NORTHUMBERLAND AND DURHAM LABRADOR RETRIEVER CLUB
WORKING TEST AT: WEMMERGILL ESTATE, CO. DURHAM / ID No.
4022 / WORKING TEST DATE: / Entry Close Date:
15thApril 2018 / 8thApril 2018
INSTRUCTIONS FOR COMPLETION OF ENTRY FORM, which is editable for completion on your computer prior to printing if required
  • This form must be used by one person only (or partnership). The entry must be typed or written inINK AND BLOCK CAPITALS.
  • WORKING TEST ENTRIES WILL ONLY BE ACCEPTED FROM GUNDOGS REGISTERED AT THE KENNEL CLUB LTDGUNDOG GROUP (vide Reg.J1.a,J7a & B20).
  • Use one line only for each dog. The name of the dog and all details as recorded with the Kennel Club Ltd must be given on this entry form.
  • If an error is made the dog may be disqualified by the Committee or Kennel Club Ltd. Dogs in breach of Kennel Club Ltd Rules and Regs. are liable to disqualification whether or not the owner was aware of the breach.
  • If a registered dog has changed ownership, the transfer MUST be applied for before the closing of entries.
  • By entering you are confirming you have read and accepted the Kennel Club Code of Conduct, the Club’s rules and regulationsHealth and Safety Policy.
  • PLEASE CHECK ALL DETAILS. ON NO ACCOUNT WILL ENTRIES BE ACCEPTED WITHOUT APPROPRIATE FEES.
/ Total Value of Entry:
Puppy/Novice/Open:
£6 per dog - member
£9 per dog - non-member
Categories
Entered / REGISTERED NAME OF DOG / KCREG NO./ STUD BOOK NO./ or ATC. NO. / DATE OF BIRTH / BREEDER NAME / SIRE / DAM
BREED ↓ / DOG OR BITCH↓
BREED ↓ / DOG OR BITCH↓
BREED ↓ / DOG OR BITCH ↓
NAME OF OWNER: / NAME OF HANDLER
(if different to owner)
Address: / Address:
Tel No: / Tel No:
Email: / Email:
I/We agree to submit to and be bound by the Kennel Club Ltd Rules and Regulations in their present form or as they may be amended from time to time in relation to all canine matters with which the Kennel Club Ltd is concerned and that this entry is made on the basis that all current single or joint registered owners of this dog(s) have authorised/consented to this entry. I/We also undertake to abide by the Regulations of this Test and not to bring to the Test any dog which has contracted or been knowingly exposed to any infectious disease during the 21 days prior to the day of the Test, or which is suffering from a visible condition which adversely affects its health or welfare. I also declare that I am fully conversant with the Field Trial Regulations and have studied the guide to Conduct at Field Trials. I/We also confirm that we have read and accept the Club’s Rules and Regs. and Health and Safety Policy and further declare that I believe to the best of my knowledge that the dogs are not liable to disqualification under Kennel Club Ltd Field Trial Regulations.
Signature of Owner(s) Date: / Preferred method - Email ONLINE ENTRIES TO: and pay fees via our website -
OrPOST CHEQUE WITH ENTRY FORMS TO:
Mr. Jeff Smart, 10 Cedarway, Leam Lane, Gateshead NE10 8LD.
Tel: 07917 681996