OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM

Note: This Entry Form Must Be Completed In Full

Las Vegas Bird Dog Club Hunt Test

December 13 , 14, 2003

AKC EVENT # ______________________
I submit $______________ for entry fees. Fees must accompany entry.
Enter in STAKE/TEST:
Name of Dog: Call Name:
AKC Reg. # or AKC Litter #
Breed:                                      Male/Female:                                             D.O.B.
SIRE:
DAM:
BREEDER:
NAME OF ACTUAL OWNER:
OWNER'S STREET ADDRESS:
CITY:                                                 STATE:                                         ZIP:
NAME OF HANDLER (Print):
 
I CERTIFY that I am the actual owner of this 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 agree to abide by all the Rules and Regulations of the American Kennel Club governing this Hunt test and any decisions made in accord with them, and I further agree that the dog is entered in and will be at this event at my own risk and that I will hold the event giving club, its members and agents free from liability for any claims arising out of the entry of the dog or in presence at the event.
 
Signature of owner or his/her agent
Duly authorized to Make this entry______________________________________
 
Address of Agent (if agent signs above line for owner):
STREET:
CITY:                                                 STATE:                                         ZIP:
PHONE:

Back to Las Vegas Bird Dog Club