WWWA AKC Lure Coursing Online Entry

WWWA AKC Lure Coursing Online Entry
Dog Information

Submit a separate entry form for each dog
Breed*
Call Name*
Registered Name*
Titles OK
Registering Body*

AKCPAL/ILPForeign (if Foreign, please list country and number under Registration Number)
Registration Number*
Date of Birth*

MonthDayYear
Date
Sex*

MaleFemale
Entry Info

If you are entering the QC test and also want to enter the trial if your hound passes, DO NOT pre-enter the trial, only pre-enter the test.

Why does it matter? AKC rules prohibit the FTS from accepting conditional entries. including entries for stakes for which the dog is not eligible. Dogs are not eligible to enter in open until they pass the QC.

If your dog passes the QC, you will be able to enter day-of at pre-entry rate.
I want to enter THIS HOUND in:*

One or both TESTS (JC or QC)One or both TRIALS (Open, Veteran, Special, or Singles stakes)
Event (Test)*

Saturday, October 4, 2025 - JC/QC Test (#2025411311)Sunday, October 5, 2025 - JC/QC Test (#2025411312)
Event (Trial)*

Saturday, October 4, 2025 - Trial (#2025411311)Sunday, October 5, 2025 - Trial (#2025411312)
Test*

JCQCI need to enter a separate test each day
Test - SATURDAY ONLY*

JCQC
Test - SUNDAY ONLY*

JCQC
Regular Stake*

OpenVeteranSpecialSingleI need to enter a separate stake each day
Regular Stake - SATURDAY ONLY*

OpenVeteranSpecialSingle
Regular Stake - SUNDAY ONLY*

OpenVeteranSpecialSingle
If possible, please separate my hounds (this only applies if you have multiple hounds entered in the same regular stake (Open, Veteran, or Special)

Yes
If you are entering Open or Veteran, is this your dog's first trial?

Yes
If yes, please scan and attach one of the following as proof of qualification: signed QC form, signed ASFA certification form, ASFA Field Championship certificate, CKC Field Championship certificate

Cancelof
Owner Information
Name of Actual Owners*
Address*

Street or Mailing Address

Street or Mailing Address (line 2)

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Name of owner or agent duly authorized to make this entry *

First NameLast Name
Entry Fees for THIS HOUND ONLY (select only one option AND the number of days THIS HOUND is entered)*
prevnext( X )
$25 - TEST
$25 Number of days this hound is entered



$25 - TRIAL - First Hound
$25 Number of days this hound is entered



$23 - TRIAL - Additional Hound (same owner)
$23 Number of days this hound is entered



$15 - Junior Handler (with Junior Handler #)
$15 Number of days this hound is entered



Total

$0.00
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Junior Handler Name*

First NameLast Name
Junior Handler Date of Birth*

MonthDayYear
Date
AKC Junior Handler Number*
Junior Handler Phone Number (if different from owner's phone number)
Please enter a valid phone number.
Junior Handler Address (if different from owner's address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The Legal Stuff
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. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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, official 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 person. I (we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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.*

Yes
Property Use Requirements
Please use the link below to fill out and submit the required agreement directly to the field owner (link will open in a new tab).

Cascade Retrievers General Release of Liability and Hold Harmless Agreement
I certify that I have read and will abide by the property use requirements and general rules included in the premium list. I certify that I have submitted or will submit Cascade Retrievers General Release of Liability and Hold Harmless Agreement (link above) before the trial date.*

Yes
Signature*

Clear
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WWWA AKC Lure Coursing Online Entry

Dog Information

Entry Info

Owner Information

The Legal Stuff

Property Use Requirements

Cascade Retrievers General Release of Liability and Hold Harmless Agreement