Doberman Pinscher Club of America

SUMMARY OF WORKING APTITUDE EVALUATION

NAME OF CLUB_____________________________________________________________________________________

DATE OF EVALUATION_______________________________________________________________________________

NUMBER OF DOGS TESTED__________________      PASSED__________________     FAILED__________________

TIME EVALUATION STARTED TIME EVALUATION FINISHED_______________________________________________

GENERAL WEATHER CONDITIONS____________________________________________________________________

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GENERAL TESTING CONDITIONS (Suitable Site? Satisfactory Grounds? Etc.)__________________________

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ROOM FOR IMPROVEMENT, SUGGESTIONS/RECOMMENDATIONS, IDEAS? ________________________________

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SIGNATURE ____________________________________________________

(DPCA ROM EVALUATOR)

CHECK FOR $2.00 PER DOG EVALUATED ATTACHED? AMOUNT $______________________

Last updated April 25, 2000