3 MALAMUTE WINTER CAMP

from 27th to 1nd March 2015

ENTRY FORM
To be filled and sent to Biagiotti Giuseppe by Febbruary 23th 2015 (closing date)
Fax : +39-0721-884021 E-mail : iditarod@libero.it / delbiagio@alaskanmalamute.it phone :
+39-335-353657 (Andrea) / +39 335-353657 (Giuseppe)
ENTRY FEE OF
15,00 FOR CLUB MEMBERS (please confirm us your member no.)
25,00 FOR NO MEMBERS
WILL BE SETTLES ON THE PREMISES
Reservations after closing date will be charged an extra 3,00
First name
Address
Phone
First name
Address
Phone
First name
Address
Phone
First name
Address
Phone

Last Name
E-mail

Dogs no.
Last Name

E-mail

Dogs no.
Last Name

E-mail

Dogs no.
Last Name

E-mail

Dinner Friday (I Bucaneve)

Dinner Saturday (I Bucaneve)
Camper Park

Dogs no.

_________ (YES with no. - OR NO)

_________ (YES with no. - OR NO)
_________ (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 _____________________________