ASSINIBOINE KENNEL CLUB

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1 ASSINIBOINE KENNEL CLUB FOUR ALL-BREED CHAMPIONSHIP SHOWS Friday April 14, multiple shows on same day - limit 175 per show Indoors/Outdoors Unbenched/Unexamined April 14, 15, 16, 2017 St. Norbert Community Centre 3450 South Pembina Hwy. St. Norbert, Manitoba Entries Close: March 29, 9:00 P.M. ****RESERVED BENCHING AVAILABLE**** Friday April 14, 2017 Saint Bernard Fanciers of Canada Booster Saturday April 15, 2017 Saint Bernard Fanciers of Canada Specialty All Breed noon break Baby Puppy & Veteran Classes Bulldog Club of Canada Booster Exhibitor Reception during BIS BIS - Saturday is dedicated to David A. Markus Sunday April 16, 2017 Saint Fanciers of Manitoba Specialty Saint Fanciers of Manitoba Booster Junior Handling BIS - Sunday is dedicated to Lalah D. Casselman These shows sponsored in part by: Show Secretary: Diane Fast Box 75, Group 4 RR2 Lorette, Manitoba R0A 0Y Fax PERMISSION HAS BEEN GRANTED BY THE CANADIAN KENNEL CLUB FOR THE HOLDING OF THESE EVENTS UNDER THE RULES OF THE CANADIAN KENNEL CLUB, Ronson Drive, Etobicoke, ON M9W 5Z9

2 OFFICIAL PREMIUM LIST OFFICERS OF THE ASSINIBOINE KENNEL CLUB President - Rob Lindey Vice President - Jody Ripstein Secretary/Treasurer - Diane Fast AKC Members: Meredith Vogt, Gord Rivest Show Chairperson Show Superintendent Show Secretary Chief Ring Steward Official Show Veterinarian Official Show Photographer CKC Director for Manitoba Conformation Representative Obedience Representative Junior Handling Representative SHOW COMMITTEE Rob Lindey (Conformation) Phone: Box 631, Niverville MB, R0A 1E0 Jody Ripstein Phone: Box 6, Grp 529 RR5, Winnipeg MB, R2C 2Z2 Diane Fast Box 75 Grp 4 RR2 Lorette, Manitoba R0A 0Y0 Ph: Fax: Jody Ripstein Pembina Vet Clinic 400 Pembina Hwy Faye Unrau Larry Kereluke Creek Bend Road Winnipeg Manitoba R2N 0K1 Sandy Alexander Gail Carroll Beth Chopey BOOTH SPACE Space 10 X 10 = $ CATALOGUE ADVERTISING Full Page: $25.00 Half Page: $15.00 Kennel Card: $5.00. Please contact Diane Fast for information on renting Booth Space or Catalogue Advertising at or 2017 JUDGING PANEL Terry Carter St W. Foothills, AB T2S 1Y8 Fred Dewsbury 11 Bronte Road Suite 308, Oakville ON L6L 0E1 Avery Gaudin 65 Summerville Road, Summerville, NB E5S 1G6 Doug Gaudin 65 Summerville Road, Summerville, NB E5S 1G6 Larry Kereluke Creek Bend Road, Winnipeg, MB R2N 0K1 Lynn White RR3 Site 240 Box 21, Brandon, MB R7A 5Y3 MAIL ENTRIES FOR THIS SHOW TO: AKC, Box 75 Grp 4 RR2, Lorette, Manitoba R0A 0Y0 FAX ENTRIES TO: (204) OR ENTRIES VISA OR MASTERCARD MUST BE INCLUDED ON FAX & ENTRIES ENTRIES CLOSE: March 29, 9:00 pm

