BCSA Rescue Parade - Entry Form
Type your information in the
fields below then select the "print" option on your browser.
Maximize page for easier entry.
|
|
BCSA Rescue Parade - Entry Form |
|
|
|
| OWNER: | |
| ADDRESS: | |
| CITY/STATE/ZIP: | |
|
TELEPHONE: |
|
| E-MAIL: | |
| CONFIRM E-MAIL: | |
| ACQUIRED FROM: | |
| CALL NAME/SEX: | Dog Bitch |
| ATTACH: |
Please attach a brief description with answers to the following questions: Describe the dog's condition (mental and physical) when rescued. Describe all problems that this dog has had to overcome. Describe how this dog is now spending his life (include all accomplishments). Please share any other information that you feel is pertinent to this dog's story. |
|
|
|
|
SIGNATURE: _________________________________________ DATE: |
|
ENCLOSED: ENTRY DEADLINE: 9/15/05 |
|
Send $12 check payable to BCSA with
entry to: Kat Ferruzza - 2323 County Road 900N - El Paso, IL 61738 |
|
Office Use Only: Received _______________________ Check #: _____ |