Official WC/WCX Test 2007 Entry Form
Test given by
The Golden Retriever Club of Central New York

Tests offered: (Beginning at 9:00)
WC Test on Sunday, July 29, 2007
WCX Test on Sunday, July 29, 2007
At
Three Rivers Wildlife Management Area
Baldwinsville, New York

Entries close Friday, July 20, 2007
Entry fees: WC $30, WCX $35
Checks payable to: Golden Retriever Club of CNY

Mail to: Kathy McCloskey, 406 Bradford Pkwy., Syracuse, NY 13224

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( ) This entry is for the WC Test Fee $ ______ enclosed
( ) This entry is for the WCX Test Fee $ ______ enclosed

Breed__________________________________________________________________ Sex_______________________________________________________

Dog’s Registered Name_______________________________________________________________________________________________________________

__ AKC Reg. No_________________________________________________________. Date of Birth_______________________________________________
__ ILP No.______________________________________________________________
__Foreign Reg & Country Place of Birth__________________________________________________________________________________________________
__ Reg. applied for – will submit __ USA __Canada __ Foreign

Breeder__________________________________________________________________________________________________________________________

Sire______________________________________________________________________________________________________________________________

Dam_____________________________________________________________________________________________________________________________

Actual owner(s)_____________________________________________________________________________________________________________________

Owner’s address____________________________________________________________________________________________________________________

City State Zip_______________________________________________________________________________________________________________________

Phone:______________________________________________________________Email:__________________________________________________________

I agree that the dog herein is entered in and will be in the test at my own risk and that I will hold the host club, its members and agents, free from liability for any claims arising out of the entry of the dog or its presence at the test.

Signature ____________________________________________________________