Title application form Driver Name* Date of Birth (If under 19) Address* City* State Country* Email Address* Phone Number* Please include titles already earned with the dog's name eg. Harry Shedder DG DA2 Dog Name - First Dog Age Dog Name - Second (Optional) Dog Age Dog Name - Third (Optional) Dog Age Dog Name - Fourth (Optional) Dog Age Location of Drive - First Location of Drive - Second Location of Drive - Third Location of Drive - Fourth (Optional) Title Applying for Ground Driving (GD)Arena Driving Novice (DA1)Arena Driving Intermediate (DA2)Arena Driving Expert (DA3)Expert Complete (DXC)Driving Master (DM)Fitness Driving Beginner (DF1)Fitness Driving Novice (DF2)Fitness Driving Intermediate (DF3)Fitness Driving Expert (DF4)Trail Driving Beginner(DT1)Trail Driving Novice (DT2)Trail Driving Intermediate (DT3)Trail Driving Expert (DT4) Screenshots (Optional) URL for Video Link Application Fee Submitted By PayPalCheque I CERTIFY that I am the registered owner(s) of the dog(s) or that I am the authorized agent of the actual owner(s) and that I accept full responsibility for all statements made in this entry as well as for the safety of myself and the dog(s) in the pursuit of IADD titles. In consideration of the acceptance of this entry, I agree to be bound by the rules and regulations of the International Association of Dog Drivers Driver Name Date