Please fill in all applicable information. Be sure to proofread as you are responsible for any errors!
Trial:
Simcoe Performance Dogs, March 4, 2012 @ RBEC, Barrie
Sunday
Obedience class entered:
Novice A
Novice B
Novice C
Pre-Novice
Open A
Open B
Utility A
Utility B
Trial #1
Trial #2
Jump Height:
(Open & Utility only)
Entry Fees:
Entry Fees:
EARLY BIRD $25.50 per dog per class
* Early Bird entries MUST BE RECEIVED on or before February 10th otherwise regular entry fees will apply!
REGULAR $28.50 per dog per class
* entries received between Feb 11th and Feb 23rd
LATE $30.50 per dog per class
* received after Feb 23rd up to 1 hr before trial starts
FOR EXHIBITION ONLY $10.50 per dog per class
Listing Fees:
CKC Listing Fee (if required): $9.40 per dog per trial
Online Entry Fee:
$5 online entry fee per dog
Total fees due:
* All fees payable in Canadian funds.
Payment Instructions:
Please use card # on file.
Please call me for Credit Card #.
Registered Owner(s):
* required
Handler's Name (if different than owner):
Registered Name of Dog:
* required
Email:
* required
Mailing Address:
* required
City:
* required
Prov:
* required
Postal Code:
* required
Telephone:
* required
Dog's Call Name:
* required
Breed:
* required
Sex:
Male
Female
* required
Height at withers:
* required
Date of birth:
DD/MM/YYYY
* required
Place of birth:
Canada
Elsewhere
* required
CKC #:
* required
Breeder(s):
* required
Sire:
* required
Dam:
* required
Additional Comments/Instructions for Trial Secretary:
* Please do not include credit card information here, this is
not
a secure form.
I certify that I am the registered owner(s) of the dog, or that I am the duly authorized agent of owner(s) whose name(s) I have entered above and accept full responsibility for all statements made in this entry. In consideration of the acceptance of this entry. I (we) agree to abide by the rules and regulations of the Canadian Kennel Club and by any additional rules and regulations appearing in the premium list.
(Sign liability at trial)
.
Please type name to agree to the above statement:
* required
