Krajowa Wystawa Psów Rasowych grup: I, II, III, V, IX ZKwP o/Racibórz w Zakrzowie
Date of the Show:19.11.2017
Place of the Show:ZAKRZÓW 47-263 ( woj.opolskie) GOSiR
Dog's data
Class
Pedigree-No.
Add a xerox copy of the pedigree to Entry Form
Nazwa psa
Name
Kennel name
Place of kennel name
Sex
Dog
Bitch
Breed
Tail
docked
not docked
Ears
cropped
not cropped
Title, Working Certificate
Add a xerox copy of the diplomas/certificate to Entry Form
Original Pedigree-No.
Colour
Size, type of hair
Date of birth
(rrrr/mm/dd)
Registration No. (polish dog only)
Tatoo or chip No.
Father
Mother
Breeder
Personal data
Owner
Co-owner
Owner's Address
Street
Zip code
City
Correspondence Address (ONLY if different than owner's address)
Street
Zip code
City
Contact
Tel. No.
Fax
Email Address
Attachments
Other data
Podpis właściciela
Data
Formal Regulations

OŚWIADCZAM, ŻE:

1. I oblige to adhere to the FCI Dog Show terms.
2. I oblige to be responsible for any damages caused by my dog.
3. I have my membership dues paid for this year.
4. I hereby agree to put my personal data in the dog show catalogue and on the website of the Kennel Club which organizes the dog show.

By sending the signed entry, I oblige to pay the charge for the dog, regardless of taking him to the dog show.

Organizers are not obliged to contact any person in case of missing documents required for putting the dog in the champion or working class. The lack of these documents will automatically cause putting the dog to the open class.

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