Form Jwr003 - Water Race Report printable pdf download

White Copy - AKC / Pink Copy – AKC Official / Yellow Copy - Handler / Gold Copy - Club

AKC

WATER RACE

REFER TO INSTRUCTIONS ON WATER RACE REPORT PAGE 1.

REPORT page 2

The Water Race Reports & Dogs Scratched for Aggression Form

MUST be received within 7 days of the event to avoid late fine.

Club Name: _______________________________

Date & Location: ___________________________

Name of Host Club:____________________________ Club #___________ AKC Reg#:_______________________

HEAT

LINE

TREE

This dog was the Winner for:

and/or

(please circle both if dog won both)

# :

OPEN

CHAMPION

This dog competed in the following class:

Dog’s Name:_________________________________________________________ Breed:__________ Sex:______

Owner:__________________________________ Address:_______________________________________________

Handler:________________________________ Address:________________________________________________

Tel# if AKC needs more info:__________________ Date:______ Official’s Signature:_______________________

Name of Host Club:____________________________ Club #___________ AKC Reg#:_______________________

This dog was the Winner for:

LINE

and/or

TREE

HEAT

(please circle both if dog won both)

# :

This dog competed in the following class:

OPEN

CHAMPION

Dog’s Name:_________________________________________________________ Breed:__________ Sex:______

Owner:__________________________________ Address:_______________________________________________

Handler:________________________________ Address:________________________________________________

Tel# if AKC needs more info:__________________ Date:______ Official’s Signature:_______________________

Name of Host Club:____________________________ Club #___________ AKC Reg#:_______________________

HEAT

This dog was the Winner for:

LINE

and/or

TREE

(please circle both if dog won both)

# :

This dog competed in the following class:

OPEN

CHAMPION

Dog’s Name:_________________________________________________________ Breed:__________ Sex:______

Owner:__________________________________ Address:_______________________________________________

Handler:________________________________ Address:________________________________________________

Tel# if AKC needs more info:__________________ Date:______ Official’s Signature:_______________________

Name of Host Club:____________________________ Club #___________ AKC Reg#:_______________________

This dog was the Winner for:

LINE

and/or

TREE

HEAT

(please circle both if dog won both)

# :

This dog competed in the following class:

OPEN

CHAMPION

Dog’s Name:_________________________________________________________ Breed:__________ Sex:______

Owner:__________________________________ Address:_______________________________________________

Handler:________________________________ Address:________________________________________________

Tel# if AKC needs more info:__________________ Date:______ Official’s Signature:_______________________

Name of Host Club:____________________________ Club #___________ AKC Reg#:_______________________

LINE

TREE

HEAT

This dog was the Winner for:

and/or

(please circle both if dog won both)

# :

OPEN

CHAMPION

This dog competed in the following class:

Dog’s Name:_________________________________________________________ Breed:__________ Sex:______

Owner:__________________________________ Address:_______________________________________________

Handler:________________________________ Address:________________________________________________

Tel# if AKC needs more info:__________________ Date:______ Official’s Signature:_______________________

JWR003 (7/07)

Form Jwr003 - Water Race Report

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