Text Box: Trinity Valley Weimaraner Club of Texas

TVWC

Field Trial Info.

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Text Box: OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Note: This entry MUST Be Completed in Full (Chap 9 Sec. 5) Trinity Valley Weimaraner Club Event #2010 453604 Lake Murray Field Trial Grounds, Ardmore, OK April 17-18, 2010 I Submit $________________ for entry fees ENTER IN STAKE/TEST Text Box: I CERTIFY that I am the actual owner of this 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 agree to abide by all the rules of The American Kennel Club and the Standard Procedures governing this Field Trial or Hunting Test and any decisions made with them, and I further agree that the dog is entered in and will be at this event at my own risk and that I will hold the trial giving club, its members and agents free from liability for any claims arising out of the entry of the dog or its presence at the event. Signature of Owner or His/Her Agent Duly Authorized To Make This Entry Address Of Agent (If Any Signs Above Line For Owner) Street Phone No.____________________ City State _____________Zip _____________ Text Box: Name of Dog Text Box: Call Name Text Box: AKC Reg. Number Text Box: AKC Litter Number (if not registered) Text Box: Or Foreign Reg. # Text Box: Country of Registry Text Box: Breed Text Box: Female [ ] Male [ ] Date of Birth: Text Box: Sire: Text Box: Dam: Text Box: Breeder: Text Box: Name of Actual Owner: (Print) Text Box: Owner’s Address (Street) Text Box: City, State, Zip Code Text Box: Name of Handler (Print)

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