Georgia Dachshund Races 2012 Official Event Entry Form
Owner’s Name: ___________________________________________________
Address: ________________________________________________________
City: _____________________________ State: ________ Zip: ___________
Phone Number: ___________________ Cell Phone: _______________________
E-mail: ________________________________________________________
Dog’s Name: ________________________________ Age: _____Weight:______
Dog’s Name: ________________________________ Age: _____Weight:______
Dog’s Name: ________________________________ Age: _____Weight:______
Vet’s name: ______________________________________________________
Address: ________________________________________________________
City: ________________________ State: _____________ Zip: ___________
Phone: ________________________________
SHOT RECORD DATES: Distemper Rabies Parvo
Dog’s Name: _____________________________ ______ _______ ______
Dog’s Name: _____________________________ ______ _______ ______
Dog’s Name: _____________________________ ______ _______ ______
PLEASE HAVE COPY OF SHOT RECORD ON HAND
ADD MORE DOXIE NAMES ON SEPARATE SHEET
FREE DOXIE WEDDING
Male ___________________________ Female ___________________________
DATES AND TIMES: Saturday, June 18, 9:00am-4:00pm
$5.00 per event or any 3 events (per dog) for $12.00!
RACE ENTRY FORM
Circle “M” for Mini – “S” for Standard!
Adult Race: M / S Dog’s Name: _____________________________________
Cart Race: M / S Dog’s Name: ______________________________________
Puppy Race: M / S Dog’s Name: _____________________________________
Senior Race: M / S Dog’s Name: _____________________________________
Non Doxie Race: Dog's Name: __________________________ Pounds: ________
SPECIAL EVENTS ENTRY FORM
Doggie Wedding: Male ____________________ Female _____________________
COSTUME EVENTS
Best Dressed Male: Dog’s Name: _______________________________________
Best Dressed Female: Dog’s Name: _____________________________________
Best Dressed Group: Dog’s Name: ______________________________________
Best Dressed Look a Like: Dog’s Name: _________________________________
SIZE EVENTS (OVER 1 YEAR)
Smallest: Dog’s Name: ______________________________________________
Longest: Dog’s Name: _______________________________________________
Oldest: Dog’s Name: _______________________________________________
BEST NOSE EVENT
Dog’s Name: _____________________________________________________
TIMED OBSTACLE COURSE
Dog's Name: _____________________________________________________
BEST COAT EVENTS
Long Coat: Dog’s Name: _____________________________________________
Short Coat: Dog’s Name: ____________________________________________
Wire Coat: Dog’s Name: _____________________________________________
Best Coat Pattern: Dog's Name: _______________________________________
(circle one pattern) Dapple Brindle Sable Piebald Brindle Piebald
Best Coat Color: Dog’s Name: _________________________________________
(circle one color) (Wire coats may be Wheaten or Wild Boar)
Black Black/Tan Blue/Tan Blue/Cream Chocolate Chocolate/Tan
Chocolate/Cream Black/Cream Cream Red Shaded Red Isabella
Isabella/Cream Isabella/Tan Wild Boar Wheaten
* * * * * * * * * * * *
IT'S NOT TOO LATE, REGISTER TODAY!! You will be able to sign up the day of the races and be put on a waiting list to find an open heat however; The National Dachshund Races cannot guarantee that there will be a heat open for your Dachshund to be placed in. Questions call 770-934-2853. Happy Racing!
IN CONSIDERATION OF MY PARTICIPATION IN THE NATIONAL DACHSHUND RACES 2012, I HEREBY WAVE THE NATIONAL DACHSHUND RACES, ALL SPONSORS, VENDORS AND COMPETITORS FOR DAMAGES OR INJURIES TO MYSELF AND/OR MY DOXIE DURING ALL EVENTS. I WILL ALSO PERMIT FREE USE OF PICTURE(S) IN BROADCASTS, NEWSLETTERS, WEBSITES OR ANY APPROPRIATE MEDIUM.
Please:
SIGN HERE: ______________________________________ DATE ________
Please email or send form and payment (PayPal or Check) to:
GaDachshundRaces@bellsouth.net
Georgia Dachshund Races
2852 Umberland Drive
Atlanta, GA 30340
770-934-2853
You can enter SPECIAL events on the day of the races. If you enter RACE EVENTS on the day of the races, you will be on a waiting list and not guaranteed a heat open for your Dachshund to be placed in. FOUR doxies will race at a time.