Formulaire d’inscription Pour ouvrir le formulaire d’inscription en français : INSCRIPTION Subscrption Select a competition : Racing 06/04/2025 Lenteprijs (CACBL+CACIL) Racing 18/05/2025 Racing 01/06/2025 Blue Riband (CACBL+CACIL) Racing 06/07/2025 Grote Prijs van België (CACBL) Racing 13/07/2025 Zilveren Haas (CACBL+CACIL) Racing 03/08/2025 Grote Prijs van België (CACBL) Racing 05/10/2025 Clubkampioenschap Racing 26/10/2025 Grote Prijs van Beringen (CACBL+CACIL) Coursing 03 & 04/05/2025 Maasmechelen (CACBL+CACIL) Coursing 28 & 29/06/2025 Ophoven (CACBL+CACIL) Coursing 08 & 09/11/2025 Ravels (CACBL+CACIL) Name of the owner Email Streetname & - number Zip code Residence Country Phone or mobile number Dogs name Chipnr. Date of birth of the dog Breed Pick a breed Afghan Hound Azawakh Barzoi Basenji Chart Polski Deerhound Galgo Espanol Greyhound Irish Wolfhound Italian greyhound Magyar Agar Pharao Podenco Saluki Sloughi Whippet Other Gender Male Female Weight -> Only applicable for whippets and Italian Greyhounds ?The weight is only necessary if you entered a whippet or an Italian Greyhound Pedigree number ?Altijd in te vullen indien uw hond voor een certificaat loopt ________________________________________________________ CSS License YES NO Request CACBL certificate YES (1 show result of a Belgian CAC or CACIB show must be added) NO ________________________________________________________ FCI-CACIL License YES NO Request CACBL certificate YES NO Request CACIL certificate YES (only for international race & coursing competitions) NO ________________________________________________________ Please state the distance and 2 best times run during a race at the Beringen racecourse. If you do not have this information, enter "NA". Distance & Time 1 Distance & Time 2 Senior Class + 7 years YES NO Wide Runner YES NO Niet van toepassing ?Only valid voor a race competition Permission to take and publish photos that clearly identify you as a person YES NO Spamcheck ?Retype above code so that we know that it is not spam