Online Entry | Upper Goulburn Worki

The Victorian Yard Utility & Farm dog Association
Online Entry Form

Your Details

First Name

Last Name

Vic Membership No

Phone

Event Details

Dog Details

Event Entries

* Limit of 4 Dogs

$20 per run

Dog 1 Name

Dog 2 Name

Dog 3 Name

Dog 4 Name

Dog 1 Fee

Find WKC Reg

Dog 2 Fee

Dog 3 Fee

Dog 4 Fee

Bank deposit to: BSB: xxxxxxx ACC: vvvvvvvvvv

*** Your name in remittance box.

Entries not accepted until payment is received.

ACCEPTANCE OF RISK

Insert Waiver Text Here......................................

Media Permission

I agree that the information supplied on this form may be used for the purpose of press releases or for the information of spectators. I agree that the media may contact me, should they require to do so, for follow up publicity.

Thanks for your entry. We look forward to seeing you at the event!