German Shepherd Dog Club of Atlanta Fast CAT

PAYMENT TYPE Credit Card - Fast CAT are $20/run/dog. If paying with Credit Card $1 is added to each entry. *

PayPal Check Voucher

Friday AM Fast CAT - $20/run/dog

NO Yes

Friday AM Fast CAT - $21/run/dog

NO Yes

Friday PM Fast CAT - $20/run/dog

NO Yes

Friday PM Fast CAT - $21/run/dog

NO Yes

Saturday AM Fast CAT - $20/run/dog

No Yes

Saturday AM Fast CAT - $21/run/dog

No Yes

Saturday PM Fast CAT - $20/run/dog

No Yes

Saturday PM Fast CAT - $21/run/dog

No Yes

Sunday AM Fast CAT - $20/run/dog

No Yes

Sunday AM Fast CAT - $21/run/dog

No Yes

Sunday PM Fast CAT - $20/run/dog

No Yes

Sunday PM Fast CAT - $21/run/dog

No Yes

Total Amount due by check or voucher for Fast CAT Runs for this dog (if you are using both check and voucher please put voucher amount in the memo field of your check)

Total Amount due by check for JC/QC Runs for this dog

Total Due by Check or Voucher

Total

Amount due to PayPal

USD GSD Fast CAT September 2020

*If paying by Voucher - Please bring your voucher to the field.

Make the check to Speed Dog and mail to Linda Hurst 4474 Jonesville Rd Clarkrange, TN 38553 Please put your dog(s) name and Event (GSD) on your check

Dog Breed *

Call Name *

AKC Registration Number *

Registered Name *

Height of Dog *Dogs under 12" , 12-18", Over 18" (at the withers) *

DATE OF BIRTH ( or "GOTCHA" Day ) Dog MUST be at least 1 year of age * *

Date

Let us know if you anticipate earning a new title this weekend so that we can have a New Title Rosette. Send us an email if you anticipate and FCAT2 or above speeddogcoursing@gmail.com

BCAT DCAT FCAT FCAT2 or Higher (send us an EMAIL!!!)

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Email *

example@example.com

Phone Number *

Area Code Phone Number

Separate my entries (if entering more than one dog)

I have read, understood and agree to the AKC Rules, Regulations, Policies and Guidelines *AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.org AGREEMENT 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 any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. 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 harm- less 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. 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 THIS 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. *

German Shepherd Dog Club of Atlanta Fast CAT - September 2020 ONE DOG PER FORM!!!!