Entry Form

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM   2011117701
CAVALIER DOBERMAN PINSCHER CLUB, Inc.
Friday November 4th, 2011
Closing Date: Entries must be received by the Show Secretary, by 5 PM Wednesday, Oct. 19, 2011, after which time entries cannot be accepted, cancelled or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show rules.

ENTRY FEE: $30.00 for the first entry of a dog (including $0.50 AKC recording fee) and $25.00 for each additional entry of the same dog. Armature Owner Handler, Bred By and Puppy classes $25.00, Veteran $20.00, Parade Of Title Holder 18.00

IMPORTANT – Read carefully the INSTRUCTIONS before filling out. Numbers in boxes indicate section of the instructions relevant to the information needed in that box.

BREED               Doberman Pinscher
SEX: Dog Bitch

DOG (2) (3) Show Class:

ADDITION CLASSES

FULL NAME OF DOG

AKC REG NO

DATE OF BIRTH

PLACE OF BIRTH

BREEDER:

SIRE:

DAM:

ACTUAL OWNER(s)

Owner Address

Owner City, State, ZIP

Name of Owner's Agent

I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement.

Duly authorized to make this entry (type your Name)

Telephone                        Pers ID Code #

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM 2011117701 CAVALIER DOBERMAN PINSCHER CLUB, Inc. Friday November 4th, 2011 Closing Date: Entries must be received by the Show Secretary, by 5 PM Wednesday, Oct. 19, 2011, after which time entries cannot be accepted, cancelled or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show rules. ENTRY FEE: $30.00 for the first entry of a dog (including $0.50 AKC recording fee) and $25.00 for each additional entry of the same dog. Armature Owner Handler, Bred By and Puppy classes $25.00, Veteran $20.00, Parade Of Title Holder 18.00 IMPORTANT – Read carefully the INSTRUCTIONS before filling out. Numbers in boxes indicate section of the instructions relevant to the information needed in that box.
BREED Doberman Pinscher		SEX: Dog Bitch
DOG (2) (3) Show Class:
ADDITION CLASSES
FULL NAME OF DOG
AKC REG NO	DATE OF BIRTH	PLACE OF BIRTH
BREEDER:
SIRE:
DAM:
ACTUAL OWNER(s)
Owner Address
Owner City, State, ZIP
Name of Owner's Agent
I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement. Duly authorized to make this entry (type your Name) Telephone Pers ID Code #