CANINE RESERVATION FORM

* indicates a required field.

Your Name

eMail Address

DOG INFORMATION

AKC Registered Name

Sex:

Male Female

Birthdate:

Call Name:

EVENTS ENTERED:

SUPERDOG:

$20.00

Note: Must enter at least 3 of the events listed below

Conformation

Class:

Agility

Class:

Water

Class:

Obedience

Class:

Rally

Class:

Tracking

Class:

PARADE OF SENIORS and/or PARADE of TITLEHOLDERS

$20.00 for each entry

** Note: For SENIORS, dog has already celebrated/will celebrate its tenth birthday in 2011.

Sire

Dam

Breeder

Registered Owner(s)

Ribbon: Exact titles (AKC, PWDCA) to appear

50 word paragraph on your dog (will be edited if needed).

CANINE GOOD CITIZEN TEST

$30.00

**Please bring current Rabies Certificate