OFFICIAL CANADIAN KENNEL CLUB ENTRY FORM OBEDIENCE FORBIDDEN PLATEAU OBEDIENCE AND TRACKING CLUB ALL-BREED TRACKING TEST Sunday, March 18, 2018 Limited Entries: - AND 5 TDX'S 2 TD’S $65.00; $80.00; $10.50 ENTRY FEES: T.D. T.D.X. CKC LISTING FEE: mail Make cheques payable to: and to: F.P.O.T.C. Lesley Kenyon 1664 Claudet Road, Nanoose Bay, BC V9P 9B4 CLOSING DATE: Wednesday, Feb. 28, 2018 @ 4:00 pm Fees: Entry Fee $ Listing Fee: $ Total: $ TD TDX Worker Draw Test Entered: Registered Name of Dog:  Breed: Variety: MALE FEMALE Check One and Enter Number Date of Birth: D M Y  CKC Registration # CKC Miscellaneous #  CKC ERN # Listed   Place of Birth: Canada Elsewhere CKC PEN # Breeder(s): Sire: Dam: Reg. Owners: Owner’s Address: Owner’s CKC Membership No: Name of Agent (if any): Address: Agent’s   Mail to be sent to: Owner or Agent I CERTIFY that I am the registered owner(s) of the dog or that I am the authorized agent of the owner(s) whose name(s) I have entered above and accept full responsible for all statements made in this entry. In consideration of the acceptance of this entry, I(we) agree to be bound by the rules and regula- tions of the Canadian Kennel Club and by any additional rules and regulations appearing in the premium list. Signature of Owner or Agent Telephone Number E-Mail Address
OFFICIAL CANADIAN KENNEL CLUB ENTRY FORM OBEDIENCE FORBIDDEN PLATEAU OBEDIENCE AND TRACKING CLUB ALL-BREED TRACKING TEST Sunday, March 18, 2018 Limited Entries: - 2 TD’S AND 5 TDX'S ENTRY FEES: T.D. $65.00; T.D.X. $80.00; CKC LISTING FEE: $10.50 Make cheques payable to: F.P.O.T.C. and mail to: Lesley Kenyon 1664 Claudet Road, Nanoose Bay, BC V9P 9B4 CLOSING DATE: Wednesday, Feb. 28, 2018 @ 4:00 pm Fees: Entry Fee $ Listing Fee: $ Total: $ Test Entered: TD TDX Worker Draw Registered Name of Dog: Breed: Variety: MALE  FEMALE Check One and Enter Number CKC Registration #  CKC Miscellaneous # CKC ERN #  Listed CKC PEN # Date of Birth: D M Y Place of Birth:  Canada  Elsewhere Breeder(s): Sire: Dam: Reg. Owners: Owner’s Address: Owner’s CKC Membership No: Name of Agent (if any): Agent’s Address: Mail to be sent to:  Owner or  Agent I CERTIFY that I am the registered owner(s) of the dog or that I am the authorized agent of the owner(s) whose name(s) I have entered above and accept full responsible for all statements made in this entry. In consideration of the acceptance of this entry, I(we) agree to be bound by the rules and regula- tions of the Canadian Kennel Club and by any additional rules and regulations appearing in the premium list. Signature of Owner or Agent Telephone Number E-Mail Address
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