Sept. 26, 2024 - Match Registration Form

Thurs. Sept. 26, 2024 Match Registration

Fill out the form carefully for event registration, one form per dog entered :)
Owner Name*

First NameLast Name
Owner Address*

Street Address

CityState / Province

Postal / Zip Code
Mobile Number*
E-mail*
example@example.com
Call Name*
Registered Name
As listed on Registration papers, do not include titles
Dog Breed*
Dog Breed, (include Variety if applicable)
Dog Birth Date*

MonthDayYear
Registration Number if Applicable
UKC Registration NOT required for entry. Please specify which Club (UKC, CKC, ABKC, etc.)
Dog Gender*
Breeder (if applicable)
Has Dog Obtained a UKC Championship title in Conformation?

YesNo
STANDARD CONFORMATION CLASSES:

Puppy (6-11 months)Junior (1-2 years)Adult (2 years & over)Open (6 months & over)Breeder & Handler (6 months & over, shown by Breeder)Champion (has earned their UKC Champion title)Grand Champion (has earned their UKC Grand Champion title)
"NON-LICENSED" CONFORMATION CLASSES:

Novice Puppy (3-6 months)Veteran (7 years & over)Brace
Would you like to be subscribed to our Newsletter for first priority future event information and fundraisers?*

YesNo
UKC ENTRY 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 the negligence of the UKC, its judges, officers, employee and agents, and further agree to indemnify and hold UKC, the host club and any approved UKC Judge harmless from any claims, actions or lawsuits, 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 (Agility, Conformation, Dock Jumping, Drag Racing, Junior Showmanship, Lure Coursing, Obedience, Rally Obedience, Weight Pull, Precision Coursing) 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
Entry Fees are a $15 minimum donation for each class entered, Payable upon completion of this form by eTransfer to PrairiesUKC@gmail.com.
Additional Comments: Special Accommodations (Time, Space, etc.), Anything that we missed?
Should be Empty:

Thurs. Sept. 26, 2024 Match Registration

Entry Fees are a $15 minimum donation for each class entered, Payable upon completion of this form by eTransfer to PrairiesUKC@gmail.com.