1. Official Canadian Kennel Club Entry Form Administrative use only CONFORMATION CLASSES
Junior puppy A dog 6 months up to 9 months on the day of the show
SOUTH SHORE KENNEL CLUB Senior puppy A dog between 9 months and up to 12 months on the day of show
12-18 Months A dog between 12 months and up to 18 months on the day of show
Canadian Bred A dog which was born in Canada
Bred by Exhibitor A dog owned and handled by the breeder
Open class A dog 6 months of age or older
[ ] Show 1 [ ] Trial 1 Entry fees: ___ x $24.00 = _________ Specials only Dogs who are Canadian Champions
[ ] Show 2 [ ] Trial 2 Listing Fees: ___ x $ 9.65 = _________ Exhibition Only Dogs 6 months and over, not in competition. Dogs 3 months of age and under 6 months of
age on the day of the show may be entered in Exhibition Only providing that the owner of the
Ex. Only: ___ x $ 8.00 = _________ puppies has also entered a dog in one of the regular official classes. No exhibitor may enter
Catalog: ___ x $ 7.00 = _________ more than 2 puppies.
[ ] Catalog Total: _________ OBEDIENCE CLASSES
Novice A & B, Open A & B, Utility A & B, (Pre-Novice, Novice C, and Novice Intermediate)
Please Print or type CLEARLY Pre-Novice for all purebred dogs over 6 months of age (Not eligible for H.I.T. Competition)
Enter in one only of the following classes: OBEDIENCE “A” Classes for dogs handled by owner or immediate family member through all exercises
“B” Classes for trainers, multiple entries, exhibitors who have attained a Cdn. OTCh. degree or dogs who
CONFORMATION [ ] Novice A [ ] Pre-Novice
have earned titles in another country
[ ] Junior Puppy [ ] Bred By Exhibitor [ ] Novice B [ ] Novice C "C" Classes for dogs who have completed a C.D. title in Canada (Not eligible for H.I.T. competition)
C.D.I. Class Novice Intermediate, for dogs who have earned a C.D. title in Canada. (Not eligible for H.I.T.
[ ] Senior Puppy [ ] Open [ ] Open A [ ] Novice Int. Competition)
[ ] 12-18 Month [ ] Specials Only [ ] Open B [ ] Exhibition Only Open for dogs who have earned a C.D. in Canada
Utility A for dogs who have earned a C.D.X. but not a U.D. in Canada
[ ] Canadian Bred [ ] Exhibition Only [ ] Utility A Jump Height _________ Utility B for dogs who have earned a C.D.X. or U.D. in Canada
Exhibition Only for dogs 6 months and over, not in competition
[ ] Utility B A separate entry is required for each class entered. Please designate jump heights on the entry form.
BREED VARIETY SEX A Bitch in season may not compete in Obedience Trials. Entry fees will be refunded only if the Trial
Secretary receives a Veterinarian’s Certificate before commencement of the Trial.
NAME OF DOG
Date of Birth Is this a puppy? ENTRY INFORMATION:
Check one & enter Reg # here 1. All entries are to be sent to the Show Secretary and must be received by the closing date and time.
___ CKC Reg # ____ _____ _______ YES ___ NO ___ 2. No entry will be accepted unless accompanied by proper entry fees and forms.
___ CKC ERN # Day Month Year 3. Incomplete entries will be returned. Agents and Handlers please note that full name and address of
___ CKC MSC # _______________________ owners must be filled in as well as to whom the ID is to be sent.
___ Listed Place of Birth ___ Canada ___ Elsewhere 4. Exhibitors must abide by errors made in entering their dogs, regardless of how or by whom entries were
made.
5. To comply with CKC regulations, we will be unable to accept or substitute any entry reaching the Show /
BREEDER Trial Secretary after the closing date and time.
6. Only dogs eligible for CKC registration may enter this show. The Committee reserves the right to refuse
SIRE any entry subject to CKC rules.
7. A dog that is individually registered in the records of the Canadian Kennel Club, and has completed the
DAM requirements for a Championship in accordance with these rules, but at the time of the closing of entries
for show has not received confirmation of the title, may be transferred from one of the Regular Classes
REG.OWNER to “Specials Only”, providing the request for transfer is submitted to the Show Secretary IN WRITING by
the owner or handler at least one hour prior to the opening of the show.
OWNER ADDRESS
EVENT REGISTRATION NUMBER (ERN)
CITY PROV POSTAL CODE
All dogs that are foreign born and foreign owned and enter Canada for the sole purpose of entering CKC
events will require an Events Registration Number (ERN).
AGENT NAME
To obtain an ERN number, simply do the following:
1. Send a photocopy of the dog’s registration certificate reflecting current ownership, for example, AKC
Registration Certificate, with a written request for an ERN number.
AGENT ADDRESS
2. Include with the above a cheque or money order in the amount currently required payable to the Canadian
Kennel Club.
CITY PROV POSTAL CODE
3. Ensure that you provide us with your full return address to enable the ERN number to be sent to you.
Mail ID to: ___ OWNER or ___ AGENT 4. Faxed requests will be accepted. Please indicate your VISA / MasterCard number, expiry date,
cardholder’s name and signature.
I CERTIFY that I am the registered owner(s) of this dog or that I am the authorized agent of the owner(s) whose name(s) This Event Registration Number MUST be applied for within 30 days of the first day of entering a CKC event.
I have entered above and accept full responsibility for all statements made in this entry. In consideration of the acceptance of this Dogs may be entered as “Listed”. However, failure to apply for an ERN number within 30 days will result in
entry, I(we) agree to be bound by the rules and regulations of the Canadian Federation of Canada and by any additional rules and cancellation of any wins, awards, or scores.
regulations appearing in the premium list. Also, by signing this form I certify that I will not hold the Show giving Club, it’s members, Please forward your request to:
Directors, Employees or Agents liable in the event of any accident or misfortune however caused. CANADIAN KENNEL CLUB, Shows and Trials Division
200 Ronson Drive, Suite 400, Etobicoke, ON, M9W 5Z9 Ph: (416) 675-5511
__________________________________________ _________________ ________________________________
Signature of agent or owner Phone Number Email