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OFFICIAL CANADIAN
KENNEL CLUB ENTRY FORM ST. CATHARINES &
DISTRICT KENNEL & OBEDIENCE CLUB |
CLOSING DATE: 8 p.m. WEDNESDAY, August 1st, 2007 Make fees payable to:
St. Catharines |
[ ] Friday, Aug. 17, 2007 [ ] Saturday, Aug. 18, 2007 [ ] Sunday,
Aug. 19, 2007 |
ENTRY FEES ($25.00/show) LISTING FEES ($8.48/show) EXHIBITION ONLY ($25.00 each) CATALOGUE ($7.00 each)
TOTAL |
$____________
$____________ $____________ $____________ $____________ |
BREED | VARIETY | SEX |
Enter
in the following Classes: [ ] Junior Puppy [ ] Senior Puppy [ ] Canadian Bred |
[ ]
Bred By Exhibitor [ ] Open [ ] Specials Only [ ] Exhibition Only |
Reg. Name of Dog |
Check One - and - Enter Number here
[ ] CKC REG. No. |
DATE OF BIRTH
Is this a puppy? D______M______Y_____ YES______NO______ |
Place of birth [ ] Canada. [ ] Elsewhere |
Breeder(s)____________________________________________________________________________ | |
Sire_________________________________________________________________________________ | |
Dam_________________________________________________________________________________ | |
Reg'd Owners(s)________________________________________________________________________ | |
Owner's Address_____________________________________________________________________ | |
City_____________________________________Prov.______________Code_____________________ | |
Name of Owner's Agent (if any) at the Show__________________________________________________ | |
Agent's Address________________________________________________________________________ | |
City______________________________________Prov._______________Code____________________ | |
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