CCLRC B-MATCH and SWEEPSTAKES ENTRY FORM

CCLRC AKC SANCTIONED  B-MATCH and SWEEPSTAKES MATCH ENTRY FORM

OCTOBER 7, 2007

PRE-ENTRY FEES: $8.00 PER  BREED CLASS ENTRY,  $8.00 PER SWEEPSTAKES CLASS ENTRY

DAY OF MATCH ENTRY FEES: $10.00 PER  BREED CLASS ENTRY,  $10.00 PER SWEEPSTAKES CLASS ENTRY

Pre-entries close September 30,2007 at 5:00 PM

For Official Use Only

Entry Number

 

__________________

 
 


AKC Registered Name of Dog______________________________________________________

 

Color_____________________________________              Sex:__________________________

 

Owners Name______________________________              Phone #_______________________

 

Address:___________________________________   City:___________________ State:_____      Zip:________

 

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, 28606 Pittman Hill Rd., Clovis CA 93619

______________________________________________________________________________________________________   

 

CCLRC AKC SANCTIONED  B-MATCH and SWEEPSTAKES MATCH ENTRY FORM

OCTOBER 7, 2007

PRE-ENTRY FEES: $8.00 PER  BREED CLASS ENTRY,  $8.00 PER SWEEPSTAKES CLASS ENTRY

DAY OF MATCH ENTRY FEES: $10.00 PER  BREED CLASS ENTRY,  $10.00 PER SWEEPSTAKES CLASS ENTRY

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:___________________ State:_____      Zip:________

 

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, 28606 Pittman Hill Rd., Clovis CA 93619