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TCDTA FUN MATCH ENTRY FORM
DATE: October 23, 2010
Entry fees enclosed $________
Check all classes you are entering:
Obedience trial Class:

______Pre-Novice A
______Pre-Novice B
______Novice A
______Novice B
______Graduate Novice

______Utility B
______Utility A
______Open A
______Open B ______Veterans

 

______________UKC (specify class) EXHIBITION ONLY
Rally: _____ Novice ______ Advanced ______ Excellent _______Jump Ht.
Conformation: ___________ 3-6 ___________ 9-12 ___________ Open

Junior Showmanship: Handler___________DOB _______ Class _______
 

Breed ___________________________________________________________
Full Name of Dog __________________________________________________
Date of Birth_________________________________ Sex _________________
AKC#_______________ UKC#_____________ ILP__________ None______
Name ___________________________________________________________
Address _________________________________________________________
City __________________________________ State ________ Zip__________
Telephone ________________________________________________________
Signature _________________________________________________________
On accepting this entry, I (we) agree to hold the sponsor, their officers and members, as well as the owner of the premises harmless from any claim for damages which may occur to me or my dog. I (we) also assume full responsibility for any damages done by me or my dog at the fun match.
Mail to: TCDTA
Viette Hornick
W959 Cty. Rd. B
Marinette, WI 54143
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