Application for mix dogs

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(delete as appropriate)

Name and surname:

Residence (town):

e-mail:

Dog:
name:
Birthdate:

Breed (purebred):

Dog enroll into categories:
hybrid:
female 40 cm
female over 40 cm
dog 40 cm
dog over 40 cm
Purebred without Pass of Origin
female 40 cm
female over 40 cm
dog 40 cm
dog over 40 cm
Puppy

Veteran -  older than nine years

Additional Competitions:
Child and dog      Age of children:         girl - boy
doggy duo

skills dog

masquerade with dogs

I agree with the terms of the exhibition and the publication of the names in the exhibit list.

arrive by car
YES - NO
Date and signature:

Please send your application by email krepickyvorisek@seznam.cz than two days before the deadline.