Preregistration Form

Name:

Address:

City/State/Zip:

Email Address:

(okay to add to match/show notification list? Yes ____ No_____)

Call Name:

Breed:

Sex: ___ M ___ F Date of Birth:

Class (select one):

_____ 3 – 6 month puppy

_____ 6 – 9 month puppy

_____ 9 – 12 month puppy

_____ 12 – 18 month puppy

_____ Adult

Fees: $7 in advance

$10 day of match

Mail to:

Northeast Florida Toy Dog Club

Attn: Bonnie Jay

4630 Cardinal Blvd.

Jacksonville, FL 32210