Warning: Parameter 2 to qtranxf_postsFilter() expected to be a reference, value given in /home/kvwberin/domains/kvwberingen.be/public_html/wp-includes/class-wp-hook.php on line 286
Register EN – KVW Beringen

Register EN

 

Fill in this form to register your dog for a race or coursing. Do you have multiple dogs? Please fill in 1 form for each dog.

New: For the races we close the registration on Friday 8 PM.

Subscrption
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
Gender
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
Request CACBL certificate
________________________________________________________
FCI-CACIL License
Request CACBL certificate
Request CACIL certificate
________________________________________________________
Please state the distance and 2 best times run during an official race at the Beringen racecourse. If not applicable, enter "NA".
Distance & Time 1
Distance & Time 2
Senior Class + 7 years
Wide Runner
?
Only valid voor a race competition
Permission to take and publish photos that clearly identify you as a person
Spamcheck
Spamcheck
?
Retype above code so that we know that it is not spam