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Website Developed and Maintained by Websites 4 Animals
2017 Mudi National Specialty
Tails-U-Win Dog Training Center, LLC
175 Adams Street, Manchester, CT 06042

Friday, September 29, 2017

SPECIALTY ENTRY FORM

Entry Fees: $25.00 (pre-entry only) for the day for the same dog for any or all judged events; Fastest Mudi Race, Rally Match, AKC Trick Dog Titling and/or Conformation Match.
Entries Close: 12:00 Noon PDT, Wednesday, August 30, 2017, after which time entries cannot be accepted nor cancelled with a refund of fees paid.

DOWNLOAD FORM FOR MAILING

Mail Entries with fees to: Laura Kinne, 10117 SE Sunnyside Rd #1233, Clackamas, OR 97015
Make Checks or Money Orders Payable to: Mudi Club of America, Inc.


or Complete the Form Below and Pay using our PayPal option
(a small processing fee will be added to your payment)
Registered Name:
Call Name:
All Titles Earned:
Registry:
Registration No:
Date of Birth:
Country of Birth:
Sex: Male  Female
Altered:   Yes  No
Age as of September 29, 2017
   
Fastest Mudi Race:   Yes  No
Rally Match   Yes  No
AKC Trick Dog   Yes  No
Honor Parade:   Yes  No
   
Conformation Match – Dogs (check one): Conformation Match – Bitches (check one):
  Puppy – At least 2 months & under 4 months
  Puppy – 4 months & under 6 months
  Puppy – 6 months & under 12 months

  Puppy – 12 months & under 18 months
  Bred by Exhibitor – 6 months & over
  Open – 6 months & over
  Veteran -- 7 years & over (may be altered)
  Altered -- 6 months & over
  Best of Breed -
Specials
  Puppy – At least 2 months & under 4 months
  Puppy – 4 months & under 6 months
  Puppy – 6 months & under 12 months

  Puppy – 12 months & under 18 months
  Bred by Exhibitor – 6 months & over
  Open – 6 months & over
  Veteran -- 7 years & over (may be altered)
  Altered -- 6 months & over
  Best of Breed -
Specials
   
Breeder:
Sire:
Dam:
Actual Owner:
Owner’s Address:
City, State, Zip + 4:
e-SIGNATURE OF OWNER OR AGENT  (Typed Name)
Email Address:
Emergency Contact Name
Emergency Contact Telephone
   

Please double check your spelling. Thank you for entering!

(Complete a new Entry Form for each dog)