2015 WCFO 15TH ANNIVERSARY INTERNATIONAL CONFERENCE

PRESENTED BY THE EMERALD CITY K9 FREESTYLE DANCERS

“GIVE MY REGARDS TO BARKWAY, REMEMBER ME TO HOWLING SQUARE” LIVE/VIDEO SHOW ENTRY FORM

© WCFO, INC 2015, BROOKLYN, NY USA

PRINT CLEARLY IN BLACK INK FILL OUT ONE ENTRY FORM FOR EACH DIVISION

Mail Form with Entry Fees to: Una Valanski, 526 Loyalville Rd., Dallas, PA 18612 TEL: 570-477-2089 EMAIL:

EVENT NAME AND DETAILS : LIVE/VIDEO ENTRY FORMS ACCEPTED, NAME OF EVENT IS “GIVE MY REGARDS TO BROADWAY”

ENTRY CATEGORY: CHECK ONE ONLY: THERE ARE ONLY TWO CATEGORIES

c MUSCIAL FREESTYLE c HEELWORK-TO-MUSIC

EACH OPEN TO ALL WCFO MEMBERS IN GOOD STANDING IN THE FOLLOWING DIVISIONS ONLY:

ADULTS: BEGINNERS A & B, NOVICE, INTERMEDIATE, SINGLES ONLY.

ADULTS: HANDI DANDI AND SASSY SENIORS BEGINNERS A & B, NOVICE AND INTERMEDIATE. SINGLES ONLY.

JUNIORS: LEVELS 1-2-3 SINGLES ONLY

NO AWARDS WILL BE GIVEN IN ANY DIVISION, ONLY THE TWO CATEGORIES AND ALL SINGES WILL COMPETE AGAINST EACH FOR THE 5 TOP AWARDS IN THE TWO CATEGORIES.

**ALL MUSIC MUST BE FROM MUSICAL PLAYS/MOVIES/PRODUCTIONS FROM ANY COUNTRY. NO ENTRY WILL BE ACCEPTED THAT DOES NOT USE THIS TYPE OF MUSIC.

AWARDS:

5 PLACEMENTS WILL BE GIVEN IN TWO CATEORIES, MUSCIAL FREESTYLE AND HEELWORK TO MUSIC

ENTRIES LIMITED TO 50 TOTAL: for both live/video. First come, first serve.

ENTRY OPENING DATE: MARCH 1, 2015

VIDEO ENTRY CLOSING DATE: JULY 15, 2015 ALL VIDEO ENTRIES MUST ARRIVE AT WCFO ON THIS DATE.

LIVE ENTRY CLOSING DATE: JULY 25, 2015

COMPETITION DATE: THURSDAY, AUGUST, 27TH 2015 9:00AM-12:00PM

AS A SPECIAL INCENTIVE, WCFO WILL GRANT YOUR ENTRY A LEG/TITLE IF YOUR SCORE IN THE ABOVE TWO CATEGORIES IS A QUALIFYING SCORE FOR ANY DIVION LISTED BELOW THAT YOU REQUEST. IF NOT REQUESTED, IT WILL NOT BE GRANTED.

IF YOU WOULD LIKE YOUR SCORES TO BE CONSIDERED FOR LEGS/TITLES WHETHER YOU RECEIVE AN AWARD PLACEMENT OR NOT, PLEASE LIST THE DIVISION THAT SHOULD APPLY FOR YOUR SCORES.PLEASE NOTE, NO CHANGES WILL BE ELIGIBLE ONCE THE DATE OF THE EVENT CLOSES WHETHER YOU ENTERED ANOTHER EVENT AND ACHIEVED A TITLE SCORE..