3 JUDGING ASSIGNMENTS GROUP FRIDAY FRIDAY SATURDAY SUNDAY April 14t h April 14 th April 15th April 16th SPORTING Doug Gaudin Avery Gaudin Terry Carter Fred Dewsbury HOUNDS Avery Gaudin Doug Gaudin Fred Dewsbury Terry Carter WORKING Doug Gaudin ** Avery Gaudin Lynn White Fred Dewsbury ** TERRIERS Avery Gaudin Doug Gaudin Fred Dewsbury Terry Carter TOYS Doug Gaudin Avery Gaudin Terry Carter Fred Dewsbury NON-SPORTING Avery Gaudin Doug Gaudin Fred Dewsbury ** Terry Carter HERDING Doug Gaudin Avery Gaudin Terry Carter Fred Dewsbury BIS & BPIS Doug Gaudin Avery Gaudin Fred Dewsbury Terry Carter BBPIS & VETERAN (Sat Only) Fred Dewsbury Booster! Booster! Booster! Saint Bernard Fanciers of Canada is pleased to have a Booster under the judging of Mr. Doug Gaudin Friday, April 14, Ribbons and prizes will be offered for Best of Breed, Best of Opposite Sex, Winners Dog, Winners Female, Best Puppy and Best Baby Puppy. For more information please contact Joanne Gervais at Bulldog Club of Canada is pleased to have a Booster under the judging of Mr. Fred Dewsbury, Saturday, April 15, Ribbons and prizes will be offered for Best of Breed, Best of Opposite Sex, Winners Dog, Winners Female, Best Puppy and Best Baby Puppy. For more information please contact Charlene Comeau at Saint Fanciers Club of Manitoba is pleased to have a Booster under the judging of Mr. Fred Dewsbury, Sunday April 16, Ribbons and prizes will be offered for Best of Breed, Best of Opposite Sex, Winners Dog, Winners Female, Best Puppy and Best Baby Puppy. For more information please contact Giselle Carlow at Group judging will follow breed judging whenever possible on Friday and Sunday. On Saturday all group judging will be held immediately before Best in Show. Time and order of group judging will be posted in the Judging Schedule. There will be a reception for Exhibitors on Saturday during Group judging sponsored by McMaster Photography. HOTEL ACCOMODATIONS The following hotels may accept dogs St. Norbert Hotel-3540 Pembina Hwy Canad Inns Pembina Hwy Comfort Inn Pembina Hwy Holiday Inn Pembina Hwy Super 8 Hwy 1E& Hwy Super Portage Ave PLEASE BE A RESPONSIBLE DOG OWNER AND A THOUGHTFUL GUEST. YOU WILL BE HELD RESPONSIBLE FOR ANY DAMAGES INCURRED BY YOUR DOG(S). DOGS MUST BE CRATED WHEN LEFT UNATTENDED.

4 FRIDAY SHOW 1 & 2 Best in Show Best Puppy in Show Group 1st - 4th Best Puppy in Group PRIZE LIST - Gift Certificate from CDF Weekly Group Spotlight Ad - 8x10 BPIS Photo from McMasters Photography SATURDAY Best in Show. Perpetual Trophy in memory of David A. Markus - Gift Certificate from CDF Weekly Group Spotlight Ad Best Puppy in Show. Perpetual Trophy Am Cdn Ch Lenwin s Dande Lil Duffer In Memory of Bill Winslow donated by Shirley Winslow. - 8x10 BPIS Photo from McMasters Photography Best Baby Puppy in Show Best Veteran In Show Group 1st - 4th Best Puppy in Group SUNDAY Best in Show Best Puppy in Show Group 1st -4th Best Puppy in Group. Perpetual Trophy in memory of Lalah D. Casselman - Gift Certificate from CDF Weekly Group Spotlight Ad - 8x10 BPIS Photo from McMasters Photography JUNIOR HANDLING Conformation and Obedience SUNDAY APRIL 16th NOON BREAK $2.00 per entry Judges: TBA Conformation Classes: Pee Wee, Junior Novice, Junior Open, Int. Novice, Int. Open, Senior Novice, Senior Open Obedience Classes: Jr. Pre-Novice, Int. Pre-Novice, Sr. Pre-Novice, Jr. Novice, Int. Novice, Sr. Novice, Jr. Open, Int Open, Sr. Open All dogs in Junior Handling must be entered in Exhibition Only or a Regular Class on the day of the event. NOTE: All Juniors require a junior number after their first competition. ALL BREED SWEEP STAKES Saturday, April 15, 2017 Time: Lunch Break Judges: LLoyd Simmons - Females, Barbara Rex - Males and Best in Sweeps SWEEPSTAKES IS OPEN TO ALL PUPPIES THREE MONTHS AND UNDER EIGHTEEN MONTHS OF AGE REGARDLESS OF PLACE OF BIRTH. ALL PUPPIES MUST BE ENTERED IN A REGULAR CLASS IN THE SHOW ON THE SAME DAY. PUPPIES WILL BE JUDGED IN ONE OF THE FOLLOWING EIGHT CLASSES (divided by sex): BABY PUPPY MALE/FEMALE JUNIOR PUPPY MALE/FEMALE - 6 MONTHS AND UNDER 9 MONTHS SENIOR MALE/FEMALE - 9 MONTHS AND UNDER 12 MONTHS JUVENILE MALE/FEMALE 12 MONTHS AND UNDER 18 MONTHS FOR FINAL JUDGING THE FIRST PLACE PUPPY FROM EACH OF THE CLASSES WILL BE BROUGHT TOGETHER FOR BEST IN SWEEPSTAKES. PRIZES: BEST IN SWEEPSTAKES & 25% of total fees collected FIRST IN EACH CLASS & 6.25% of total fees collected ROSETTES OFFERED FOR 2nd through 4th IN EACH CLASS. 25% retained by club to defray costs

