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~ ONLINE ENTRIES ~

Licking River Kennel Club

CLOSES: 8PM WEDNESDAY, OCTOBER 7, 2026

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NOTE: Only one entry form necessary if your dog is entered in the same class(es) at all shows/trials.

Questions? EMAIL Mary at MACDogShows@outlook.com or TEXT at 330-518-9920.

A $4.00 CONVENIENCE FEE WILL BE INCLUDED PER DOG / PER DAY AND IS NOT REFUNDABLE IF YOU PULL YOUR ENTRY BEFORE CLOSING. Thank you !

Primary Owner Name *

Owner email address *

PAYMENT ** Entry is not entered UNTIL payment received *

Paying by check ~your entry will not be processed until your check is received. Mail to LRKC c/o MAC Dog Shows, 5612 Norquest Boulevard, Austintown OH 44515)
Paying via Stripe ~MAC will send invoice via email within 72 hours.

AKC Registration Number *

AKC registered name *

Breed of Dog *

Dog or Bitch *

Dog
Bitch

Dog's Date of Birth *

Dog's Country of Birth *

Foreign Number

Event(s) for Licking River Kennel Club *

SAT
SUN

Obedience Class $25 first class; $15 each additional class (same dog/same day); Junior Handler $10

Novice A
Novice B
Open A
Open B
Utility A
Utility B
Beginner Novice A
Beginner Novice B
Preferred Novice
Preferred Open
Preferred Utility
Graduate Novice
Graduate Open
Versatility

Obedience Jump Height (if jump in your obedience class)

Junior Handler's Name, Date of Birth, and AKC Junior's Number

Breeder or Breeders Name(s) *

Sire Name *

Dam Name *

Co-owner name(s)

Primary Owner Street Address *

Owner City, State, and Zip Code *

Owner Phone Number *

Total Class Entry Fees for this dog: *

Catalog $4.00

Yes
No

Plus $4.00 convenience fee per dog / per day IF paying by STRIPE or PAYPAL

Grand Total Fees for this dog *

Note to MAC Dog Shows:

Emergency Contact (Name and Phone Number) *

Leave this field empty