Mrc Futurity Stake Entry Form printable pdf download

MRC FUTURITY STAKE ENTRY FORM

Litter Nomination

Due Date (approx.)________________

Name of Bitch ________________________________________________ AKC#____________

Breeder’s Name _______________________________________________ OFA#____________

Address ______________________________________________________________________

City, State, Zip________________________________________ E-Mail_____________________

Name of Sire (of litter) __________________________________________ AKC# ___________

(If dual sire litter, provide additional name, AKC & OFA# & owner info)

Sire Owner’s Name ____________________________________________ OFA# ___________

Address ______________________________________________________________________

City, State & Zip _______________________________________________________________

Nomination Fee: $20.00. Send completed nomination form and check (made payable to Medallion Rottweiler Club) to:

MRC Futurity Chairman,

Robin Shine 5206, Edgewood Road Crystal Lake, Ill 60012-1314

[robin5206@att.net ]

(Reasonable facsimiles of this form will be accepted if all requested information is provided.)

LITTERS MUST BE NOMINATED PRIOR TO BIRTH

If you would like confirmation of your futurity entry, please enclose a self-addressed, stamped postcard

with the submission.

MRC FUTURITY STAKE ENTRY FORM

Puppy Enrollment

Birthdate _____________________

Name of Puppy _______________________________________________________________

Sex

AKC# ____________________________________

(The AKC registration number may be found on the registration slip which comes from the AKC when the litter is

registered by the breeder. The registration number consists of two letters, six numbers followed by a slash and two more

numbers. Nominations will not be accepted for unregistered Rottweilers.)

Sire of Puppy __________________________________________________________________

Dam of Puppy _________________________________________________________________

Owner of Puppy_____________________________________ E-Mail______________________

Address ______________________________________________________________________

City, State & ZIP _______________________________________________________________

Enrollment Fee: $10.00. Send completed enrollment form and check (made payable to Medallion Rottweiler Club) to:

Robin Shine 5206, Edgewood Road Crystal Lake, Ill 60012-1314

MRC Futurity Chairman,

[robin5206@att.net ]

(Reasonable facsimiles of this form will be accepted if all requested information is provided.)

INDIVIDUAL PUPPIES MUST BE ENROLLED PRIOR TO THEIR SIX MONTH BIRTHDAY

If you would like confirmation of your futurity entry, please enclose a self-addressed, stamped postcard

with the submission.

Rev 6-8-12

Mrc Futurity Stake Entry Form