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Dog Information: AKC Reg Name

Dog Information: AKC / PAL / ILP /CP Registration Number

Dog Information: Call Name

Dog Information: Date of Birth

Dog Information: Sex

Dog Information: Breed

Owner & Handler Information

First name

Last name

Address

Phone

EMAIL (Use same email address used to set up Secreterrior Account

If other than owner- Handle's name.

If Junior handler - Give name and Junior Number

Signature

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Once I receive this Day of Entry, I will email you with trial information for day of. Please allow me 24 hrs to respond. Thank you! SF