Text Box: UNITED BEAGLE GUNDOG FEDERATION All Age National Championship November 3rd, 4th & 5th, 2006 Field Champion Entry Form Text Box: Section “A” (to be completed by owner or agent please print or type) Hound Name: Sex: Date of Birth: AKC Reg. No.: Class: Sire: Dam: Owner’s Name: Address: City: State: Zip Code: Phone ( ) In order to qualify for entry to the United Beagle Gundog Federation National National Championship the above hound’s owner must be a member of a UBGF member club. I hereby certify that the above information is complete and accurate. On the date of this trial I am a member of the (print clubs name), Which is a United Beagle Gundog Federation Member Club. Signature of Owner: Date: Name of Handler: Text Box: Notice to owners: The completeness and accuracy of all parts of this form is the owner’s responsibility. Owner stipulates that in the pursuit of the hound’s championship, it qualified at a CHB trial. Make Check payable To United Beagle Gundog Federation in U. S. funds. All Age UBGF Form (FC) (05/06) Text Box: © Text Box: This Application is For Entry in the 2006 National Championship as a Field Champion Standard single entry fee of . . . . . . $35.00 paid at the time of the entry