To register with the Disabled Handlers Association either: Fill in this Registration Form online or print and send to: Anne Gill 63 Fairfax Road, Farnborough. Hants GU14 8JR.  A small donation toward administration costs will be gratefully received. Please make cheques payable to: Philippa Armstrong c/o 63 Fairfax Road. Farnborough, Hants, GU14 8JR



Registration Details
                     
Mr Mrs Ms Miss Name
Address (inc. Post Code)
Phone Number  Mobile Phone Number  Email Address 
Highest KC Grade
 UKA Level Date

 
 Dog 1   
                  
Registered Name
 Breed
Pet Name
 Date of Birth
KC Size and Grade
Lge Med Sml
KC Grade
UKA Height and Level
Mx Sd Md Ty
UKA Level
BAA Height and Level
Mx Md Mn Mc
BAA Level


 
 Dog 2   
                  
Registered Name
 Breed
Pet Name
 Date of Birth
KC Size and Grade
Lge Med Sml
KC Grade
UKA Height and Level
Mx Sd Md Ty
UKA Level
BAA Height and Level
Mx Md Mn Mc
BAA Level


 
   Dog 3
                  
Registered Name
 Breed
Pet Name
 Date of Birth
KC Size and Grade
Lge Med Sml
KC Grade
UKA Height and Level
Mx Sd Md Ty
UKA Level
BAA Height and Level
Mx Md Mn Mc
BAA Level


 
   Dog 4
                  
Registered Name
 Breed
Pet Name
 Date of Birth
KC Size and Grade
Lge Med Sml
KC Grade
UKA Height and Level
Mx Sd Md Ty
UKA Level
BAA Height and Level
Mx Md Mn Mc
BAA Level



Would you like to appear on the members map?
Yes No
If Yes, please indicate details you would like to appear
Phone Numbers
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Email?
Yes No Via Anne / Philippa
Other?