Registration REGISTRATION DEADLINE OCTOBER 1, 2021 one registration per dog entered is required registrations are not complete until payment is made 2021 BarktoberFest RegistrationRegistered Name of the Dog *Dog's Call Name *Dog's Date of Birth Dog's Sex femalemaleRegistration Number Registry NSBRTSSRWSSBANKCISSAISSROTHERSire (registered name) Dam (registered name) Breeder (include kennel name) Handler Owner(s) *Primary Owner's address include address, cit, state, zipPhone Email *Conformation Class Registering for check all that apply3 to 6 months6 to 9 months9 to 12 months12 to 18 monthsNoviceBred by ExhibitorOpenVeteransBest of BreedProgeny Dam or sire, limited to 1st generationJr Handling (no charge)Companion, ChampionCompanionPre-Registration Pay Options check all that applyShow 1 ISSDC Specialty - 3-6 month, ISSDC Member $20Show 1 ISSDC Specialty - 3-6 month, ISSDC nonMember $25Show 1 ISSDC Specialty - all other, ISSDC Member $25Show 1 ISSDC Specialty - all other, ISSDC nonMember $30Show 2 ISSDC/MA Specialty 3-6 month, ISSDC Member $20Show 2 ISSDC/MA Specialty 3-6 month, ISSDC nonMember $25Show 2 ISSDC/MA Specialty all other, ISSDC Member $25Show 2 ISSDC/MA Specialty all other, ISSDC nonMember $30Temperament Testing (TT) $10Canine Good Citizen (CGC) $10Therapy Dog Testing (TDI) $15Lunch (Saturday) $15Lunch (Sunday) $13Lunch (Saturday & Sunday) $26Registration Type ISSDC Membernon-memberOwner Certification **I cerify that I am the actual owner of the dog, or that I am duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of the entry, I (we) agree to abide by the rules and regulations of the International Shiloh Shepherd Dog Club (ISSDC) in effect at the time of this event. This entry is submitted for acceptance on the foregoing representation and agreement. Signature of owner or his/her agent duly authorized to make this entry must appear below in order for this entry to be accepted.yesnoAcknowledgement **You understand that entry fees will not be refunded in the event that your dog is absent, disqualified, excused by vet or judge, or barred from competition by action of the show chairman or show secretary. If upon pre-entering you are not able to attend the show your monies will not be refunded to you & you are only eligile to use pre-entry for future show date as set out in the rules and regulations. If, because of riots, civil disturbances or other acts beyond control of the ISSDC, it is impossible to open or to complete the show, no entry fees will be refunded. Post-dated checks or returned checks do not constitute a valid entry fee.yesnoRabies **I certify that the dog applicant is current on rabies vaccine and acknowledge that I will have a copy of vaccine record available day of show for inspection upon request.yesnoHold Harmless **I agree to hold harmless Caledonia State Park, Fayettville, PA and the Commonwealth of Pennsylvania State Parks Bureau from any and all liability that may arise from participation in this activity.yesnoParking **I understand and agree that no cars are permitted on the show grounds or access road at any time. Parking is available in the adjacent lot.yesnoInstructions ENTRY FORMS NOT ACCOMPANIED BY A SIGNATURE/ACKNOWLEDGEMENT ABOVE ACCEPTING THE AGREEMENT & THIS ENTRY PREMIUM WILL NOT BE ACCEPTED.Instructions Upon hitting SUBMIT you will be directed to our payment screen to complete your registration. VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
