Down District Dog Training Club         Entry £2 Per Dog per Class  –  Maximum Entry Per Handler = £12.00
Delamont Country Park, Killyleagh 				(Irrespective of number of dogs)         Entries Close 8th May 2004
22nd May 2004           	        						Not For Competition Dogs  to be clearly marked NFC (no fee)

Form to be used by one person only please.                                                              AGILITY ENTRY FORM

Registered Name of Dog
	
KC or ATC Number	
Breed	
Sex	
DOB	
Enter in Class Number(s)

						

Declaration:  I/we agree to submit to and be bound by the Kennel Club Rules & Regulations in their present form or as they may be amended from time to time in relation to all canine matters with which the Kennel Club is concerned.  I/we also undertake to abide by the regulations of this Show and not to bring to the Show any dog which has contracted or been knowingly exposed to any infectious or contagious disease during the 21 days prior to the day of the Show.  I/we further declare that, to the best of my/our knowledge, that the dogs are not liable to disqualification under Kennel Club Agility Show Regulations.  
Note:  Dogs entered in breach of Kennel Club Show Regulations are liable to disqualification whether or not the owner was aware of the breach.

Name of Owner(s):		Name of Handler:	
			(if different from owner)
Address:			Address:		

Tel. No.:			Tel. No.:		

E-Mail:			E-Mail:		

Signature of owner(s)/Authorised Agent		Date:		

Entries and Fees prepaid (cheques made payable to D.D.D.T.C.)  to:   Mrs J Cunningham, 57 Drumreagh Road, Ballygowan, BT23 6LD
•	If you wish your address to be withheld from the catalogue please tick here.