NATIONAL "Sieger Show Championship" ENTRY FORM

Date: ________________ Location: _________________




The American Dobermann Association preserves the Dobermann breed as protection, family companion, and working dog, according to FCI Standard

Send entry & payment to: ADA - Po Box 2231 - Snohomish, WA 98291 -USA.
Entry Fee: US$ 80. Non Members US$ 150. Please make money order or cashier's check US funds payable to ADA.

Dog's Name Female Male

Registration Nr. WT / DOB Tattoo Nr. Color

Breed Titles ADA Member Nr.

Sire Reg. Nr. Titles

Dam Reg. Nr. Titles

Zuchter / Breeder Country

Eigentumer / Owner - Address

Phone Email

With entry form & fee, please send the followings:
Copy of hips certification (HD) Copy of official registration certificate
Copy of the German ZTP certificate Copy of official 3-generation pedigree
Copy of approved working title
Owner/Handler Statement: I agree to waive all claims against participants, ADA, its officers and members, the show grounds' owner, and any official for any accident or loss, which may occur on the show grounds before, during, or after this event. I am fully liable for any damage caused by my dog. All entries made in this application are true and correct.

Signature: _________________________________________ Date: ___ / ___ / ___