NEINEA OFFICIAL AKC ENTRY FORM

OFFICIAL ENTRY FORM

Run4FunTN Online Entry
Club Name*
INITIALS
Show/Trial Dates*
Closing Date/Time

MonthDayYear
Date
Central Time
Current Date

MonthDayYear
Date
Current Time

Central Time
Do you want to order a catalog but NOT enter the show?*

YesNo
# of Catalog Ordered
Type in the # of catalogs you want to order, if any.
ONLINE Catalog Fee
CLUB Catalog Fee
Total CLUB Catalog Fee
Total ONLINE Catalog Fee
The Registration # "Letters" MUST be CAPITALIZED for Auto Complete to work!
AKC Registration Number
PLEASE NOTE:
Once you put in the AKC registration number click on "Auto Complete Fields". If you are in my system, dog and owner information will be automatically put in for you. You can then update any of the information that has changed.
If you are not in my system please put the AKC # in the field located on "Dog Information" page.
Show #1
Show #2
Show #3

IMPORTANT

Read Carefully Instructions on Page 5

Before Filling Out.
Which shows are you entering? If entering different classes on different days, you must create an entry form for each day that is different. Check all that apply*

Show 1 - August 2ndShow 2 - August 2ndShow 3 -August 3rdSweepstakes - August 3rdRally - August 3rd
# of days entered in Conformation
DOG SHOW CLASS
First Class entered
ADDITIONAL DOG SHOW CLASS
If you want to enter an Additional Class, DIFFERENT than you have ALREADY SELECTED, select it here.
ONLINE Conformation Entry Fee - 1st Class
ONLINE Conformation Entry Fee - 2nd Class
TOTAL ONLINE Conformation Entry Fee
TOTAL CLUB Conformation Entry Fee
SWEEPSTAKES CLASS
Puppy Sweepstakes Entries MUST be entered in a Regular Class for SHOW #3 -- Veterans CAN be entered in Sweepstakes only. (Ex: 6 to 9 mos = 6 mos to under 9 mos)
TOTAL ONLINE Sweepstakes Entry Fee
TOTAL CLUB Sweepstakes Entry Fee
JUNIOR SHOWMANSHIP CLASS
Is this entry NOHS (National Owner Handled Series) Eligible?

YESNO
OBEDIENCE CLASS
2nd OBEDIENCE CLASS
3rd OBEDIENCE CLASS
Obedience Jump Height
Jump Height required for Graduate Novice, Open, Preferred Open, Graduate Open, Preferred Utility, Utility, Versatility
ONLINE Obed Entry Fee - 1st Entry
ONLINE Obed Entry Fee - 2nd Entry
ONLINE Obed Entry Fee - 3rd Entry
TOTAL ONLINE Obed Entry Fee
TOTAL CLUB Obed Entry Fee
RALLY CLASS
2nd RALLY CLASS
3rd RALLY CLASS
4th RALLY CLASS
Rally Jump Height
Jump Height required for Advanced, Excellent and Master Classes
ONLINE Rally Entry Fee - 1st Entry
ONLINE Rally Entry Fee - 2nd Entry
ONLINE Rally Entry Fee - 3rd Entry
ONLINE Rally Entry Fee - 4th Entry
TOTAL ONLINE Rally Entry Fee
TOTAL CLUB Rally Entry Fee

REGISTRATION NUMBER*
PLEASE Capitalize the letters.
Registration Type*

AKC NO.PAL/ILP NO.FOREIGN REG NO. & COUNTRY
FOREIGN COUNTRY IF APPLICABLE
PLACE OF BIRTH
List Country
Breed*
Norwegian Elkhounds only
Breed if not listed*
Variety
Class Division Weight, color, etc
AKC Registered Name*
AKC Titles Only
CALL NAME*
DOB*
ex: 05/01/2021
SEX*
BREEDER*
Put N/A if unknown
SIRE*
Put N/A if unknown
DAM*
Put N/A if unknown

PRIMARY Owner Name*
ADDITIONAL Owner's
Address*
City*
State / Province*
Zip Code*
Phone Number*
Please enter your Cell number if you have one.
Email*
E-MAIL Address (An acknowledgement or receipt of entry may be sent to this e-mail address):
Are you a new exhibitor?*

YESNO
Name of Owner's Agent (IF ANY) at the show.
You can change this field if you are not the one showing the dog.

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
AGREEMENT
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 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 persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTEN DANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS 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 APPLICA BLE 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.
INSTRUCTIONS
1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in, Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard)

2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and dogs which, according to their owners’ records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship.

3. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e, age division, color division, weight division.

4. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his/her name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3

5. Mixed Breed dogs entering classes for Agility, Obedience, and Rally trials should mark Breed as “All-American Dog/Mixed Breed.” Sire and Dam information shall remain blank for mixed breed entrants.

If this entry is for Junior Showmanship, please give the following information
NAME OF (See Back) JUNIOR HANDLER (If any)*
Junior Handler DATE OF BIRTH*
If Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner?
Relationship to Owner
If the Jr. is NOT the Owner of this dog please give the relationship to the owner.
JR. HANDLER NUMBER*
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) 233-9767.

SIGNATURE of owner or his/her agent duly authorized to make this entry

By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship.
Jr Handler Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

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 by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard 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 such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them.
Signature of owner or his/her agent duly authorized to make this entry*

Clear
Use your mouse to sign your name.
Emergency contact*
EMERGENCY Contact Telephone*
Please enter your the number if they have one.
TOTAL ONLINE ENTRY FEE
TOTAL CLUB ENTRY FEE
TOTAL AMOUNT OWED

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USDThis is the amount you will be charged for your dog's NEINEA entry. IT INCLUDES THE NON-REFUNDABLE ONLINE ENTRY CHARGES.

Payment Methods

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OFFICIAL ENTRY FORM

The Registration # "Letters" MUST be CAPITALIZED for Auto Complete to work!

AGREEMENT

INSTRUCTIONS

If this entry is for Junior Showmanship, please give the following information