This form will allow you to send the information, on line, to supply the information needed for the
Parade of Title Holders, the Parade of Seniors and Superdog.

Your full name:

Your email address: (e.g.: you@aol.com). We will notify you of the receipt of your form with this address.

Your phone number (with country, city, area codes):

Name of Portuguese Water Dog entered:    

Date of birth:                

Sire:    

Dam:   

Parade of Title Holders     Yes    No  

Complete name and all titles of the dog entered:

Parade of Seniors     Yes    No  

Complete name and all titles of the dog entered:

Superdog    Yes    No  

List all classes entered: