Registered name of the dog:

Breed:
– Bitte auswählen –Labrador RetrieverGolden RetrieverFlat-Coated RetrieverNova Scotia Duck Tolling RetrieverChesapeake Bay RetrieverCurly Coated Retriever

Date of birth:

Sex:
– Bitte auswählen –DogBitch

Chip number:

Registration number:

Breeder of the dog:

Owner of the dog:

Sire:

Dam:

This is a reserve dog:
– Bitte auswählen –YesNo

Title:
– Bitte auswählen –Mrs.Mr.–

Full name of the handler:

Street adress / No.:

Postal code:

City:

Country:

Phone:

E-Mail:

Your Message: (not mandatory)

The organization is not liable for any damage caused to or by dogs and handlers participating at this event.

I have read the data protection rules and accept them.

I agree to the publication of results and photos.

I confirm to have read and understood the referring rules.

With the registration I am obliged to pay the registration fee.