Southeastern PA Rottweiler Klub

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Official SPARK Travel Agent

copyright © 2005 Southeastern PA Rottweiler Klub (SPARK) • All rights reserved • ANY reproduction of any text, graphics, photos or backgrounds on this
site is strictly prohibited. Southeastern PA Rottweiler Klub and the SPARK name are registered with the USRC and may not be used by any other entity in
any form without the express permission of the club & club webmaster.

Entries, supporting documents, payments and can also be mailed to: Samantha Canuso, 2675 Shady Lane, Lansdale, PA 19446.

Please make all checks payable to: Samantha Canuso/SPARK

***No entry fees will be refunded for any reason.***

United States Rottweiler Club Event Entry Form

Name of Dog:

Recognized Show/Working Titles*:

Male/Female?:

DOB:

Country of Birth:

Age:

USRC Reg Nr:

Other Reg Nr(s):

HD Rating or Nr & County:

Tattoo Nr/Location:

ED Rating or Nr & County:

Scorebook #:
(Working Entry Only)

Sire Name:

USRC Reg Nr:

Other Reg Nr:

Sire Titles*:

Dam Name:

USRC Reg Nr:

Other Reg Nr:

Dam Titles*:

Breeder:

Owner:

Co-owner:

Address:

State:

Zip:

Country:

City:

Phone:

E-mail address:

Handler:

Handler's Address:
(working event only)

Event Date:

Host Club & Location:

Conformation Show Entry

Club Show

Male

4-6 Month

Champion Class

Regional Sieger Show:

Female

6-9 Month

Working Class

National Sieger Show

9-12 Month

Sieger/Siegerin Class

12-18 Month

Veteran Class

Only ONE Entry PER ENTRY FORM
PLEASE!!!

18-24 Month

Stud Dog/Brood Bitch

Open Class

Kennel Class

* Copies of qualifying titles earned must be submitted with entry and originals must be available at the show.
** Hip Certification Number or rating, pass or fail, must be included on the entry form for all entries 30 months and older.

Breed Test Entry

BST

Copies of the following documents must be submitted with entry and ORIGINALS must be presented at
the Breed Test:

USRC Membership Card (Owner & Handler)
USRC Registration Certificate
USRC Recognized Hip Certification
Scorebook showing required titles earned, scorebook number and full name of dog\
Weight certificate dated within 30 days of the test date
*2 Show Critiques (ABST only)
**Documentation of USRC Registered Litters (LBST only, obtained from USRC Registrar)

ABST*

LBST**

Working Event Entry

National Sieger Show

SchH1

SchH2

SchH3

Club Trial

Regional Championship

National Schutzhund Championship*

IPO1

IPO2

IPO3

Universal Sieger/Siegerin**

FH1

FH2

IPO FH

Original scorebook must be presented on the day of
the trial.

*Copies of USRC Registration and Scorebook
showing qualifying scores must be submitted with
entry.

**National Sieger Show Critique and BST must be
submitted with entry.

TR1

TR2

TR3

OB1

OB2

OB3

SchHA

Only ONE Entry PER ENTRY FORM
PLEASE!!!

Entry Agreement

As a USRC member or as a non-member event participant I fully understand that the USRC is a hobby club made up of people interested in the rottweiler breed. I further understand that by their very nature, sporting activities involving dogs have a potentially increased risk of personal injuryand property damage. Furthermore, when participating in USRC sanctioned events or utilizing the membership privileges extended to me by USRC, I do not expect to receive any type of financial gain either personal or business related from the outcome of events or from the issuing of titles by judges or from the issuance of USRC related paperwork and materials.In consideration of the acceptance of this entry and the holding of this event and of the opportunity to have the dog judged and have the opportunity to win prizes, ribbons or trophies, I (We) agree to hold the USRC, the host club, the members, directors, governors, agents, supervisors, volunteers, employees or judges,apprentice judges or individual judging this event free from liability and harmless from any claim, loss, injury or lawsuit as a result of any judging activities.I (We) agree that any cause of action, controversy or claim arising out of or related to the entry, exhibition, judging or attendance at the event between the USRC and the host club or as to the construction, interpretation and effect of this agreement shall be settled by arbitration pursuant to the applicable rules of the American Arbitration Association. However, as a precondition to arbitration all applicable USRC bylaws, rules and regulations and procedures must first be followed as set forth in the USRC bylaws, rules, regulations, published policies and guidelines.I (We) certify and represent that the dog entered is not hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement in the USRC rules, regulations, policies and guidelines are available on the USRC website & www.usrconline.org.

By submitting this form I agree to the terms and conditions of entry in a USRC sanctioned show or event and to the terms and provisions of the Southeastern PA Rottweiler Klub Code of Conduct.

Please click submit only ONCE!

Official SPARK Training
Equipment Supplier

***One entry form per class/event!!!