Mail to: SABA  1822 Sullivan Lane   Bardstown, KY. 40004

Which test are you taking  

BST  or OB1  (circle one)

BST test Fee $50.00         Re-Test Fee $25.00

OB1 test Fee $40.00      Re-Test Fee  $20.00

Your name:________________________________________

Address:__________________________________________

City:______________________State:_____Zip:____________

Phone:______________________email:__________________________

Dogs Name:_________________________________________________

Reg #__________________________________Sex:__________

Date of Birth:_______________Height:______________Weight:___________

Microchip or Tattoo#________________________HipScore____________

Hosting Club of Event:___________________________________

Testing Date:_____________TestLocation:____________________

I Agree to hold harmless and waive all claims against any SABA officer, member, participants, host clubs, or grounds owners and their heirs, assignees or representatives for any injury or accident to myself, family, or my dog.

Owners Signature:______________________________Date:_____________