CENTRAL CALI  KENNEL CLUB ALL BREED DOG SHOW                                                         
                                                                                                                                                                                                  Club will fill in below             
                                                                         American Dog Federation  Sanctioned Show
                                                                                        EASY FORM  BULLY  ENTRY
                                                           PLEASE  COMPLETE, PRINT AND BRING TO THE SHOW

                                       Show Hours: 8:00AM - Dusk        Location of show: City of Madera Dog Park
                        
                          Registration:     Fee:$25. for first dog  $20.00. additional dog entered in show plus additional ADF registration
             If your dog is not registered with the ADF there is an additional $20.00 (reduced for show)registration fee for EACH dog entered in the show.
              I enclose $_______________ for entry fees.included in the total if also registering your dog with ADF
                

Registered Name                                                                                                                                                  Sex                    Altered

_______________________________________________________________________________________M[    ]  F[    ]    Y[    ]     N[    ]
Date of Birth                                                                                          Color

_________/________/________  _______________________________________________________________________
Breeder                                                                                                                      

______________________________________________________    __________________________________________
Sire                                                                                                                                                            Dam
________________________________________________   _________________________________________________
Owner                                                                                                                                                  Co Owner
______________________________________________ ____________________________________________________
Address of Owner                                                                                                                  
__________________________________________________________________________________________________
City                                                                                                                 State                                                                 Zip
__________________________________________         ____________________________        ____________________
                                              
 COMPLETE THE INFORMATION NEXT TO THE EVENT ENTERED
                                                              Please select class , only one class per dog
         Height requirements Standard Males 17"-20" Females 16"-19"  Pocket males 17" Females16" XL males 20"-23" Females 19"-22"

[    ] Standard                        
[     ]Pocket                        
[    ] XL                                
[    ] Extreme                             
[    ] Classic
[    ] 3- under 6 months                                  
[    ] 6- under 9 months                                                
[    ] 9- under 12 months                  
[    ] 1- 7 years
[    ] over 7 years Veteran
[    ]Grand Champion
[    ]Grand Champion Supreme
[    ]Register of Merit

The host club and the American Dog Federation assumes no responsibility for any losses, damage or injury sustained or inflickted by anymspectator, exhibitors, handlers or to any animal or
property. The ADF and host club is not responsible for injury to children not under the control of a parent or guardian. The ADF and the host club is not responsible for any accidents loss
damage or theft to persons, animals and or possessions . By signing this agreement, I and those who are attending this show with me hereby agree to waive, any claim or lawsuits resulting
from my participation in this event, and any action, decision or judgement made by any ADF and host club representative or approved judge. My signature indicates that I have read and
understand and agree to the above. Please note that any mistake on the class entered can result in forfeiture of placement.

SIGNATURE of owner /agent duly authorized to make this entry____________________________________________Date_____/____/2015
ARMBAND #
ABKC #
Additional Breeds
[    ] Am. Bandogge Mastiff        [    ] Doberman Pinscher
[    ] American Bulldog
              [    ] Dogue De Bordeaux     
[    ] American Bully                    [    ] German Shepherd
[    ] Australian Shepherd          [    ] Old English Bulldog
[    ] Am. Bandogge Mastiff        [    ] Pit Bull Terrierr             
[    ] Bull Terrier                          [    ] Rotweiller
[    ] Cane Corso   
[    ] Canis Panther          
[    ] English Bulldog       
[    ] French Bulldog
OTHER [    ] ____________________________________________________________
  CLASSES
[    ] 3- under 6 months                                         
[    ] 6- under 9 months                                                
[    ] 9- under 12 months                  
[    ] 1- 7 years
[    ] over 7 years Veteran
[    ] Grand Champion
[    ] Grand Champion Supreme                                 
[    ] Register of Merit