Bank deposit to: BSB: 083 755 ACC: 620 239 661
*** Your name in remittance box.
Entries not accepted until payment is received.
Having read and understood the event criteria, rules, regulations and conditions of entry of The COBBER Stock Dog Spectacular as set out in the attached forms, I hereby confirm my entry in the competition and agree to accept and abide by the event criteria, rules, regulations and conditions of entry. I acknowledge the responsibility for the risk. I acknowledge no insurance cover has been taken out on my behalf by The COBBER Stock Dog Spectacular committee, Upper Goulburn Working Dog Group or Mansfield A & P, or anyone else involved with The COBBER Stock Dog Spectacular competition. I hereby indemnify The COBBER Stock Dog Spectacular committee, Upper Goulburn Working Dog Group, Mansfield A & P, the event judges, those assisting with each event, spectators, landowners where each event is conducted, and anyone else involved with the organising of The COBBER Stock Dog Spectacular against any injury or loss I or my dog may cause or sustain during my participation in the competition.
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!