Please Check the apprpriate area(s) Entry Fee: Pre entry is $15 for each regular entry. For Jr. Showmanship and puppies 6 months and under $10.00.  Day of entry $20.00 regular and $15.00 Jr. Showmanship and puppies under 6 months. Entry closes Aug. 15th. Mail Entry Fees Payable to: Ray Giacobbe 1700 Suite D  Ridgewood S Avenue, Holly Hill, FL. 32117                                  Aug. 26th #1 Show 1:00 pm            Aug. 27th #3 Show 9:00 am                                                  #2 Show 4:00 pm                             #4 Show 1:00 pm Breed                                                                                 Sex                                           Class Jr's 3-6 mth (   ) 6-9 mth (   )  9-12 mth  (   ) 12-1yr  (   ) 2-4  (   )  Open  (   )               Name of Jr. Handler                                                                                                                  Full Name of Dog                                                                                                                      Date of Birth                                                                                                                            Breeder                                                                                                                                    Sire                                                                                                                                          Dam                                                                                                                                          Actual Owner(s)                                                                                                                       Owners Address                                                                                                                       City                                                                    State                         Zip                                  E-Mail                                                                                        Phone                                     I certify that I am the actual owner of the dog or that I am the duly authorized agent of the owner whose name I agree to abide by the rules and regulations of the World Bulldog Alliance in effect at the time of this Show.
		By signing this document, I agree to hold the WBA and/or any member, sponsors, participants and/or the owner leaser of the premises harmless for any claim for loss or injury which may be caused or alleged to be caused, directly or indirectly, to any person respon or thing by the act of this dog in or upon the show grounds. I, personally assume ALL responsibilty and liability for any such claim, I agree to hold the aforementioned parties harmless for any claim for loss of this dog by disappearance, theft. death or otherwise, and from any claim for damage or injury caused or alleged to be caused, by the negligence of the club or any partied aforementioned or by the neglegence of any other person. Signiture______________________________________________________________________Date_______________________________