Untitled 2
2022 Mid-East Regional Working Dog Championship
Entry Deadline August 28 2022
Entry Form Instructions
To experience the greatest success using this online entry form, we suggest the following:
  • If possible use a Chrome browser for the best experience. If at all possible DO NOT use Internet Explorer as it MAY not work.
  • If uploading pictures of your documents taken with your phone, please do the following. Be sure that they are clear and all information can be read. If your phone has the option to compress or make them smaller, please choose that option. Standard photos on new phones are very large because of their high resolution and may cause time outs while trying to upload them.

Didn't have all of the documents you needed to upload when you entered your dog?  Have more documents to upload?  Then click the link below to go to a new screen where you can verify what you have already uploaded and upload any additional documents at any time while entries are open.
  • There are 3 steps to complete your entry for this event
    • Step 1 - Complete the entry form & click "Next"
    • Step 2 - Submit either .pdf copies or pictures of the required documents for the entered class & click "Next"
    • Step 3 - Pay for your entry with a credit card or PayPal account or by check
  • To complete the entry form:
  • Select all titles that are being attempted.
  • The "Registered Name of Dog" field is a list pre-populated with dog names.  As you type in a dog's name the list will display matches.  If the dog you are entering is in the list click on the appropriate dog's name, if your dog's name is not in the list, then type in the dog's name.  Press tab to update fields with dog information.
  • For dogs that are in the list, when their name is selected any fields of information that are available will be completed.  All of these completed fields can be edited.
  • For dogs, sires or dams that have more than one working title, keep selecting the earned titles from the appropriate list.  If a dog has an IGP3 and FH1 title, click IGP3 from the list and the title will be displayed in the box to the left of the list.  Then click FH1 from the list and both titles will be displayed in the box to the left of the list
  • In the Owner, Co-owner and Handler sections, if you type in the zip code, for a city in the United States or Canada and hit either the Enter or Tab key, the city, state and country for the entered zip code will be completed automatically
  • If the information for the Handler is the same as the Owner, check the "Same as Owner" box in the Handler's section.  If the Handler is the Co-owner, check the "Same as Co-owner" box in the Handler's section.  If either of these buttons are checked the Handler section fields will be automatically filled in
  • Once the Submit button has been clicked all fields will be validated.  If there are missing or incorrect fields, those errors will be displayed and you need to correct them and resubmit the form
  • The form can be printed by clicking the print button.  The preferred option would be from the Print option is to save as a .pdf document if you have that option from your printer.
  • If an email address was entered in the owner email field, an email message will be sent confirming the entry was submitted
  • Once all 3 steps have been successfully completed, you will receive an email with information regarding your entry.
 
 
2022 Mid-East Regional Working Dog Championship
3516 Straight Line Pike
Richmond, IN 47374
 
September 1-4, 2022 On Site Event Secretary -
 
Judge(s): USCA Jacob Pope - Tracking
                  USCA Don Yelle - Obedience
                  USCA Don Yelle - Protection
 

ALL ENTRIES, DOCUMENTATION,  AND PAYMENT MUST BE SUBMITTED & RECEIVED BY August 28 2022 FOR ENTRIES TO BE ACCEPTED!
  Titles Offered Minimum DOB Entry Fee

 IGP 1 Mar 19 2021 $125

 IGP 2 Feb 19 2021 $125

 IGP 3 Jan 19 2021 $125

 BH-VT (Begleithund) Jun 19 2021 $100
 
 Only Online entries will be accepted.
 If you have a question, email the Event Secretary.
  Email: mdsweeney3@yahoo.com
Trial Entry Form Main Body
Dog Information (Click dog's name, even if only name in list, to display information!)
Registered Name of Dog Select Breed Sex Tattoo Microchip(s)
Male Female
Date of Birth Country of Birth AKC Reg CKC Reg SV Reg FCI or USA Reg
Working Titles   Edit Titles
Scorebook Org Scorebook # Breed Survey HOT BHOT  
Yes
No
 		Yes
No 		Yes
No
 		 
Hip & Elbow Rating
Hips Rated? Hip Rating Country of Rating
Yes No
Elbows Rated? Elbow Rating Country of Rating
Yes No
Sire Information
Sire AKC Reg CKC Reg SV Reg FCI or USA Reg
Working Titles    Edit Titles Breed Surveyed
Yes No
Dam Information
Dam AKC Reg CKC Reg SV Reg FCI or USA Reg
Working Titles    Edit Titles Breed Surveyed
Yes No
Owner Information
Owner(s) Name   Membership #
Address
Zip Code: City: State/Prov: Country:
Telephone Email
Co-Owner Information
Co-Owner(s) Name   Membership #
Address
Zip Code: City: State/Prov: Country:
Telephone Email
Handler Information
Same as Owner      Same as Co-Owner
Handler(s) Name   Membership #
Address
Zip Code: City: State/Prov: Country:
Telephone Email
Handler's Club  
Handler's Club Handlers' Region

I understand that it is my responsibility at this event to keep my dog(s) under control at all times.  I agree to be fully responsible for the actions of my dog(s) while on the trial grounds.  I further agree to hold harmless the United Schutzhund Clubs of America, O.G. Westfalen Indiana, property owners, members, officers, directors, and spectators for any loss or injury which may be allegedly caused directly or indirectly to any person, animal, or possession by any act of my dog(s) or to my dog(s) while on the premises of this trial site. 

I hereby assume all responsibility and liability for any such claims and agree to hold harmless and relinquish all claims to O.G. Westfalen Indiana, property owners, United Schutzhund Clubs of America, members, and spectators.
   
I am the owner, handler, or duly authorized agent of this entry.  I have read and understand and agree to the foregoing RELEASE STATEMENT and WAIVER OF LIABILITY
;lkj
Signature ______________________________________________________________________________________ Date __________________
     Signature only required for mailed paper entries. Clicking the Submit button is your electronic signature. Please wait until the Confirmation Screen appears with payment options and document upload.
   

Online Entries Accepted Only!
   
  • You must upload/email or mail copies of all of the dog's required documents.
  • The original documents must be presented to the Event Secretary at check-in
  • Incomplete entries, entries that are not signed, and entries without proper documentation will not be accepted.
  • NO ENTRY FEES WILL BE REFUNDED
  • Entries for which payment has not been received will not be accepted
  • Entries that are not received on or before the event deadline date will not be accepted
  • You MUST click the "Submit Entry" button to submit your entry.
  • Click the "Print" button to print a copy of your entry.

CLICK ONLY WHEN ENTRY IS COMPLETE!! Click BACK button to return to previous screen without submitting entry!
 
     
Please Wait -- Information Being Verified!


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