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On-line application form

By submitting the application form I agree to have my personal data (name, surname, date of birth, address, phone, e-mail) stored in the organiser's database. I agree to their handover to administrators, the organizers of the competition and I agree to the publication of my personal data and sports performance results or position (referee, chairman, etc.) in the media.

By submitting the application form, I agree that the audio-visual material (video, photos, sound) taken during the competition may be used as part of the organiser's promotional activities, without any right to reward for both the author and the competitor.

By accepting this data, the organizer undertakes to use the above data in accordance with Act No. 101/2000 Coll., on the protection of personal data, as amended.

International Championship of the Czech German Shepherd Dog Club 2024

Handler - name and surname: *

Year of birth: *

Phone: *

E-mail: *

Home address including zip code: *

Upload proof of membership here WUSV:: *

Zvolte soubor

Breeder - first name, surname and address: *

Owner - (if not the handler) first name, surname and address: *

Name of dog and kennel: *

Date of Birth: *

Registration Number: *

Tattoo/Chip Number: *

Breed survey: *

X-ray of the hip joints: *

Exams: *

BH, IGP3 *

Zvolte soubor

Dog photo: *

Zvolte soubor

Sex: *

Male

Female

Dog's father: *

Registration Number: *

Tattoo/Chip Number: *

Breed survey: *

X-ray of the hip joints: *

Dog's mother: *

Registration Number: *

Tattoo/Chip Number: *

Breed survey: *

X-ray of the hip joints: *

On-line application form

International Championship of the Czech German Shepherd Dog Club 2024

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