Formulaire d’inscription Pour ouvrir le formulaire d’inscription en français : INSCRIPTION 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