COKC February 2006 Conformation Entry Form

Official Canadian Kennel Club Entry Form
Conformation Entry Only

Brandon Dog Shows
February 15, 16, 17 & 18, 2008

Entries Close
Tuesday, January 29, 2008 9:00 PM CDT

To enter your dog in the C.O.K.C. February 2008 show, please fill in the following form. When complete click the Submit button (at the bottom) to send the information to the show secretary. You must contact the show secretary at (204) 834-2616 or pshaw@inetlink.ca regarding payment of fees if not specified on the form.

The show secretary will email you a confirmation when she receives the entry.
A Fee of 10% will be added to Online Entries

Friday Saturday Sunday Monday

Entry Fees $
Listing Fees $
Catalog(s)	$6.00 each Qty
Total Paid $	(Prices include GST)
Method of Payment	Visa Mastercard Other (Specify)
Credit Card #	Exp Date
Name on Card
Please note the above credit card information is sent by email and may not be secure. You may phone your credit card information to (204) 834-2616

Breed

Sex Male Female

Enter in the Following Classes:

Conformation
6 - 9 Months Puppy
9 - 12 Months Puppy

12 - 18 Months Puppy
Canadian Bred
Bred by Exhibitor
Open
Specials Only
Exhibition Only

Breeders Sweeps
Veterans Sweeps
Juvenile Sweeps
Brace (Fri & Sat Only)

Registered Name of Dog

Check one and enter number:
CKC Reg. No.
CKC ERN / PEN No.
Listed
No.

Date of Birth

Is this a Puppy? Yes No

Place of Birth Canada Elsewhere

Combination Award (Sat)

Veterans Call Name

Breeder(s)
Sire
Dam
Registered Owner(s)
Owner's Address
City
Province
Postal Code

Name of Owner's Agent (if any) at the show

Agent's Address

City

Province

Postal Code

Mail I.D. to: Owner Agent

Signature (Sign at Show)
Telephone number: Area Code Number
E-mail address (required):

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 responsibility for all statements made on this entry. In consideration of the acceptance of this entry, I (we) agree to be bound by the rules and regulations of the Canadian Kennel Club and by any additional rules and regulations appearing in the premium list.

Crocus Obedience & Kennel Club shall not be held liable for any direct, indirect, or consequential damages arising from the use of this form.

By entering your email address above you agree to these terms

For more information, contact:

Name of Owner's Agent (if any) at the show
Agent's Address
City
Province
Postal Code
Mail I.D. to:	Owner Agent