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3129 Gallows Road • Gretna VA 24557 • 434-818-1177
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~ UpDog Registration • October 21-22, 2023 • 9:00 AM - 5:00 PM ~

Pre-registration and pre-payment only!

Registration and payment deadline Monday, October 16, 2023.

$13 per run. Cash or Visa or MasterCard accepted. No checks.

One registration form per handler. Please do not include multiple handlers on one form. Unregistered handlers will not be permitted to compete. If you have more than 4 dogs, please complete an additional form.

If you have any questions, please call Leesville Lake Campground, 434-818-1177.

Game Rules (click on game name): 4WayPlay7UpBoom!FreestyleFrizgilityGreedyThrowNGoTime Warp


Handler First & Last Name:
E-mail Address:
Phone Number:
Street Address:
City:
State:
Zip Code:

Dog 1 Name:
Dog 1 Team Number:
Dog 1 Freestyle Level (if applicable):
Dog 1 Agility Jump Height (if applicable):
Dog 1 Pairs 2nd Handler Name & Pairs Team #
(if applicable):
Dog 1 Saturday Games (check all that apply): ThrowNGo ($13)
4WayPlay ($13)
Freestyle Performance ($13)
Frizgility ($13)
Greedy ($13)
Pairs ThrowNGo ($13)
Dog 1 Sunday Games (check all that apply): ThrowNGo ($13)
Boom! ($13)
Time Warp ($13)
7Up ($13)
Pairs 4WayPlay ($13)

Dog 2 Name:
Dog 2 Team Number:
Dog 2 Freestyle Level (if applicable):
Dog 2 Agility Jump Height (if applicable):
Dog 2 Pairs 2nd Handler Name & Pairs Team #
(if applicable):
Dog 2 Saturday Games (check all that apply): ThrowNGo ($13)
4WayPlay ($13)
Freestyle Performance ($13)
Frizgility ($13)
Greedy ($13)
Pairs ThrowNGo ($13)
Dog 2 Sunday Games (check all that apply): ThrowNGo ($13)
Boom! ($13)
Time Warp ($13)
7Up ($13)
Pairs 4WayPlay ($13)

Dog 3 Name:
Dog 3 Team Number:
Dog 3 Freestyle Level (if applicable):
Dog 3 Agility Jump Height (if applicable):
Dog 3 Pairs 2nd Handler Name & Pairs Team #
(if applicable):
Dog 3 Saturday Games (check all that apply): ThrowNGo ($13)
4WayPlay ($13)
Freestyle Performance ($13)
Frizgility ($13)
Greedy ($13)
Pairs ThrowNGo ($13)
Dog 3 Sunday Games (check all that apply): ThrowNGo ($13)
Boom! ($13)
Time Warp ($13)
7Up ($13)
Pairs 4WayPlay ($13)

Dog 4 Name:
Dog 4 Team Number:
Dog 4 Freestyle Level (if applicable):
Dog 4 Agility Jump Height (if applicable):
Dog 4 Pairs 2nd Handler Name & Pairs Team #
(if applicable):
Dog 4 Saturday Games (check all that apply): ThrowNGo ($13)
4WayPlay ($13)
Freestyle Performance ($13)
Frizgility ($13)
Greedy ($13)
Pairs ThrowNGo ($13)
Dog 4 Sunday Games (check all that apply): ThrowNGo ($13)
Boom! ($13)
Time Warp ($13)
7Up ($13)
Pairs 4WayPlay ($13)

Total Payment Due: $
Credit Card Number (VISA or MasterCard):
Credit Card Expiration Date (MM/YY):
Card Security Code (3 digits on back of card):