WWWA AKC Fast CAT WAITLIST

All four tests are full and we are currently taking a waitlist. Please use this form to add your dog to the waitlist for all four tests.

You will be contacted in the order the waitlist entries are received when an opening becomes available. You must respond and pay for the $25 entry fees within the specified time given in the email or text to secure the opening(s) or it/they will be offered to the next person on the waitlist.

I understand that this form is for the WAITLIST ONLY, and that by submitting it, I am adding my dog to the waitlist, not submitting actual entries. I understand that the event secretary will contact me with more information about the waitlist closer to the event.*

Yes

Breed (type "mixed" if not purebred)*

Call Name*

Registered (or Full) Name *

Titles OK

Registering Body (If you need but do not have a Canine Partner # yet, please get it before you complete this form, thanks. See the premium for details.)*

AKCPAL/ILPAKC Canine PartnerForeign (if Foreign, please list country and number under Registration Number)

Registration Number*

Date of Birth*

Date

Sex*

MaleFemale

Events*

Saturday, March 15, 2025 - Test 1 (#2025411301)Saturday, March 15, 2025 - Test 2 (#2025411302)Sunday, March 16, 2025 - Test 3 (#2025411303)Sunday, March 16, 2025 - Test 4 (#2025411304)

Rank Order Preferred Time Slots (drag & drop)

Name of Actual Owner(s)*

Address*

Street or Mailing Address

Street or Mailing Address (line 2)

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Comments/Instructions:

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

Name of owner or agent duly authorized to make this entry *

First NameLast Name

Signature*

WWWA AKC FAST CAT WAITLIST

Dog Information

Entry Info

Owner Information

The Legal Stuff