Form Jnlq01 - Akc Nite Hunt Report
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1White Copy - AKC/ Pink Copy - Club / Yellow Copy - Handler
®
AKC
NITE HUNT REPORT
MUST be received within 7 days of the event or club is liable to be fined.
Club:__________________________________________________________ Event #:_______________________
Hunt type:
SPORTMIX
Location:_______________________________ Event Date:_____________
Poor Boy
Trophy
Money
Youth
Total Cast Winners:_________
Total Entries:___________
The individuals signing below are certifying that the information contained in this report is accurate.
________________________________________________
________________________________________________
Print Hunt Chairman's Name
Print Hunt Director's Name
_____________________________
_______________________________________________
AKC Hunt Director #
Hunt Chairman's Signature
Date
**Jr. Handlers must provide their Jr # in
_______________________________________________
RECORD ONLY PLUS POINT CAST WINS
order to get credit in the
Hunt Director's Signature / Date
UNLESS HANDLER IS 12 AND UNDER.
YOUTH STANDINGS
Cast#:_______ Score: _______(+) Club #__________ Amt Earned $________ Date:_______ Breed:________ Age:_____ Sex:_____
Dog’s Name:__________________________________ AKC Reg#:___________________ Owner:_____________________________
Owner Address:_____________________________________________________ Handler: ____________________________________
Handler Address:_________________________________________________________ **Jr. #:_________________________________
Tel(s)#:_______________________________________________________
:_____________________________
HUNT DIRECTOR'S Signature & date
Cast#:_______ Score: _______(+) Club #__________ Amt Earned $________ Date:_______ Breed:________ Age:_____ Sex:_____
Dog’s Name:__________________________________ AKC Reg#:___________________ Owner:_____________________________
Owner Address:_____________________________________________________ Handler: ____________________________________
Handler Address:_________________________________________________________ **Jr. #:_________________________________
Tel(s)#:_______________________________________________________
:_____________________________
HUNT DIRECTOR'S Signature & date
Cast#:_______ Score: _______(+) Club #__________ Amt Earned $________ Date:_______ Breed:________ Age:_____ Sex:_____
Dog’s Name:__________________________________ AKC Reg#:___________________ Owner:_____________________________
Owner Address:_____________________________________________________ Handler: ____________________________________
Handler Address:_________________________________________________________ **Jr. #:_________________________________
Tel(s)#:_______________________________________________________
:_____________________________
HUNT DIRECTOR'S Signature & date
Cast#:_______ Score: _______(+) Club #__________ Amt Earned $________ Date:_______ Breed:________ Age:_____ Sex:_____
Dog’s Name:__________________________________ AKC Reg#:___________________ Owner:_____________________________
Owner Address:_____________________________________________________ Handler: ____________________________________
Handler Address:_________________________________________________________ **Jr. #:_________________________________
Tel(s)#:_______________________________________________________
:_____________________________
HUNT DIRECTOR'S Signature & date
Cast#:_______ Score: _______(+) Club #__________ Amt Earned $________ Date:_______ Breed:________ Age:_____ Sex:_____
Dog’s Name:__________________________________ AKC Reg#:___________________ Owner:_____________________________
Owner Address:_____________________________________________________ Handler: ____________________________________
Handler Address:_________________________________________________________ **Jr. #:_________________________________
Tel(s)#:_______________________________________________________
:_____________________________
HUNT DIRECTOR'S Signature & date
Cast#:_______ Score: _______(+) Club #__________ Amt Earned $________ Date:_______ Breed:________ Age:_____ Sex:_____
Dog’s Name:__________________________________ AKC Reg#:___________________ Owner:_____________________________
Owner Address:_____________________________________________________ Handler: ____________________________________
Handler Address:_________________________________________________________ **Jr. #:_________________________________
Tel(s)#:_______________________________________________________
:_____________________________
HUNT DIRECTOR'S Signature & date
JNLQ01 (10/12)
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