SSAA UFR Trial Entry Form 2018
Current entry fee for all stakes is $13 per entry.

Payment can be made on the day of the Trial to the Trial Secretary.

We look forward to seeing you at our Trial.


Please note if you are submitting multiple entries:

**Trial Date, Stake Entered, Dog's Name and Your Name only are required.**

The UFR Team

* NOTE THESE REQUIRE A RESPONSE

TRIAL DATE * (Venues will be inserted when available) *
STAKE THAT YOU CHOOSE TO ENTER * (Please use a separate entry if Trialing in more than one stake.) *
Dog's Owner's Name * ( add Handler's Name in brackets if different) NOTE: If this is your first entry please list your address, phone and email details at the end of this form, thanks. *
Your answer
Dog's Call Name * (Please put call name in inverted commas) *
Your answer
Breed of Dog (Optional if entering more than one stake)
Sex of Dog (Optional if entering more than one stake)
Dog's Date of Birth (Optional if entering more than one stake)
MM
/
DD
/
YYYY
Dog's Registered Name (Optional if entering more than one stake) ##Please include any Titles that you want shown on the Catalogue##
Your answer
Your SSAA Membership Number if available. (Please note - You are entitled to enter three UFR Trials prior to joining SSAA and UFR)
Your answer
Dog's WGAA Registration Number if available (OPTIONAL)
Your answer
Email address for return trial property address or phone number and a request if directions are required.
Your answer
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