BCSA Herding Instinct Testing - Entry Form
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NOTE: ENTER INFORMATION BELOW AS YOU WOULD LIKE
 FOR IT TO APPEAR ON CERTIFICATE
OWNER(S):
ADDRESS:
CITY/STATE/ZIP:

TELEPHONE:

E-MAIL:   
CONFIRM E-MAIL:
REGISTERED NAME:
REGISTRATION NO:
CALL NAME:
INDICATE WHICH TIMES
YOU WOULD BE
AVAILABLE ON FRIDAY:
8:00-9:00 9:00-10:00 10:00-11:00 11:00-12:00
1:00-2:00 3:00-4:00 4:00-5:00  

 

SIGNATURE: _________________________________________    DATE:

ENCLOSED:

Send check ($25 per dog and $10 per rescue dog) payable to BCSA with entry to:
Kathy Flynn
- 6701 County 9 Blvd - Cannon Falls, MN 55009-5413

Office Use Only: Received _______________________  Check #: _____