DAM. ACTUAL OWNER(S) (2) OWNER'S ADDRESS CITY STATE ZIP CODE GREEN OPTION: Check this box to receive ID/Judging Program information by e-mail only, in lieu of a printed copy through the US Postal Mail. NAME OF OWNER'S AGENT (IF ANY) AT THE SHOW I CERTIFY that I am the actual owner of the dog or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I(we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the "Agreement" printed on the reverse side of this entry form. I(we) certify and CITY STATE ZIP represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Jr. Handler to the owner? SIGNATURE of owner or his agent
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Samples: www.pafta.org, www.pafta.org, www.pafta.org
DAM. ACTUAL OWNER(S) (2) OWNER'S ADDRESS CITY STATE ZIP CODE GREEN OPTION: Check this box to receive ID/Judging Program information by e-mail only, in lieu of a printed copy through the US Postal Mail. NAME OF OWNER'S AGENT (IF ANY) AT THE SHOW I CERTIFY that I am the actual owner of the dog or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I(we) agree to abide by the rules and regulations of The American Kennel Club in effect effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the "Agreement" printed on the reverse side of this entry form. I(we) certify and CITY STATE ZIP represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. If Jr. Handler is not the owner of the dog identified identified on the face of this form, what is the relationship of the Jr. Handler to the owner? SIGNATURE of owner or his agentagent duly authorized to make this entry
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Samples: pafta.org, www.pafta.org