OFFICIAL CANADIAN KENNEL CLUB ENTRY FORM /

KENNEL CLUB

Saturday

/

Sunday

SHOW
TRIAL
CATALOGUE

A SEPARATE ENTRY FORM IS REQUIRED FOR EACH CLASS

PLEASE TYPE OR PRINT CLEARLY
Total Enclosed: $ / Entry Fees: $ / Listing Fees: $
BREED: / SEX:

Enter one of the following classes: SHOW OR

/

TRIAL

Junior Puppy / Exhibition Only / Pre-Novice / Open A
Senior Puppy / Novice A / Open B
Canadian Bred / Novice B / Utility
Bred by Exhibitor / Novice C / Exhibition Only
Open / Novice Intermediate / Jump Ht:
Specials Only
REG. NAME OF DOG:
Check one – and – enter number here:
CKC Reg. No. / Date of Birth: D M Y
CKC ERN
CKC Misc.Cert.No. / Is this a Puppy: Yes No
PEN
Listed / Place of Birth: Canada Elsewhere
Breeder(s):
Sire:
Dam:
Reg’d Owner(s):
Owner’s Address:
City: / Prov: / P.C.:
Name of Owner’s Agent (if any) at the Show:
Agent’s Address:
City: / Prov: / P.C.:
Mail I.D. to: Owner Agent
I CERTIFY that I am the registered owner(s) of the dog, or that I am the authorized agent of the owner(s)
whose name I have entered above, and accept full responsibility for all the statements made in this entry.
In consideration of the acceptance of this entry, I (we) agree to be bound by the rules and regulations of
The Canadian Kennel Club and by any additional rules and regulations appearing in the Premium List.
SIGNATURE OF OWNER OR AGENT: / Phone #:
E-mail: / Fax:
OFFICIAL CANADIAN KENNEL CLUB ENTRY FORM /

KENNEL CLUB

Saturday

/

Sunday

SHOW
TRIAL
CATALOGUE

A SEPARATE ENTRY FORM IS REQUIRED FOR EACH CLASS

PLEASE TYPE OR PRINT CLEARLY
Total Enclosed: $ / Entry Fees: $ / Listing Fees: $
BREED: / SEX:

Enter one of the following classes: SHOW OR

/

TRIAL

Junior Puppy / Exhibition Only / Pre-Novice / Open A
Senior Puppy / Novice A / Open B
Canadian Bred / Novice B / Utility
Bred by Exhibitor / Novice C / Exhibition Only
Open / Novice Intermediate / Jump Ht:
Specials Only
REG. NAME OF DOG:
Check one – and – enter number here:
CKC Reg. No. / Date of Birth: D M Y
CKC ERN
CKC Misc.Cert.No. / Is this a Puppy: Yes No
PEN
Listed / Place of Birth: Canada Elsewhere
Breeder(s):
Sire:
Dam:
Reg’d Owner(s):
Owner’s Address:
City: / Prov: / P.C.:
Name of Owner’s Agent (if any) at the Show:
Agent’s Address:
City: / Prov: / P.C.:
Mail I.D. to: Owner Agent
I CERTIFY that I am the registered owner(s) of the dog, or that I am the authorized agent of the owner(s)
whose name I have entered above, and accept full responsibility for all the statements made in this entry.
In consideration of the acceptance of this entry, I (we) agree to be bound by the rules and regulations of
The Canadian Kennel Club and by any additional rules and regulations appearing in the Premium List.
SIGNATURE OF OWNER OR AGENT: / Phone #:
E-mail: / Fax: