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

               November 14, 2015                     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_
______________________________________________________________________________________
                                                                               

Date of Birth_________/________/________ Color:____________________________________________________________________
                                                                                                        
                                                                                                                                                

Sire
___________________________________________________________________________________________________________


Dam__________________________________________________________________________________________________________                
                                                                                               
                           

Owner/s_
__________________________________________________ ____________________________________________________
                                                                                                     

Address________________________________________________________________City____________________________________
                                                                                                                                                                

State
________________________________________Zip____________________________Phone ______________________________


Email__________________________________________________________________________________________________________                                         
          

                                                        
 COMPLETE THE INFORMATION NEXT TO THE EVENT ENTERED
                                                                        Please select class , only one class per dog
       
American Bully
[    ] 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
[    ]Obedience Class______________________________________

The host club and the American Dog Federation assumes no responsibility for any losses, damage or injury sustained or inflickted by any spectator, 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 #_________________

ADF #  if know ___________________________________________________SexM[    ]  F[    ]    Altered Y[    ]     N[    ]
Additional Breeds
[    ] Am. Bandogge Mastiff        [    ] Dogo Argentino
[    ] American Bulldog
               [    ] Dogue De Bordeaux     
[    ] Australian Shepherd           [    ] German Shepherd
[    ] Am. Bandogge Mastiff        [    ] Old English Bulldog
[    ] Bull Terrier                             [    ] Pit Bull Terrierr             
[    ] Cane Corso                           [    ] Rotweiller
[    ] Canis Panther  
[    ] English Bulldog         
[    ] French Bulldog       
[    ] Doberman Pinscher
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
[    ] Obedience  Class_________________________