SILVER STATE KENNEL CLUB B- MATCH ENTRY FORM March 26th, 2023

SILVER STATE KENNEL CLUB B- MATCH

Entry Form
Sunday, March 26th, 2023

Dog Fanciers Park 5800 East Flamingo Road, Las Vegas , NV.

Arm band pick up 8:30 AM and Judging starts at 9:00 AM

Deadline to enter is 5:00 PM, Friday March 24 th, 2023
BREED*
GROUP*
Sporting/Hound/Working/Terrier/Toy/Non-Sporting/Herding/Miscellaneous/FSS
AKC NAME
CALL NAME*
BIRTHDATE*

MonthDayYear
Date
SEX*
CLASSES

Please select one only
PUPPY DOG/Male
3-6 month
6-9 month
9-12 month
PUPPY BITCH/Female
3-6 month
6-9 month
9-12 month
ADULT DOG /Male
OPEN
ADULT DOG/Female
OPEN
Does your dog have major points? IF YES, YOU ARE WELCOME TO ENTER BUT ONLY AS A NON-COMPETITIVE ENTRY. (NOT Eligible for Placement or Prizes- Only eligible for Breed Competition)*
Enter yes or no
IN ACCORDANCE WITH THE AKC RULES: NO CHAMPIONS MAY BE ENTERED IN THE CLASSES, NO TAPED OR GLUED EARS WILL BE ALLOWED.
ALL ABOVE ENTRIES $10 ENTRY FEE

( Plus $0.87 convenience fee)
JUNIOR HANDLING

No Charge
PEE WEE Handler 5-under 9 YEARS
NAME
JUNIOR HANDLER 9- under 12 YEARS
NAME
INTERMEDIATE HANDLER 12- under 15 YEARS
NAME
SENIOR HANDLER 15- under 18 YEARS
NAME
Parade of Champions Entry

YES
PARADE OF CHAMPIONS- Please bring Champion Bio $5.00 entry fee ( plus $0.69 convenience fee)
Name of Dog
The undersigned understands and agrees that neither the Silver State Kennel Club, Dog Fanciers, or Clark County Parks and Recreation assume any responsibility for any loss, damage, or theft of personal property or injury or loss of their animals, nor bodily injury to their self or their family members or guests during the Match.

By signing below, I agree to all Silver State Kennel Club, Covid-19 Health Acknowledgement, Waiver and Release, and AKC Best-Practices Conformation.

No Refund once Entry is accepted.
OWNERS NAME*
Email*
example@example.com
PHONE
Signature*

Clear
Date

MonthDayYear
Date
Pay entry fee with PayPal *
prevnext( X )
Regular Class Entry
$10.87



Parade of Champions Entry
$5.69



Junior Handling Entry
$ Free



Total

$0.00
Should be Empty:

SILVER STATE KENNEL CLUB B- MATCH

CLASSES

PUPPY DOG/Male

PUPPY BITCH/Female

ADULT DOG /Male

ADULT DOG/Female

ALL ABOVE ENTRIES $10 ENTRY FEE

JUNIOR HANDLING