Virtual Regional 2020 – Conformation Entry Form

Please review the rules carefully, and note that ALL fields are required except the picture upload field. If you prefer to email the pictures, please email them to shawn@sgbennett.com and put your dog’s REGISTERED name as the subject line.

Registered name of dog *

Date of birth *

Sex *

Male
Female

Is this a puppy? *

Is this a veteran? *

Class to enter *

Place of birth *

Canada
Elsewhere

Breeder(s) *

Sire *

Dam *

Registered Owners *

Owner's address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Picture uploads

Click or drag files to this area to upload. You can upload up to 3 files.

Remember - 1 stacked photo, 1 rear view photo, and one front view photo