5 Official Kennel Club Entry Form ASSINIBOINE KENNEL CLUB ST. NORBERT COMMUNITY CENTRE APRIL 14, 15, 16, 2017 Conformation Fri. Apr. 14 Show #1 Sat. Apr 15 Sun. Apr16 CONFORMATION ENTRY ONLY Fri. Apr. 14 Show #2 Prepaid Catalogue $8.00 ($10.00 at show) Entries Close: March 29, :00 PM. Regular entry fees: $28.00 Listing fees: $8.90 Veteran/Baby $15.00 Exhibition only: $15.00 ENTRY LISTING TOTAL $ $ $ BREED VARIETY SEX REGULAR CLASSES [ ]Jr. Puppy [ ] Months [ ] Veteran (Sat Only) [ ]Sr. Puppy [ ] Open [ ] Baby Puppy (Sat. Only) [ ]Can.Bred [ ] Specials Only [ ] All Breed Sweeps (Sat Only) [ ]Bred by [ ] Exhibition Only REGISTERED NAME Check one ONLY Enter Number Date of Birth Puppy [ ] CKC Reg. No. Day Month Year Yes [ ] [ ] CKC ERN No. No [ ] [ ] CKC Misc.Cert.No. [ ] Listed Place of Birth [ ] Canada [ ] Elsewhere Breeder(s) Sire Dam Reg. Owner(s) Owner s Address Agent s Name(if any) Agent s Address Mail Confirmation To: [ ] Owner [ ] Agent MAIL ENTRIES TO: AKC, DIANE FAST BOX 75, GRP 4 RR2, LORETTE, MB ROA OYO VISA/MASTERCARD INFORMATION FAX ENTRIES TO: [ ] VISA [ ] MASTERCARD CARD NO, EXPIRY DATE / NAME OF CARDHOLDER Month Year (Please print) I certify that I am the registered owner(s) of this dog or that I am the authorized agent of the owner(s) whose name(s) are 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 CKC and by any additional rules and regulations in the premium list. Signature Ph. No. PLEASE PRINT YOUR CLEARLY SO THAT WE CAN YOU YOUR CONFIRMATION OF ENTRY!

6 SUBMITTING ENTRIES MAKE ALL CHEQUES & MO PAYABLE TO: ASSINIBOINE KENNEL CLUB BOX 75 GRP 4 RR2, LORETTE, MB, R0A 0Y0 VISA AND MASTERCARD ENTRIES FAX TO: Fax entries must include Visa or MasterCard number, Expiry Date, Name of cardholder and Signature. An additional 10% of the total entry will be added for this service. Visa/MC slips will read Manitoba K9 Association Dog Show Entry Service Phone: Phone: Fax: Web: Visa, MasterCard, American Express Entries accepted until 4:00 pm E.S.T.on official closing day. This is a privately owned business that charges a fee for its service. DROP OFF ENTRIES: Pet Valu on Reenders (Transcona) SCHEDULE OF FEES Conformation/Obedience $28.00/dog/show Veterans $15.00/dog/show Baby Puppy $15.00/dog/show Exhibition Only $15.00/dog/day Sweeps $10.00/dog/show Listing Fee $ 8.90/dog/show Prepaid Catalogue $ 8.00 Benching $40.00 NON REFUNDABLE ENTRY FEES INC. GST NO POST DATED CHEQUES Note: There will be a $25 charge for any NSF cheques or declined Credit Cards NON CKC MEMBER PARTICIPATION FEE (Canadian Residents Only): Effective January 1, 2011, the CKC instituted a non-member participation fee for all Canadian residents who participate in CKC event but are not CKC members. To protect awards/titles earned, the non-member will have a choice either to become a CKC member or pay the non-member participation fee. Failure to comply within 30 days of notification will cause all awards and titles to be cancelled. This applied to dogs wholly owned b non-members, resident in Canada and does not apply to US exhibitors, nor to CKC members or dogs co-owned with a CKC member. ATTENTION US EXHIBITORS: We suggest you purchase bank drafts or money orders payable in CANADIAN FUNDS. Personal cheques will be accepted, however they must be payable in U.S. funds for the full amount of the entry. DISCOUNTED CHEQUES OR MONEY ORDERS WILL NOT BE HONOURED. Please do not send personal cheques marked Payable in Canadian Funds or "At par" Your cooperation is appreciated. ERN Attention Foreign Exhibitors ERN Numbers must be applied for within 30 days of the first day of entering a CKC Event. A CKC ERN registration form can be downloaded from the CKC website: The request can then be forwarded to the CKC, Ronson Drive, Etobicoke, ON M9W 5Z9 PEN NUMBER To apply for or to obtain information on the Pen Numbers, contact the Shows and Trials Division at the Canadian Kennel Club or visit their web site at: (Online forms)

