Please use vet clinic stamp below (with name, Handler/Agent address, and phone of clinic) or have the above Submitting this form constitutes your information printed/provided on clinic letterhead. agreement to the terms of the Entry Agreement BERNESE MOUNTAIN DOG CLUB OF AMERICA TEST – WEIGHT CERTIFICATE NAME OF VET CLINIC: __________________________________ OWNER/HANDLER NAME: _______________________________________________ I verify on _________ (insert date) ________________ (insert dog’s call name) Weighed ________________ (insert weight). ___________________________________ Signature of vet employee witnessing weight _________________________________________ Employee Name and Title
Handler/Agent Submitting this form constitutes your agreement to the terms of the Entry Agreement BERNESE MOUNTAIN DOG CLUB OF AMERICA – TEST WEIGHT CERTIFICATE NAME OF VET CLINIC: __________________________________ OWNER/HANDLER NAME: _______________________________________________ I verify on _________ (insert date) ________________ (insert dog’s call name) Weighed ________________ (insert weight). ___________________________________ Signature of vet employee witnessing weight _________________________________________ Employee Name and Title Please use vet clinic stamp below (with name, address, and phone of clinic) or have the above information printed/provided on clinic letterhead.
dPL_201810_michigan.docx