Name:________________________________________________________
Address:______________________________________________________
City/State/Zip:_________________________________________________
Phone:________________________________________________________
E-Mail:______________________________________________________

Number of dogs entered?_________________________________________
Breed of Dog/Dogs?____________________________________________
____________________________________________________________
Age of Dog/Dogs?______________________________________________
Experience in WP?  Excellent____ Good ____ Fair____ None______

What would you like to learn at this weight pull fun match?______________
______________________________________________________________
______________________________________________________________

Extra Remarks:_______________________________________________
___________________________________________________________
___________________________________________________________

Amount Enclosed:_____________________________
Sign:__________________________________
Date:__________________________________