7 RESERVED KENNELING Spaces: approx. 8 x 10 ft. and must be PREPAID. Electricity is available in close proximity to these spots. Spots will be allocated on a 1st come 1st served basis. Complete form and send it complete with payment before closing date to: Box 75 Grp 4 RR2 Lorette, Manitoba, R0A 0Y0 Each space is approx. 8 ft. x 10 ft. LIMIT of 3 spaces per individual $40.00 Non Refundable of space(s) requested ( x $40.00) = NAME: PHONE: ======================================================================================================= CHAMPIONS AND CHAMPIONSHIP POINTS *** SELECT DOG POINTS WILL BE AWARDED AT THIS SHOW *** SECTION 1 A dog awarded Winners at a championship show held under the Dog Show Rules shall be credited with a number of championship points (ranging from 0 to 5) and the determination of the number of championship points to be accredited to a dog awarded Winners shall be provided hereunder. SECTION 2 The schedule to be employed in the determination of the number of points to be allocated to a dog awarded Winners shall be as follows. DOGS COMPETING or more Points Allocated In counting the number of eligible dogs in competition, a dog that is disqualified, dismissed, excused or ordered from the ring by the judge shall NOT be included in the calculation for championship points. (15.1.2) The new system provides for additional points if a dog awarded Winners also places in the GROUP as listed below. BREEDS COMPETING DOG PLACEMENT At Group Level 1 st 2 nd 3 rd 4 th 13 or more breeds breeds breeds breeds breeds breeds breeds breed A class dog awarded Best in Show at an all-breed championship show will be credited with five (5) points inclusive of any points earned at the breed or group level. In no case may a dog earn more than five (5) points at a single show. In order for a dog to be recognized as a Champion and its owner provided with a Championship Certificate, the dog must: (a) earn at least 10 championship points under at least 3 different judges; and, (b) be individually registered in the records of the CKC or have an Event Registration Number. (c) have earned at least one 2 point win either at the breed or group level. ( ). Best Puppy in Breed Where a dog awarded Best of Breed is not a puppy, those puppies which have not been defeated either directly or indirectly by another puppy in the breed will compete for this award. Judging follows the award for Best of Breed. A puppy awarded Best Puppy in Breed, is NOT required to stay to compete for Best Puppy in Group (15.3.1f) MOVING CLASS DOGS TO SPECIALS A dog which is individually registered in the records of the CKC or has an ERN number at the time of closing of entries, and has completed the requirements for a championship in accordance with the provisions of Chapter 20 of the Dog Show Rules, after the closing date and time for entries for a show, but whose championship is yet unconfirmed by the CKC may be transferred from one of the regular classes to Specials Only providing the transfer is submitted to the show secretary in writing at least one (1) hour prior to the opening of the show, by the owner or handler. Effective January, 1994: If your dog has the required number of Championship points and you do not have your registration number before entries close, and you receive your registration BEFORE the date of the show, you may move your dog up to Specials if you provide the Show Secretary with the registration number and the dog has been entered in the classes as a LISTED dog. Listing fees, however, WILL NOT be refunded. An error in an age specified class, the date of birth, or sex may be amended on the entry form up to one hour before the start of the show. Rule (8.2.5) EXHIBITORS ARE EXPECTED TO KNOW THE RULES AND REGULATIONS FOR DOG SHOWS AND OBEDIENCE TRIALS. BOOKLETS ON DOG SHOW AND OBEDIENCE TRIAL RULES ARE AVAILABLE FROM THE C.K.C.

