Sheep Dog Trial July 24^th, 2011 - 9am Adair County Fairgrounds, Greenfield, Iowa Added Money – 100% payback 30 Dog Limit – Enter Early!!! Pre-Entry Deadline: July 18^th, 2011

Sanctioned by: ISDA NSDA

Send Entry Forms and Fees to : Curtis Dukes (checks payable to IHDA)

2435 Willow Ave.

Kent, IA 50851

641-348-2389

Entry Fees: Open - $45.00 Pro-Novice - $40.00 Novice - $35.00

Dog’s Name Age Sex Class Owner/Hander Fee

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2.________________/____/____/_______/_______________/_____

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4.________________/____/____/_______/_______________/_____

5.________________/____/____/_______/_______________/_____

6.________________/____/____/_______/_______________/_____

Total_______

In consideration that my dog and I will be participating in the Stock Dog Trial, I understand that I am responsible for any costs incurred as a result of damages caused by me, my family or my dogs to facilities, animals or people. I hereby agree that in the event of personal injury, or damage to my property or animals, I will not hold Curtis Dukes, owners of the livestock, trial sponsors, stock handlers, helpers or other proper owners responsible.

Signature:________________________________Date:____________

Name: (please print)____________________________________

Address:____________________________________________

City:____________________ State________ Zip___________

Phone:______________________ E-Mail__________________