Entry form Malamute Day 2018

Page 1

XIV° Alaskan Malamute Sleddog DayŽ 16, 17 & 18 February 2018 Alpe Giumello, Casargo (LC)

ENTRY FORM

To be filled and send before February 03th 2018 (closing date) E-mail: pasetti.fabio@email.it Fax: +39 0341840134 For the information call Mony: +39 3345081953 First name Address Phone

Last Name

First name Address Phone

Last Name

First name Address Phone

Last Name

First name Address Phone

Last Name

E-mail

E-mail

E-mail

E-mail

Dinner Thursday (Capanna Vittoria) Dinner Friday (L'Alpino) Dinner Saturday (CFPA) Camper Park Triathlon race inscriptions

Club card no : Dogs no.

Dogs no.

Dogs no.

Dogs no.

YES * NO * GUESTS NUMBER_________ YES * NO * GUESTS NUMBER_________ YES * NO * GUESTS NUMBER_________ YES * NO * YES * NO * PARTICIPANT NAME________________________

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 _____________________________


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