2019 UDC National Event Entry Form

2019 UDC Nationals Entry Form Closing date: April 23rd, 2019

Use one form per dog.There will be no refunds after the closing date.NO LATE TRIAL, SHOW, TEST OR BREED SURVEY ENTRIES WILL BE ACCEPTED.
Sex:

MaleFemaleIntactAltered
Color

BlackRedFawnBlue
Handler Owner Trained

YesNo
Name of Dog*
Date of Birth*

MonthDayYear
Date
Country of Birth
UDC Book #
AKC Reg #
Other Reg #
Tattoo/microchip
Sire Name and Titles*
Mother Name and Titles
Owner / co-owner
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
UDC BREED SURVEY ENTRY - All entries must be UDC registered.
Copies of the following documents must accompany Breed Survey entry: Working title, Thyroid results, Hip Certification, vWD DNA.
CERF and Echocardiogram may be submitted at a later date. Please mail copies of the required documentation to:
Joeri Veth, 186 Taggert Rd, Darlington PA 16115
Options:
prevnext( X )
UDC Temperament test Without conformation Entry$15.00

Class

UDC Temperament test with conformation entry$ Free

UDC National Conformation Show #1$15.00

Class

UDC National Conformation Show #2$15.00

Class

UDC National Conformation Show #3$15.00

Class

UDC Obedience Trial #1$30.00

Classes

UDC Obedience Trial #2$30.00

Classes

UDC Obedience Trial #3$30.00

Classes

Breed Survey$100.00

Breed Survey BSA or BSB

IGP$75.00

Titles:

National Catalog-(must be included with entry) uncheck if this is your 2nd entry$15.00

Total $0.00
Should be Empty:

2019 UDC Nationals Entry Form Closing date: April 23rd, 2019