Agility Nuts Summer Series 2015 Show 1 Saturday 16

Agility Nuts Summer Series 2015 Show 1
PLEASE SEND ALL ENTRIES TO
Agility Nuts Summer Show 1
℅ Longhedge Show Processing
Longhedge House
Thoroton
NG13 9DS
Bilsthorpe Miners Welfare Sportsground, Bilsthorpe, NG22 8PY
Saturday 16th - Sunday 17th May 2015
Entry Form
Entries Close 27th April 2015 (Postmark)
Please USE BLOCK CAPITALS throughout when completing this entry form and
check all details before posting
Owners Name:
Please make cheques payable to
Address:
“Longhedge Services”
Cheques post-dated to the Closing Date
(27th April) will be accepted
Post Code:
or email completed form and pay by BACS
using details on
www.agilitynuts.co.uk/shows/bacs.html
Telephone:
e-mail:
Please use a separate line for each dog/handler combination.
Handler
Dog’s Pet Name
Date of
Birth
Level
(Elementary, Starters, Novice, Senior,
Veterans, LHR, NFC, Nursery)
Jump Height
(Large, Medium, Small or Tiny)
Gundog?
(Mark if Y)
Classes Entered (please enter
classes in numerical order)
Classes 13 and 26, Show Offs Open Pairs Jumping - to be entered by one Pairs partner.
Handlers without a partner are welcome to enter this class if they wish to find a partner on the day. Please fill in the details for Dog 1 and pay for half a pair (£3.00). It is the responsibility of the person entering the pairs class to ensure that
their pairs partner is entered in the show. If their partner does not enter the show, they may be paired with another dog on the day. Pairs entries will be accepted on the day of competition.
Pet Name (Dog 1)
Handler (Dog 1)
Number of classes entered
@ £3.00 per class
Number of pairs entered
@ £6.00 per pair
Camping @ £27 per unit
Camping Fri
Sat
Sun
(please tick the nights you will be camping)
Tick box for online running orders
or add £1 for postage
TOTAL
Tick here if paid by BACS
Pet Name (Dog 2)
£
£
£
£
Handler (Dog 2)
Jump Height (for Class 26)
Declaration – must be signed by the owner or handler
I/we declare that the above named dogs are over 18 months of age (16 months for Nursery) &
have received suitable training for this event. I/we undertake to abide by the regulations of this
show and not bring to the show any dog which has contracted or been knowingly exposed to
any infectious or contagious disease during the 21 days prior to the day of the show. I/we
agree to abide by the rules of Agility Nuts and accept that I/we enter at my/our own risk.
Usual Signature(s) of Owner(s) or Authorised Agent
Date
£
s