Pre-Registration Form

MEMBER NAME __________________________________________________________

AGE ________________________________

BREED OF DOG ______________________________________________________

SEX OF DOG _________________________

NAME OF DOG_______________________________________________________

PREVIOUS TRAINING               YES              NO
IF YES, TYPE OF TRAINING ____________________________________________

     NAME OF                                                     # OF
       CLASS                                                       CLASS

1.  _______________________________________________

2.  _______________________________________________

3.  _______________________________________________

4.  only three classes can be for money_______________________________________
     showmanship gets medals (not money) so it can be a 4th class

I ATTEST THIS MEMBER HAS ATTENDED 75% OF THE MEETINGS.   I HAVE SEEN THE DOG'S DHLPP, RABIES AND NEGATIVE HEARTWORM CERTIFICATE, AND THEY ARE CURRENT.

                                                                           ___________________________________________________
                                                                                                                    Leader's Signature

These forms are to be filled out and brought to the pre-fair leader's meeting.  Regular entry forms should be submitted to the fair office by the community leader.