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Working American Bulldog
Association |
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Test Registration Form |
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BST 1** (Breed Suitability Test) ___
BST 2** |
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WST 1** (Working Suitability Test) ___
WST 2** |
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OB1 (Obedience Test) ___
A.D. |
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TE |
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___ Re-Test |
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**dog will work on (circle
one): BITE-SUIT BITE-SLEEVE |
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PLEASE CHECK THE TEST YOU ARE
ENTERING. CHECK
RE-TEST IF THE TEST IS BEING REPEATED. |
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TEST LOCATION: |
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Hosting
Club / Event Name: Test Date: |
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City: State: Country: |
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OWNER INFORMATION: |
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Owner
Name: |
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Kennel
Name (if any): |
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Address:
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City: State: Zip: |
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Telephone
Number: e-mail: |
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LIST ANY ADDITIONAL OWNERS ON THE
REVERSE SIDE OF THIS FORM. |
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HANDLER INFORMATION: |
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Handler
Name (if different): |
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Address:
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City: State: Zip: |
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Telephone
Number: e-mail: |
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CANINE INFORMATION: |
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Registered
Name: Reg. #: |
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Call
Name: Breed: D.O.B.: Sex: |
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Scorebook
#: Tattoo or Microchip #: |
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I
AGREE TO HOLD HARMLESS AND WAIVE ALL CLAIMS AGAINST ANY WABA OFFICER, MEMBER,
PARTICIPANTS, HOST CLUBS OR GROUNDS OWNERS AND THEIR HEIRS, ASSIGNEES OR
REPRESENTATIVES FOR ANY INJURY, ACCIDENT OR LOSS WHICH MAY OCCUR AS A RESULT
OF ATTENDING OR PARTICIPATING IN THIS EVENT. |
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Owners
Signature: Date: |
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Send
application, payment and all supporting documents to: WABA |
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24654
Las Patranas |
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