Entry Form: Field Trials-Retrievers

Entry Form:FIELD TRIAL - RETRIEVERS

SOCIETYNAME: KINTBURY GUNDOG CLUB / IDNo: 704 / EntriesClose:
INSTRUCTIONS This form mustbeusedbyonepersononly(or partnership).WritingMUSTBEININK AND BLOCKCAPITALS
Use one line onlyfor eachdog.Thename of thedog andallthedetailsas recordedwiththeKennelClubmust be givenonthis entryform.If anerroris made thedog may be disqualifiedbytheCommittee of theKennelClub.ENTRIESFORFIELD TRIALS WILL ONLY BEACCEPTED FROMGUNDOGS REGISTERED AT THE KENNELCLUBINTHEGUNDOG GROUP (videReg.J1.a.,J7a B20)andif aregistereddog has changedownershiptheTRANSFERmustbeappliedfor beforethe closing of entries.
Whenentering more thanonebreedor variety, useif possibleaseparate form for each. Onnoaccountwillentries beacceptedwithout fees. / ENTRYFEES:
REGISTERED NAMEOFDOG / KENNELCLUB
REG NO.,STUDBOOKNO.OR ATC NO. / Breed / Sex / FULL
DATE OFBIRTH / BREEDER / SIRE
(BLOCKLETTERS) / DAM
(BLOCKLETTERS) / Stake
No
1
2
Ifyoudonotwantyouraddressonthecardpleasetickthisbox□
QUALIFICATION
SEESCHEDULEDATE / AWARD / STAKE / PROMOTINGSOCIETY / Name of Owner(s)
1 / ADDRESS_
2 / Telephone No:
Email address:
ONELINEFOREACH DOGCHECK ALLDETAILSBEFOREPOSTING
DECLARATION
I/Weagreedtosubmittoandbe boundbytheKennelClubLtdRulesandRegulations intheir presentformorasthey may beamendedfrom
timetotimeinrelationtoallcaninematterswithwhichtheKennelClubisconcernedandthatthisentryismadeuponthebasisthatall current singleorjointregisteredownersof this dog(s) haveauthorised/consented tothisentry.
I/Wealsoundertake toabide by the RegulationsofthisTrialandnotto bringto theTrialanydogwhichhascontractedorbeenknowingly exposedtoanyinfectiousdiseaseduringthe21dayspriortothedayoftheTrial,orwhichissufferingfromavisibleconditionwhich adverselyaffectsitshealthorwelfare.I alsodeclarethatI amfullyconversantwiththeFieldTrialRegulationsandhavestudiedtheguide to ConductatFieldTrials.
I/WefurtherdeclarethatIbelievetothebestofmyknowledgethatthedogsarenotliabletodisqualificationunderKennelClubFieldTrial
Regulations.
Usual Signature of Owner(s)……………………………………………………………………….……..Date………………………………. Note: Dogsentered inbreach of KennelClubF.T.Regulationsareliableto disqualificationwhetherornottheowner wasaware of thebreach. / Entriesand Fees whichMUSTBEPREPAIDtobe sentto:
Mrs Katie Fraser
The Old Post Office.
Hamstead Marshall. Newbury. Berks. RG20 0HW
Tel: 01488 608880 Mob: O7971 084204
Name OfHandler
(Inblockletters) ADDRESS_
Telephone No
Email address

FT42/CA