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FORM
FOR ESSENTIAL DATA
NAME
OF CLUB___________________________________DATE OF TRIAL__________
PLACE
OF TRIAL_____________________________________________________________
One
Course [__] Multiple Course [__] (check
one)
Trial Run In Accordance With Minimum Requirements: Yes [__]
No [__] (check one)
TITLE
OF STAKE: __________________________________ Length of Heats:
_____________
JUDGES:
_____________________________/_______________________________________
(Name)
(Address)
_____________________________/_____________________________________________
(Name)
(Address)
_____________________________/_____________________________________________
(Name)
(Address)
For
Dogs Whelped on or after (Give Date) ____________________________________________
Number
drawn: __________ Pointers___________ Setters ____________
Other ____________
1st
Place to _____________________________________ Breed____________
Sex _______
Reg.
No. __________________________Whelping Date____________Color____________
Sire_______________________________________
Dam___________________________
Owner_________________________________City,
State___________________________
Handler________________________________City,
State___________________________
2nd
Place to ____________________________________ Breed____________
Sex _______
Reg.
No. _________________________Whelping Date_____________Color____________
Sire_______________________________________
Dam___________________________
Owner_________________________________City,
State___________________________
Handler________________________________City,
State___________________________
3rd
Place to ____________________________________ Breed____________
Sex _______
Reg.
No. _________________________Whelping Date_____________Color____________
Sire_______________________________________
Dam___________________________
Owner_________________________________City,
State___________________________
Handler________________________________City,
State___________________________
_______________________________________
____________________________________
(Judge's Signature)
(Judge's Signature)
Important:
Print this form out and Fill Out Accurately and Completely
Send promptly after completion of trials to:
American
Field Publishing Company
Secretary, Amateur Field Trial Clubs of America
542 S. Dear Born Street, Chicago, Il 60605
1300 Tripp Road, Somerville, Tennessee 38068
Email
us
aftca@aol.com
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