ENTE NAZIONALE
DELLA CINOFILIA
ITALIANA
Federation Cynologique
Internationale
REGISTRATION FORM FOR TEAMS OF IV WORLD RESCUE DOG
CHAMPIONSHIP PLANNED FROM 21 TO 24 OF AUGUST 2014
COUNTRY PATICIPANT : _____________________________
(country name)
The undersigned : ________________________________________________________________
as CAPTAIN/TEAM LEADER
Address:
Mail address:
WITH FOLLOWS ASKS
The registration of the Team to the IV WORLD RESCUE DOG CHAMPIONCHIP L’iscrizione
della Squadra al CAMPIONATO DEL MONDO for the following Discipline/Speciality:
SEARCH FOR MISSING IN SURFACE
SEARCH IN RUBBLE
SEARCH ON TRACK
TOP ( surface-rubble-track )
Composed by:
Conductor Name
Dog
Breed
Date of
Birth
Gender
Rule
note
IN FORCE
IN FORCE
IN FORCE
RESERVE
Declares to have read the rules in force for the World Championship for Teams of rescue dogs
drafted by the FCI.
Declares that he has paid the registration fee of € 300.00 by sending it to:
ENCI (Ente Nazionale Cinofilia Italiana) – Viale Corsica, 2 – 20137 MILANO
UBI - BANCA POPOLARE DI BERGAMO
Date ____________________
IBAN : IT 05 K 05428 01602 000 000 00 2007 BIC : BEPOIT21
_________________________________
(sign)
Be sent no later than June 30, 2014
By e-mail to:info@lapiota.it-info@wcrescuedog2014.com and cc/ bruno@piccinelli.eu
Organizing Committee : Nucleo Cinofilo da Soccorso “LA PIOTA”
Sezione ANA VALSUSA
info@lapiota.it