2025 AKC CAT ENTRY FORM (May 4-5, 2025)

Use this form to enter our AKC Coursing Ability Test (CABT) on May 3rd and 4th, 2025 at Hanover Shoe Farm in Littlestown, PA.

Most questions can be answered by

READING THE PREMIUM LOCATED HERE.

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**If you are entering multiple dogs, there will be a return link after you submit this form, to return and fill it in again**

OFFICIAL AMERICAN KENNEL CLUB LURE COURSING ENTRY FORM

Select which date(s) you'd like to enter:*

Saturday, May 3rd 2025Sunday, May 4th 2025

Select which event(s) you would like to enter:*

AM - SATURDAY - 2025724101PM - SATURDAY - 2025724102AM - SUNDAY - 2025724103PM - SUNDAY - 2025724104

Breed:*

If mixed breed, type "All American".

Choose Your Dog's Size:*

Under 12" - Brachy breed - 300 YardsOver 12" - 600 YardsVeteran

Breeder*

If you do not know, type " Unknown".

Registration Number:*

Registration Type:*

AKC NumberAKC Litter NumberPAL / ILP NumberForeign Registration Number

Sex*

Date of Birth*

Date

Full Registered Name of Dog*

Call Name*

Sire*

If sire is unknown, type "UNKNOWN".

Dam*

If dam is unknown, type "UNKNOWN".

Actual Owners*

Owners Street Address*

City*

State*

Zip*

Name of Owners AgentHandler if any at Trial

Email Address:*

example@example.com

Telephone:*

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.org

AGREEMENT AND SIGNATURE

I CERTIFY that I am the actual owner of this 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 trial, and by any additional rules and regulations appearing in the premium list for this trial, and entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. The entry is submitted for acceptance on the foregoing representation and 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 prize money, 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 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 form 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 there from, 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 ATTENDANCE AT THE EVENT BETWEEN THE AKC 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.

Signature of Owner or his Agent duly authorized to make the entry:*

Please make the selection(s) that coincide with the dog you’re entering. To enter an additional dog, use the return link after you submit this form. Please also select the convenience fee box if paying via PayPal.

CAT TESTIf entering all 4 tests, select quantity as 4. Select this box for a single or initial entry

$25.00 Quantity

CAT TEST ADDITIONAL DOG*Additional Dog Same household* Select this only for the second, third, etc. dog you’re entering. If entering all 4 tests select quantity as 4.

$20.00 Quantity

Junior HandlerIf entering all 4 tests select quantity as 4.

$10.00 Quantity

Convenience FeeSelect this if paying electronically - PayPal charges a fee for each transaction, we include this fee for each test entered ($8 total for all four tests)

$2.00 Quantity

Total

$0.00

I am/will submitt Entry fees in the amount of:*

This will be the TOTAL for your entries. If entering all events, total will be $108 via PayPal or $100 via cash or check to the field trial secretary. (If entering additional dogs from same household entry fee is $20 - $88 for all events using PayPal or $80 via cash/check). Juniors are $10 per event.

Select if mailing a check to FTS or paying at trial:

I will pay my entry fees by mailI will pay my entry fees at the trial

Pay with PayPal

Choose from one of the PayPal options to make your payment.