7/30/2019 2013 Premium List

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7/30/2019 2013 Premium List

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7/30/2019 2013 Premium List

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O1 O2 O3 O4 R1 R2 R3 R4 $ Total

Entry Fee (prior to closing) $25

Entry Fee (day of trial) $27Listing Fee 9.50

Exhibition Only 5.00

Catalogue Qty ___ @ $6 Total Fees Enclosed $

Registered Name of Dog:

Check one & enter number here:

CKC Reg. No____________________

CKC ERN No____________________

Listed

CKC Misc.______________________

Date of Birth

D_____M_____Y_____

Place of Birth

Canada

Elsewhere

Jump Height

___________

Broad Jump

__________

Breeder(s)

Sire

Dam

Regd Owner(s)Owners Address

City Prov PC

Owners Agent (if any) at show

Agents Address

City Prov PC

Breeder(s)

Sire

Dam

Regd Owner(s)Owners Address

City Prov PC

Owners Agent (if any) at show

Agents Address

City Prov PC

Registered Name of Dog:

Check one & enter number here:

CKC Reg. No____________________

CKC ERN No____________________

Listed

CKC Misc.______________________

Date of Birth

D_____M_____Y_____

Place of Birth

Canada

Elsewhere

Jump Height

___________

Broad Jump

__________

O1 O2 O3 O4 R1 R2 R3 R4 $ Total

Entry Fee $25

Entry Fee (day of trial) $27Listing Fee 9.50

Exhibition Only 5.00

Catalogue Qty ___ @ $6 Total Fees Enclosed $

Official Canadian Kennel Club Entry Form

River Valley Obedience & Field Trial Club

July 27, 28 2013

Sex: Variety:Breed:

Novice A Utility A Novice C Rally Advanced A

Novice B Utility B Exhibition Rally Advanced B

Open A Pre-Novice Rally Nov. A Rally Excellent A

Open B Novice-Intermediate Rally Nov. B Rally Excellent B

Mail ID to: Owner Agent I certify that I am the registered owner(s) of the dog orthat I am the authorized agent of the actual owner(s) whose name(s) I have entered above and

accept full responsibility for all statements made in t his 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 & regulations appearing in the Premium List.

________________________ E-Mail____________________________________________

Signature of Owner or Agent

Telephone____________________________________

Official Canadian Kennel Club Entry Form

River Valley Obedience & Field Trial Club

July 27, 28 2013

Breed:Variety: Sex:

Novice A Utility A Novice C Rally Advanced A

Novice B Utility B Exhibition Rally Advanced B

Open A Pre-Novice Rally Nov. A Rally Excellent A

Open B Novice-Intermediate Rally Nov. B Rally Excellent B

Mail ID to: Owner Agent I certify that I am the registered owner(s) of the dog orthat I am the authorized agent of the actual owner(s) whose name(s) I have entered above and

accept full responsibility for all statements made in t his 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 & regulations appearing in the Premium List.

________________________ E-Mail____________________________________________

Signature of Owner or Agent

Telephone____________________________________