2009 Colorado Mondioring Entry Form

USMRA Mondioring Trial

October 31 and November 1, 2009
Saturday & Sunday
MONDIORING BREVET, Level 1, 2 and 3  Saturday
 Sunday
($40 for 1st entry, $25 for 2nd entry, same dog, same trial)

MONDIORING Obedience Only  Saturday 

Sunday
($25 per entry)

Entry Fo rms must include fees Ma il Entry and Fees to: Questions?

Make checks able to: CMR Laura Hilto n Contact Laura Hilton
Closing Date: October 20, 200 9 1668 So uth Brentwo od St reet Email: kpm@kaponomana.com
Late Fee: Add’l $ 10.00 per e ntry Lakewood, CO 80 232 or call 720.231.5337

Please print clearly, fill in completely, one entry form per each dog
Dog’s Registered Name
Registration Number DOB:
Breed Gender (circle one): Male Female
Tattoo # Call name:

Handler’s Full Name

Mailing Address
City / State / Zip code City: State: Zip Code:
Phone number Cell: Home:
Email Address

Name of Club Affiliation

Score book #
USMRA Member #

*Handlers for each entry must provide current USMRA member number.
*All dogs must have proof of current rabies vaccinations.
*All entries must present an FCI recognized scorebook.
* All entries must be signed below, showing agreement with the following disclosure:

It is understood that every dog at this event will at all times be in the care and control of the dog's handler. It is further understood that the undersigned agrees to be
fully responsible of the actions of his/her dog(s) while at this event. I agree to hold the USMRA and Colorado Mondioring Club as well as their members and officers
and directors and all property owners HARMLESS for loss or injury which may have allegedly been caused directly or indirectly to any person or thing by any act of
my dog(s) while on the show premises. I hereby assume all responsibility and liability for such claims. I further relinquish all claims and agree to hold these host
clubs, their parent organizations, their members, officers, and directors and all property owners HARMLESS for loss and injury which may have allegedly been
caused directly or indirectly to myself or my dogs(s) during participation in this event.

Signature of Handler: Date:

2009 Colorado Mondioring Entry Form
USMRA Mondioring Trial
October 31 and November 1, 2009
Saturday & Sunday