PRECISE TRIAL RESULT FORM

MUST BE SUBMITTED  NO LATER THAN 30 DAYS AFTER COMPLETION OF TRIAL.

AFTER 30  DAYS, TRIAL MAY NOT BE RECOGNIZED

REQUIRED *

EMAIL ADDRESS:* 
CLUB NAME:*   
DATE OF TRIAL:*  
PLACE OF TRIAL:*
TITLE OF STAKE:*   OPEN SHOOTING DOG REGIONAL CHAMPIONSHIP NATIONAL CHAMPIONSHIP
NAME OF CHAMPIONSHIP:
LENGTH OF HEAT:*  30 MIN 45 MIN 60 MIN
JUDGES NAME AND ADDRESS:
JUDGES NAME AND ADDRESS:
HOW MANY DOGS RAN IN STAKE :*  

1ST PLACE TO: REG NUMBER:*  
DOGS NAME *
BREED POINTER SETTER BRITTNEY GERMAN SHORTHAIR VISLA
SEX:  MALE FEMALE
COLOR:
SIRE:  
DAM: 
OWNER:
ADDRESS:CITY:STATE:ZIP:NUMBER:EMAIL:
HANDLER:
ADDRESS:CITY:STATE:ZIP:NUMBER:EMAIL:

2ND PLACE TO: REG NUMBER:*  
DOGS NAME *
BREED POINTER SETTER BRITTNEY GERMAN SHORTHAIR VISLA
SEX:  MALE FEMALE
COLOR:
SIRE:  
DAM: 
OWNER:
ADDRESS:CITY:STATE:ZIP:NUMBER:EMAIL:
HANDLER:
ADDRESS:CITY:STATE:ZIP:NUMBER:EMAIL:

3RD PLACE TO: REG NUMBER:*  
DOGS NAME *
BREED POINTER SETTER BRITTNEY GERMAN SHORTHAIR VISLA
SEX:  MALE FEMALE
COLOR:
SIRE:  
DAM: 
OWNER:
ADDRESS:CITY:STATE:ZIP:NUMBER:EMAIL:
HANDLER:
ADDRESS:CITY:STATE:ZIP:NUMBER:EMAIL:

                WHEN FINISHED     
REQUIRED *