ECWD GSDCA Entry Form

East Coast Working Dog GSDCA Conformation Show, AD and Breed Survey Entry Form

519 Woodlane Road Westhampton, NJ 08060
Show Information
Judge/Koermeister: GSDCA John Henkel
Dates: May 23rd, 2026 - May 24th, 2026
Owner / Handler Information
Owner's Full Name

First NameLast Name
Owner's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's Email Address
example@example.com
Owner's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Owner's Membership Type
Ex: GSDCA, USCA
Owner's Membership Number
Ex: GSDCA, USCA
Co-Owner's Full Name (If applicable)

First NameLast Name
Co-Owner's Home Address (If applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Handler's Full Name

First NameLast Name
Handler's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Handler's Email
example@example.com
Handler's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Handler's Membership Type
Ex: GSDCA, USCA
Handler's Membership Number
EX: GSDCA, USCA
Entry Options
Select a Class
AD - $75
Breed Survey Entry Type
Previous Korung
If Applicable, put N/A if not
Dog Information
Dog's Registered Name
Sex
Dog's Date of Birth
Dog's Country of Birth
Coat Type
Breed Registry
AKC, SV, etc
Registration Number
Microchip or Tattoo Number
Hip Certification Rating
If Applicable, put N/A if not
Elbow Certification Rating
If Applicable, put N/A if not
Show Rating
If Applicable, put N/A if not
Working Title(s)
If Applicable, put N/A if not
Breed Survey: (Y/N)
If Applicable, put N/A if not
Breed Survey Validation Period
Ex: 2025-2026, put N/A if not applicable
Breeder's Full Name

First NameLast Name
Breeder's City, State

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Sire Registered Name
Sire Breed Registry
Sire Registration Number
Ex: AKC, SV, etc
Sire Show Rating
If Applicable, put N/A if not
Sire Breed Survey: (Y/N)
If Applicable, put N/A if not
Sire Breed Survey Validation Period
If Applicable, put N/A if not
Dam Registered Name
Dam Breed Registry
Ex: AKC, SV, etc
Dam Registration Number
Ex: AKC, SV, etc
Dam Show Rating
If Applicable, put N/A if not
Dam Breed Survey: (Y/N)
If Applicable, put N/A if not
Dam Breed Survey Validation Period
Ex: 2025-2026, put N/A if not
REQUIRED Documents for Dog's Registration

Please E-mail copies to Show Secretary Lael Meem (seregill@aol.com) Bring ORIGINAL copies to the show location the day of the show. If you fail to bring original documents the day of the show, you will not be able to participate.
Required Documentation:
Fees and Payment Information

Entry Fees are NON-REFUNDABLE
Show Fees
AD Fee
Breed Survey Fee
Total Required Fees
Payment Method

Please make all checks out to T. Floyd Please mail them c/o Lael Meem 15606 Wild Rose Ct New Windsor, MD 21776
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East Coast Working Dog GSDCA Conformation Show, AD and Breed Survey Entry Form

Show Information

Judge/Koermeister: GSDCA John Henkel

Dates: May 23rd, 2026 - May 24th, 2026

Owner / Handler Information

Entry Options

Dog Information

REQUIRED Documents for Dog's Registration

Fees and Payment Information

Payment Method