Mid-Atlantic MADNess Entry for March 28-29, 2015

USDAA® Online Entry Form

Mid-Atlantic MADness

March 28 - March 29, 2015

Closing Date March 14, 2015
Dog and Handler Information
Dog's Call Name *
USDAA # *
Breed *
Height *
Birthdate *

Month Day Year
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Day Phone

Area Code Phone Number
Night Phone

Area Code Phone Number
International Phone Number

Country Code Area Code Phone Number
Handler *

First Name Last Name
Email *
Championship Jump Height
Performance Jump Height
Veterans/Intro Jump Height
Saturday Classes
Saturday Standard
$14.00
Saturday Intro Standard
$8.00
Select an Aframe height

5'0" Aframe 5'6" Aframe 5'11" Aframe (avail only for FEO 22" or 26")
Saturday Gamblers
$14.00
Saturday Pairs
$14.00
Pairs Partner:

Draw a partner for me I Have a partner
Partners to Exclude From the Draw:
Partner's Name:
Partner Dog's Name:
Partner Dog's USDAA#:
Partner Dog's Height:
Masters Challenge Biathlon (Standard on Saturday and Jumpers on Sunday)
$28.00
Sunday Classes
Sunday Standard
$14.00
Sunday Snooker
$14.00
Sunday Jumpers
$14.00
Sunday Intro Jumpers
$8.00
Fees and Entry Agreement
Subtotal Class Fees
This is automatically calculated for you
IFCS Contribution
$1.00 or more
Camping Fee
Discount
Total Fees
This is automatically calculated for you.
How will you be paying?

By PayPal By Check
A $2 handling fee is added to your entry when paying using PayPal. When you finish entering all the information on this form and click Submit, you will be automatically redirected to the PayPal website for payment.
Payment by Check

I understand that I still need to mail a check made out to Mid-Atlantic MADness that is received before the secondary closing date of March 23, 2015 at the following address: Mid-Atlantic MADness, c/o Janet L. Gauntt, 10489 State Route 108, Columbia, MD 21044
Note to Trial Secretary
Name of Parent or Legal Guardian, if entry is for a Minor
Signature *
Typing your name here and checking the box below constitutes an electronic signature
General Agreement & Acceptance *

I have electronically signed this entry form and by doing so, I declare that I have read USDAA Official Rules & Regulations and the General Agreement and Test Schedule provisions set forth for entry to this event, and I acknowledge that I understand and agree to abide by all such rules, regulations, policies and provisions stipulated therein, including any provisions incorporated by reference.
If you have indicated a PayPal payment, then when you click on Submit, you will be taken to the PayPal website.
Don't see a Submit button yet? You need to fill out more of the form until you can see that !
This is the amount you will be charged via PayPal when you submit your entry

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USD Single Dog Entry for Mid-Atlantic MADness March 2015
The Hidden Stuff That Makes The Fee Calculations Work
Fee Sat Std
Fee Sat Intro Std
Fee Sat Gamb
Fee Sat Pairs
Fee MC Biathlon
Fee Sun Std
Fee Sun Snooker
Fee Sun Jump
Fee Sun Intro Jump
Fee PayPal Handling
Fee Camp
Should be Empty:

Dog and Handler Information

Saturday Classes

Sunday Classes

Fees and Entry Agreement

The Hidden Stuff That Makes The Fee Calculations Work