Mid Wales Working
Gundog Society
/ Stockton House, Red Lane, Welshpool, Powys, SY21 8RH / Entries Close10th June 2018Retrievers
Sunday, 17th June 2018 / FEES – payable to MWGS
Members- £5 00 perdog per class
Non Members–extra
£10.00 joining fee
Instructions: This form must be used by one person only, (or partnership). The name of the dog and all the details as recorded with the Kennel Club must be given on this entry form. If an error is made the dog may be disqualified by the committee of the Kennel Club. Transfers for change of ownership must be applied for before closing of entries. WRITING MUST BE IN INK AND IN CLEAR CAPITALS. Use one line for each dog.
On no account will entries be accepted without fees.
REGISTERED NAME OF DOG
(BLOCK LETTERS) / KC REG NO. STUD BOOK NO or ATC No. / BREED / SEX / FULL Date of Birth / BREEDER / SIRE
(BLOCK LETTERS) / DAM
(BLOCK LETTERS)
1.
2.
3.
Class – Please Tick(and number if more than one dog) : / Name of Handler: ______
Address: ______
______
______
E-mail: ______
Tel No:
Mobile No:
OPEN / NOVICE / PUPPY : 6-12 / 12-18
CHECK ALL DETAILS BEFORE POSTING
DECLARATION "I/We agree to submit and be bound by the KC Rules and Regulations in their present form or as they may be amended from time to time in relation to all canine matters with which the KC is concerned.
I/We also undertake to abide by the Regulations of thisGWT and not bring to the GWT any dog which has contracted or been knowingly exposed to any infectious disease during the21 days prior of the GWT
Usual signature of Owner(s) ______
Date ______
Note: Dogs entered in breach of KCGWT Regulations are liable to disqualification whether or not the owner was aware of the breach.
The host and the organizing society cannot accept responsibility for any injury/damage howsoever caused to owners/handlers, their dogs or property.
Name of Owner(s): If different to Handler ______
Address: ______
______
______
Tel:
Send Entries and Fees (which MUST BE PREPAID- chqs made to MWGS) to:
Mike Prytherch, 85 Madresfield Road, Malvern, Worcestershire, WR14 2NW Mob : 07713097400
e.mail: