Rare Breed Club of South Western Ontario

SHOW Location: ___________________________________________________________

PLEASE CHECK WHICH SHOW(S) YOU WISH TO ATTEND

Saturday AM    Saturday PM    Sunday AM              Sunday PM            

Breed:                                                                     

Breed VARIETY IF APPLICABLE

CLASS

ELEMENTARY PUPPY (3 to 6 Months)                          SENIOR PUPPY-(9 to 12months)

JUNIOR PUPPY (6 to 9 Months)                        12 - 18 Month class             
                       

BRED BY EXHIBITOR          PUPPY CHAMPION          

CANADIAN BRED                                            OPEN

SPECIALS ONLY                                             ALTERED



Registered Name Of Dog:                                         

SEX: Male       Female      

Date Of Birth:      Day          Month          Year

Place of Birth:  Canada                      Elsewhere

Registered Owner:                                                    

Owner's Address:                                                      

City/Province/State                                                   

Code:                                                                          

Phone Number 

Fax Number                                                          Email: