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

Select a competition : Racing 24/04/2022 Lenteprijs (CACBL) Racing 12/06/2022 Blue Riband (CACBL) Racing 10/07/2022 Gouden Haas (CACBL) Racing 14/08/2022 CACBL Racing 11/09/2022 CACBL Racing 02/10/2022 Clubkampioenschap Racing 30/10/2022 Grote Prijs van Beringen (CACIL/CACBL) Coursing 14 & 15/05/2022 Maasmechelen (CACIL/CACBL) Coursing 27 & 28/08/2022 Gesves (CACIL/CACBL) Coursing 12 & 13/11/2022 Ravels (CACIL/CACBL met uitreiking Beker van België)

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