Mid Atlantic Disc Dogs

READING PET EXPO

Saturday May 3, 2014

Skyhoundz DiscDogathon World Qualifier

Sunday May 4, 2014

Skyhoundz PA State Championship

Reading Fairgrounds, 1216 Hilltop Road, Leesport, PA 19533

DiscDogathon

World Qualifying Events/Games:

1.  Pairs Distance and Accuracy

2.  Freestyle

3.  Spot Landing

4.  Bullseye

5.  Time Trial

Additional Event/Game (if time permits):

6.  Distance and Accuracy

Notes:

a)  Please identify your Pairs D/A partner on the Pre-Reg form or request to be paired up

b)  No Skyhoundz Hyperflite Divisions

c)  World Qualifier – Top Team (Handler(s)/Canine) for each Event/Game (ie 5 World Qualifiers at each competition … 1 Pairs Distance/Accuracy, 1 Freestyle, 1 Spot Landing, 1 Bullseye & 1 Time Trial)

2014 Qualifying Teams To Date

See www.skyhoundz.com

Note: 1st Place determines the qualifying teams unless the team has already qualified. In this scenario, the qualification will go to the next placement team that has not already qualified. Also, the entire team is the basis for who has qualified, so if any part (Handler(s) or Canine) of the team differs they will be considered a different team and are eligible to qualify.

MAD Dogs Divisions

MicroDog Division - 16 " and under

Note: The Team (Handler/Canine) can only enter in one MAD Dogs’ Division for all Toss & Fetch Games. Teams are able to enter a different Division for Freestyle if they so choose (AA-Advance, A-Intermediate, B-Beginner, MicroDog or Youth-Under 15 Yrs). Also, as a club member, your Division remains constant for the season in order to determine Club Cup Points.

**************SUNDAY, MAY 4, 2014*****PA STATE CHAMPIONSHIP**************

State Championship Event/Games

Note: Choose only one Game – D/A or Freestyle w/ D/A

Winners determined as follows:

1.  Distance and Accuracy (D/A) – Total of 2 D/A rounds

2.  Freestyle (F/S) – 2 F/S rounds plus 1st D/A round, 2nd D/A round optional (not counted at event)

Please fill out the following registration form accordingly.

EMAIL: Pre-registration forms to Melanie Griggs @ . AVOID the LATE FEE by pre-registering no later than Sunday, April 27, 2014. You can mail payment (payable to MAD Dogs) delivered by Monday, April 28, 2014 to Melanie Griggs, 25230 Trunk Line Road, Henderson, MD 21640

THANK YOU!

Check# ______Amount______

Cash Amount______

Hyperflite Skyhoundz DiscDogathon World Qualifier

Pennsylvania State Championship

Reading Pet Expo

Reading Fairgrounds, 1216 Hilltop Road, Leesport, PA 19533

May 3 & 4, 2014

Registration 8:30 am Start Time 9:00 am

Handler Name:
Address:
City: / State: / Zip Code:
Phone: / Email:
Are you a MAD Dog Member? (Check one) / Yes / No / Club Affiliation:
Dog # / Dog Name / Breed / D/D
Sat / S/C
Sun / D/D & S/C / D/D
Only / S/C
Only / D/D & S/C Late Fee / D/D
Late Fee / S/C
Late Reg / Total
1 / $25 / $15 / $15 / $10 / $5 / $5
2 / $15 / $10 / $10 / $10 / $5 / $5
3 / $10 / $5 / $5 / $10 / $5 / $5
4 / $10 / $5 / $5 / $10 / $5 / $5
Grand Total
# / DiscDogathon
Event / MAD Dogs Divisions / State Championship
AA Advanced / A
Intermediate / B
Beginners / Micro Dog / Youth / Team / Div / D/A Only / F/S
With D/A
1 / Pairs Distance & Accuracy / Second Handler / AA
Freestyle / A
Spot Landing / B
Bullseye / M
Time Trial / Y
Distance & Accuracy (MAD Dogs) / Choose ONE Game
2 / Pairs Distance & Accuracy / Second Handler / AA
Freestyle / A
Spot Landing / B
Bullseye / M
Time Trial / Y
Distance & Accuracy (MAD Dogs) / Choose ONE Game
3 / Pairs Distance & Accuracy / Second Handler / AA
Freestyle / A
Spot Landing / B
Bullseye / M
Time Trial / Y
Distance & Accuracy (MAD Dogs) / Choose ONE Game
4 / Pairs Distance & Accuracy / Second Handler / AA
Freestyle / A
Spot Landing / B
Bullseye / M
Time Trial / Y
Distance & Accuracy (MAD Dogs) / Choose ONE Game

Release and Waiver of Liability

For and in consideration of my participation in the, Skyhoundz, Hyperflite, and Mid Atlantic Disc Dogs event, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I the undersigned, intending to be legally bound do hereby for myself, my heirs, assigns, executors and administrators, waive and release any and all rights and claims for damages or injuries arising out of, or in any way related to, my participation in the Event, which I may have against the following party: Skyhoundz, Hyperflite, and MAD Dogs, the administration and owner of the facility hosting the Event; together with the contractor, agents, employees and representatives of each of them. I certify that my canine and I are healthy and fit to compete in the Event.

I hereby grant to, Skyhoundz, Hyperflite, and MAD Dogs the exclusive right to record, broadcast, photograph, film and videotape my performances and related interviews at the Event and to utilize such recordings, broadcasts, photographs, films or videotapes together with my name, image, likeness, voice, and biographical information, for such publicity, promotional or commercial purposes as they may desire. I understand that, Skyhoundz, Hyperflite, and MAD Dogs may assign the right to use the recordings, broadcasts, images, photographs, film and videotape of my performance(s) together with my name, image, likeness, voice and biographical information to such person or other entity (including, but not limited to a television broadcaster) as they may desire without my further consent or knowledge and I expressly agree to such assignment.

Signature of / Parent or Guardian
Competitor / Signature (under 18)
Date / Date