Quinebaug Schutzhund Club
          ...schutzhund is not a hobby, it's a lifestyle

Member of United Schutzhund Clubs of Americas


Trial Entry Form
Dog Name:
Date of Birth (00/00/0000 format):
Registration Number:
Tattoo/Microchip Number:
Scoorebook Number:
Date & Organization where handler achieved BH
Handler Name:
Cell Phone:   
Club Affiliation:
Member # and Expiration Date:
Do you need to complete BH written exam?
Name of Owner (if different from Handler)
Owner Address
Title Entering For:
   by checking this box I certify that I am the legal owner of this dog or that I am duly authorized by the owner of this dog to act as his/her agent and the dog’s handler. In consideration of the acceptance of this entry, I agree to abide by the rules of Schutzhund USA and the Quinebaug Schutzhund Club and will follow all instructions issued by the Trial Secretary and/or the Trial Judge or other officials. I understand that every dog at this event will at all times be in the care and control of the dog’s named owner/handler. I further agree to be fully responsible for the actions of my dog while on the trial grounds. I further agree to hold the Quinebaug Schutzhund Club, its members, officers, and directors, as well as any ground or property owners harmless for loss or injury which may have been caused directly or indirectly to any person or thing by any act of my dog while on trial grounds. I hereby agree to personally assume all responsibility and liability for any such claims. I understand that the Trial Secretary has the right to dismiss any dog/handler team for violation of the rules or unsportsmanlike conduct, in which case entry fees will not be refunded.
  Electronic signature:
Please enter your full name in this box
  Submit           Cancel
(c) 2009 vom Rebel Yel  
(C) 2009-2019 vom Rebel Yelle qsc@quinebaugschutzhund.org