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Event Application
Please print and fill out form and mail to:
Lori Bowling
410 Longspur Dr
San Clemente, CA 92672
949-369-0642

Name:__________________________________________________________________________________
Address:________________________________________________________________________________
City/State/Zip:____________________________________________________________________________
Phone:__________________________________________________________________________________
E-Mail:_________________________________________________________________________________

Date of Event Entering?________________________________________
Number of dogs entered:____________________________________________________________________
Name of Dogs:_1.___________________________2.____________________________3._______________
Breed of Dogs:_1.___________________________2.____________________________3._______________
Age of dogs:1.____________________________2._____________________________3._________________
If entering more then 3 dogs please fill out info on back of page.

Price for event: 10.00 first dog, 7.00 for each other dog entered.
Total price enclosed_________________________________

please make checks out to Rip Curl Weight Pullers
$50.00 charge for Returned checks
for more info please contact Lori Bowling at 1-949-369-0642 or Mandi Shoemaker at 1-949-369-0235