2008 BCSA Agility Seminar with Ann Braue - Registration Form
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NAME:
ADDRESS:
CITY/STATE/ZIP:

TELEPHONE:
E-MAIL:   
CONFIRM E-MAIL:
BCSA MEMBER: Yes     No
   
HANDLER: What is your level of competition?
  What are your strengths.
  What are the areas you need improvement in?.
  What is the main reason your dog doesn't qualify?
   
DOG: Name      Age  
  Border Collie or List Other Breed
   
REGISTER
(see fees):
 BCSA Member* Working    Non-BCSA Member Working
Audit      
   

SIGNATURE: _________________________________________    DATE:

ENCLOSED:

Send registration and check payable to BCSA to:
Paige O'Donnell, 1245 SW Alligator Street, Palm City, FL 34990 
* Must be current member.
Office Use Only: Received _______________________  Check #: ________ 

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