8 NATIONAL SPECIALTY SHOW (indoors) SAINT BERNARD FANCIERS OF CANADA SPECIALTY Saturday, April 15, 2017 Judge: Ms. Terry Carter St, W. Foothills. AB T2S 1Y8 Sweepstakes: Ms. Barbara Rex CLUB OFFICERS President/President: Vice President/ Vice President: Secretary/Treasurer: Directors /Directeurs: Yves Maurice Martin LaBonte Joanne Gervais Altantic : Patricia Postma, BC: Mlynn Smith Ontario: Pauline Manton, Prairies: Giselle Carlow Regular Classes $28.00 Prizes Junior Puppy Best of Breed Trophy/Rosette/Cash & Prize Senior Puppy Best of Opposite Trophy/Rosette/Cash & Prize Months Award of Merit Rosette/Prize Months Best of Winners Trophy/Rosette/Cash & Prize Open (LH, SH) Best Puppy Trophy/Rosette/Prize Bred by Exhibitor (LH, SH) Best Veteran Trophy/Rosette/Prize Canadian Bred Best Canadian Bred - Trophy/Rosette/Prize Special Best Bred by Exhibitor - Trophy/Rosette/Prize Veteran (7-9 YRS) Winners Male/Winners Female Trophy/Rosette/Prize Veteran (Over 10 YRS) Reserve Winners Male/Female Rosette/Prize Altered Best Stud Dog /Best Brood Bitch /Prize Select Dog/Select Bitch Rosette/Prize Non-Regular Classes $15.00 Best Brace Trophy/Rosette/Prize Baby Puppy Class Best Altered Rosette/Prize Stud Dog (2 get) Best Opposite Sex Altered Rosette/Prize Brood Bitch (2 progeny) Winners Male/Female Altered Rosette/Prize Brace Reserve Winners Male/Female Altered Rosette/Prize Best Baby Puppy Rosette/Prize Sweepstakes Cash prizes (Judge: Ms. Barbara Rex) A prize will be awarded to a Junior showing a Saint with a placement in the regular Junior Handling Competition. Plan to attend our Banquet after the Specialty. All rules and regulations applying to Assiniboine Kennel Club apply to this Specialty. Non-Regular classes must be entered in one of the regular classes or for Exhibition only. Closing date for entries: Wednesday March 29, 2017 at 9:00 P.M.CST Make cheques/money orders payable to: Assiniboine Kennel Club c/o: Diane Fast Box 75, Group 4 RR 2 Lorette, MB R0A 0Y0 Ph: Fax:

9 Prepaid Specialty Catalogue $8.00 ($10.00 at show) Official Kennel Club Entry Form Specialty Entry Form Saint Bernard Fanciers of Canada Specialty Saturday April 15, 2017 Regular entry fees: $28.00 Listing fees: $8.90 Non Regular/Sweeps $15.00 Exhibition: $15.00 ENTRY LISTING TOTAL $ $ $ BREED SAINT BERNARD VARIETY SEX REGULAR CLASSES NON REGULAR SWEEPS [ ]Jr. Puppy [ ] Bred By (LH) [ ] Altered [ ] Baby Puppy [ ] 6-9 months [ ]Sr. Puppy [ ] Bred By (SH) [ ] Brace [ ] 9-12 months [ ]12-15 months [ ] Open (LH) [ ] Stud Dog [ ] months [ ]15-18 months [ ] Open (SH) [ ] Brood Bitch [ ] months [ ] Canadian Bred [ ] Veteran (7-9) [ ] Veteran Sweeps [ ] Specials Only [ ] Veteran (9 +) [ ] Exhibition Only REGISTERED NAME Check one ONLY Enter Number Date of Birth Puppy [ ] CKC Reg. No. Day Month Year Yes [ ] [ ] CKC ERN No. No [ ] [ ] CKC Misc.Cert.No. [ ] Listed Place of Birth [ ] Canada [ ] Elsewhere Breeder(s) Sire Dam Reg. Owner(s) Owner s Address Agent s Name(if any) Agent s Address Mail Confirmation To: [ ] Owner [ ] Agent MAIL ENTRIES TO: AKC, DIANE FAST BOX 75, GRP 4 RR2, LORETTE, MB ROA OYO VISA/MASTERCARD INFORMATION FAX ENTRIES TO: ENTRIES TO: [ ] VISA [ ] MASTERCARD CARD NO, EXPIRY DATE / NAME OF CARDHOLDER Month Year (Please print) I certify that I am the registered owner(s) of this dog or that I am the authorized agent of the owner(s) whose name(s) are 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 CKC and by any additional rules and regulations in the premium list. Signature Ph. No. PLEASE PRINT YOUR CLEARLY SO THAT WE CAN YOU YOUR CONFIRMATION OF ENTRY!

