Surname:

Name:

Cell Phone number:

Email address:

Registered Name of Dog:

Call Name of Dog:

KUSA Registration No:

Breed:

Dog's date of birth: (YYYY/MM/DD)

Sex:

Colour:

Sire Registered Name:

Sire Registration No:

Dam Registered Name:

Dam Registration No:

Entry fee: Entry fee: Entry fee for handler R350 (includes meals) Guests require meals (R350 per person)

Total number of meals required: (incl handler)

Total = R350 entry incl meals + R350 per guest meals:

Method of Payment: Method of Payment: EFT / Transfer to our bank account Credit card payment via YOKO (Link will be messaged to you)