Midwest Borzoi Club - LGRA Entry Form

Large Gazehound
LGRA
Club
Date*

SaturdaySunday
Breed*
QUICK ENTRY (For dogs that have previously raced in LGRA events):
LGRA NO
CALL NAME
Sex

MaleFemale
LGRA NO
CALL NAME
Sex

MaleFemale
LGRA NO
CALL NAME
Sex

MaleFemale
FTE (First Time Entered Dog #1):
CALL NAME
SEX
REGISTERED NAME Include titles
SIRE
DAM
REGISTRATION PAPERS ATTACHED for First Time Entrants:

AKCNGAAKC ILPOther
FTE (First Time Entered Dogs):
CALL NAME
SEX
REGISTERED NAME Include titles
SIRE
DAM
REGISTRATION PAPERS ATTACHED for First Time Entrants:

AKCNGAAKC ILPOther
Upload required files for First time entrants:

Hound Registration etc. All files can be uploaded at once.
Cancelof
I and my heirs, legal representatives and assigns shall hold harmless and defend from any claim for personal injury, illness or property damage arising out of participation in this race meet sponsored by Midwest Borzoi Club,its officers, directors, committees, agents and members, and the Large Gazehound Racing Association, its officers, directors, committees, agents, and members. I agree to abide by the Official Rules and Regulations of LGRA and its code of conduct during this race meeting.
Signature of Owner*

Clear
Date*

MonthDayYear
Date
Owners Name please print*
Address*
Email*
example@example.com
Phone*
No entry is considered complete until payment has been received. You can pay via PayPal now (5% per entry processing fee) or payment must be received before Roll Call.

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My Products (only select below options when paying via PayPal)
prevnext( X )
LGRA Entry, Saturday November 15Quick entry, 1st dog
$15.75 Quantity



LGRA Entry, Sunday November 16Quick entry, 1st dog
$15.75 Quantity



LGRA Entry, Saturday November 15Quick entry, 2nd/3rd dog
$10.50 Quantity



LGRA Entry, Sunday November 16Quick entry, 2nd/3rd dog
$10.50 Quantity



LGRA Entry, Saturday November 15Quick entry, 4th + dog
$7.35 Quantity



LGRA Entry, Sunday November 16Quick entry, 4th + dog
$7.35 Quantity



FTE LGRA fee
$7.35 Quantity



Total

$0.00
Payment Methods

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Large Gazehound

LGRA