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Members Only
Supported Entry Form
Anna Marzolino, Editor
2023-02-08T08:15:38-08:00
Supported Entry Form
SCWTCA Supported Entry Form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Host Club Name:
Requesting Club is:
Local SCWT Club
Terrier Club
Kennel Club -
Prospective Local Club
Other
Date of Show for Supported Entry
Location of Event
Superintendent
Show Chair/Secretary
Email Address of Show Secretary
*
Is your Club interested in ringside mentoring from our Judges Education Chair?
Yes
No
Unsure at this time
Requesting Member Contact Name
*
First
Last
Requesting Member Phone Number Contact
Requesting Member Email
*
Name of Person to send medallions if approved
*
First
Last
Comments
Address to mail medallions if approved
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Medallions will be mailed out one month in advance.
Date / Time Application Completed
Date
Time
Please include your entries for the past three years.
For example: 12 Class Dogs 19 Class Bitches 51 Total Entry
Did you have majors in the following:
Majors in dogs
Majors in bitches
Signature of Member Requesting Supported Entry
Clear Signature
As a member of SCWTCA you are requesting a supported entry for the Club listed above.
Submit
Updated 4/26/2026
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