2011 Universal Sieger Entry.pdf  Go Back

UScA 2011 Universal Sieger Show

It is understood that every dog at this event will at all times be in the care and control of the dog's handler.  It is further understood that the undersigned agrees to be fully responsible of the actions of his/her dog(s) while at this event.  I agree to hold the High Plains SchH Club, Inc., UScA as well as their members and officers and all property owners HARMLESS for loss or injury, which may have allegedly been caused directly or indirectly to any person or thing by any act of my dog(s) while on the show premises.  I hereby assume all responsibility and liability for such claims.  I further relinquish all claims and agree to hold High Plains SchH Club, Inc., UScA their members, officers, and all property owners HARMLESS for loss and injury, which may have allegedly been caused directly or indirectly to myself or my dogs(s) during participation in this event.

Signature of Owner: ________________________________ Date:_______________

Signature of Handler: ________________________________ Date:_______________

Please circle entry or entries:

Korung on Friday: $125.00

Universal Sieger Show: $150.00

Dog's Registered Name: _____________________________________________

Titles: _________________________________ Registration #: _____________

Breed: ______________________________  Birthdate: _________ M/F ___

Tattoo/Chip#: ____________________ Scorebook #: ______________

Hip#:___________________ Elbow#:_________________

Sire:______________________________________ Registration:__________

Dam:_____________________________________ Registration:___________

Handler:_________________________________USA Member#____________

Address: __________________________________________________________

City/State/Zip: ___________________________________Phone: ____________

Owner:_________________________________USA Member#____________

Address: ________________________________________________________

City/State/Zip: ___________________________________Phone: ____________

Please send copy of registration papers and proof of Korung and hips and elbow cert. 

Make Checks payable to:    "High Plains Schutzhund Club"

All Entries to be sent to (deadline May 6, 2011):     

UScA Office

3810 Paule Ave.

St. Louis, MO 63125-1718

Tel: 314-638-9686

Fax: 314-638-0609

USAoffice@GermanShepherdDog.com