Wed 40th Dec 2019, Wellingborough

Trial entry form test page

Wellingborough Rugby Club, Cut Throat Lane, Wellingborough NN29 7TZ

Start:- 10.00AM
Entry Fees: £30 per dog. BACS – 07-01-16, acc no 23856399. Cheques to Marianne Tembey, 40 Farndish Road, Irchester, Northampton, NN29 7BE
Contact: Marianne Tembey Tel: 07949 786255
Complete and send below to book a place

SWUK Reg ID Number; - Required. If you have not registered already, you can register here. If you wish to enter 'not for competition' (NFC), enter 99999

Level: - Please select the level you wish to enter

Excellence points: - If you have qualified at this level, please select how many points you have gained at this level

Name: -

Dog's name: -

Email: -

Small or elderly dog: - Please select if your dog is a small breed or an elderly dog

Payment Method: - Please select your payment method. Payment must be made directly to the trial organiser using the payment details above.

Data protection. If necessary, your contact data will only be used to contact you regarding this trial.

Entries Fees will not be refunded unless the trial is cancelled. The organisers reserve the right to deduct any reasonably incurred expenses before returning entry fees.

I undertake to abide by the Regulations of this Trial and not to bring to the Trial any dog which has contracted or been knowingly exposed to any infectious or contagious disease during the 21 days prior to the Trial, or which is suffering from a visible condition which adversely affects its health or welfare. Regulations are liable to disqualification whether or not the owner was aware of the breach.

By entering this trial, I give my consent for my results to be published on-line.