dog show entry form 2010

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  • 8/14/2019 Dog Show Entry Form 2010

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    VALENCIA COUNTY COMMUNITY EXPO

    2nd Annual 4-H Dog Show

    Entry Deadline Thursday, July 29, 2010NO APPLICATIONS ACCEPTED AFTER JULY 29, 2010

    Entries are to be postdated on or before July 29, 2010 and sent to:Valencia County Community Expo

    Attn: Dog Show CommitteeP.O. Box 1264

    Los Lunas, NM 87031

    ATTENTION: PARENTS OR GUARDIANSA completed medical release, code of conduct, photo release form, agility release form and a copyof dogs vaccination records must accompany the application before it will be accepted!

    Applications must be signed by Parent/Guardian and 4-H Extension Agent before it will beaccepted!

    COMPETITION DIVISIONSREGISTRATION: Saturday, August 14, 2010 7:30 AM

    JUDGING: Saturday, August 14, 2010 8:00 AM

    Order of ShowAgility

    A.) OpenB.) Novice

    C.) Beginning

    Obedience and Rally-OThese two events will be run at the same time/two different show rings

    A.) Pre-Novice A A.) ExcellentB.) Pre-Novice B B.) AdvancedC.) Novice C.) NoviceD.) Pre-Open

    Jr. Handler (Showmanship)(There will be a break before Jr. Handler so the 4-H youth may change clothes.)

    A.) 14-19 Years (Senior)

    B.) 12-13 Years (Junior)C.) 9-11 Years (Novice)

    Belt Buckles will be awarded to the High Point Novice, Junior and Senior Individuals of the show basedon points of one dog. Ribbons will be given in each class for 1st through 6th place.

    InformationFor Further Information Contact:

    Linda Herrera or Sherry Galemore(505)861-5760 (505)459-7492

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    2nd ANNUAL VALENCIA COUNTY COMMUNITY EXPO 4-H DOG SHOWUse separate entry form for each dog shown.

    Entry Deadline: Thursday, July 29, 2010

    Mail entries to:Valencia County Community Expo Attn: Dog Show Committee, PO Box 1624; Los Lunas, NM 87031

    Name: _________________________________ Youths Birth date: __________________________Month/day/year

    Circle One: Cloverbud Novice Junior Senior

    Address: ___________________________________ City: ________________ Zip: ___________

    Phone # ____________________________ Email: _____________________________________

    Dogs name: _____________ Breed: _________________ Age: _____ Height :( at withers) _______

    Circle classes to be entered. See rules for Description.

    1. Jr. Handler, Senior 5. Pre-Novice B Obedience 10. Rally-O - Excellent2. Jr. Handler, Junior 6. Novice Obedience 11. Agility - Beginning

    3. Jr. Handler, Novice 7. Pre-Open Obedience 12. Agility - Novice4. Pre-Novice A Obedience 8. Rally-O Novice 13. Agility - Open

    9. Rally-O Advance

    QuantityEntry Fee for each class _______ X $ 2.50 @ $_______________

    Week-Long Exhibitors Pass/per person _______ X $10.00 @ $_______________Saturday Only Pass/per person _______ X $ 5.00 @ $_______________

    Total Amount Due $_______________

    All fees will be due with entry forms.

    IMPORTANT: I have attached all of the forms listed below:

    ____Dog Vaccination Records_____ Medical Release Form_____ Code of Conduct Form_____ Photo Release Form_____ Agility Release Form

    ALL of these forms must be sent with the application for it to be accepted!

    I certify that I have reviewed the N.M. State 4-H Dog Show rules and that my dog and I meet therequirements stated. I understand that I am responsible for the conduct of my dog and am alsoresponsible for cleaning up after him/her.

    ____________________________________ ______________________________________4-H members signature Parent or Guardian signature

    ____________________________________ ______________________________________4-H member PRINT NAME Parent or Guardian PRINT NAME

    In my opinion, the 4-H member has demonstrated the ability to perform the exercises indicated for theclass(es) in which he/she is entered and, to my knowledge, he/she is eligible to compete in the ValenciaCounty Community Expo 4-H Dog Show.

    _____________________ ______________________________________4-H Extension Agents Signature County

    NEW MEXICO STATE 4-H DOG SHOW RULES will be followed!

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