Fort Worth German Shepherd Dog Club - All Breed FastCAT - March 1 & 2, 2025

American Lure Couse Racing FastCAT Entry Form

Address for ALCR: P.O. Box 1162 League City . TX .77573

CLUB

LOCATION

DATE

Date

EVENT TYPE:

FastCAT

TITLE EARNNG AT THIS EVENT:

BCAT (150 POINTS)DCAT (UP TO 500 POINTS)FCAT ( EACH ADDITIONAL 500 POINTS)

FCAT TITLE 2 , 3, 4 OR HIGHER. TYPE BELOW

EVENTS: CHOOSE ONE CONCURRENT RUNS (2 Runs) AM (OR) ONE CONCURRENT (2 Runs) PM. ($25.00 each run for Early Entries. $30.00 after early entry date. (OR) SINGLE RUNS AM AND PM. ONLY 2 RUNS AVAILABLE PER DAY.

Sat. PM Concurrent Runs (x2 Runs)Sun., PM Concurrent Runs (x2 Runs)Saturday, PM (1 Run)Sunday, PM (1 Run)

REGISTRATION INFORMATION:

REGISTRATION NUMBER #:

CLASS / HEIGHT OF DOG AT WITHERS:

Under 12 InchesUnder 18 InchesOver 18 Inches

I am Sending My Entry Fees in the amount of $

Payment Method Used:

Paypal Link: https://www.paypal.me/AmLureCourseRacing or

Venmo Link: @Cynthia-Wildman-AmLureCourse

Be sure and choose the Friends and Family option when using these methods. Also include Your Name, Your Dogs Name and Event you are attending.

METHOD USED:

PayPalVenmoCheck

DATE OF BIRTH ( YOUR DOG "MUST" BE 1 YEAR OR OLDER TO PARTICIPATE IN AN AKC FASTCAT EVENT/TRIAL.

Date

CALL NAME:

FULL NAME / REGISTERED NAME OF DOG:

SEX:

BREED OF DOG:

Actual Owner(s)

Address

Owner's Address

Street Address Line 2

City and State

Zip Code

ARE YOU NEW OR FIRST TIME RUNNER? IF YES, CHECK THE BOX BELOW:

CHECK BOX IF YES

ARE YOU SEPERATING YOUR ENTRY FROM ANOTHER DOG ENTERED? IF YES CHECK THE BO BELOW:

CHECK BOX IF YES.

Enter the Last name owner and dog name to separat from

SPECIAL REQUEST:

Special RequestEnter the Last name owner and dog name to separat from I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem suf cient. In consideration of the acceptance of this entry and of the holding of this event and of the opportusity to have the dog judged and to win prizes, ribbons or trophies, (wc) agree to hold the AKC. the event- -giving clab, their members,directors, governors, of ensagents, 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 1(we) further agree to hold the aforementioned parties harmless from any claim for loss, or damage to this dog. Additionally, (wc) hereby assume the sole responsibility for and agree to indennify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by las upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefron, sustained by any person or persons, inclading my self (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 cassed or may be alleged to have been caused by the negligence ofthe 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- BLEAKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.

ICERTIFY 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

SIGNATURE:

PHONE NUMBER:

EMAIL ADDRESS:

example@example.com

EMERGENCY CONTACT NAME:

CONTACT NUMBER:

Please enter a valid phone number.