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Rare Breed Club of South Western Ontario "Rare Breed Club Shows" Entry Form: First Day AM ÿ First Day PM ÿ Puppy Sweepstakes ÿ Second Day AM ÿ Second Day PM ÿ Obedience ÿ |
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Entry : $ _______ Catalogue : $ _______ Total : $ _______ |
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Breed: ___________________________________________________ Sex : M ÿ F ÿ |
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Regular Conformation: [ ] Junior Puppy {up to 9 months} [ ] Senior Puppy {9-12 months} [ ] 12 to 18 months [ ] Open [ ] Bred By Exhibitor [ ] Canadian Bred [ ] Specials (finished Champions only) Variety (AM Bulldog)
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Puppy Sweepstakes: [ ] Junior up to 9 months [ ] Senior 9 to 12 months [ ] Open 12 to 18 months |
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Registered Name of Dog: _________________________________________________________ |
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Date of Birth : D _____ / M _____ / Y _____ Registration # __________________________ Place of Birth: [ ] Canada [ ] Elsewhere Registering Body: _______________________ |
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Breeder[s]: ___________________________________________________________________________ |
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Sire: __________________________________________ |
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Dam: _________________________________________ |
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Registered Owner (s): _________________________________________________________________ _________________________________________________________________ |
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Owner’s Address: _________________________________________ City: _____________________ Prov./State: _____________ Zip/Postal Code: _________ Country : _______________ |
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Agent: ______________________________________ Agent’s Address: ________________________ City: ____________________ Prov./State: __________ Zip/Postal Code: ____________ |
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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 the statements made in this entry. ANY incomplete entries will not be accepted. I/We agree to be bound by the rules and regulations of the Rare Breed Club of South Western Ontario and any additional rules appearing in the premium list. |
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Signature: Phone: ( ) |
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