Team Championship
Nick Siedelemann - Kimbalton, Iowa
Amateur - $75 Open - $80
Ladies/Youth - $65
Dog #1 Name *
Your answer
Dog #1 Division's Running *
Dog #2 Name - IF NEEDED
Your answer
Dog #2 Division's Running - IF NEEDED
Dog #3 Name - IF NEEDED
Your answer
Dog #3 Division's Running - IF NEEDED
Dog #4 Name - IF NEEDED
Your answer
Dog #4 Division's Running - IF NEEDED
Handler's Name *
Your answer
Address *
House Number, Street, City, State, Zip
Your answer
Owner's Name - If different from handler
Your answer
Email Address *
Your answer
Phone Number *
Your answer
I have read and understand the waiver release. *
Will you be attending the cookout Saturday night? *
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