AHTA Online Entry Form

Fill out the online entry form below. One form may be used for multiple days, multiple event entries for the same dog. Completely fill in all of the information pertaining to the dog that you are entering. Additional information on filling out this entry form and participation in UKC events can be found at the bottom of this page.

*** For a Detailed Event Listing - Click Here ***

Once submitted, the entry form will be sent to the AHTA Event Secretary and payment information will be provided.
Note: Payment may be submitted via PayPal or by check. Both options will be provided after the "Submit" button is clicked. Also, please note that the entry will not be deemed valid until payment (online or via mail) is received.

Type of UKC Registration for Dog:

Reg #:

Breed of Dog:

Sex:

Breed (if not available above)

Dog's Registered Name:

Dog's Call Name:

Variety (if applicable):

Dog's Date of Birth:

Dog Owner's Name:

Address:

City:

State: Zip:

Telephone (day):

(eve)

Email Address:

Note: This form has been created with each event type (CONF, OBED, Rally OBED and Terrier Racing) in separate sections. If you are entering multiple activities, be sure to check all of the items (dates, etc) for each specific event.
Links are provided below - Scroll down and/or click on the links to fill out the required information.

CONFORMATION OBEDIENCE RALLY OBEDIENCE TERRIER RACING SIGN & SUBMIT

Please complete the information next to each event entered.

CONFORMATION - Please select each show that you will be entering on the weekend and then enter the required information.

Friday - Show 1 Saturday - Show 1 Saturday - Show 2 Sunday - Show 1 Sunday - Show 2

Regular Licensed Class
(see #1A):

Pre-entry $20/show (received by September 30, 2011);
Weekend PE Special $90 same dog all 5 shows received by September 30, 2011

Altered Licensed Class
(see #1B):

Pre-entry $20/show (received by September 30, 2011);
Weekend PE Special $90 same dog all 5 shows received by September 30, 2011.

Junior Showmanship
(see #1C):

Junior Show $10/show (Pee Wee & Sub Jr. $5/show)

Total Junior Information

If applicable to ANY of the offered events.

Name of Junior:

Birthday:

Junior Member #:

CONFORMATION OBEDIENCE RALLY OBEDIENCE TERRIER RACING SIGN & SUBMIT

OBEDIENCE - Please select each trial that you will be entering on the weekend and then enter the required information. Note: If your entries will vary by day, please enter the details/explanation in the provided a text box.

Friday - Trial 1 Saturday - Trial 1 Sunday - Trial 1

Obedience Trial Classes
Novice    A     B    C
Open       A     B
Utility      A     B
Dog height at shoulder: (in inches)
Non-Licensed classes:
Junior Handler    Veteran/Special

Special Notes related to OBED entries:

CONFORMATION OBEDIENCE RALLY OBEDIENCE TERRIER RACING SIGN & SUBMIT

RALLY OBEDIENCE - Please select each trial that you will be entering on the weekend and then enter the required information. Note: If your entries will vary by day, please enter the details/explanation in the provided a text box.

Friday - Trial 1 Saturday - Trial 1 Saturday - Trial 2 Sunday - Trial 1
Pre-entry Rally OBED Trial S75 - 1 entry, same dog all 4 trials; received by September 30, 2011.

Rally Obedience Trial Classes
RO 1   A   B
RO 2     A     B
RO 3     A     B
Division 1     2    3 (RO3 class only)
Junior Handler    Veteran

Special Notes related to Rally OBED entries:

CONFORMATION OBEDIENCE RALLY OBEDIENCE TERRIER RACING SIGN & SUBMIT

TERRIER RACING - Please select each race that you will be entering on the weekend and then enter the required information. Note: If your entries will vary by day, please enter the details/explanation in the provided a text box.

Friday - TR Saturday - TR Sunday - TR
Note: Terrier Racing is Pre-entry ONLY! If you want your dog to play, enter NOW! Pre-entry $15 for first race with $10 for 2nd race/same dog/same day (i.e. Flats and Steeples - same dog/same day is $25 pre-entry); received by September 30, 2011.

Flat

Flat Racing Class:

Steeplechase

Steeple Racing Class:

Height (in inches):

Special Notes related to TR entries:

Please read this WAIVER and then scroll down to accept and sign.

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, Dog Sport, Junior Showmanship, Obedience, Terrier Race, Weight Pull) have been made available to me, and that I am familiar with their contents. My (electronic) 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.

Entry Fee(s):

* Please tally your total entry fees for this entry form, based on the pre-entry pricing schedule, included on this form and on the UKC Dog Events calendar and enter it above. Note: When payment is requested, you may choose to submit a single check (via mail) or online payment for the 1 to many forms. Remember, however, that no entry form will be deemed valid/complete until said payment is received and confirmed..

Name (Electronic Signature): Date:

Please scroll down and click the submit button to complete your entry!

Read the important information below before submitting your entry.

Click Submit to Complete Your Entry
IMPORTANT

Before pressing "submit," double check the previous information to make sure it is accurate. If you do not include an email address, confirmation cannot be sent after receipt of application.

Submission of this form, by clicking the "Submit Entry" button, in combination with your typed name and date (above) serves as an "electronic signature" (in lieu of a physical signature). By doing so, you affirm that all of the information entered above is correct to the best extent of your knowledge.

How to use this Entry Form:

1. Licensed Conformation classes consist of:
A. Regular Classes. Classes for intact dogs: Puppy (6 mos., under 1 yr.); Junior (1 yr., under 2 yrs.); Intermediate (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); Champion; and Grand Champion.
B. Altered Classes. Classes for altered dogs: Altered Puppy (6 mos., under 1 yr.); Altered Junior (1 yr., under 2 yrs.); Altered Intermediate (Senior) (2 yrs.,
       under 3 yrs.); Altered Adult (3 yrs. and up); Altered Breeder/Handler (6 mos. and up, handled by breeder or member of breeder’s family); Altered
       Champion; and Altered Grand Champion.
C. 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.)
2. All entries must be submitted on the current "Official UKC® Entry Form" or this online entry form. You may use one entry form to enter the same dog in
    more than one activity on the same weekend.
3. Use a separate entry form for each dog entered in a club's event.
4. Mail all completed entry forms to the Event Secretary listed under the event, unless otherwise specified. In this case, an online entry is acceptable.
    Checks, if used, must be made payable to the host club.
5. Obedience Trials, Agility Trials, Rally Obedience Trials and Weight Pull events are open to all UKC recognized breeds and mixed-breed dogs with a valid
    Limited Privilege number. The Coursing Aptitude Test is open to all UKC registered and mixed-breed dogs with a valid Limited Privilege number.
6. We want you to keep the points earned at UKC Licensed events. Important things to remember.
     • Dog not UKC registered? Apply for a Temporary Listing Number (TL) online at www.ukcdogs.com or call the Dog Events Department at 269-343-9020.
       The AHTA is eligible to see Temporary Listing Numbers at this event. (TL fees are non-refundable, non-transferable and do not apply to the cost of
       permanent registration.)
     • All dogs entering UKC events must be permanently registered, have a valid Temporary Listing Number, or a Limited Privilege number.
     • 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 so long as the handler is not a
        professional handler as defined by UKC Rules and Regulations.