Electronic Field Trial Entry Form Field Trial Name Field Trial Date Entry Close Date ALL ENTRIES IN CAPITALS PLEASE Dog-1 KC-Registered-Dog-Name-1 KC-Registered-Dog-Number-1 Date of Birth-1 Breeder-1 Sire-1 Dam-1 Class-1 Breed-1 Sex-1 Dog-2 KC-Registered-Dog-Name-2 KC-Registered-Dog-Number-2 Date of Birth-2 Breeder-2 Sire-2 Dam-2 Class-2 Breed-2 Sex-2 Your name Your email Telephone Your-Address-Line-1 Your-Address-Line-2 Your-Address-Line-3 Post-Code Name-of-Handler Handlers-email Handlers-Telephone Handlers-Address-Line-1 Handlers-Address-Line-2 Handlers-Address-Line-3 Handlers-Post-Code Your message (optional) DECLARATION: DECLARATION: I/We agree to submit to and be bound by The Kennel Club Rules and Regulations in their present form or as they may be amended from time to time in relation to all canine matters with which The Kennel Club is concerned & that this entry is made on that basis that all current single or joint registered owners of this / these dog/s have authorised/consented to this entry. I/We also undertake to abide by the Regulations of this Field Trial and not to bring to the Field Trial any dog who has contracted or been knowingly exposed to any infectious disease during the 21 days prior to the day of the Field Trial or which is suffering from a visible condition which adversely affects its health & welfare. I/We also declare that I am fully conversant with the Field Trial Rules and Gundog Working Test Regulations. I further declare that I believe to the best of my/our knowledge that the dogs are not liable to disqualification under Kennel Club Rules and Regulations. Note: Dogs entered in breech of Kennel Club Rules and F.T. Regulations are liable to disqualification whether or not the owner was aware of the breech. Before checking the box below please read the declaration above. Declaration of Acceptance of Terms.