The forms may be printed out for your use after completing
your on-line entry (or to mail in). Use "BACK" to
return to previous page. (This document is at least 3 pages of
printing.
Form #1. This form is to be for those
hounds who have established coursing experience.
Form #2. This form is for NEW
participants.
Form #3. This is an Entry Form suitable for print-out.
FORM 1
AMERICAN
SIGHTHOUND FIELD ASSOCIATION CERTIFICATION RULE (Effective 1 Oct 94): CH.V,Sec4(a) OPEN STAKE: To be eligible to enter the Open Stake, a hound must have been certified by a regularly licensed judge for the breed within the year preceding the closing date for the entry or have previously competed in the Open Stake. This eligibility requirement also applies to a hound entered in a Veteran Stake which has not competed in Open previously. Please complete the bottom half of this form and attach it to the Entry Form for the hounds first entry, including an entry for a Fun Trial. WAIVER OF REQUIREMENT: This requirement will be waived for a hound that has earned a lure coursing or racing title from another recognized organization, if such title requires competition, and if a waiver for such title has been approved by the ASFA. If your hound qualifies for a waiver, complete the top half of this form and attach it to your Entry Form. Registered Name of Hound: ______________________________________________ Registration Number: ________________________ Breed: _________________ Registred Owners Name: ________________________________________________ CKC
Titles: [ ] FCH [ ] FCHX ~ AKC
Titles: [ ] FC [ ] SC [ ] DC ~ AWC:
[ ] ARM I hereby certify that the hound identified above has completed the requirements for the title indicated above (ot that the required Certification was previously submitted) and that the information provided on this form is true and correct. Signature:
__________________________________ Date:
________________________ |
FORM 2.
NEW? COMPLETE THIS SECTION ONLY !! Registered Name of Hound: ______________________________________________ Registration Number: ________________________ Breed: ______________________ Registered Owner's
Name: __________________________________________________ Name of Regularly
Licensed Judge: Signature:
Date: ________ Signature:
Date:
PLEASE RETAIN A COPY FOR YOUR RECORDS. |
FORM 3
ASFA blank form. (UNOFFICIAL. Working on
getting approval...) Information to
complete this form is available on the short-form Premium List, from the actual Premium List (if
using this as an extra copy for additional hounds), or from the
Trial Secretary noted in the Premium List.
Semi-OFFICIAL
American Sighthound Field Association ENTRY FORM |
CLUB:
____________
|
||
| The Field Secretary cannot
accept conditional, unsigned, incomplete or unpaid entries, please check your completed entry carefully. |
||
FEE(s) PAID: $ |
| Breed: | Call Name: |
Registered
Name of Hound:
|
STAKE:
|
Open |
Field CH |
Single |
Veteran |
Misc Over |
Misc Under |
Additional: Breeder or Kennel [ ] |
Registration Number |
(Check Applicable Box)
|
AKC |
AKC ILP |
NGA # |
Critique Case # |
Foreign Registry & Country
|
Pending |
If
possible,
|
Check
Here
|
Date
of Birth:
|
Sex: |
DogBitch |
Name of
Actual Owner(s):
|
Address:
|
AC/Phone:
|
City:
|
State:
|
Zip (+4):
|
| Is this the first ASFA point Trial for this Hound? | Check if YES. [ ] | Attach a Hound Certification, if entered in Open,Veteran or Misc. |
| Has any information changed since last ASFA trial entry? | Check if YES [ ] |
Regarding: |
| Has this hound been dismissed within the last six (6) trials entered? | Check if YES [ ] |
Must be marked in order to qualify for a "clean" trial requirement. |
I CERTIFY that I am the
actual owner of this dog, or that I am the duly
authorized agent of the actual owner whose name I have
entered above. In consideration of the acceptance of this
entry and the opportunity to have this dog judged and to
win prize money, ribbons, or trophies, I (we) agree to
abide by the rules and regulations of the American
Sighthound Field Association in effect at the time of
this lure field trial, and by any additional rules and
regulations appearing in the premium list for this lure
field trial. I (We) agree that the club holding this lure
field trial has the right to refuse this entry for cause
which the club shall deem to be sufficient. I (We) agree
to hold this club, its members, directors, governors,
officer, agents or other functionaries, any employees of
the aforementioned parties and the owner(s) of the trial
premises or grounds harmless from any claim for loss or
injury which may be alleged to have been caused directly
or indirectly to any person or thing by the act of this
dog while in or upon the lure field trial premises or
grounds or near any entrance thereto and I (we)
personally assume all responsibility and liability for
any such claim, and I (we) further agree to hold the
aforementioned parties harmless from any claim for loss
of this dog by disappearance, theft, death, or otherwise,
and from any claim for damage or injury to the dog
whether such loss, disappearance, theft, damage or injury
be caused or alleged to be caused by the negligence of
the club or any of the aforementioned parties or by the
negligence of any other person or any other cause or
causes. I (we) certify and represent that the dog entered
is not a hazard to person or other dogs. This entry is
submitted for acceptance of the foregoing representations
and agreements.
EF-A rev. 8-95 |
INLAND WILDERNESS
HUNT CLUB
Dixie Hirsch || 714/649-2770 || www.sunstag.org/IWHC/c-index.html