SPVHC January AKC Farm Dog Certified Testing Entry Form

SPVHC January AKC Farm Dog Certified Testing Entry Form

Please read online entry carefully.
Trial Dates: Sunday, 21 January 2024

Courses Offered:

Farm Dog Certified (FDC) Testing | $40

Judges: Steven Kilgore & Jamie Dixon

Host: San Pasqual Valley Herding Club

Location: Action K9 Sports, 15671 Old Milky Way, Escondido, CA 92027

ENTRIES CLOSE: Sunday, 21 January 2024 @ 0800am

Form Information

This form allows owners to sign-up mulitple dogs.

Payment Options:

You can either pay online through your paypal account or using your Visa or MasterCard. There is a $2.00 CODB Fee for either payment option. Submit the online form, and then follow the prompt to continue to online checkout.

OR

You can submit the online entry and mail a check. Your entry spot is not saved until payment is received.

Write checks payable to: SPVHC

Mail to:

MK Duff, SPVHC Trial Secretary

4211 Utah Street, Unit 5

San Diego, CA 92104

Reminders:

*You WILL receive a refund if you scratch your dog prior to the closing date.
*You WILL receive a refund if you are WAITLISTED and do not compete. d
*You WILL NOT receive a refund if you scratch your dog after the closing date.

Submission of this form acts as an electronic signature agreeing to AHBA rules and regulations.
Contact Information
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Dog 1 Entry Form
Call Name*
Name of Handler, if not Owner:
Breed*
Sex*

FemaleMale
Birthdate*

MonthDayYear
Date
Registered Name (with AKC Titles Only)*
Registration Number*
Breeder*
Sire*
Dam*
Owner*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dog 2 Entry Form

Second Dog's Information
Dog 2: Call Name
Name of Handler, if not owner
Dog 2: Breed
Dog 2: Sex

FemaleMale
Dog 2: Date of birth

MonthDayYear
Date
Dog 2: Registered Name (with AKC Titles Only)
Dog 2: Registration Number
Dog 2: Breeder
Dog 2: Sire
Dogs 2: Dam

Owner's Information - If it differs from the above information.
Owner's Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dog 3 Entry Form

Third Dog's Information
Dog 3: Call Name
Name of Handler, if not owner
Dog 3: Breed
Dog 3: Sex

FemaleMale
Dog 3: BirthDate

MonthDayYear
Date
Dog 3: Registered Name (with AKC Titles Only)
Dog 3: Registration Number
Dog 3: Breeder
Dog 3: Sire
Dog 3: Dam

Owner's Information - If it differs from the above information.
Owner's Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payment
I will be paying for my entry*

online (including PayPal or Debit or Credit Card)by mailing a checkby leaving a check in the SPVHC Mailbox
By checking the box below, you are agreeing to the AKC's agreement & regulations, and acknowledge the Rules Applying to Dog Shows. (You can find the agreement on our PDF Entry)*

I agree to AKC's rules and regulations

My Products- Please remember to add up and write down the total amount you owe for submitting your payment by check.

Dog 1- Farm Dog Certified (FDC) Testing ($40.00)Dog 2- Farm Dog Certified (FDC) Testing ($40.00)Dog 3- Farm Dog Certified (FDC) Testing ($40.00)Dog 1- Farm Dog Certified (FDC) Testing ($40.00)Dog 2- Farm Dog Certified (FDC) Testing ($40.00)Dog 3- Farm Dog Certified (FDC) Testing ($40.00)
Remember, passing the FDC test two times will qualify your dog(s) for a FDC title.

My Products

Use the Quantity dropdown menu to indicate the number of tests for your dog(s). Remember, passing the FDC test two times will qualify your dog(s) for a FDC title.

Dog 1- Farm Dog Certified (FDC) Testing

$40.00 Quantity

Dog 2- Farm Dog Certified (FDC) Testing

$40.00 Quantity

Dog 3- Farm Dog Certified (FDC) Testing

$40.00 Quantity

Enter coupon

Total

$0.00

Payment Information
Check

If you are paying by check,

Write checks payable to: SPVHC

Mail to:

MK Duff, SPVHC Trial Secretary

4211 Utah Street, Unit 5

San Diego, CA 92104

Select "Submit" below.
For Online Payments, please select your payment method below.

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

SPVHC January AKC Farm Dog Certified Testing Entry Form

Form Information

Contact Information

Dog 1 Entry Form

Dog 2 Entry Form

Dog 3 Entry Form

Payment

My Products

Payment Information