Old World Dachshund Races
Entry Form
Dog's Name Age: Weight: Lbs
Has all current Vaccinations yes no (circle
one)
Fullbreed Dashshund yes no
(circle one)
Owners Name & Assistant
Address
City Zip
Email
Day Phone ( )
Fax ( )
Amount enclosed $ @ $16.00 each
You may enter either
by calling by phone (714) 898-5111 with credit card payment or
send completed form.
Please Print and Fill
out this Entry Form and send with
a Check for the entry fee to:
