Ankc Agility Trial Entry Form

ANKC AGILITY TRIAL ENTRY FORM NOTE: WRITING MUST BE INK, AND ALL NAMES OF DOGS IN BLOCK LETTERS - ONE ENTRY FORM TO BE COMPLETED PER CLASS To be held under the Rules & Regulations BREED Catalogue No of the State Controlling Body NAME OF EXHIBIT Height at Shoulder Details of dog entered must be identical with the registration of the Controlling Body with whom the dog is registered. (write name of club for which entry is made) Date of Fixture: Date of Birth Sex Registered No.

EXHIBITOR'S DECLARATION Please indicate Trial Entered (ie 9am, 1pm) I hereby apply to enter the foregoing exhibits in terms of and upon the Jump Height (please circle) 200 300 400 500 600 conditions set out in the Controls Constitution and Rules by which I agree to be bound, and I hereby certify to the correctness of the particulars endorsed Event (please circle) Agility Jumping Gamblers Snooker Strategic Pairs hereon. Class (please circle) Novice Excellent Master Open Entry Fees Partner (dog) Registered No Catalogue NAME OF OWNER/S Subscription POSTAL ADDRESS POSTCODE Sundries EMAIL MEMBERSHIP NO TOTAL PHONE Chq No. SIGNATURE CLUB/S REPRESENTED

ANKC AGILITY TRIAL ENTRY FORM NOTE: WRITING MUST BE INK, AND ALL NAMES OF DOGS IN BLOCK LETTERS - ONE ENTRY FORM TO BE COMPLETED PER CLASS To be held under the Rules & Regulations BREED Catalogue No of the State Controlling Body NAME OF EXHIBIT Height at Shoulder Details of dog entered must be identical with the registration of the Controlling Body with whom the dog is registered. (write name of club for which entry is made) Date of Fixture: Date of Birth Sex Registered No.

EXHIBITOR'S DECLARATION Please indicate Trial Entered (ie 9am, 1pm) I hereby apply to enter the foregoing exhibits in terms of and upon the Jump Height (please circle) 200 300 400 500 600 conditions set out in the Controls Constitution and Rules by which I agree to be bound, and I hereby certify to the correctness of the particulars endorsed Event (please circle) Agility Jumping Gamblers Snooker Strategic Pairs hereon. Class (please circle) Novice Excellent Master Open Entry Fees Partner (dog) Registered No Catalogue NAME OF OWNER/S Subscription POSTAL ADDRESS POSTCODE Sundries EMAIL MEMBERSHIP NO TOTAL PHONE Chq No. SIGNATURE CLUB/S REPRESENTED