Registration Essene Trial 22

Belgian Championship Cl 1 on 04-05-Jun-2022.

Priority for members for class 2 and 3. Priority to Belgian nationality for Class 1.

Closing registrations 23-Mei-2022

FirstName *

Name *

Member FSB *

Yes
No

Member FSB

Member De Dender *

Yes
No

Member De Dender

I accept the rules for behaviour described in the Trial Regulation Document of FSB *

Yes

It is mandatory to set this field to Yes in order to be able to participate

Live in Belgium *

Yes
No

I'm living in Belgium since more than 12 months

Nationality *

Belgian
Dutch
German
French
Other

The Belgian nationality is required to endorse the Belgian Champion title

Email *

Nr Tel

Zip code

City

Comment

additional info from subscriber

Dogname *

ISDS Nr Dog

Dog gender

Dog
Bitch

Class *

Class 1
Class 2
Class 2+ (2+3)

Select Class

Saturday *

Yes
No

04 Jun

Sunday *

Yes
No

05 Jun

Monday *

Yes
No

01 Nov

Run 1

Yes
No

Run 2

Yes
No

Thursday *

Yes
No

30 May De Boender

Friday *

Yes
No

31 May Lummen

OC *

Yes
No

Outside competition

Lunch dinner registration

Mention number of persons for Saturday evening

In case of problems with the form please use webmaster

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