TRACKING TEST--OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM--- TRACKING TEST  EXCELLENT

LIMITED TO 4 TD                                                                                             LIMITED TO 4 TDX

#2006009301   THE GERMAN SHEPHERD DOG CLUB of AMERICA INC.   #20060093021

VST @ University of Missouri & Surrounding Area, St Louis, MO Oct 15, 2006                 TD,  TDX @ Robertsville State Park & Surrounding Area, Robertsville, MO Oct 16, 2006

Entry fees: $60.00 for TD;  $90.00 for TDX, $100.00 for VST

Closing date for entries is 5PM:PDT, Wednesday October 5, 2006 (at Tracking Test Secretary's Home 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: Carol Clark, 10619 N Main, Kansas City, MO 64155.  MAKE ALL CHECKS and MONEY ORDERS payable to: GSDCA. 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

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.