Virtual Event Registration Form

Virtual Event Registration Form
ONLINE ENTRY - AMTC VIRTUAL DOG SHOW I 2021

IMPORTANT: Read all of the instructions below carefully before completing the AMTC Virtual Dog Show Entry Form. Complete all of the required fields. Read the Official Rules and type your digital signature in the box below to acknowledge your agreement. Verify ALL information is correct before you submit the entry form and pay. Entries close on October 13th, 2021 at 12(noon) EST. All entry fees are non-refundable.

NOTE: DO NOT use your dog's AMTC registered name or registration number with your Video Entry Submission. Only use your Order Number provided from your payment receipt.
DOG BREED *
SELECT A BREED
DOG'S SEX *

DOG BITCH
DOG'S NAME *
DOG'S DATE OF BIRTH *
DOG'S SEX *
DOG SHOW CLASS *
SELECT ONE CLASS PER ENTRY FORM
OWNER'S NAME *

First Name Last Name
AGE *
OWNER'S ADDRESS *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
PHONE NUMBER *

Area Code Phone Number
EMAIL *
example@example.com
RIBBONS *

YES MAIL ANY EARNED YES MAIL ONLY GROUP EARNED YES MAIL ONLY BOB or BIS EARNED
I HEREBY WARRANT THAT I AM 18 YEARS OF AGE OR OLDER AND HAVE THE RIGHT TO ENTER INTO THIS AGREEMENT AND GRANT THE RIGHTS HEREOF. *
I CERTIFY THAT I HAVE READ THE OFFICIAL RULES. I CERTIFY THAT ELECTRIC TYPED SIGNATURES SHALL SERVE AS ORIGINAL SIGNATURES. PLEASE TYPE YOUR SIGNATURE (FULL NAME) BELOW: *
PRINT YOUR NAME
VIRTUAL EVENT TICKET *
prev next ( X )
PUPPY ENTRY $ 15.00
PUPPY (3-6 MO)

JUNIOR ENTRY $ 15.00
JUNIOR (7-11 MO)

ADULT ENTRY $ 15.00
ADULT (12+ OVER)

BOB ENTRY $ 5.00
ENTRY INTO BEST OF BREED COMPETITION

BIS ENTRY $ 5.00
ENTRY INTO BEST IN SHOW COMPETITION

IS THIS A GIFT? $ 15.00
TO DONATE TO THE LOUISIANA CITIES CRISIS

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00
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The payment is ready! It will be completed once you submit the form.
NOTE: Please be aware that tickets are NON REFUNDABLE.
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