Peterborough and District Obedience Club
Address entries to
Trial Secretary……………………..Carolee Furze
1550 Nassau Road, R.R. 9 Peterborough, ON K9J6Y1
Make all cheques or money orders payable to (no postdated cheques)
Peterborough and District Obedience Club
Official classes – 28.00 per entry per class.
Additional entry of same dog, same trial 25.00 (i.e. Open and Utility)
Unofficial - $10.00 per entry per class. Exhibition only - $5.00 – Listing fees $8.30
I Enclose $
For Entry Fees$
Sunday May 5, 2013
Listing Fees $
Class A, B or E (exibition only)
RALLY
Trial 10 A,B,CorE
OBEDIENCE
Jump
Height
Novice
Advanced
Trial 93 A,B,CorE
OBEDIENCE
Jump
Height
Pre
Novice
Pre
Novice
Novice
Novice
Novice In
Novice In
Open
Open
Utility
Utility
Veterans
Brace
Excellent
Trial 11 A,B,CorE
Jump
Height
Novice
Advanced
Excellent
Trial 94 A,B,CorE
Sex:
Reg Name of Dog:
Breed:
Check One and Enter Number Here
CKC Reg No.
Jump
Height
Date of Birth
Day
Month
Year
CKC ERN No.
Place Of Birth
CKC Misc Cert No.
Listed
CKC PEN No.
Breeders:
Sire:
Dam:
Reg’d Owners:
Owners Address:
City :
Prov :
Name of Owners Agents(if any) at the show:
Agents Address:
City:
Prov :
Canada
Elsewhere
Postal Code:
Postal Code:
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(s) 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 any additional rules and regulations appearing in the premium
list.
Email Address
Signature of owner or agent
Telephone No.