Northern Working Newfoundlands

NORTHERN WORKING NEWFOUNDLANDSWATER TEST ENTRY FORM

This form must be completed by one person (or partnership) only. The writing must be BLOCK CAPITALS in ink. Use one column only for each dog. Enter details carefully – they will be used when filling out any pass certificates issued and the Test Records. To enter any Tests the dog must be at least 6months old on the day of the test for Section A, 9months for Section B, 18months for Section C and 24months for Sections D & E. No entries will be accepted without entry fees.

Venue:ROTHER VALLEY COUNTRY PARKDate: Saturday 25th, Sunday 26th and Monday 27th May 2013

Test Manager: please send a copy of this form with the test results marked to the Club’s Record Keeper.
Entrants: EVERY ENTRY FORM MUST BE COMPLETED FULLY AND ACCOMPANIED BY THE CORRECT FEES OR IT WILL BE RETURNED TO YOU. Also, please print details clearly on the entry form (IN BLOCK CAPITALS)as the information provided will be used for record purposes and transferred on to any certificate(s) issued / For Test Manager use only
Registered Name (must be completed if known) / Call Name / Date of Birth / Sex / Colour / Breeder / Sire / Dam / Test Entered / Tick below next to appropriate dog,ONLY if Junior Handler is to be considered for Junior Handling Trophy / Result
(Pass or Fail) / Junior Points Gained
If applicable:
Name of Junior Handler: ………………………………………………………….. Age of Junior Handler: ……………………… (10 yrs, up to & including 18 yrs)
Call name of dog handled: ……………………………………………………………………… Test Entered: ………………………………………………………
(full details of dog should have been entered above as usual)

A dog can only be entered for one Section not previously passed per event. All dogs MUST have obtained a pass at each

Section, commencing at Section A, before entry is permitted to the next Section. Please note, dogs who pass Section A may enter for Section B on the day, subject to time being available. Only passes obtained at events organised by theNorthern Newfoundland Club, The Newfoundland Club or the Southern Newfoundland Club will be recognised as relevant qualifications for this event.

Owner(s) Details (for record purposes)
Name(s)
Address
Tel. / …………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
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Owner/Handler Details(for certificate)
Name(s): ………………………………………………..
………………………………………………..

Entrance fees NNC Members £8.00Number of first test entries _____ Total £ ______

Per test:

Non-NNC Members £10.50Number of first test entries _____Total £ ______

(ie NC, Southern NC only members or membership pending)

Subsequent Entries per dog £4.00 Number_____ Total £ ______

Please make all cheques payable to THE NORTHERN NEWFOUNDLAND CLUBTotal£ ______

I/we undertake to abide by the rules and regulations of these tests and declare that the dog(s) entered have not contracted or been knowingly exposed to any infectious disease during the previous 6 weeks and they are fit and healthy to undertake the tests entered. Furthermore I/we accept that any breach of the test rules or regulations may result in disqualification.

Signature of owner(s) ______Date ______

Entry forms and cheques to be sent to the Test Manager. See schedule for details. If you require an acknowledgement of this entry please enclose a SAE.