c BEGINNNERS A MUSCIAL FREESTYLE c BEGINNERS A HEELWORK-TO-MUSIC

c BEGINNNERS B MUSCIAL FREESTYLE c BEGINNERS B HEELWORK-TO-MUSIC

c NOVICE MUSCIAL FREESTYLE c NOVICE HEELWORK-TO-MUSIC

c INTERMEDIATE MF c INTERMEDIATE HTM

c SASSY SR BEGINNER MF c SASSY SR BEGINNER HTM

c SASSY SR NOVICE MF c SASSY SR NOVICE HTM

c SASSY SR INTERMEDIATE MF c SASSY SR INTERMEDIATE HTM

c HANDI DANDI BEGINNNERS MF c HANDI DANDI BEGINNERS HTM

cHANDI DANDI NOVICE MF c HANDI DANDI NOVICE HTM

c HANDI DANDI INTERMEDIATE MF c HANDI DANDI INTERMEDIATE HTM

c JUNIOR LEVEL 1 MF c JUNIOR LEVEL 1 HTM

c JUNIOR LEVEL 2 MF c JUNIOR LEVEL 2 HTM

c JUNIOR LEVEL 3 MF c JUNIOR LEVEL 3 HTM

OWNER NAME:________________________________________________

SEX: c MALE c FEMALE

ADDRESS__________________________________________________________

CITY______________________________STATE______ ZIP___________

COUNTRY_________________TELEPHONE____________________________

EMAIL_________________________________________________________

BREED__________________________________________ SEX c BITCH c DOG

DOG CALL NAME:_____________________________________________

PROGRAM MUSIC TITLE___________________________________

ARTIST/MUSICAN___________________________________ ROUTINE TIME_________________

ENTRY FEE: $20.00US

WCFO Member # ________________ Expires: ________________

PAYMENT: AMOUNT ENCLOSED: $ _____________________

USA ENTRIES: CHECK OR MASTERCARD / VISA. Make check payable to: WCFO, 1INC Check number e _________________

FOREIGN ENTRIES: MASTERCARD / VISA ONLY. CREDIT CARD: MasterCard Visa

Card # ____________________________________Exp. Date: ____________ Verification Code: __________

Credit Card Billing Address:___________________ Zip: _____________

(ENTRY FORM WILL NOT BE ACCCEPTED WITHOUT SIGNATURE BELOW)

In consideration of the acceptance of my ENTRY FORM, and of providing the opportunity for my dog and I to perform and compete during the holding of the canine freestyle competitions, and of the opportunity to have my dog judged, and to win prize money and/or the evidence of participation and skill by the awarding of ribbons and/or trophies, I agree to hold The World Canine Freestyle Organization (“WCFO, INC”), its employees, members, directors, officers, agents and any partner or host organization, and any employees of the aforementioned parties (collectively, the “Released Parties”), harmless from any claim which may be alleged to have been caused directly or indirectly to any person or thing by my acts and/or the acts of my dog while in, near or upon the competition premises or grounds. The owner of the dog and I, if I am not in fact the dog’s true owner, personally and severally assume all responsibility and liability for any such claim. I further agree to hold the Released Parties harmless from any claim for loss of the dog by disappearance, theft, death or otherwise, and also from any claim for damage or injury to the dog or other dogs, whether such loss, disappearance, theft, damage or injury be caused or alleged to be caused by the negligence of the Released Parties, or by the negligence of any other person, or any other cause or causes relating to the holding of the canine freestyle competitions. Additionally, I agree to abide by all current WCFO, INC rules and regulations pertaining to my membership application, including any rule, regulation or law relating to the use of copyrighted materials during my competition performance, as well as at any time thereafter.

I further understand and agree that any audio or video recording of the competition, and any unauthorized distribution thereof, is done at my sole and exclusive risk. I hereby release, discharge, hold harmless and agree to indemnify the Released Parties from any all liability relating to my recording and/or any unauthorized distribution of any recording, including any claims for copyright infringement. In the event that I receive any audio, video recording, or DVD from WCFO, INC, I understand such a recording is a record of the event/competition, and is for home viewing only and is not for commercial use or otherwise to be used or distributed in any other manner whatsoever. I hereby release and indemnify WCFO, INC from any and all liability in the event I breach this agreement.

\By typing your full name below you are digitally signing this document

Signature: Date: