Official United Kennel Club Conformation Entry Form
Do not complete this form until you have read and signed the waiver. Invalid without signature.
Host Club: Central WI Kennel Club
June 10, 2023 June 11, 2023
Dog must not be entered without a permanent UKC registration number or a UKC Temporary Listing number. Check one of the two boxes below and enter your dog's 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.
Dog's UKC permanent or TL #
Breed of Dog:
Variety (if applicable):
Dog's Date of Birth:
Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
Please check the box for the appropriate class
Conformation (Only choose one)
Puppy (6 months - under 1 year)
Junior (1 year - under 2 years)
Adult (2 years & over)
Open (6 months & older)
Breeder & Handler (6 months & over shown by breeder)
Grand Champion (GRCH)
ALTERED PUPPY (6 months - under 1 year)
ALTERED JUNIOR (1 year - under 2 years)
ALTERED ADULT (2 years & over)
ALTERED OPEN (6 months & older)
ALTERED BREEDER & HANDLER (6 months & over shown by breeder)
ALTERED CHAMPION (CH)
ALTERED GRAND CHAMPION (GRCH)
Brood Bitch/Stud Dog
UKC Event Waiver
All events are held under the Official Rules and Regulations of the United Kennel Club. Absolutely no 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 release, waive, discharge and covenant not to sue UKC, its Judges, officers, employee and agents and the host club from liability arising from any claim, action, or lawsuit, including attorneys' fees, 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 governing this event 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 have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
I agree I have read and understand this waiver on this electronic entry form.
Total Entry Fees Due:
On the next page, please enter the above amount!
Total amount due:
( X )
A 4% convenience fee will be added to all online entries.
Should be Empty:
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