October BGDS 2023

This trial DOES NOT OPEN until August 15th. Please don't enter before opening date!! Early entries will be deleted. All Entries are time and date stamped.

Owner's Name*

First Name Last Name

Handler's Name (if different)

First Name Last Name

Has your email changed since the last time you entered a BGDS trial?*

YEsNo

Email--ENSURE THIS IS CORRECT AS IT IS WHERE WE WILL SEND THE INVOICE*

example@example.com

I have entered a BGDS trial since September 2018.

YES (Proceed to Dog Information if no contact information has changed)No (please fill in all contact information to complete your entry)

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number

Area Code Phone Number

Emergency Contact Name

First Name Last Name

Emergency Contact Phone Number

Area Code Phone Number

Dog Information

Dog's Registered Name*

Call Name*

Barn Hunt Number*

BH- is required

This dog has entered a BGDS trial since September 2018.

YES (proceed to class selection)NO (please fill in ALL information to complete your entry)

Sex

MaleFemale

Dogs breed (or mixed breed)

Height in inches

Height Division

SmallMediumLarge

Date of Birth (or approximate)

Date

Class Selection

Wednesday Trial 1 Regular Classes*

Wednesday Trial 1 Additional Classes*

Wednesday Trial 2 Regular Classes*

Wednesday Trial 2 Additional Classes*

Thursday Trial 2 Additional Classes*

What level is this class?

AB

Friday Trial 1 Regular Classes*

Friday Trial 1 Additional Classes*

What level is this class?

AB

Friday Trial 2 Regular Classes*

Friday Trial 2 Additional Classes*

What level is this class?

AB

Saturday Trial 1 Regular Classes*

Saturday Trial 1 Additional Classes*

What level is this class?

AB

Saturday Trial 2 Regular Classes*

Saturday Trial 2 Additional Classes*

What level is this class?

AB

Sunday Trial 1 Regular Classes*

Sunday Trial 1 Additional Classes*

What level is this class?

AB

Sunday Trial 2 Regular Classes*

Sunday Trial 2 Additional Classes*

Monday Trial 1 Regular Classes*

Monday Trial 1 Additional Classes*

Monday Trial 2 Regular Classes*

Monday Trial 2 Additional Classes*

If your entry is received before the trial fills, you will receive an invoice for your entry fees. You will have 48 hours after the invoice is sent to pay the invoice and finalize your entries. If you do not submit payment within 48 hours of BGDS sending the invoice your entry will be moved to the end of the waiting list. By using this online entry and your signature below you agree to these terms of entry*

Typed name considered valid signature

Total Entry Fees

Online processing fee

Ky Sales Tax

Total Amount Due

RELEASE AGREEMENT FORM Certification of Agreement upon Registration or Entry of Dog 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 Barn Hunt Associations, LLC 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 liability waiver enclosed with my entry. I (we) certify and represent that the dog entered is not a hazard (dog or human aggressive) 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 Barn Hunt Association, LLC Rules and Regulations and to abide by any decisions made in accord to them. Liability Waiver I (we) agree that Bluegrass Dog Sports 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 win prizes, ribbons, and/or trophies, I (we) agree to hold Barn Hunt Association, LLC, Bluegrass Dog Sports, their members, directors, governors, officers, agents, 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 BHA LLC 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 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 there from, 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 cause 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 hereby authorize club-appointed videographer and/or photographer to use, reproduce, and/or publish photographs and/or video that may pertain to me, including my image, likeness and/or voice without compensation. I understand that this material may be used in various publications, public affairs releases, recruitment materials, the BHA LLC website, the Bluegrass Dog Sports web site, yahoo group or Facebook page, or for related endeavors. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. I have read the above. Signature of owner or his agent dulyauthorized to make this entry: *

October 2023 BGDS Entry Form