The Spinone Club of America

NAVHDA Official
Hunt Test Entry Form

Colliers Mill Wildlife Management Area,
New Egypt, New Jersey

Be sure to complete a SCOA '99 National Meeting REGISTRATION FORM also.

Sorry this event is over
Spinone Club of America
National Meeting - 1999
April 29, 30 and May 1, 2
Clarksburg Inn, Clarksburg, NJ

SCOA '99 REGISTRATION Form
Entry Form - Conformation and Obedience
Entry Form - Hunting Tests
Accommodations
Schedule of Events

Directions to Meeting

1st Annual Photo Contest

Please print this form using your browser's print command and mail to

James Channon
P.O. Box 307

Warsaw, VA  22572

phone: (804-333-0309)


Chapter    RAPPAHANNOCK           Test Dates    April 29th, 30th and May 1st 1999                

Natural Ability ___ Utility Preparatory ___ Utility ___ Invitational ___
($75.00) ($90.00) ($90.00)

 

Type or print clearly and attach a COPY of Registration, Litter Paper or Pedigree

 

 
Preferred Running Day ? ___________________
 
NAVHDA Registration # __________________
 
Dog Previously NAVHDA Tested ___Yes ___No
 
NAVHDA Computer # NR ________________
 
Registration or Litter # _____________________
Specify(AKC, American Field, VDD, CKC, etc.)
______________________________
 
Registered Name ________________________
 
___Male ___Female
 
Call Name _____________________________
 
Whelp Date: Mo ____ Day ____ Yr ____
 
Breed of Dog ___________________________
 
Color__________________________
 
Breeder's Name _________________________
 
 
Sire ___________________________________
 
Dam___________________________

Owner ________________________________
 
Phone ( ____ ) ______-____________
 
Street _________________________________

 
City ___________________________________
 
State/Prov ____ Postal Code __________
 
Handler ________________________________
 
Phone ( ____ ) ______-____________

 

If handler is a NAVHDA Judge or Apprentice, please indicate Yes ___ Number_____________

 

Hip Dysplasia X-Rayed? ___Yes ___No (Please include copy of X-Ray results - OFA, Berlin, Guelph, PennHip)
It is recommended that dogs over 24 months of age have their hips X-Rayed and certified. Are Parvovirus, Rabies and DHP/L Shots current? ___Yes ___No
Age of Dog on Test Day: (Natural Ability) ___ Months (UPT/UT/INVIT) ___Years ___ Months

 

IMPORTANT! Dogs are eligible for a Natural Ability Test up until, and including, the day they reach 16 months of age. Dogs over 16 months may be tested for evaluation. No Prize Classifications are awarded dogs tested for evaluation. Dogs over 16 months may be tested if space is available.

To Make Your Entry Complete Include the Following Items:

This application filled out legibly and completely.
Copy of registration certificate, litter papers or a written explanation why proof of registrablity is not available.
Entry fee in the form of check or money order, made payable in US Funds to the NAVHDA - Rappahannock Chapter.
Copy of hip dysplasia X-Ray evaluation (if applicable.)
 

For More Information
Contact Jim Channon at
(804) 333-0309 or by E-MAIL


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