BCABPC Test Entry

BC ALL BREED POINTER CLUB

April 21st - 22nd, 2018 CKC Field Dog Test Official Entry Form
BCABPC 2018 Spring 3 CKC Sanctioned Field Dog Test Entries will close at 6:00 p.m. on Monday April 9, 2018 or earlier if limit is reached.

Field Dog Junior $60 / Field Dog $60 / Field Dog Advanced $65. / Field Dog Excellent $60
ONLINE ENTRY INSTRUCTIONS:

* Make sure to read the Premium List in it's entirety.

* This ONLINE entry form allows you to enter ONE dog into the Test

* Fill in ALL the *Required fields.

* When filling out the form, please carefully check for errors. The information you provide will be copied into the Catalogue.

* ONLY include CKC Titles in your Dog's Registered Name. This is a CKC Event - NO AKC or UKC or Other Titles should be printed in the catalogue.

* PAYMENT: MUST BE RECEIVED by cheque, cash or Paypal before the closing date of Monday, April 9thd, 2018 at 6pm. Only paid entries will be entered into the draw for running order. (Payment information will appear when you submit this form.)
Field Dog Junior $60Field Dog $60Field Dog Advanced $65Field Dog Excellent $65
Entry Fee
Entry Fee
Listing Fee $10.50
Listing Fee
Total
Total Entry
Paypal via club website www.bcallbreedpointerclub.comE-Transfer to hunterspridegsp@gmail.comCheque
E-Transfer Security Anser
E-Transfer
Cheque #
Cheque
Registered Name of Dog*
Dog's Registered Name
Breed of Dog*
Dog Breed
Male or Female*
Sex
Call Name*
Call Name
CKC Number
CKC Reg
Insert Registration # *
Registration #
Date of Birth*

MonthDayYear
Place of Birth*
Place of Birth
Is This a Puppy*
Puppy?
Breeder*
Breeder
Sire*
Sire
Dam*
Dam
Primary Owner's Name*

First NameLast Name
CKC Membership # *
CKC #
Co-Owners' Name(s)
Co-Owner
Handler's Name (If different from Owner)

First NameLast Name
Owner or Handler's Address*

Street Address

Street Address Line 2

CityProvince/State

Postal/Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
E-Mail
By Signing My Name Below....
I CERTIFY that I am the registered Owner(s) of the dog or that I am the authorized agent of the actual Owner(s) whose names I have entered above and accept full responsibility for all statements made in this entry. In consideration of the acceptance of this entry, I (we) agree to be bound by the rules and regulations of The Canadian Kennel Club and by any additional rules and regulations appearing in the premium list.
Signature-Electronic*
Signature
Comments
Comments
Should be Empty:

BC ALL BREED POINTER CLUB