MISSISSIPPI STATE AMERICAN PIT BULL TERRIER CLUB

Entry Form

April 25, 26, 27, 2008


Pre-entries must be received by April 18, 2008

Click in the box beside the show(s) you intend to enter

April 25

Show 1
Show 2
Weight Pull

April 26

Show 1
Show 2
Weight Pull

April 27

Show 1
Show 2
Weight Pull

Owner Information

Owner Name
Street Address
City
State/Province
Zip/Postal Code
Home Phone
E-mail

 

Conformation (Dog Show Class)

Licensed class:


Non-Licensed class:


Junior Showmanship Class:

 

Dog Information

Breed

Variety

Type of Registration


U.K.C. Registration/Listing Number


Dog's Date of Birth

-- mm/dd/yy

Name of Dog

Sex

 

Total Junior Information

 

Name of Junior Handler:   

Date of Birth:

     -- mm/dd/yy

Junior Member Number:

     

Weight Pull

Check if this weight pull entry has a Junior Handler:

Junior Handler
 

PLEASE NOTE THE WAIVER BELOW

Pressing the "Submit" button represents your agreement to the following waiver and statement
regarding handling of the dog in conformation and weight-pull.


Before pressing SUBMIT, please double check the information you entered for accuracy. If you do not include an email address, confirmation cannot be sent after receipt of application.


Please note that you will be asked to sign your entry form when you pick up your arm band.


By pressing the SUBMIT button below, I understand that doing so is in lieu of an actual signature, and that the information entered above is correct to the extent of my knowledge. Furthermore, I swear that this dog is not being handled by a professional handler and that I understand and agree to abide by all of the current official United Kennel Club rules and regulations.

Pressing the "Reset" button will clear all the information in the form that has been entered.