GSD League of Great Britain WUSV/GSDL-BRG “REGIONAL EVENT” (based on WUSV rules & regulations) Sunday 15th June 2014 Bolehall Swifts FC, 62 Rene Road, Bolehall, Tamworth. B77 3NW ENTRIES CLOSE Monday 2nd June 2014 (postmark) Number of Entrant Detail Forms Attached Entry per dog @ £12.00 £ GSDL Members per dog @ £10.00 £ 3 Dogs or more* @ £36.00 GSDL Members 3 Dogs or more* @ £30.00 £ Entry Baby Puppy @ £3.00 GSDL Membership (Single £15/Joint £20/OAP £10) Junior Handling £ £ £ @ £2.00 £ (14th Koerung June 2014) ***Non refundable*** @ £50.00 Adverts £ Donations/Sponsorship £ Catalogues @ £3.00 (£4.00 on day) £ TOTAL £ * For multiple entries exhibits must have at least 50% common ownership Please make cheques and postal orders payable to 'GSDL of Great Britain' Junior Handler's Name Age Declaration: I/we agree to be bound by the rules and regulations set out by the WUSV/GSDL-British Regional Group on those advised by the WUSV. I/we confirm authorisation to enter the above event. I/we confirm that the dog /dog(s) entered have been free of disease for the preceding 21 days. I/We believe to the best of my/our knowledge that the dog(s) are not disqualified under the Kennel Club, SV/WUSV or FCI Rules & regulations. I/we declare to the best of my knowledge that the above details are true and accurate. Signature of owner(s)...........................................................................Date..................... In the case of Joint Ownership the names of every owner must be given Name(s)............................................................................................................................... (Mr/Mrs/Miss/Ms) Address.............................................................................................................................. ............................................................................................................................................. Post Code...........................................................................Telephone......................................E-Mail.................................................................................. Please tick here if you DO NOT wish your details printed in the catalogue [ ] Please note that all entry details will be held electronically and may be shared with other members of the WUSV/GSDL-BRG All Entries and fees must be sent to: Chris Walker, 18 Bantry Close, Sheldon, Birmingham. B26 3LR 0121 243 8996 chris.gsdlgb@gmail.com WUSVGSDL-BRG “REGIONAL EVENT” – Entrant Details Form (Top Tip!! Why not complete a form for each of your dogs and copy it for future shows?) PLEASE TAKE CARE WITH ID NUMBERS, IF THEY CANNOT BE PROVEN. YOU CANNOT COMPETE (secs use- exhibit No) Compulsory for all entrants over 24 months – to be declared if available 12 to 24 months If obtained Compulsory for Working Class only (secs use- exhibit No) Compulsory for all entrants over 24 months – to be declared if available 12 to 24 months If obtained Compulsory for Working Class only Registered Name Tattoo / Micro-chip Number KC Registration Number Sex Date of Birth Breeder Sire Dam Class Number and Name Breed Survey Class Breed Surveyor Breed Survey Date Hip Score / Grade Elbow Score / Grade Haemophilia Clear Koerung Class(1,2,Pass, Lbz) Koermeister Koerung Date Working Qualification Registered Name Tattoo / Micro-chip Number KC Registration Number Sex Date of Birth Breeder Sire Dam Class Number and Name Breed Survey Class Breed Surveyor Breed Survey Date Hip Score / Grade Elbow Score / Grade Haemophilia Clear Koerung Class(1,2,Pass, Lbz) Koermeister Koerung Date Working Qualification Yes / No Yes / No