The Bernese Mountain Dog
Club of Canada
2009 Sieger Show
Registration Form
Dogs Registered
Name_____________________________________________________
CKC/AKC Registration
Number_____________________________________________
Class to be
entered________________________________________________________
Dogs Date of Birth
__________________________________________Day/Month/Year
Dog's Sex _____________________________________________________________
Place of
Birth____________________________________________________________
Sire’s
Name_____________________________________________________________
Dam’s
Name____________________________________________________________
Breeder’s
Name__________________________________________________________
Owners
Name___________________________________________________________
Address_________________________________________________________________
Telephone_______________________________________________________________
E-Mail__________________________________________________________________
Fee Paid _____________________
[ ] Check here if you would like your evaluation
completed in French.
Please make cheques or money orders payable to: BMDCC
Entry Fee: $30.00 Canadian
Closing Date for entries June 16, 2009 - Entries will be limited.
Mail entries to:
Mail entries to:
Angela Wagenblast,
1069 Haldimand Road 66,
Caledonia, Ontario, Canada N3W 1P8
e-mail:
aakw@sympatico.ca
