Sonoma Wine Country Sheepdog Trial Entry Form
   Enclosed is $________ for entry fees.
Signed Handler Form (below) MUST accompany entries.
 

. . . . . . . . . MAKE CHECKS PAYABLE TO: . . . . . . . . SONOMA WINE COUNTRY SHEEPDOG TRIAL

Checks will not be cashed until March 2nd
 
MAIL TO: JACK MATHIESON, 1977 GREEN HILL RD., SEBASTOPOL, CA 95472
Dog's Name xDOB Nursery Dog Class  Fees (see Trial Info page)
1. ___________ x________

____________

  _______________
2. ___________  ________

____________

  _______________
3. ___________  ________

____________

  _______________
4. ___________  ________

____________

  _______________
 NO REFUNDS after March 1, 2012

. . . . . . . . . Entries Open FEBRUARY 15TH and close on . . . . . . . . . . . . MARCH 1, 2012

Third OPEN dog will be accepted if the maximum of 90 dogs by closing date is not received. Please send separate checks for third open dogs.
I(We) certify that I(we) am(are) the owner or duly authorized agent of the owner(s), of the dogs, entered above. I(We) agree to hold Sandra & Arthur Milberg, the trial committee, agents, any employees and Oak Springs Ranch, the property where the trial is held, harmless from claim for loss or injury which may be alleged to have been caused directly or indirectly to any person, dog, stock or thing by the act of this dog(s), while in or upon the trial area, or near any entrance thereto, and I(we) assume all responsibility and liability for any such claim. I(We) further agree to hold the aforementioned parties harmless from any claim for damages or injuries to the dog(s) incurred due to negligence of or any of the aforementioned parties, or by negligence of any other person or any other cause or causes. In case of injury to any stock by the dog(s), I(We) will assume financial responsibility for any damages. I(We) will pay the full market value of any animal killed, seriously injured, or the veterinarian bill if so required.
Name (Please Print)_____________________________ Date____________
Address___________________________________________________________
City____________________________  State_________ Zip_______________

Phone_____________________  E-Mail ______________________(please print clearly)

( I'll email you back that I got your entry within a few days of receipt.)

Signature____________________________________
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