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Owners Name


The team being registered is the Handler and dog who will compete


Handlers Name *

First Line of Address *

Second Line of Address *

County or City *

Post Code

If the Owner’s details are  different to the Handler’s  please enter them below. Otherwise leave blank.

First Line of Owners Address

Second Line of Owners Address

County or City

Post Code


Email *

Telephone *

Dog's Registered Name *

Registration No (or ATC)

Dog's Date of Birth *

Dog's Pet Name *

Breed *

Dog's Height in Centimetres  (levels 3 and above)

Jump Height Claimed (levels 3 and above)

Please copy the words in the box

Data Protection Act 1998

The data collected on this form will only be used for the purpose of RallyOnline administration and will not be disclosed to any external sources without your express written consent. Both electronic and paper records will be deleted/shredded when the account is closed.

If you do not have a registration number please choose a name and we will assign you a number

This is where your number will be sent.