Host Club
All American Bulldog Club
Date
/
Month
/
Day
Year
Date
Trial
Trial 1
Trial 2
Date
/
Month
/
Day
Year
Date
Trial
Trial 1
Trial 2
Date
/
Month
/
Day
Year
Date
Trial
Trail 1
Trial 2
Date
/
Month
/
Day
Year
Date
Trial
Trial 1
Trial 2
Type of Registration #
Dog’s UKC permanent reg.
UKC (PL/LP)
UKC TL
Registration Number
*
Breed
*
Sex
Dog’s Name
*
Date of Birth
/
Month
/
Day
Year
Date
Call Name
*
Junior’s Name
Junior #
Dog Owner's Name
*
Address
*
City
State/Prov.
Postal Code
Telephone (day)
Email
*
example@example.com
Weight Pull
*
Div A
Div B
Additional Information
Junior Handler
Veteran Dog
Total Dog
Total Junior
I
have
r
ead
and
agr
ee
to
the
waiver
on
this
form.
Signature of Owner/Handler
*
Date
/
Month
/
Day
Year
Date
My Products
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Weight Pull
Pre-Entry Pricing
$
25.00
Quantity
0
1
2
3
4
5
6
7
8
Item subtotal:
$
0.00
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