MAY 5, 2007 * PAWS ‘N EFFECT DOG TRAINING CENTER, HAMDEN, CT

Registration deadline is April 10, 2007; NO EXCEPTIONS.

Entry fee is $20 for NRLC members, $30 for non-members.
Non members may join the NRLC and use the $10 as credit towards the membership fee.
Members of the NRLC must be members of the LCA

Please submit separate Registration Forms for each entered dog.

Registered Name of Dog:______________________________________________________________________

Call Name:__________________________________________________________________________________
LCA Registration Number:________________________ Date of Birth:_______________Sex: _____________
Name of Breeder:____________________________________________________________________________
Name of Sire:_______________________________________________________________________________
Name of Dam: ______________________________________________________________________________
Owner’s Name: _____________________________________________________________________________
Mailing Address: ____________________________________________________________________________
Phone: (include area code) _______________________ Email: _______________________________________
Conformation Class Entered ($20 entry fee):_______________________________________________________
(no fee for Honors Dog/Honors Bitch entries)
Obedience Class Entered ($20 entry fee):_________________________________________________________
Jr. Handling (no fee)/LeoLettes (no fee)
Name and age of Handler/category:_____________________________________________________________

I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose
name I have entered above. In consideration of the acceptance of this entry, I agree to abide by the rules and
regulations of the LCA. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs.
This entry is submitted for acceptance on the foregoing representation and agreement.

Owner/Agent Signature_______________________________________________________________________

Please submit all forms and checks (payable to NRLC, Inc.) to:
Susan Kent * 6963 197TH Street * Fresh Meadows, NY 11365-4038
Please consider donating an item to the raffle.
 MAY 5, 2007 * PAWS ‘N EFFECT DOG TRAINING CENTER, HAMDEN, CT

Registration deadline is April 10, 2007; NO EXCEPTIONS.

Include all dogs/entries and other payable items on this cover sheet.

Name:_________________________________________________________________

Telephone:_____________________________________________________________

E-mail:________________________________________________________________

Entry fee ($20 per member entry/$30 per non member) $

(You must be a member of the LCA to be a member of the NRLC)

Ribbon sponsorship ($20.00 each) $

Ribbon message:_____________________________________________

Trophy sponsorship ($25.00 each) $

Trophy message:______________________________________________

Lunch $7.00 includes sandwich, chips and drink (indicate quantity) $

_____Roast Beef _____Turkey
_____Chicken Salad _____ Tuna Salad
_____Water _____Coke _____Diet Coke

Advertisement (Full page: $25.00; Half page: $20) $

___________
_
Total (No Refunds) $

Additional fees may be required for BACL and CGC testing. Please plan on paying for
these evaluations at the show.
Please submit all forms and checks (payable to NRLC, Inc.) to:
Susan Kent * 6963 197TH Street * Fresh Meadows, NY 11365-4038
Please consider donating an item to the raffle.