BCSA Obedience Invitational - Entry Form
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REGISTERED NAME:
TITLES:
DIVISION ENTERED:
(Check One) Novice Open Utility Combined (UDX or OTCh)
AKC NO: (required to verify scores)
QUALIFYING SHOWS: 
(Must be completed for
Novice, Open or Utility
entry.)
SHOW #1: Show Name

Show Date

 Score
SHOW #2: Show Name

Show Date

 Score
SHOW #3: Show Name

Show Date

 Score
HANDLER NAME:
ADDRESS:
CITY/STATE/ZIP:

TELEPHONE:
E-MAIL:
CONFIRM E-MAIL:  
   
 

SIGNATURE: _________________________________________    DATE:

ENCLOSED:

Send check ($15 Combined | $10 Novice/Open/Utility) payable to BCSA with entry to:
Linda Koutsky - N55 W15320 Northway Dr - Menomonee Falls, WI 53051
Office Use Only: Received _______________________  Check #: _____  Verified: