SSAA UFR Trial Entry Form 2021
Current entry fee for all stakes is $13 per entry.

Payment can be made by Direct Deposit: --- SSAA United Field and Retrieving
BSB - 124068
Account - 205 081 40
Please reference - Name & Entry Fee

We look forward to seeing you at our Trial.


Please note if you are submitting multiple entries:
1 On same day, tick multiple boxes
2 For next day/trial, enter Trial Date and Dog's Name and tick last box

The UFR Team

* NOTE THESE REQUIRE A RESPONSE
TRIAL DATE * (Venues will be inserted when available) *
STAKE THAT YOU CHOOSE TO ENTER * (Please tick multiple boxes if Trialing in more than one stake.) and/or tick last box for the next Trial *
Required
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.
Dog's Call Name * (Please put call name in inverted commas) *
Breed of Dog
Sex of Dog
Dog's Date of Birth
MM
/
DD
/
YYYY
Dog's Registered Name ##Please include any Titles that you want shown on the Catalogue##
Your SSAA Membership Number if available. (Please note - You are entitled to enter three UFR Trials prior to joining SSAA and UFR)
Dog's WGAA Registration Number if available (OPTIONAL)
Email address for return trial property address or phone number and a request if directions are required.
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