Entry Form:

In order for us to arrnage the logistics for the "Wine Dine and Dog Day" we would appreciate your early entry.

Entrance Fee:
R30.00 per adult (includes fun walk)
R10.00 per child (includes fun walk)

You can either download the entry form: HERE
and scan and email back or fax to us
or complete the on-line entry form below and this will automatically be sent to us:

First Name : 
  *
Last Name : 
  *
Physical Address (line-1) : 
 
Physical Address (line-2) : 
 
Physical Address (line-3) : 
 
eMail address : 
  *
Contact Telephone Number : 
  *
Contact Cellphone Number : 
  *
Dogs Name : 
  *
Breed : 
 
Age : 
 
Male / Female : 

 MALE FEMALE


Cross Country Entrant : 

PLEASE SELECT ONE BEFORE YOU CONTINUE
 YES
 NO
 

Competition Entry Classification : 
  Fun Competition Entry
  Waggiest Tail
  Best Rescue Dog
  Shiniest Coat
  Most Obedient
  Best Trick
  Mystery Mutt
  Most Attractive
  Most Appealing Eyes
  Most Expressive Ears
  Best Mirror Image - Dog Owner Look-Alike


Additional Comments or Requests : 
 

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