Bearded Collie Club 3 Day FastCAT Event - Heritage Park, Belton, Texas

Official AKC FastCAT Entry Form

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

LOCATION

DATE

Date

EVENT TYPE:

FastCAT

TITLE EARNING AT THIS EVENT:

BCAT (150 POINTS)DCAT (350 ADDITIONAL POINTS)FCAT (500 POINTS EARNED)

ADDITIONAL FCAT 2,3,4 .

EVENT: CHOOSE CONCURRENT RUNS 2 AM OR 2 PM ($25.00 EACH RUN $50.00 for CONCURRENT) NOTE** YOU CAN RUN NO MORE THAN 2 RUNS A DAY**

FRIDAY, am concurrent runs (x2) $50.00FRIDAY, pm concurrent runs (x2) $50.00SATURDAY, am concurrent runs (x2) $50.00SATURDAY, pm concurrent runs (x2) $50.00SUNDAY, am concurrent runs (x2) $50.00SUNDAY, pm concurrent runs(x2) $50.00

OR YOU CAN CHOOSE A SINGLE RUN AM AND/OR PM ($25.00 EACH RUN) NOTE** YOU CAN RUN NO MORE THAN 2 RUNS A DAY**

REGISTRATION INFORMATION:

REGISTRATION NUMBER

DOG HEIGHT AT WITHERS:

UNDER 12 INCHESUNDER 18 INCHESOVER 18 INCHES

PAYMENT INFORMATION:

PAYPALVENMOCHECK

AMOUNT OF PAYMENT: Payment can be made to my Paypal acount link: https://www.paypal.me/AnLureCourseRacing **Please select friends and family when making the payment andalso reference your name, dogs name and evnet. Venmo Link: @Cynthia-Wildman-AmLureCourse. Please reference your name, dogs name and event.

Call Name

Full Name of Dog

Date of Birth: DOG MUST BE 1 YEAR OLD TO PARTICIPATE IN AKC TRIAL:

Date

Sex

Breed

Actual Owner(s)c

Owner's Address

CITY:

STATE:

Zip

ARE YOU NEW TO FASTCAT?

Special Request

CHECK BOX IF YOU NEED YOU ENTRY SEPARTED FROM ANOTHER ENTRY.

CHECK HERE

Enter the Last name owner and dog name to separate from

1(we) agree that the club holding this event has the right to refuse this estry for casse 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 opportunity to have the deg judged and to win peires, ribbons, or trophies, (we) agree to hold the AKC. the event- -giving club. their members, directors, governors, of cers, agents, superintendents or event pecretary and the owner and/or lessor of the peemises and any provider of services that are necessary to hold this event and any employees or volunteers of the aformmentioned parties, and any AKC approved judge. judging at this event, harmless from any clain for loss or injury which may be alleged to have been cassed directly or indirectly to any persos or thing by the act of this dog while in or about the event peemises or grounds or near any entrance thereto, and (we) personally assume allfor hold forfurther aforementioned andclaim:we)theharmlessfromclaim responsibilityliabilitysuchandtoloss,injuryordamagetothisdog anypartiesany agree Additionally, (we) bereby assume the sole responsibility for and agree to indemsify. defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reasos 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 my nelf (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event,howgver 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.

ICERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name 1 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, andfurther agree to be bound by the 'Agreement" printed on the reverse side of this entry form. I (we) certify and represent that the dogentered 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 hisher agent duly authorized to make this entry

Signature

PHONE NUMBER

Email ADDRESS

example@example.com

Emergency contact

Contact Number '

Bearded Collie Club of Texas

AGREEMENT