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$ 180. Non members US$ 250. Please make money order or cashier's check in US funds, payable to ADA.

Dog's Name Female Male

Registration Nr. WT / DOB Tattoo Nr. Color

Huft.-Dysplasie (HD) Titles ZTP Entry: 1st time 2nd time

Sire Reg. Nr. Titles

Dam Reg. Nr. Titles

Zuchter / Breeder Country

Eigentumer / Owner ADA Member Nr.


Hundefuhrer / Handler - Address

Phone Email

With entry form & fee, please send the followings:
Copy of hips certification (HD) Copy of ADA office approval certificate (request 4 weeks prior)
Copy of official registration certificate Copy of official 3-generation pedigree

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: ___ / ___ / ___