United Schutzhund Clubs of America Trial Scoresheet

Type of Trial AFFILIATION CLUB REGIONAL NATIONAL

Please place the number of trial entries in each appropriate box.
IPO 1 IPO 2 IPO 3 APr 1 APr 2 APr 3 BH FH1 FH2 IPOFH OB1 OB2 OB3 TR1 TR2 TR3

AD IPOV STP 1 STP 2 STP 3 RH1 RH 2 Other Titles write in any additional information below

Club Club Address

Date Region Trial Location

Judges A: B: C:
Trial USCA
Address
Secretary Member #

Helper Information
Name Name Name
Helper Book # Helper Book # Helper Book #
USCA Member USCA Member # USCA Member #
# & Exp Date & Exp Date & Exp Date
Number & Number & Number &
Levels Worked Levels Worked Levels Worked
Judges Rating Judges Rating Judges Rating

Track Layer Information

Name Name Name
USCA Member # USCA Member # USCA Member #
Number and types Number and types Number and types
of tracks layed of tracks layed of tracks layed

Trial Time Schedule

1. Trial Date Start Time Time Completed
2. Trial Date Start Time Time Completed
3. Trial Date Start Time Time Completed

All entries must present a current membership card for either the USCA, an AWDF member club, or a
WUSV member organization if they are not a USA resident.
Original and 2 additonal copies to be sent to the USCA Office with appropriate filing fees.
Effective 1/1/2012 USCA Members $4.00, Non USCA Members $ 15.00.
1 copy with the Judge 1 copy stays with the Club.

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Signature of Trial Secretary Signature of Judge Rev. 12/13/12