German Shepherd Dog Club of America, Inc.

WEC, 1390 NW 80^th Ave., Ocala, FL  34482

Tuesday, October 11, 2022  

9 a.m. to 2 p.m.

Pre-Entry Fee:  $35.00                     Entry Fee Day of the Test:  $40.00

Make checks payable to:  GSDCA National

Mail entries to Laura Gilbert, 557 Dunning Lane, Chesapeake, VA 23322

757-312-0208            Email:  This email address is being protected from spambots. You need JavaScript enabled to view it.

Mailed entries must be received by Wednesday, September 21, 2022

THIS INFORMATION IS USED FOR YOUR CERTIFICATE, PLEASE MAKE SURE IT IS ACCURATE AND LEGIBLE.

CALL NAME:

DOG NAME

BREED

AKC REGISTRATION #

FOREIGN REG # & COUNTRY

PAL REG. #

DATE OF BIRTH:

COUNTRY OF BIRTH:

MALE                  FEMALE       

ACTUAL OWNER(S):

OWNERS ADDRESS:

CITY:

STATE:

ZIPCODE:

In consideration of being permitted to participate in a Temperament Test sponsored by the German Shepherd Dog Club of America, Inc., the undersigned agrees that the German Shepherd Dog Club of America, Inc. is not responsible for any injuries or damage suffered by persons or animals participating in the Temperament Test during, before or after the actual test.  By acting as a spectator and/or participating, in any capacity, I waive any right of action against the GSDCA and will hold the GSDCA harmless if any action, or lack of action by my dog(s) or by me results in any action against the sponsoring club.

SIGNATURE OF OWNER/AGENT:

Phone:

Email: