<- Collar			<- Number			Name ->
PA08Q101	<- Event Number							7/24/2008
^ ^ ^   F   O   R       E   V   E   N   T       U   S   E       O   N   L   Y   ^ ^ ^
Owner of Record
Owner's name must match AKC registration
Owner's Daytime Phone Number
Owner's Evening Phone Number
Owner's Email Address
Is the owner a resident or non-resident of the state in which the event is taking place?		Resident			Non-Res
Handler for event
(complete this line only if handler is not the owner)
Is the handler a resident or non-resident of the state in which the event is taking place?		Resident			Non-Res
(complete this line only if handler is not the owner)
Does owner/handler have all licenses and/or permits required by state law for pursuit of game in question?		Yes			No
Applies only to hunting trials, not qualifiers or certifications.
Will dog be 6 months old on or before day of event?		Yes			No
Will dog be 12 months old on or before day of event?		Yes			No
Is the dog MALE or FEMALE		Male			Female
AKC Registration number
AKC Registered name
NO TITLES, just the name
Any and all Prefix titles or designations
Any and all Suffix titles or designations
Must accompany this pre-registration (please do not return without this supporting documention):
Copy of AKC registration - Owner's name must match
Copy of state issued photo ID of owner - number may be blacked-out for privacy, but photo, name, and address must be legible
Signed and dated Waiver of Liability (if applicable)
Signed and dated HRA Event Rules acknowledgement
Bird fee - $35 per day (birds for one dog) added to your Ridgeback Rodeo entry payment (the HRA does not charge for event entry)
Must be presented for verification at check-in:
Photo ID of handler must be presented at check-in if being handled by non-owner
For trials only - any and all licenses / permits required by state law.
Owner's Signature & Date		Handler's Signature (if different) & Date
Mail to: Karen Watson - with all required documentation.