Registered name
with titles

 

Call name

 

AKC Reg #

 

Date of birth

 

Sex

 

Color

 

Height & Weight

 

Sire

 

Dam

 

Breeder

 

Owner's name

 

Address

 

 

Signature of owner

 

Phone or Email  

 

Events entered

(circle all that apply)

 

 

WRA Puppy

WRA Adult

WRA Senior   (Dogs that either are 9 years of age or who will turn 9 years of age within a maximum of 6 months after the date of the national.)

WRA Legend    (Dogs that either are 11 years of age or who will turn 11 years of age within a maximum of 6 months after the date of the national)

NOTRA  


print one for each dog entered

It is VERY important to list all titles for proper awarding of trophies!