XI ALASKAN MALAMUTE

SLEDDOG DAY
from 23th to 25th January 2015

ENTRY FORM
To be filled and sent to Sara Digiuni by January 16th 2015 (closing date)
E-mail : sara.digiuni@hotmail.it Fax : +39-039-2455293

Reservations after closing date will be charged an extra 3,00

First name Last Name Club card no :
Address
Phone E-mail Dogs no.

First name Last Name
Address
Phone E-mail Dogs no.

First name Last Name
Address
Phone E-mail Dogs no.

First name Last Name
Address
Phone E-mail Dogs no.


Dinner Friday (L'Alpino) _________ (YES with no. - OR NO)
Dinner Saturday (CFPA) _________ (YES with no. - OR NO)
Camper Park _________ (YES/NO)

Disclaimer:
I hereby accept the following rules and conditions :
The organising body shall not be held liable for any direct, indirect incidental special exemplary or consequential damage
caused by me or my dog and/or other people, and it assumes no responsibility for thievery, illness and death of the animals
or persons.
I hereby certify that I shall be keeping my dog/s on a leash at all times and, if necessary, will be provided with a mizzle, and
that the dog/s is current on his vaccinations, is in good health and in excellent physical shape
I hereby accept my data will be used by club to inform me about news concerning club.



Date ____________________ Signature _____________________________