Official United Kennel Club Entry Form
Invalid without agreement of Waiver by checking Waiver.
Dog may not be entered without a permanent UKC registration number, a UKC Temporary Listing number or a UKC Limited Privilege number. Check one of the three boxes below and enter your dogs number. If your dog's permanent registration is pending at UKC, and you do not have a valid TL number, your entry will be invalid. Entry must be filled out completely and "signed". Thanks!
Caliente All Breed Canine Association
"The Heat Is On....."
WAIVER
All events are held under the Official Rules and Regulations of the United Kennel Club, Inc. Absolutely no alcoholic beverages, illegal drugs or firearms will be allowed on the grounds or in the buildings on the day of a UKC Licensed 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 guardians. UKC and the host club are not responsible for loss, accidents or theft.
By signing this form, I hereby agree to waive any claim, action, or lawsuit and further agree to indemnify and hold UKC, the host club and any approved UKC Judge harmless from any claims, actions or lawsuits resulting from my participation in this event, and any action, decision or judgment made by any UKC or host club representative or approved Judge under the official UKC Rules and Regulations governing this event. I acknowledge that the current Official UKC Rules and Regulations (Agility, Conformation, Junior Showmanship, Obedience, Rally Obedience, Terrier Race, Weight Pull) have been made available to me, and that I am familiar with their contents. My signature indicates that I understand and agree to the above and to abide by all of the current Official UKC Rules and Regulations.
I Agree I have read and agree to the waiver on this electronic entry form. I swear this dog is not being handled by a professional handler in Conformation.
WAIVER MUST BE CHECKED BEFORE ENTRY WILL BE ACCEPTED *Breed of Dog
*Dog's Name
Variety of Dog
*Owner's Name(s)
*Address
*City
*phone
*Email Address
Junior Showmanship
Name of Junior
Junior Date of Birth
UKC Juniors Number
By pressing the submit button, I agree I have read and am in agreement with the waiver on this electronic form. I swear this dog is not being handled by a professional handler in Conformation.
Price includes $1 for Processing Charges on Single and $2 for weekend specials - Payment must be submitted with entry for pre-entry prices, either by PayPal/Credit Card below or mailed personal check or money order.
Dog's
*Sex
Call Name
*Date of Birth
*State *Zip
(eve)
How to use this Entry Form:
1. You may use one entry form to enter the same dog in more than one activity on the same weekend.
2 Use a separate entry for each dog entered in a club's event.
3. Dog not UKC registered? Apply for a Temporary Listing Number (TL) online at www.ukcdogs.com. TL numbers are valid for 60 days. (Fees are non-transferable and do not apply to the cost of permanent registration.) Call the Dog Events Department at (269) 343-9020 for current fee.
We want you to keep the points earned at UKC Licensed events. Important things to remember:
All dogs entering UKC events must be permanently registered, have a valid Temporary Listing Number, or a Limited Privilege number for performance events.
All entry forms must be completed and signed. Incorrect information submitted on the entry form may invalidate your wins.
To be eligible to enter into the Breeder/Handler class, you must be one of the breeders 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, brother or sister.
C. Junior Showmanship Classes consist of:
B. Altered Classes. Classes for altered dogs.
Conformation classes consist of:
A. Regular Classes. Classes for intact dogs:
* = required fields
Consider this form as the same as filling out an entry form. IE: for a Junior you would fill out this form for only one Junior and you would check the boxes for which shows at the top of the form. Or if this is a dog entry - it should be for only one dog and you will have to fill out another one for the next dog you want to show. Non-Licensed classes are $10 per show. Any questions or need for clarification should be directed to
Connie Mathewson connie@shortjackrussells.com Thank you
*Name and Date Required Here
Paradise Valley Park 17642 N 40th Street 85032-2213; Travel East on 101E. Merge onto AZ51 via exit 29. Take Union Hills Drive exit (#14). At Union Hills Drive, turn left. Travel to 40th Street. Turn right onto N. 40th Street. Site is on right. www.calienteallbreed.com
*UKC Number
Pre-Entry by March 10, 2012
Check shows to enter
