Fun
Match Entry Form
April
16, 2016, Mt. Grove YMCA
Place level A or B on the line following the class
name(s) you are entering.
Each class is $5.00 pre-entry and $10.00 day of show. CGC test is $10.00.
Pre-entries
due by Mar. 19th. Note: If
30 dogs are not entered by Mar. 19th, the show will be cancelled.
Day of Show Registration: 7:30–8:30am CGC Registration up to ½ prior to start of
testing
Conformation
(10:00 am):
(classes divided by breed & sex) 3-6
Months____
6-9 Months ___ 9-12 Months_____ Open_____ Miscellaneous_____
Veterans
7yrs & up, altered allowed____ Working Dog (altered dogs) _____
Showmanship
(after conformation):
Jr. Showmanship:
8-12 yrs. old____ 13-18 yrs. old____
Sr. Showmanship 19 yrs old
& up_____
Obedience
(9:00 am):
Beginner Novice____ Pre-Novice____
Novice____
Grad Novice____ Pre-Open____ Open____ Grad Open____ Pre-Utility____ Utility____ Level:
A or B
Rally
(9:00 am*): Novice____ Advanced_____ Excellent_____ Level: A or B
*Rally may follow obedience or
conformation depending on number of rings
AKC
Canine Good Citizen tests: CGC______ Advanced CGC _______
Bring dog’s brush and AKC Reg. info (if
applicable)
Owner’s Name:_______________________________________
Phone #___________________
Address: _____________________________________________
E-mail: __________________________________________
Date
of Birth__________________
Dog’s Name____________________________
Breed:__________________________________Sex:______
Jump Height: _______ (Required
for: Rally advanced & excellent; Obedience graduate novice & above)
Total fees: __________ Make checks
payable to SCMKC
and mail to 1274 County Rd. 5050, Willow Springs, MO 65793
I agree to hold South Central
Missouri Kennel Club, Officers, Directors, and
Members harmless from any
claim for loss or injury to myself, persons accompanying
me, my dogs and my
property while attending this match.
Signature:
___________________________________
Please be sure to have your dogs’
vaccination records with you.
Contact: Beth at 417-252-0349
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