OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM

91st National Specialty Show 57^th Obedience Trial          #2004009301

THE GERMAN SHEPHERD DOG CLUB of AMERICA INC.

Linn County Fair & Expo Center, 3700 Knox Butte Road, Albany, Oregon

October 12, 13, 14, 15, 16  2004

Entry fees: $35.00 for class dogs and $50.00 for Best of Breed for the first entry of each dog. $15.00 for each additional entry. Obedience team competition, $40.00 per Team, (including $.50 AKC recording fee & 1.50 AKC Event Service Fee). No fee required for Junior Showmanship competition if dog is entered in another class. 

Closing date for entries is12:00 Noon, Wednesday, September 22, 2004 (at Superintendent's Office) After which time entries cannot Be Accepted, Cancelled or Substituted except as provided in chapter  14, Section 6 of the Dog show rules. Mail all entries with Fees to: Jim Rau Dog Shows, Ltd., P.O. Box 6898, Reading, PA 19610.  MAKE ALL CHECKS and MONEY ORDERS payable to: J.R.D.S., LTD. CANADIAN EXHIBITORS must make fees payable in U.S. FUNDS. I Enclose $______________ for entry fees. Important --Read Carefully instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. (PLEASE PRINT LEGIBLY).

BREED:                       GERMAN SHEPHERD

Variety(1)

SEX

Dog(2)(3)

Show

Class

Class(3)

Division

Weight, Color, etc.

Additional

Classes

Obedience

Trial

Classes

Jr. Showmanship

Class

Name of (See Back) Junior Handler (if any)

Full Name of Dog

OFA # (Optional)

AKC REG. NO

AKC LITTER NO

ILP NO

FOREIGN REG. NO. & COUNTRY

Date of

Birth

PLACE OF  USA   CANADA   FOREIGN

Birth            Do not print above in Catalog

BREEDER

SIRE

DAM

ACTUAL                                                                                                                    

OWNER(S)(4)

OWNER'S

ADDRESS

CITY

STATE

ZIP

NAME OF OWNERS AGENT

(IF ANY) AT THE SHOW                                                                                         R- 

ARE THERE ANY CORRECTIONS OR CHANGES ON THIS ENTRY?  YES NO

I CERTIFY  that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of the American Kennel Club in effect at the time of this show or obedience trial, and by any additional  rules and regulations appearing in the premium list for this show or obedience trial or both, and further agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This  entry is submitted on the foregoing representation and agreement.