NAVHDA Test Entry

Please print this form using your browser's print command and mail to:

Fees payable (check or money order in US Funds) to NAVHDA - Rappahannock Chapter

 James Channon
P.O. Box 307
Warsaw, VA  22572
phone: (804-333-0309)
Chapter: RAPPAHANNOCK Test Dates 1999 (circle): November 20 November 21
Natural Ability ___ Utility Preparatory ___ Utility ___ Invitational ___

Type or print clearly and attach a COPY of Registration, Litter Paper or Pedigree
 
Preferred Running Day ? ___________________
  
NAVHDA Registration # __________________
Dog Previously NAVHDA Tested ___Yes ___No NAVHDA Computer # NR ________________
Registration or Litter # _____________________ Specify(AKC, American Field, VDD, CKC, etc.)______________
Registered Name ________________________ ___Male ___Female
Call Name _____________________________ Whelp Date: Mo ____ Day ____ Yr ____
Breed of Dog ___________________________ Color__________________________
Breeder's Name _________________________
Sire ___________________________________ Dam___________________________

Owner ________________________________
Phone ( ____ ) ______-____________
Street _________________________________
City ___________________________________ State/Prov ____ Postal Code __________
Handler ________________________________ Phone ( ____ ) ______-____________

 

If handler is a NAVHDA Judge or Apprentice, please indicate Yes ___ Number_____________

 

Hip Dysplasia X-Rayed? ___Yes ___No (Please include copy of X-Ray results - OFA, Berlin, Guelph, PennHIP)
It is recommended that dogs over 24 months of age have their hips X-Rayed and certified. Are Parvovirus, Rabies and DHP/L Shots current? ___Yes ___No
Age of Dog on Test Day: (Natural Ability) ___ Months (UPT/UT/INVIT) ___Years ___ Months

 

IMPORTANT! Dogs are eligible for a Natural Ability Test up until, and including, the day they reach 16 months of age. Dogs over 16 months may be tested for evaluation. No Prize Classifications are awarded dogs tested for evaluation. Dogs over 16 months may be tested if space is available.

To Make Your Entry Complete Include the Following Items:

This application filled out legibly and completely.
Copy of registration certificate, litter papers or a written explanation why proof of registrablity is not available.
Entry fee in the form of check or money order, made payable in US Funds to the NAVHDA - Rappahannock Chapter.
Copy of hip dysplasia X-Ray evaluation (if applicable.)
 

For More Information
Contact Jim Channon at
(804) 333-0309 or by E-MAIL

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