Clone of 2025_05 Field Test Entry

Official Entry Form - Field Test for Pointing Breeds

Vizsla Society of Ontario May 9 & 10, 2026
Date of Submission*

MonthDayYear
Date
Breed*
MaleFemale
Call Name*
Reg'd Name*
CKC titles only
Breeder(s) Name(s)*
Sire's Reg'd Name*
Dam's Reg'd Name*
CKC Individual Registration No.Event Reg No. (ERN)Miscellaneous Certification No. (MCN)Performance Event No. (PEN)Temporary Competition No. (TCN)
Reg'n No.
Date of Birth*

MonthDayYear
Date
CanadaElsewhere
Owner's Information
Reg'd Owner(s) Name(s)*
Owner's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Owner's E-mail*
A copy of this entry will be emailed to the owner.
Owner's Tel#*
I CERTIFY that I am the registered owner of the dog or that I am the authorized agent of the owner(s) whose name(s) I have entered above and I 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 all additional rules and regulations appearing in the premium list.
Yes
Agent / Handler Information
NoYes
Jr. Handlers (under 18 yr of age) will be given a special rosette if their dog receives a passing score. Dog must be handled by the Jr. Handler to receive this rosette. See Premium List.
Name(s) of Agent or Handler (if different from Owner)
Address of Agent / Handler (if different from Owner's Address)

Street Address

Street Address Line 2

CityState

Zip Code
Agent / Handlers' E-mail
If completed, a copy of this entry will be emailed to the agent/handler.
Agent's Tel#
Releases, Waivers, and Agreements
Assumption of the Risk and Waiver of Liability Relating to Field Tests
- I acknowledge that field tests have inherent dangers and risks associated with them, including, without limitation, those due to the presence and use of firearms, uneven terrain, weather, outdoor conditions, and I agree to assume these dangers and risks.
- If attending as a parent or guardian of a Handler under 18 years of age (considered legally as a “Minor”), I accept all responsibility for the behaviour and health of this Minor.
- I am attending and/or participating in the Vizsla Society of Ontario Inc.'s field tests at my own free will and risk.
- I will indemnify, release and hold harmless the Vizsla Society of Ontario Inc., The Canadian Kennel Club, and their respective directors, officers, employees, members, shareholders, and their successors and assigns, as well as judges, gunners and volunteers and their respective heirs, executors and administrators working at this event, and Ruffwood Game Farm, owner(s) of the land on which this event is taking place (collectively, the "Indemnified Parties") against any personal injury, loss or injury to myself or my dog(s) including death, damages to personal property, and general loss, claim or liability arising from my and my dog’s/dogs’ attendance at this event.
- I will indemnify the Indemnified Parties with respect to any claims that arise for injury or loss caused by me or my dog(s).
- I will comply with the Official Premium List requirements and the CKC's Field Dog & Water Tests Rules & Regulations for Pointing Breeds.
- I certify that the dog entered at these tests via this entry form is not a danger or hazard to persons and/or other dogs.
Yes
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
- I understand that the risk of becoming exposed to or infected by COVID-19 and its variants at a VSO event may result from the actions, omissions, or negligence of myself and others, including, but not limited to judges, volunteers, and other participants. I confirm that I have read and will follow all of the VSO rules and COVID safety measures to minimize the spread of COVID and its variants outlined on page 4 of the Premium List.
Yes
Fees & Classes

Total TCN Fees
Late Fees
Entry Fees
Total Owing*
Payment & Signature
PayPalE-TransferCheque
Signature*

Clear
Comments / Notes
E.g, indicate judge's name if your dog has twice qualified under the same judge.
PayPal Payments

After clicking Submit Entry, you will be taken to PayPal to pay. Use your credit card or pay from your bank account.
Field Test Entry via PayPal

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CADField Test May '26
NOTE: A copy of the completed form will be sent to the email addresses of the owner and the handler (if the handler is not the owner) after you click SUBMIT ENTRY. This is confirmation that your entry has been received by the Test Secretary. However, it is not complete until full payment has been received.

Remember to click SUBMIT after you review your answers, or we won't get your entry form!
Should be Empty:

Rows	May 9 - Test 1	May 9 - Test 2	May 10 - Test 3
FDJ $60
FD $65
FDA $70
FDX / FDXCh $75

Rows	May 9 - Test 1	May 9 - Test 2	May 10 - Test 3
FDJ $65
FD $70
FDA $75
FDX / FDXCH $80

Rows	May - Test 1	May 10 - Test 2	May 11 - Test 3
TCN fee

Official Entry Form - Field Test for Pointing Breeds

Owner's Information

Agent / Handler Information

Releases, Waivers, and Agreements

Fees & Classes

Payment & Signature

PayPal Payments