International Puppy & Trainer Contest

Contestant Application

¨ Trainer or ¨ Puppy

(check one)

Please feel free to attach additional sheets as necessary to complete your application.

Legal Name:

Scene Name:

Address:

City: State: Zip code:

DOB: Sex: M F T

Phone#: ( ) -- Email:

Kennel, Club, or Sponsor(s):

(If Puppy) Trainer Name:

(If Trainer) Puppy Name:

Other Titles Held:

Hobbies:

Why do you want the title of International Puppy or Trainer?

What would you do with the title?

Disclaimer –In consideration of the acceptance of my entry herewith, I hereby waive any and all claims of injury or damage to my person, property, or reputation that may arise now or in the future from any cause whatsoever in connections with my participation with the International Puppy & Trainer Contest and against Beyond Vanilla XV. its members, agents, operators, employees, lessors, lessees, or any other subsidiaries. I release all claims to the use of my name(s), likeness, or photograph in connection with publicity. By my signature I acknowledge that I have read, understand, and agree to the terms of this disclaimer. I further state that I am at least 21 years of age.

Contestant Signature: Date: / /

Mail or deliver all applications with $40 application fee per individual contestant

(check or money order) to IPTC, Inc. PO Box 2405, Galveston, Texas 77553.

Make Checks payable to I.P.T.C., Memo: IPTC Registration