For Official Use Only Entry Number __________________
AKC Registered Name
of Dog______________________________________________________
Color_____________________________________ Sex:__________________________
Owners Name______________________________ Phone #_______________________
Address:___________________________________ City:
Email Address:______________________________________________________
Breed Class (Circle
One)
4-6 Mos . 6-9
Mos. 9-12 Mos. 12-18 Mos. Bred By Exhibitor
Open Black Open AOAC Hunting
Retriever*
*Dog must have earned at least one leg from an AKC sanctioned
Junior Hunt Test or completed performance requirements at a Working Certificate
Test.
Sweepstakes Class
(Circle One)
4-6 Mos.
6-9
Mos. 9-12 Mos. 12-18 Mos.
I/We agree to hold
the CCLRC, it=s officers, members, and agents harmless for any claim for loss
or injury which may be alleged to have been caused to any person or thing while
upon the match grounds.
Owner
Signature___________________________________ Total
Paid_____________________________________
Print Name:________________________________________________
Mail entry forms
to: Chris Bunch, Match Secretary,
______________________________________________________________________________________________________
OCTOBER 7, 2007
For Official Use Only Entry Number __________________
Pre-entries close September 30,2007 at 5:00 PM
AKC Registered Name
of Dog______________________________________________________
Color_____________________________________ Sex:__________________________
Owners Name______________________________ Phone #_______________________
Address:-___________________________________
City:
Email Address:______________________________________________________
Breed Class (Circle
One)
4-6 Mos . 6-9
Mos. 9-12 Mos. 12-18 Mos. Bred By Exhibitor
Open Black Open AOAC Hunting Retriever*
*Dog must have
earned at least one leg from an AKC sanctioned Junior Hunt Test or completed
performance requirements at a Working Certificate Test.
Sweepstakes Class
(Circle One)
4-6 Mos.
6-9
Mos. 9-12 Mos. 12-18 Mos.
I/We agree to hold
the CCLRC, it=s officers, members, and agents harmless for any claim for loss or
injury which may be alleged to have been caused to any person or thing while
upon the match grounds.
Owner
Signature___________________________________ Total
Paid_____________________________________
Print
Name________________________________________
Mail entry forms
to: Chris Bunch, Match Secretary,