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IDDHA Hot Zone Age Certificate |
To be filled out by owner
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Dog Name |
IDDHA # |
Breed |
Sex |
Age |
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Owner Name |
IDDHA # |
Phone |
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Address |
City |
State |
Zip |
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To be filled out by veterinarian
I certify that to the best
of my knowledge the above dog is at least 18 months old and fit to compete in
the 2006 ESPN Great Outdoor Games Hot Zone.
Print
Name:_______________________________ Signed:___________________________________
Stamp:
Please attach current
health certificate (within 10 days of May 18, 2006) and breed registry papers if
applicable.