Entry Form can be printed off and mailed or copied and emailed to the Show Secretary

Rare Breed Club of South Western Ontario

SHOW Location: _________________________________________________________________________

PLEASE CHECK WHICH SHOW(S) YOU WISH TO ATTEND

Saturday AM ____Saturday PM ____Sunday  AM ____ sUnday PM ____

molosser Speciality Saturday ____Sunday____

                  

 

Breed:                                                                                

 

Breed VARIETY IF APPLICABLE

Class

Open ( ) Can Bred ( ) Am Bred ( )  Bred By Ex ( )  Canadian Bred ( )

12 to 18 mon ( )Senior Puppy ( ) Junior Puppy ( ) 

Elementary  Puppy ( ) Champions ( ) Puppy Champion ( ) Altered ( )

Registered Name Of Dog:                                       

 

SEX: Male___     Female ______

 

Date Of Birth: Day          Month          Year

Place of Birth: Canada _____    Elsewhere _______ 

 
 

Registered Owner:                                                                

Owner’s Address:                                                                 

City/Province/State                                                                

Code:                                                                                     

 

Phone Number                                               

Fax Number

Email: