MAY 5, 2007 * PAWS ‘N EFFECT DOG TRAINING CENTER, HAMDEN, CT Registration deadline is April 10, 2007; NO EXCEPTIONS. Entry fee is $20 for NRLC members, $30 for non-members. Non members may join the NRLC and use the $10 as credit towards the membership fee. Members of the NRLC must be members of the LCA Please submit separate Registration Forms for each entered dog. Registered Name of Dog:______________________________________________________________________ Call Name:__________________________________________________________________________________ LCA Registration Number:________________________ Date of Birth:_______________Sex: _____________ Name of Breeder:____________________________________________________________________________ Name of Sire:_______________________________________________________________________________ Name of Dam: ______________________________________________________________________________ Owner’s Name: _____________________________________________________________________________ Mailing Address: ____________________________________________________________________________ Phone: (include area code) _______________________ Email: _______________________________________ Conformation Class Entered ($20 entry fee):_______________________________________________________ (no fee for Honors Dog/Honors Bitch entries) Obedience Class Entered ($20 entry fee):_________________________________________________________ Jr. Handling (no fee)/LeoLettes (no fee) Name and age of Handler/category:_____________________________________________________________ I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I agree to abide by the rules and regulations of the LCA. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement. Owner/Agent Signature_______________________________________________________________________ Please submit all forms and checks (payable to NRLC, Inc.) to: Susan Kent * 6963 197TH Street * Fresh Meadows, NY 11365-4038 Please consider donating an item to the raffle.
MAY 5, 2007 * PAWS ‘N EFFECT DOG TRAINING CENTER, HAMDEN, CT Registration deadline is April 10, 2007; NO EXCEPTIONS. Include all dogs/entries and other payable items on this cover sheet. Name:_________________________________________________________________ Telephone:_____________________________________________________________ E-mail:________________________________________________________________ Entry fee ($20 per member entry/$30 per non member) (You must be a member of the LCA to be a member of the NRLC)
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Ribbon sponsorship ($20.00 each) $ Ribbon message:_____________________________________________ Trophy sponsorship ($25.00 each) $ Trophy message:______________________________________________ Lunch $7.00 includes sandwich, chips and drink (indicate quantity) _____Roast Beef _____Turkey _____Chicken Salad _____ Tuna Salad _____Water _____Coke _____Diet Coke
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Advertisement (Full page: $25.00; Half page: $20)
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Total (No Refunds)
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Additional fees may be required for BACL and CGC testing. Please plan on paying for these evaluations at the show. Please submit all forms and checks (payable to NRLC, Inc.) to: Susan Kent * 6963 197TH Street * Fresh Meadows, NY 11365-4038 Please consider donating an item to the raffle.