14th Wilderness Classic

Sled Dog Derby

                                           2009 Race Entry Form

January 15,16&17, 2010

 Late Entry Fee $20.00

All fees are payable in Canadian Funds

USA Cheques marked “Canadian Funds” will not be accepted.

Entry Fees
Amount
Estimated Purse

12 Dog Class * Approx. 40 miles      

$81.00

 

$3,600

10 Dog Class * Approx. 10 miles

$76.00

 

$1,700

6 Dog Class – Open * Approx. 7.5 miles

$71.00

 

$1,650

6 Dog Class – Purebred * Approx. 7.5 miles

$71.00

 

$1,650

4 Dog Class – Open * Approx. 4 miles

$61.00

 

$1,200

4 Dog Class – Purebred * Approx. 4 miles

$61.00

 

$1,200

2 Dog Skijoring * Approx. 4 miles

$41.00

 

$1,000

 

TOTAL

$

 

 

 

 

 

 

Note:  Fee includes ISDRA user fee.

Please make cheques payable to: Elkford Sled Dog Society

Mailing Address: PO Box 220 , Elkford , BC , V0B 1H0 CANADA

Team Owner_________________________________Team Driver______________________________

Mailing Address_______________________________________________________________________

Telephone Number_____________________________ Fax Number____________________________

Entry Fees Enclosed $______________ ISDRA # (if applicable)________________

AGREEMENT – I agree to be responsible for my conduct and the conduct of my dogs and my dog handlers and to accept the decision of race officials as final.  I shall not hold the sponsors, officials, Elkford Chamber of Commerce nor any other persons involved with this race liable for any injury or damage to myself, my dogs or my equipment.  I understand and agree to abide by the ISDRA Race Rules governing this race.  Further, I give the Elkford Chamber of Commerce the unqualified and unrestricted authority to release my name, address and to otherwise collect information and photographs for advertising, public relations, or other publicity purposes

Owners Signature________________________ Drivers Signature____________________________

PUREBRED CLASS DECLARATION - I declare that all dogs represented by me and entered in this event are Certified and/or Registerable _________________ (breed) duly registered with the ______________(governing body).  If this statement is proved to be untrue, I will forfeit all prize winnings that will in turn be awarded to the next eligible contestant.

Owners Signature________________________ Drivers Signature____________________________  

Office Use Only

Payment Amount Received: ________  Check#: _________  Date: ________  Initials: ______  Receipt#: ______

 

Participation, placement and mileage in previous Wilderness Classic Sled Dog Derby races:

Other racing experience:

Please write a short paragraph about yourself.  The Elkford Chamber of Commerce will use this information in publicity releases: (You may wish to include occupation, number of years in the sport, number of dogs in your kennel, etc.)

Kennel Name:

NOTE: This Entry Form must be completed in its entirety and must be accompanied by full payment before your entry will be registered.

Thank you and good luck!