10 Sunday, April 16, 2017 Judge: Mr. Larry Kereluke SAINT FANCIERS CLUB OF MANITOBA SAINT FANCIERS CLUB OF MANITOBA SPECIALTY SHOW (indoors) CLUB OFFICERS President: Vice President: Secretary/Treasurer: Doug McFadzean Patricia LaRue Giselle Carlow Regular Classes $28.00 Prizes Junior Puppy Best of Breed Rosette/Prize Senior Puppy Best of Opposite Rosette/Prize Months Award of Merit Rosette/Prize Months Best of Winners Rosette/Prize Open (LH, SH) Best Puppy Rosette/Prize Bred by Exhibitor (LH, SH) Best Veteran Rosette/Prize Canadian Bred Best Canadian Bred Rosette/Prize Special Best Bred by Exhibitor Rosette/Prize Veteran (7-9 YRS) Winners Male/Winners Female Rosette/Prize Veteran (Over 10 YRS) Reserve Winners Male/Female Rosette/Prize Altered Best Stud Dog /Prize Best Brood Bitch Rosette/Prize Non-Regular Classes $15.00 Select Dog/Select Bitch Rosette/Prize Baby Puppy Class Best Brace Rosette/Prize Stud Dog (2 get) Best Altered Rosette/Prize Brood Bitch (2 progeny) Best Opposite Sex Altered Rosette/Prize Brace Winners Male/Female Altered Rosette/Prize Exhibition Only $15.00 Reserve Winners Male/Female /Prize Altered Rosette/Prize Best Baby Puppy Rosette/Prize A prize will be awarded to a Junior showing a Saint with a placement in the regular Junior Handling Competition. All rules and regulations applying to Assiniboine Kennel Club apply to this Specialty. Non-Regular classes must be entered in one of the regular classes or for Exhibition only. Closing date for entries: Wednesday March 29, 2017 at 9:00 P.M. CST Make cheques/money orders payable to: Assiniboine Kennel Club c/o: Diane Fast Box 75, Group 4 RR 2 Lorette, MB R0A 0Y0 Ph: Fax:

11 Official Kennel Club Entry Form Specialty Entry Form Saint Fanciers Club of Manitoba Sunday April 16, 2017 Regular entry fees: $28.00 Listing fees: $8.90 Non Regular $15.00 Exhibition: $15.00 ENTRY LISTING TOTAL $ $ $ BREED SAINT BERNARD VARIETY SEX REGULAR CLASSES NON REGULAR [ ]Jr. Puppy [ ] Bred By (LH) [ ] Altered [ ] Baby Puppy [ ]Sr. Puppy [ ] Bred By (SH) [ ] Brace [ ]12-15 months [ ] Open (LH) [ ] Stud Dog [ ]15-18 months [ ] Open (SH) [ ] Brood Bitch [ ] Canadian Bred [ ] Veteran (7-9) [ ] Exhibition Only [ ] Specials Only [ ] Veteran (10+) REGISTERED NAME Check one ONLY Enter Number Date of Birth Puppy [ ] CKC Reg. No. Day Month Year Yes [ ] [ ] CKC ERN No. No [ ] [ ] CKC Misc.Cert.No. [ ] Listed Place of Birth [ ] Canada [ ] Elsewhere Breeder(s) Sire Dam Reg. Owner(s) Owner s Address Agent s Name(if any) Agent s Address Mail Confirmation To: [ ] Owner [ ] Agent MAIL ENTRIES TO: AKC, DIANE FAST BOX 75, GRP 4 RR2, LORETTE, MB ROA OYO VISA/MASTERCARD INFORMATION FAX ENTRIES TO: ENTRIES TO: [ ] VISA [ ] MASTERCARD CARD NO, EXPIRY DATE / NAME OF CARDHOLDER Month Year (Please print) I certify that I am the registered owner(s) of this dog or that I am the authorized agent of the owner(s) whose name(s) are 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 CKC and by any additional rules and regulations in the premium list. Signature Ph. No. PLEASE PRINT YOUR CLEARLY SO THAT WE CAN YOU YOUR CONFIRMATION OF ENTRY!

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