Registration form EVN Eurasier Championship Clubmatch

Data on dog and breeder

Pedigree name *

Pedigree number (NHSB or else) *

Dog's date of birth (Day-Month-Year) *//

Dog's sex *

Male
Female

Name of dog's father *

Name of dog's mother *

Name of dog's breeder *

Data on dog's owner

First name *

Infix

Surname *

Email *

Address *

Telephone number *

Zip code *

Residence *

Class

Select the class in which you want to let your dog participate:

Participation class *

Upload copy of championship diploma

Klik of sleep een bestand naar dit veld om te uploaden.

Add a file in PDF format.

Bij deelname aan de kampioensklasse dient u een kopie van het kampioenschapsdiploma te uploaden of per mail te sturen aan [email protected]

Kind-hondshow (Junior Handling)

The Junior Handling is divided in 2 age classes: 6 up til and including 11 years, and 12 up till and including 17 years.

Kind-hondshow (Junior Handling)

Yes, the dog will participate

Name of the child

Age of the child on the day of the Clubmatch

Nakomelingenklasse (Offspring Class)

Dogs registered for this class must also be registered for one of the classes 1-7. Male and female can present themselves here with their offspring. The participation tarif of €11,50 will be charged to one of the parent dogs.

Nakomelingenklasse (Offspring Class)

Yes, the dog will participate

Registration fees

Registration fee *

Select the class that is applicable to the age of your dog:

Settlement amount Nakomelingenklasse (Offspring Class)

I settle the amount associated with participating in the Offspring Class (€ 11,50)

Voluntary amount of money to be added to the amount of Price Money (in €)

Total amount to be payed

0,00 €

Registrant's statement *

Registrant states that, as far is known to him, during the last period of 12 weeks the by him registered dog(s) have not been under circumstances that might cause fear of a contageous dog disease or any other contageous disease. He states as well that he will not let the dog(s) participate to the Clubmatch if such circumstances are present before the start of the Clubmatch. Registrant states that by sending in this registration form, he obeys the provisions of the statutes and the regulations of the "Raad van Beheer" and of the "EVN Clubmatch" and undertakes to pay the bill.

Processing of personal data *

Ik agree with the processing of my personal data as mentioned in this Dutch privacy statement .

Your message or remark (optional)

Eurasier Vereniging Nederland

Registration form EVN Eurasier Championship Clubmatch

Eurasier weekend, June 10-11, 2023: registration for EVN Eurasier Championship Clubmatch is open!

Data on dog and breeder

Data on dog's owner

Class

Kind-hondshow (Junior Handling)

Nakomelingenklasse (Offspring Class)

Registration fees