OFFICIAL UNITED KENNEL CLUB, INC. ENTRY FORM
HOST CLUB: United German Shepherd Dog Alliance
Date: August 27, 2021
Trial 1
Trial 2
Date: August 28, 2021
Trial 1
Trial 2
Date: August 29, 2021
Trial 1
Trial 2
Dog must not be entered without a permanent UKC registration number, a UKC Temporary Listing number or a UKC Limited Privilege number. Check one of the three boxes below and enter your dog's number. If your dog's permanent registration is pending at UKC, and you do not have a valid TL number, your entry will be invalid.
*Dog's UKC permanent reg. #       UKC TL #       UKC LP # :      
*Breed of Dog:        *Sex:
Variety (if applicable):
Call Name:    *Date of Birth:
*Dog's Name:
*Dog owner's name(s):
*Address:
*City:    *State:    *ZIP:
*Telephone (day):    (eve)
*E-mail:
Agility Trial Classes
*Division:
*Class(es):
AG-I
A B
AG-II
A B
AGIII
Dynamic Agility - Tunnels
Novice Elite
Deep Chested     Junior Handler     Veteran
Total Junior Information
Name:
Jr. Member #:



WAIVER
All events are held under the Official Rules and Regulations of the United Kennel Club, Inc. Absolutely no alcoholic beverages, gambling, illegal drugs or firearms will be allowed on the grounds or in the buildings on the day of a UKC Licensed event. UKC, its agents and employees, and the host club assume no responsibility for any loss, damage, or injury sustained by spectators or by exhibitors and handlers, or to any of their dogs or property, and further assume no responsibility for injury to children not under the control of their parents or guardians. UKC and the host club are not responsible for loss, accidents or theft.

By signing this form, I hereby agree to waive any claim, action, or lawsuit and further agree to indemnify and hold UKC, the host club and any approved UKC Judge harmless from any claims, actions or lawsuits resulting from my participation in this event, and any action, decision or judgment made by any UKC or host club representative or approved Judge under the official UKC Rules and Regulations governing this event. I acknowledge that the current Official UKC Rules and Regulations (Agility, Conformation, Junior Showmanship, Lure Coursing, Obedience, Rally Obedience, Terrier Race, Weight Pull) have been made available to me, and that I am familiar with their contents. My signature indicates that I understand and agree to the above and to abide by all of the current Official UKC Rules and Regulations.


 I Agree I have read and agree to the waiver on this electronic entry form. I swear this dog is not being handled by a professional handler in Conformation.

By pressing the submit button I understand that doing so is in lieu of an actual signature, and that the information entered above is correct to the extent of my knowledge. After pressing submit, you will be given the opportunity to make a payment.