ENTRY FORM
Saturday
 date 31.5.2014*
Specialty Show
with the titles
CAJC, CAC, The Winner of Specialty Show, BOB,
BOS, BIS
Entry Deadlines
2nd Deadline: 15.4.2014
1st Deadline: 15.3.2014
The Entry Form must be filled in BLOCK letters or typed.
Breed_____________________________________
Class: *
baby
puppy
open
working*
junior
champion*
3rd Deadline: 30.4.2014
*if not applicable: cross out/delete
Sex:*
male - female
intermediate
veteran
honorary*
Name of your dog including affix (kennel name):
______________________________________________________________________
Date of birth:_________________Registration number:____________________________
Show titles obtained and finished: ________ _______________
Working tests/trials completed:
Parents:
__________________________
Sire: ___________________________________________ Reg.number:____________________
Dam: _________________________________________ Reg. number:____________________
Breeder (name and surname): _________________________________________________
Owner (name+ surname and home and e-mail address):________________________________
__________________________________________________________________________
________________________________________________Phone:______________________
You need to fill in a separate ENTRY FORM for each dog entered.
Before filling the ENTRY FORM in, please read the ENTRY Terms and Conditions carefully.
A copy of the pedigree, the recognized Champion title for Champion or Honorary class and an
International working certificate for Working class to be included! Honorary class is in honour only,
not competing with the others.
Please attach a copy of the pedigree and a proof of payment.
Send on-line or by REGISTERED mail to the address:
Radka Štencelová, Žižkova 56, 281 26 Týnec nad Labem , Czech Republic
http://klubovydenrkcz.webnode.cz/
Info:
Afternoon Competitions:
The Brace Competition (the best couple - male and female)
Breed:__________________________________________________________________
Names of dogs:___________________________________________________________
The Breeder´s Group
Kennel
____________________________________________________________
Breed ___________________________________________________________________
The Children´s Competition (junior handling)
Child´s Name + Name of dog including the affix/kennel name
________________________________________________________________________
The Best Stud Dog
(Name of dog including the affix/kennel name):__________________________________
According to the ENTRY Terms and Conditions I pay these fees:
For my first dog
.................................. CZK
For my second dog
................................. ..CZK
For my baby / puppy ……............................CZK
Attach the Proof of Payment here,
please.
For Afternoon Competition ......................... CZK
TOTAL PAYMENT : .....................................CZK
BE AWARE, PLEASE: Your dog entered in the BABY, PUPPY, VETERAN or
HONORARY class cannot be considered as your first entered dog.
The organizer is not responsible for incorrectly filled entry forms, for the proof of payment missing or
a pedigree copy missing. Copies are not given back.
Bank account number: IBAN CZ81 0800 0000 0001 4653 4339 SWIFT (BIC) GIBACZPX
I hereby confirm that I understand and agree to abide by the Terms and Conditions of the
Show Entry.
I agree that my name and address will be published in the Show Catalogue.
In (city)........................................Date...............................Signature:...............................................
ENTRY FORM
Sunday
 date 1.6.2014*
Club Show
with the titles
CAJC, CAC, The Winner of Konopiště, BOB, BOS,
BIS
Entry Deadlines
2nd Deadline: 15.4.2014
1st Deadline: 15.3.2014
The Entry Form must be filled in BLOCK letters or typed.
Breed_____________________________________
Class: *
baby
puppy
open
working*
junior
champion*
3rd Deadline: 30.4.2014
*if not applicable: cross out/delete
Sex:*
male - female
intermediate
veteran
honorary*
Name of your dog including affix (kennel name):
______________________________________________________________________
Date of birth:_________________Registration number:____________________________
Show titles obtained and finished: ________ _______________
Working tests/trials completed:
Parents:
__________________________
Sire: ___________________________________________ Reg.number:____________________
Dam: _________________________________________ Reg. number:____________________
Breeder (name and surname): _________________________________________________
Owner (name+ surname and home and e-mail address):________________________________
__________________________________________________________________________
________________________________________________Phone:______________________
You need to fill in a separate ENTRY FORM for each dog entered.
Before filling the ENTRY FORM in, please read the ENTRY Terms and Conditions carefully.
A copy of the pedigree, the recognized Champion title for Champion or Honorary class and an
International working certificate for Working class to be included! Honorary class is in honour only,
not competing with the others.
Please attach a copy of the pedigree and a proof of payment.
Send on-line or by REGISTERED mail to the address:
Radka Štencelová, Žižkova 56, 281 26 Týnec nad Labem , Czech Republic
http://klubovydenrkcz.webnode.cz/
Info:
Afternoon Competitions:
The Brace Competition (the best couple - male and female)
Breed:__________________________________________________________________
Names of dogs:___________________________________________________________
The Breeder´s Group
Kennel
____________________________________________________________
Breed ___________________________________________________________________
The Children´s Competition (junior handling)
Child´s Name + Name of dog including the affix/kennel name
________________________________________________________________________
The Best Stud Dog
(Name of dog including the affix/kennel name):__________________________________
According to the ENTRY Terms and Conditions I pay these fees:
For my first dog
.................................. CZK
For my second dog
................................. ..CZK
For my baby / puppy ……............................CZK
Attach the Proof of Payment here,
please.
For Afternoon Competition ......................... CZK
TOTAL PAYMENT : .....................................CZK
BE AWARE, PLEASE: Your dog entered in the BABY, PUPPY, VETERAN or
HONORARY class cannot be considered as your first entered dog.
The organizer is not responsible for incorrectly filled entry forms, for the proof of payment missing or
a pedigree copy missing. Copies are not given back.
Bank account number: IBAN CZ81 0800 0000 0001 4653 4339 SWIFT (BIC) GIBACZPX
I hereby confirm that I understand and agree to abide by the Terms and Conditions of the
Show Entry.
I agree that my name and address will be published in the Show Catalogue.
In (city)........................................Date...............................Signature:...............................................