Trial Entry Form

1) Complete all fields
2) Click Submit
3) Make Payment by choosing the appropriate option below the trial entry form and submitting payment. Registration is not complete until payment is made.

*Please note there are COVID-19 restrictions in place for this event. ONLY ONE spectator per competitor and club members are allowed to attend.

Download Trial Entry Form here: LWDC 2021 USCA Trial Entry Form
Download Trial Entry Form here: LWDC 2021 GSDCA Trial Entry Form

Handler & Dog Information
Handler's Name*
First Last
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Club Affiliation*
Previous Titles and Date of BH*
Dog's Registered Name*
Dog's Gender*
Dog's DOB*
Scorebook Number*
Organization Affiliation & Member Number
Breed*
Registration Number*
Tatoo or Microchip Number*
Trials & Payment Information
BH-Vt
Price: $70.00 Quantity:
IGP-V
Price: $75.00 Quantity:
IGP Title - IGP 1
Price: $75.00 Quantity:
IGP Title - IGP 2
Price: $75.00 Quantity:
IGP Title - IGP 3
Price: $75.00 Quantity:
IFH Title - IFH-V
Price: $75.00 Quantity:
IFH Title - IFH-1
Price: $75.00 Quantity:
IFH Title - IFH-2
Price: $75.00 Quantity:
IGP-FH
Price: $100.00 Quantity:
F. Pr. 1-3
Price: $75.00 Quantity:
U. Pr. 1-3
Price: $75.00 Quantity:
G. Pr. 1-3
Price: $75.00 Quantity:
RH
Price: $75.00 Quantity:
AD
Price: $75.00 Quantity:
NOTE: there is a $20 late fee that must be paid separately if those fees apply.
Add Late Fee
Price: $20.00 Quantity:
NOTE: Non USCA members add $50.00
Non-USCA Member Fee
Price: $50.00 Quantity:
Total
$0.00
Once you submit this donation form, please complete your payment via the Liberty Working Dog Club PayPal account on the next page.
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Trial Entry Form

Handler & Dog Information

Trials & Payment Information