World Championship registration

Could you please complete a separate registration form for each team member?”

Have you already signed up as a coach?

Name of the country *

Name Team Coach *

E-mail teamcoach *

Mobile Teamcoach *

Passport photo Teamcoach *

Geen bestand geselecteerd Bladeren

Assistant coach

Name Assistant coach

Photo Assistant coach

Geen bestand geselecteerd Bladeren

Pedigree number *

Date of Birth Dog *

Name Dog *

chipnummer *

Sex *

Result HD *

Result ED *

Show Result *

Father *

Mother *

Handler *

Adress *

Postel *

Residence *

Phone number

E-Mail *

Country *

Copy of the pedigree *

Geen bestand geselecteerd Bladeren

Photo Dog / handler *

Geen bestand geselecteerd Bladeren

Copy of the documentation/evidence for the HD and ED results *

Geen bestand geselecteerd Bladeren

Copy of the show qualification card *

Geen bestand geselecteerd Bladeren

Copy of the logbook with Work results *

Geen bestand geselecteerd Bladeren

Copy of the insurance certificate *

Geen bestand geselecteerd Bladeren

“I agree that all data relating to the handler and the dog may be published in the catalog, the rankings, and in the videos.” *

* = Verplicht veld

De heer Peter Barto
Dorpsstraat 5
4389 TN RITTHEM

telefoon: +31 6 54 63 79 18
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