November 17th Entry Form – LEGS Coursing Club

Please complete the entry form below for the November 17th ASFA Sanctioned Trial. Please submit one entry form per hound. You will be redirected to submit entry fees after each submission. Simply add the fees to your cart and pay lump sum when you have completed your entries.

Select Date for RegistrationNovember 17

Breed:

Call Name:

Registered Name of Hound:

Stake:

Additional Stakes:

Registration Number:(please write in registering body before number)

If possible, please separate my hounds.Yes

Date of Birth:

Sex:DogBitch

Name of actual owner(s):

Street Address:

Phone:

City:

State/Province:

ZIP / Postal Code:

Email Address:

Emergency contact name and phone:

Check if this is the first ASFA trial for this hound:Yes(attach a Hound Certification or waiver if entered in Open, Veterans, Provisional)

Check if this is a first-time entry:Yes(copy of the official Registration of this hound must accompany this entry unless NGA)

Check if any information has changed since the last ASFA trial entry, regarding:Yes(please enter changed information below)

Changed information:

Check if this hound has been dismissed within the last 6 trials entered.Yes(must be marked in order to qualify for a “clean” trial requirement)

Signature