Please print and fill out this form. One form per dog. Partial proceeds go to benefit Local Rescues.
For Free entry Adoption papers must be attached to entry form!.
2009 Mutt Show
Oct 2nd, 2009
ENTRY FORM
Dogs Name: _________________________________________ D.O.B ________
Sex: DOG BITCH (circle one)
Owners Name: ______________________________________________________
Address: _______________________________________
(city) _________________(state)____(zip)_______ Phone: (____) _______- __________Cell: (____) _______-________ (optional)
Email: __________________________________________
Conformation Event: $10 per dog.
Same day entries will be accepted. Separate form per dog must be filled out.
Puppy Class Adult Class (Circle one)
3-11 months12months+
12months+There will be one Best Mutt in each class. There will be a Showman Ship Recognition.
NO aggressive animals will be permitted. No ill or unsound animals permitted. Disqualification is determined by judge. No refunds given if disqualification received. All animals must have proof of vaccinations and a copy of adoption papers must be presented for free entry.
I agree to hold harmless and waive all claims against any member, participant, officer, host, clubs or property owner and their heirs for any injury or accident to myself, family and animals.
Samantha Izard and Rayna Stout will not accept liability for damage or injury to persons, animals or property at the event or at any time on the event property. All owners are responsible to maintain their animals at all times and will ensure the safety of others. The owner/handler of the animal described on this document acknowleges and accepts all responsibility of this agreement.
Signature of owner/handler:______________________________ Date:_________
