 Old Highgate Entry, Stone Mountain GA 30083
Credit
Payment (print form and then click Shopping
Cart)
You MUST be
pre-registered to be eligible! Mail entry to:
Lisa Pruka, 10321 Harrison Rd, Rockton IL 61072 Mail $10 entry fee payable to BCSA to: BCSA Treasurer, 4729 Old Highgate
Entry, Stone Mountain GA 30083 ENTRY DEADLINE September 19