ACSI Celebration of Champions 2026

Deadline to enter is June 10, 2026

Dog's Call Name:

Dog's Registered Name:

Owners Name:

Email:

example@example.com

Phone Number:

Format: (000) 000-0000.

Jump Height (can be changed later!):

Choose type of Ribbon

Ribbon Colors (up to 3):

AKC Number:

Biography to be read aloud during your run

CERTIFY that I 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 e 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 forgoing 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 deci-sions made in accord with them. SIGNATURE of owner or his agent duly authorized to make this entry.

SIGN HERE X

Venmo: Katie-Mac-Antonsen

Or snail mail check (payable to ACSI) to:

Katie Antonsen
4459 Erin Dr
Floyds Knobs, IN 47119