SOUTHERN RETRIEVER CLUB SAVE THE CHILDREN WORKING TEST HEAT SATURDAY 21ST MAY 2005

  1ST DOG 2ND DOG 3RD DOG
NAME OF DOG      
SIRE      
DAM      
BREED      
IKC NUMBER      
DOG OR BITCH      
DATE OF BIRTH      
HANDLER      
OWNER      
OWNER'S ADDRESS      
BREEDER      
       
ARE YOU WILLING TO HELP ON THE DAY?      

Declaration, Undertaking and Agreement ....
I HEREBY DECLARE that I enter the dog or dogs as above subject to the Rules and Regulations of the Irish Kennel Club and of this Trial and which dogs are not vicious and that they have not suffered from or been exposed to the risk of distemper or any other infectious or contagious disease during the last six months and I HEREBY AGREE not to compete with them or bring them within the precincts of the Trial if they incur such a risk or suffer from any such disease. In consideration of my entry being accepted I HEREBY AGREE and undertake to abide by the rules and Regulations and to indemnify the Field Trial promoters and the Irish Kennel Club in respect of any damage or loss caused by my entries or by me and I CONSENT to any decision of the IRISH Kennel Club arising therefrom being published.

Signed (owner): __________________ Fee of €____ enclosed
Entries to: Elizabeth Alderton, Bleantis, Ballinamult, Co. Waterford 058 47477 or 058 47464