2020 Mid-Central Working Dobermans Club Entry Form

2 Conformation Shows & IGP Trial
Conformation Entries Close at 12 pm CST on March 5, 2021. IGP Entries Close on March 20, 2021
Name
First NameLast Name
Address
Street Address
Street Address Line 2
CityState
Zip CodeCountry
UDC Membership #
Phone Number
Format: (000) 000-0000.
E-mail
Dog Registration
Registered Name of Dog
Call Name of Dog
Breeder's Name
Date of Birth- mm/dd/yyyy
Sex of Dog
Dogs Current Titles
Intact or Altered
Dog's Color
Score Book #
Score Book Type
AKC Reg #
CKC #
Other Reg #
Tattoo# and or Microchip #
Sire Name and Titles
Dam Name and Titles
Owner/Co-Owner
Name of Handler
Handler's Club Membership Name and Number
Handler Owner Trained
Entry form
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Temperament Test-Without Conformation Entry $10.00

Entry
Item subtotal:$0.00

Temperament Test-FREE With Conformation EntryFree

Entry
Item subtotal:$0.00

Conformation Show # 1 Judge Jacque Matson$25.00

Show # 1 - Entry
Item subtotal:$0.00

Conformation Show # 2 Judge Dee Robison.$25.00

Show # 2 - Entry
Item subtotal:$0.00

IGP Trial - Judge Ted Hartman$100.00

IGP Trial -
Item subtotal:$0.00

Total $0.00
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2 Conformation Shows & IGP Trial