SOCIETY NAME CHILTERN GUNDOG TRAINING CLUB NOVICE RETRIEVER THE ... - DOC

							Novice & Open A/V Spaniel Working Test Entry form
                                                                                                                                                                                                          ID No        Entries Close
SOCIETY NAME                  East Midland Gundog Club                                       SPANIEL AT_____________________                                             DATE________                     696
                                                                                                                                                                                                                       1 week prior to test date
INSTRUCTIONS This form must be used by one person only, (or partnership). Writing MUST BE IN INK.                                                                                                         Entry Fees.
                       Use on line for each dog. The name of the dog and all the details as recorded with the Kennel Club must be given on this entry form. If an                                         £5.00 per dog Novice & Open
                       Error is made the dog may be disqualified by the Committee of the Kennel Club. ENTRIES FOR FIELD TRIALS WILL ONLY BE
                      ACCEPTED FROM GUNDOGS REGISTERED AT THE KENNEL CLUB IN THE GUNDOG GROUP (vide Regu. J1a, 6a(I) &B20).
                       When entering more than one breed or variety, use a separate form for each. On no account will entries be accepted without fees.


REGISTERED NAME OF DOG                              KENNEL CLUB REGISTRATION                              BREED             SEX       FULL DATE       BREEDER                  SIRE                                DAM                   Novice or open
                                                    NO, OR STUD NO, OR ATC NO.                                                        OF BIRTH                            (BLOCK LETTERS)                     (BLOCK LETTERS




FOR
QUALIFICATION              DATE                          AWARD                                      STAKE                                          PROMOTING SOCIETY
SEE SCHEDULE
                                                                                                                                                                                     Names of Owner(s)
                                                                                                                                                                                     ADDRESS




                                                                                                                                                                                     Telephone No.                           MOB:

                                                                                                                                                                                      Email:
ONE LINE FOR EACH DOG                                                                               CHECK ALL DETAILS BEFORE POSTING                        Entries and Fees which MUST BE PREPAID TO BE SENT TO;
                                                                                                                                                            Paddy Morley address: 2 Station Cottages, Station Road, Whissendine, Nr Melton Mowbray,
DECLARATION                                                                                                                                                 Leicestershire, LE15 7HH. Mobile: 077541961. Email Patrick.morley@warmsleyservices.co.uk.
I/we agree to submit to and be bound by the Kennel Club Rules and Regulations in their present form or as they may be amended from                          Cheques made payable to East Midland Gundog Club
Time to time in relation to all canine matters with which the Kennel Club is concerned.

I/we also undertake to abide by the regulations of this Trial and not to bring to the Trial any dog which has contracted or been                            NAME OF HANDLER…………………………………
Knowingly exposed to any infectious disease during the 21 days prior to the day of the Trial. I also declare that I am fully conversant                     ………………………………………………………….
With the Field Trial Regulations and have studied the Guide to conduct of the Field Trial.
                                                                                                                                                            (IN BLOCK CAPITALS)
I further declare that, I believe to the best of my knowledge that the dogs are not liable to disqualification under the Kennel Club field Trial
Regulations                                                                                                                                                 ADDRESS………………………………………………………………………………………………………

Usual Signature of Owner(s)                                                                              Date                                               ……………………………………………………………………………………………………………………

                                                                                                                                                            Telephone No……………………………………………..Fax No……… ……………………………
Note; Dogs entered in breech of the Kennel Club F.T. Regulations are liable to disqualification whether or not the owner was aware of the
Breech

www.eastmidlandgundogclub.co.uk