VERSATILE HUNTING DOG TEST ASSN (NZ)

Natural Ability & Intermediate Test Entry Form

For pups 6 - 16months of age.  (NA)  Test:  Natural Ability  ................ODT........

Dogs older (ODT) may be entered for evaluation only but are not eligible for any prize classification.
Don't forget to bring your puppies favourite dummy for the water test.

                                                             ENTRY FEE $20 PER DOG  -

Date of Test:  4th July 2010
Venue:  Linkwater, Queen Charlotte Drive (Near Picton).

         
  Sunday- Natural Ability - 8.30am.  Entries close 15th June. No Late Entries.

 NZKC Name of Dog:   __________________________________________

Date of Birth  _______________        Breed:_________________________

Bred by:  _________________________________        Sex:_____________

NZKC Reg No. _______________________VHDTA Member YES/NO.

FISH & GAME LICENCE HOLDER   YES/NO

Owner:
  _______________________________________________________

Address:  ______________________________________________________

'Phone___________________(home)  _______ _____________(Cell)

Email:   _________________________________________________

For entry to be complete and accepted the following statement & disclaimer must be signed
by the dog's owner(s)
I agree to abide by the Constitution and Test Rules and Regulations of the Versatile Hunting Dog
Test Assn (NZ). I am financial member VHDTA(NZ). By participating in a test conducted by the
VHDTA (NZ) I am accepting the risk of injury to myself or my dog that may result from field
conditions. Please be alert to field conditions including fences, holes, stumps, rocks, and nearby roads.

Signed: _________________________________________________

 Entry to be sent with form to: VHDTA (NZ),  Ms M. Cotton. 122 Emano St, Nelson 7010
Payable by Direct Credit to ANZ  01 0702 0105851 00.  Please make sure your name
and test is clearly shown.   Contact:  mcotton@orcon.net.nz

 Joining form at site. Subscription $10.

PLEASE PRINT PAGE FROM YOUR COMPUTER