Application to Host a Weight Pull

Date(s) of Proposed Weight Pull*

Please list all dates associated with weight pull

Event Name*

Weight Pull Location/Address/Directions*

Hosting GSMDCA Recognized Regional Club*

All GSMDCA sanctioned weight pulls must be done under a recognized regional club. Please coordinate with local club prior to submitting application. The GSMDCA only weight pulls in conjunction with the GSMDCA National Specialty.

Proof of Insurance*

All recognized regional clubs hosting events are required to have liability insurance. Please be sure to include at least the company name and policy number along with any other information you feel necessary.

Pull Format (i.e. wheels, rails, including type of flooring/ground)*

Name and Address of judges*

Weight Pull Chairman Information

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Emergency Vet Clinic (verify availability before submitting this application)*

Closest Hospital or Emergency Service