Trial 91 Trial 92 Trial 8 (rally obedience) Trial 9 (rally obedience) 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____________ListingFees $__________ Breed Sex RALLY Novice A Novice B Advanced A Advanced B Excellent A Excellent B JUMP HEIGHT…………. OBEDIENCE Pre Novice Novice A Novice B Novice C Novice I Open A Open B Utility A Utility B Veterans JUMPS Height_____ Width______ Reg Name of Dog Check One and Enter Number Here CKC Reg No. CKC ERN No. 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 Date of Birth D_____M______Y______ Place Of Birth 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. _______________________________ __________________________ Signature of owner or agent Telephone No. ___________________________ email address