June 21, 2023 AAC Trial Entry Form

Name *

First

Last

Phone Number

Address

City

Postal Code/Zip

Email *

Province/State

Emergency Contact

First

Last

Emergency Contact Phone Number

Senior/Disabled Handler Option *

YES
NO

Dog's Name *

Dog's Breed

Dog's Height

Dog's Date of Birth

YYYY-MM-DD

Dog's AAC # or JH# *

Dog's Height Division

Dog Measurement *

Required
AAC Dog ID Card already provided to Big Sky Dog Centre
AAC Dog ID Card will be emailed to Big Sky Dog Centre (trials@bigskydogcentre.com)

Select Events *

Total Entry Fees: *

Events Entered by Closing Date (@ $20/Run), Events Entered after Closing Date (@ $22/Run), FEO Events Entered (@ $14/Run), Junior Handler Events Entered (@ $14/Run)

Payment will be provided by (e-Transfer preferred): *

e-Transfer to trials@bigskydogcentre.com
Mail to Selena Willemsen, 995 Pembridge Crescent, Kingston, ON, K7P 1M8 (Make cheques payable to Joe Stewart)

e-Transfers can be sent for individual or multiple entries.

By typing my name in the space below, I am agreeing to all of the content in the Big Sky Dog Centre's waivers within the premium: *

Additional Comments/Questions: