ENTRY FORM
I wish to register my dog(s) in the fun events
to be conducted by the Mason & Dixon Kennel Club. I hereby agree that I will NOT
hold the Mason & Dixon Kennel Club, nor any said club officers, members,
instructors, nor the owners of any property on which said events may be held,
responsible for any loss or injury that may occur to my dog(s) or to me, during
my presence at these events. The owner is responsible for keeping their dog(s)
away from other dog(s) and people while on the training grounds. Dog(s) must be
kept on leash at all times unless in the ring or otherwise directed by the event
coordinator.
NAME (please print):______________________________________________________
ADDRESS:______________________________________________________________
CITY:_____________________STATE:______________ZIP:_____________________
PHONE:_______________________EMAIL:__________________________________
BREED:_________________________________ M / F DOB:_______________
DOG CALL NAME:______________________________________________________
UTILITY:___________ JUMP HGT:_________
OPEN B:____________ JUMP HGT:_________ OPEN A:______JUMP HGT:_______
NOVICE B:_________ NOVICE A:__________ PRE-NOVICE:_____________
RALLY RUN-THRUS: $7.00:_________________
$5.00 – Additional Run/Same Dog:______________
PLEASE MAKE A SEPARATE CHECK FOR RALLY RUNS:
Checks payable to MDKC
Mail entries to: MDKC MATCH SHOW c/o Rebecca Lawson
PO Box 38 Boonsboro, MD 21713