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Results forFarm Dog Certified Test

Event # Date

# of Entries # of Starters # of Dogs that Qualified

Club Name

Location Judge

Judge’s Printed Name & Signature

Additional forms can be found by visiting www.akc.org/downloadable-forms (click on Performance Event Reports)JGVAL5 10/17 v1.0P Edit

Qualified AKC® Registration/Recording/PAL Listing/Canine Partners Listing #

Breed Registered Name

Owner Address

Junior Name Junior #

Qualified AKC® Registration/Recording/PAL Listing/Canine Partners Listing #

Breed Registered Name

Owner Address

Junior Name Junior #

Qualified AKC® Registration/Recording/PAL Listing/Canine Partners Listing #

Breed Registered Name

Owner Address

Junior Name Junior #

Qualified AKC® Registration/Recording/PAL Listing/Canine Partners Listing #

Breed Registered Name

Owner Address

Junior Name Junior #

Qualified AKC® Registration/Recording/PAL Listing/Canine Partners Listing #

Breed Registered Name

Owner Address

Junior Name Junior #

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