OFFICIAL UNITED KENNEL CLUB CONFORMATION ENTRY …

1 OFFICIAL UNITED KENNEL club CONFORMATION ENTRY form . Please print or type all information. Do not complete this form until you have read and signed the waiver. Invalid without signature. Armband Number: dog weight: IMPORTANT INFORMATION ABOUT THIS ENTRY form : Host club (do not abbreviate) 1. All entries must be submitted on the current current OFFICIAL UKC ENTRY form . You may use one ENTRY form to enter the same dog in more than one show on the same weekend. Date Date Date Date 2. Use a separate ENTRY form for each dog. Show 1 Show 1 Show 1 Show 1 3. Mail all completed ENTRY forms to the Event Secretary listed under the event, unless Show 2 Show 2 Show 2 Show 2 otherwise specified.

2 Make checks payable to host club . 4. We want you to keep the points earned at UKC Licensed events. Important things to re- Dog must not be entered without a permanent UKC registration number or a UKC . member: Temporary Listing number. Check one of the two boxes below and enter your dog's Dog not UKC registered? Apply for a Temporary Listing Number ( TL) online at www. number. If your dog's permanent registration is pending at UKC, and you do not have a valid ( TL fees are non-refundable, non-transferable and do not TL number, your ENTRY will be invalid. apply to the cost of permanent registration.). All dogs entering UKC events must be permanently registered, have a valid Temporary Listing Num- Dog's UKC Permanent or TL #: ber, or a Performance Listing number.

3 All ENTRY forms must be completed and signed. Incorrect information submitted on the Breed of dog: Variety (if applicable): Sex: ENTRY form may invalidate your wins. To be eligible to enter into the Breeder/Handler class, you must be one of the breed- Dog's Name: ers of record, or a member of the immediate family of one of the breeders of record. Immediate family includes: spouse, parent, step-parent, child, step-child, sibling, Call Name: Date of Birth: grandchild, or in-law, so long as the handler is not a professional handler as defined by UKC Rules and Regulations. Dog owner's name(s): 5. The UNITED KENNEL club complies with the Americans with Disabilities Act.

4 If you require an accommodation, please contact the Event Chair or Secretary for this club 's event. Address: UKC ENTRY Waiver City: State: ZIP. All events are held under the OFFICIAL Rules and Regulations of the UNITED KENNEL club . Absolutely no illegal drugs or firearms will be allowed on the grounds or in the buildings on the day of a UKC Licensed Phone: Email: event. UKC, its agents and employees, and the host club assume no responsibility for any loss, damage, or injury sustained by spectators or by exhibitors and handlers, or to any of their dogs or property, and further assume no responsibility for injury to children not under the control of their parents or Please check the box for the appropriate class guardians.

5 UKC and the host club are not responsible for loss, accidents or theft. By signing this form , I hereby agree to release, waive, discharge and covenant not to sue UKC, its CONFORMATION (Only Choose One) Non-Licensed Classes judges, officers, employee and agents and the host club from liability arising from any claim, action, or lawsuit, including the negligence of the UKC, its judges, officers, employee and agents, and further Puppy (6 months-under 1 year) Novice Puppy agree to indemnify and hold UKC, the host club and any approved UKC Judge harmless from any claims, Junior (1 year-under 2 years) Veteran actions or lawsuits, including attorneys' fees, resulting from my participation in this event, and any Adult (2 years & over) Brood Bitch/Stud Dog action, decision or judgment made by any UKC or host club representative or approved Judge under Open (6 months & over) Brace the OFFICIAL UKC Rules and Regulations governing this event.

6 I acknowledge that the current OFFICIAL UKC. Rules and Regulations (Agility, CONFORMATION , Dock Jumping, Drag Racing, Junior Showmanship, Lure Breeder & Handler (6 months & over Total Dog Coursing, Obedience, Rally Obedience, Weight Pull, Precision Coursing) have been made available to shown by breeder) Other: me, and that I am familiar with their contents. My signature indicates that I understand and agree to the Champion (CH) above and to abide by all of the current OFFICIAL UKC Rules and Regulations. Grand Champion (GRCH) I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its Total Dog terms, and understand that I am giving up substantial rights, including my right to sue.

7 I acknowledge Altered CONFORMATION (Only Choose One) that I am signing the agreement freely and voluntarily and intend by my signature to be a complete and Puppy (6 months-under 1 year) unconditional release of all liability to the greatest extent allowed by law. Junior (1 year-under 2 years) I have read and agree to the waiver on this form . I swear that this dog is not being handled by a professional Adult (2 years & over) handler in CONFORMATION . Open (6 months & over). Breeder & Handler (6 months & over ENTRY Fee: FO136 FBL Updated 4-21. shown by breeder). Signature of Owner/Handler Date Champion (CH). Grand Champion (GRCH).

8 If owner is a minor/Signature of Parent or Guardian Dat