Entries - Public

Prefix Title(s)

Registered Name of Dog*

Call Name*

Breed*

Sex*

Type of Registration*

Country of Registration

Registration #*

Date of Birth (Format MM-DD-CCYY)

Sire Name

Dam Name

New Titles Expected At This Event (if known)

Primary Owner First Name*

Primary Owner Last Name*

Address*

City*

State*

Postal Code*

Phone*

Email*

Verify Email*

Owner’s Agent/Handler (if any) at Trial

Junior Handler Name

Junior Handler Number

Catcher First Name

Name on Credit Card

PayPal User Name

I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of the American Kennel Club in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them.

By checking this box you understand you are agreeing to the ownership terms of the agreement above and you are signing this agreement electronically*

I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog.

Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons.

Additionally, I (we) agree refunds are subject to a $5.00 service charge and will be paid within one week after the show is held.

I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.

By checking this box you understand you are agreeing to the terms of the agreement above and you are signing this agreement electronically*

By checking this box you understand you certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. You further understand you are signing electronically.

This form is provided by DogSportsWebsites.com Subsequently the user of this form, (Owner, Exhibitor, or Agent) must agree to the Terms of Use, Website Notices, and Refund Policies of DogShowManagement.com. Links to the policies are below.

By checking this box you understand you are agreeing to the terms Terms of Use - Notices - and Policies of DogShowManagement.com for providing this online form.*

Paid

Convenience Fee

Secretarial Fee

Total Secretarial Fees

Regular Fees

Regular Fee 1 Name Reg_fee_amount_1

Regular Fee 2 Name Reg_fee_amount_2

Regular Fee 3 Name Reg_fee_amount_3

Regular Fee 4 Name Reg_fee_amount_4

Regular Fee 5 Name Reg_fee_amount_5

Regular Fee 6 Name Reg_fee_amount_6

Regular Fee 7 Name Reg_fee_amount_7

Regular Fee 8 Name Reg_fee_amount_8

Regular Fee 9 Name Reg_fee_amount_9

Non Regular Fee Name* Reg_fee_amouint_11

Regular Fee 10 Name Reg_fee_amount_10

Entries Close Date

Entries Closed Messages

Waitlist

Maximum Entries

Maximum Entries Messages

Waitlist

Member/Volunteer Discount

Member Password

Location

Show State

Show City

Show Number

Starting Day

Count

Ring

Ring Time

Judge

Steward

Placement

Checked In

Excused

Catalogue Information

Show Status*

Paypal Item Name

PayPal Trans #