Entry Form

Hunting Beagle Nationals: Advanced Hunt Entry Application
April 14 - 16, 2017

Entries close on March 31, 2017.

Dog's Name
UKC Registration Number:*

Registered owner's name(s):*
Zip Code:*

Telephone: Days
E-mail address:*

Handler's name (if different):
Handler's address (if different):

Are you a member of a UKC Beagle club?

Club name:

What beagle magazine(s) do you subscribe to?

Will you be guiding your cast?

Please mark one of the following options that applies to your entry:

If the entry form is not filled out completely, information is incorrect, or this entry is not signed, championship points may be withheld. If the UKC Registration number is missing or incorrect, Championship points may be withheld. UKC and the host club are not responsible for loss accidents or theft. Absolutely no alcoholic beverages or unprescribed drugs will be allowed on the grounds during a UKC licensed event. UKC and the host club assume no responsibility for any damage or injury sustained by the exhibitors, handlers, spectators or to any of their dogs or property. I hereby agree to waive any claim, action, or lawsuit, and further agree to indemnify and hold UKC and any approved UKC Judge harmless for any claims, actions, or lawsuits resulting from my participation in this event, and any action decision, or judgement made by any U.K.C. representative or approved Judge under the official UKC Rules and Regulations governing this event. The undersigned acknowledges that the current Official UKC Rules and Regulations have been made available to me (us), and that I am familiar with their contents. The act of submitting this form indicates that I understand and agree to the above and to abide by all of the current Official UKC Rules & Regulations.

Entry Fee: $30.

Payment Information
*Payment Method
*Cardholder's Name:
*Cardholder's Address:
*Cardholder's Zip Code:
*Credit Card Number:
*Expiration Date (mm/yyyy):