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Ilmoittautuminen Itä-Helsingin Agilityharrastajat ry:n agilitykilpailuihin

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Itä-Helsingin Agilityharrastajat ry

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Ohjeita

- Lähetä erillinen lomake jokaisesta koirasta.
- Osallistumismaksu pitää olla maksettuna ennen lomakkeen lähettämistä.
- Lahjakortti pitää tuoda kilpailupaikalle.
- Omistajan nimi tarvitaan vain, jos omistaja on eri kuin ohjaaja.

Kilpailun tiedot

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Kilpailu(t):

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lomakkeella ei ole avoimia kilpailuja!

Kokoluokka:

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>pikkumini

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>mini

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>medi

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>pikkumaxi

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>maxi

Tasoluokka:

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1

Maksukuitin arkistointitunnus:

Maksettu:

euroa ja/tai lahjakortti
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euroa
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Koiran tiedot

Rotu:	muu rotu: Warning: Undefined array key "kisaId" in /home/tolleri/public_html/agiilmo/php/v033/agiilmolomake.php on line 455
Virallinen nimi: (ei titteliä)
Kutsumanimi:
Rekisterinumero:	muodossa FIN12345/00, ei muita merkkejä
Syntymäaika:
Sukupuoli:	Warning: Undefined variable $data in /home/tolleri/public_html/agiilmo/php/v033/agiilmolomake.php on line 502 Warning: Trying to access array offset on value of type null in /home/tolleri/public_html/agiilmo/php/v033/agiilmolomake.php on line 502 >uros Warning: Undefined variable $data in /home/tolleri/public_html/agiilmo/php/v033/agiilmolomake.php on line 503 Warning: Trying to access array offset on value of type null in /home/tolleri/public_html/agiilmo/php/v033/agiilmolomake.php on line 503 >narttu
Omistajan nimi:

Ohjaajan tiedot

Etunimi:
Sukunimi:
Lisenssinumero (Sportti-ID):	8 numeroa, ei muita merkkejä
Seura: Jos seura on ulkomaalainen, valitse vain maa seuralistan lopusta.	muu seura: Warning: Undefined array key "kisaId" in /home/tolleri/public_html/agiilmo/php/v033/agiilmolomake.php on line 587

Yhteystiedot

Kilpailukutsu

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Katuosoite:

Postinumero ja -toimipaikka:

Sähköposti:

Puhelin:

Viesti

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Vakuutan, että koira on rokotettu voimassa olevien määräysten mukaisesti. Sitoudun noudattamaan maan voimassa olevia koesääntöjä. Suostun siihen, että Itä-Helsingin Agilityharrastajat ry, SKL-FKK ja rotujärjestöt saavat julkaista antamani tiedot sekä koirani saaman tuloksen. Itä-Helsingin Agilityharrastajat ry ei julkaise puhelinnumeroa ja osoitetietoja.

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Lomakkeen toteutus: Timo Eskola ja Johanna Pikkarainen, www.tolleri.net