SCA2002 Herding Entry Form

Deadline for submission - September 26, 2002


Print this form and mail with check made payable to SCA 2002 to:
Alyssa Dassa  (email or fax for address as needed)
aliyabel@optonline.net
FAX: 203-373-0112


Name 
_________________________________________________________________________________________

Address
_________________________________________________________________________________________

City, State, Zipcode		 _________________________________________________________________________________________

Phone #
_________________________________________________________________________________________

E-Mail
_________________________________________________________________________________________

Dog's Call Name
_________________________________________________________________________________________

Dog's Registered Name
 

_________________________________________________________________________________________

Dog's Registration Number
 

_________________________________________________________________________________________
Date(s) Entering

Sunday, Oct. 13 ($25) ______________
Monday, Oct. 14 ($25) ______________
Both Days ($50) ___________________
Entry Information

Test Level
Herding Capability  ______
Junior Herding Dog _______

Trial Level
Herding Trial Dog I  ______
Herding Trial Dog II ______
Herding Trial Dog III _____

Stock for Trial
Sheep ______ 

Ducks ______
Sheep ______

Ducks ______
Sheep ______ 

Ducks ______