3 Ring Entry Form 1 Show Entries 2 Exhibitor 3 Exhibits Entry Fees1st & 2nd exhibits Price: $ 35.00 Quantity: $35 per exhibit block entry3rd & subsequent exhibits Price: $ 30.00 Quantity: $30 per exhibit block entryLitters$35 Block Entry Price: $ 35.00 Quantity: (2 kittens also judged in relevant class)Additional Litter Kittens Price: $ 12.50 Quantity: (3rd & subsequent entries)Exhibition Only Price: $ 15.00 Quantity: (i.e. not entered in competition)Donation to Trophy Fund Price: $ 5.00 Quantity: (thank you)Cage Hire Price: $ 5.00 Quantity: AdvertisingFull Page Price: $ 20.00 Quantity: Half Page Price: $ 10.00 Quantity: Quarter Page Price: $ 5.00 Quantity: TotalTotal $ 0.00 Exhibitor's Entry SummaryCage No.Name of ExhibitKitten / CatKittenCatMale / FemaleMaleFemaleNeuter / SpayNeuterSpay Assist I am willing to assist at the show as Steward / Ring Clerk / Other First Show? This is my first cat show Special Requests Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email Litter Entry Only Litters must comprise of 2 or more kittens, be 4 months or under and exhibited by Breeder. Please fill out separate entry for each litter kitten to be entered into show. RepeaterName of ExhibitBreedMale / FemaleMaleFemaleNeuter / SpayNeuterSpayDOB Reg NoColourSireDamBreederExhibitorCageSelectSingleDoubleExtra Large Terms & Agreement* I / We agree to abide by the rules and regulations of The Australian Independent Cat Council Inc. I hereby declare that the particulars contained herein are true and correct to the best of my knowledge and I enter exhibits at my own risk. I declare that I am the bona fide owner/lessee and agree to abide by the rules of The Australian Independent Cat Council Inc., under whose auspices this show is conducted. My exhibits have not been in contact with infectious/contagious diseases within 30 days prior to the date of the show.