Please enter the name and date(s) of the show you wish to enter in the space provided below.
I Enlose $ _________________ for entry fees.
IMPORTANT: Read
Carefully the instructions Before Filling Out. Numbers in the boxes
indicate sections of the Instructions relevant to the information needed
in that box. (PLEASE
PRINT LEGIBLY).
BREED
VARIETY [1]
SEX
DOG [2][3] SHOW CLASS
CLASS DIVISION [3] (Weight, Color, etc.)
ADDITIONAL CLASSES
OBEDIENCE CLASS
JR. SHOWMANSHIP CLASS
NAME OF JUNIOR HANDLER
(if any)
FULL NAME OF
DOG
Enter Number Here
[ ] AKC REG. NO.
[ ] AKC LITTER NO.
[ ] I.L.P. NO.
[ ] FOREIGN REG. NO. & COUNTRY
DATE OF BIRTH
PLACE OF BIRTH [ ] U.S.A. [ ] Canada [ ] Foreign
[ ] Do Not Print Above in Catalog
BREEDER
SIRE
DAM
ACTUAL [4] OWNERS________________________________________________________________________
CITY ___________________________________________STATE _________ZIP ______________
NAME OF OWNER'S AGENT (if any) AT THE SHOW _____________________________________________R-____________
ARE THERE ANY CORRECTIONS OR CHANGES ON THIS ENTRY? YES [ ] NO [ ]
I CERTIFY
that I am the actual owner of the dog, or that I am the duly authorized
agent of the actual owner whose name I have entered above. In consideration
of the acceptance of this entry, I (We) agree to abide by the rules
and regulations of the American Kennel Club in effect at the time
of this show or obedience trial and by any additional rules and regulations
appearing in the Premium List for this show or obedience trial or
both, and further agree to be bound by the "Agreement" which
can be viewed by following it's link. I (We) certify and represent
that the dog entered is not a hazard to persons or other dogs, this
entry is submitted for acceptance on the foregoing representation
and agreement.
SIGNATURE of owner or his agent
duly authorized to make this entry _____________________________________________
(Must be signed here)
TELEPHONE # _______________________________
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