Georgia State Bird Dog Championship
Entry Form

Dog’s Name ____________________________

Owner’s Name _____________________

Handler’s Name _________________________

Co-Owner’s Name __________________
Address of Handler:______________________
_____________________ ________________
Address of Owner:___________________
_____________________ ______________

Handler’s Phone # _______________________

Owner’s Phone #: ____________________
Division entered (circle one):
 Pointing      Flushing       Puppy
Type of entry (circle one):
Single($75)  Double($150)  Season($300)

Make Checks payable to:  Black Creek Plantation
 

I hereby swear that I, the undersigned have read, understand and will abide by the rules and regulations of the Georgia State Birg Dog Championship as published on the website www.GSBirdDogChampionship.com. I also understand that the ruling of the judges is final and I will abide by such.

        Signed: ________________________       Date:______________

Mail form and payment to:
Black Creek Plantation
690 Carl Smith Road
McIntyre, Ga 31054
Return to
www.GSBirdDogChampionship.com