VERSATILE HUNTING DOG TEST ASSN (NZ)

                                          Natural Ability & Intermediate Test Entry Form

 Pups  6 - 16months of age.  Test:  Natural Ability .........(tick)ODT........(tick)
  Test:
  Intermediate .........(tick

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 $40 PER DOG  ($30 for financial members)  
         includes $5 levy to NZ Gundog Trial Assn

                          Date of Test: Sunday 3rd November 2019

    Entries close 20th October - entry forms must be filled in & signed.
                                       

Venue:   
Lake Lyndon, Porters Pass - Canterbury  
Report: TBA
. (pigeons will be used for pointing)

 NZKC Name of Dog:  _________________________________________

Date of Birth  _______________      Breed:________________________

Bred by: _______________________________        Sex:_____________

NZKC Reg No. __________________________VHDTA Member YES/ Subs inc.

Owner:____________________________________________________

Address: __________________________________________________

'Phone____________________(home)  _______ _____________(Cell)

Email:   ____________________________Gun Licence Holder ?

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.  
Test Captain: To be advised.