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| Regular Classes Entry Form |
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Armband #: ____________________ |
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| United Kennel Club, Inc. Entry Form |
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| Please print or type all information |
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| Do not complete this form until you have read and signed the waiver below. Invalid without signature |
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UNITED BELGIAN SHEPHERD DOG ASSOCIATION National Specialty |
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| October 4-7, 2007��������������������� Entries close September 8, 2007 Pre-entry only |
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| Make checks payable to UBSDA |
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| Mail to: UBSDA National Specialty Show Treasurer, Nikki Swap, 10447 Mountain View Road, Dexter, MI 48130 |
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| ENTRY FEES:� All licensed classes $22.00; Obed/Agility 2nd entry of same dog same trial $14.00; |
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| ��������������� ������ Junior Showmanship $7.00. |
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| Breed of Dog____________________________________________ Variety ___________________________ |
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Dog's Name _____________________________________________________________________________ |
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| Dog's� UKC Permanent reg.#�� UKC TL #� UKC LP #: _________________________________ |
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| Date of Birth _______________________ Sex ______________� Height at shoulder: ____________________ |
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Sire ____________________________________________________________________________________ |
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| Dam ___________________________________________________________________________________ |
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| Breeder(s)_______________________________________________________________________________ |
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| Owner(s) ________________________________________________________________________________ |
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| Address of owner _________________________________________________________________________ |
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| City_______________________________________________State ________� Zip ____________________ |
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| Telephone (day) _________________________________ (evening) _________________________________ |
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| E-mail _________________________________________� Total entry fee ____________________________ |
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Handler's name (if different) _________________________________________________________________ |
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CLASSES ENTERED |
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| Conformation�� ������������� � OBEDIENCE������������ ��������������� AGILITY |
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| ( ) Puppy (6 mo, under 1 yr)������������� ( ) Trial 1���( ) Trial 2 ��������������� ( ) Trial 1, Sat.� ( ) Trial 2, Sat.� ( ) Trial 1, Sun.� ( ) Trial 2, Sun. |
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| ( ) Junior (1 yr, under 2 yr)���������� ( ) Novice A������������������������������ CLASS��������������������� DIVISION |
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| ( ) Senior (2 yr, under 3 yr)��������� ( ) Novice B������������������������������ ( ) Agility I - A����������� ( ) Division 1 |
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| ( ) Adult (3 yrs & up)���������������� �� ( ) Novice C������������������������������ ( ) Agility I - B����������� ( ) Division 2 |
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| ( ) Breeder/Handler (6 mo & ������� � ( ) Open A����������������� � ������������� ( ) Agility II - A���������� ( ) Division 3 |
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up, handled by breeder or��������� � ( ) Open B����������������� ��� ����������� ( ) Agility II - B� |
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member breeder's family) ���������� ( ) Utility A���������������� � ������������� ( ) Agility III |
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| ( ) Champion����������������������������� ( ) Utility B���������������� � ������������� ���������( ) Deep Chested/Giant |
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| ( ) Grand Champion���� �������� ������ ���������( ) Veteran/Special��jump heights����������� �������������� |
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| JUNIOR SHOWMANSHIP |
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Total Junior Information: |
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| ( ) Pee-Wee (over 2 yr, under 4 yr)�������������� Name ____________________________________________ |
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| ( ) Sub-Junior (4 yr, under 8 yr)������������������� |
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| Junior (8 yr, under 13 yrs)�������������������������� Birthday__________________________ |
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������ ( ) Novice��� ( ) Open |
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Senior (13 yrs, under 18 yr)������������������������ Jr. Member #______________________ |
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������ ( ) Novice��� ( ) Open |
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| How to Use This Entry Form: |
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1. All entries must be submitted on the current "Official UKC Entry Form". You may use one entry form to enter the same dog in more than one activity on the same weekend.
2. Use a separate entry form for each dog entered in club's event.
3. Dog not UKC registered? Apply for a Temporary Listing Number (TL) online at www.ukcdogs.com. TL numbers are valid for 60 days*. (Fees are non-transferable and do not apply to the cost of permanent registration.) *Call the Dog Events Dept. at 269-343-9020 for current fee.
4. Mail all completed entry forms to the Event Secretary.
5. Obedience trials and agility trials are open to all UKC recognized breeds and mixed-breed dogs with a valid Limited privilege number.
6. Obedience only: Check the box provided to request either the Veteran or Special Jump height option. Veteran dogs must be 8 years or older. Eligible dogs for Special Jump Heights are outlined in the current rules and regulations
7. Conformation classes consist of: Puppy (6 mos., under 1 yr.); Junior (1 yr., under 2 yrs); Senior (2 yrs, under 3 yrs); Adult (3 yrs and up); Breeder/Handler (6 mos and up, handled by breeder or member of breeder's family); Champoin; and Grand Champion.
8. Junior Showmanship classes consist of: Pee Wee(over 2 yrs under 4 yrs), Sub-Junior (4 yrs under 8 yrs); Novice Junior, Open Junior (8 yrs under 13 yrs); Novice Senior, Open Senior (13 yrs under 18 yrs)
We want you to keep the points earned at UKC Licensed events. Important things to remember.
-- All dogs entering UKC events must be permanently registered, have a valid TEmporary Listing Number, or a Limited Privelege number ofr performance events.
-- All entry forms must be completed and signed. Incorrect information submitted on the entry form may invalidate your wins.
-- To be eligible to enter into the Breeder/Handler class, you must be one of the breeders of record, or a member of the immediate family of one of the breeders of record. Immediate family includes: spouse, parent, step-parent, child, step-child, brother or sister.
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WAIVER: |
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| All events are held under the Official Rules and Regulations of the United Kennel Club, Inc.�� Absolutely no alcoholic beverages or illegal drugs will be allowed on the grounds or in the buildings on the day of an 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, Obedience, Weight Pull) have been made available to me, and that I am familiar with their contents.� My signature on this entry indicates that I understand and agree to the above and to abide by all of the current Official UKC Rules and Regulations. |
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| I have read and agree to the waiver on this form.� I swear that this dog is not being handled by a profession handler in Conformation.� |
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| Signature of owner/handler______________________________________________ Date _______________ |
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Entry fee: ______________________ |
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