UKC Premier 2016 Online Entry -- June 16-19, 2016
Date: Thursday June 16, 2016
Date: Friday June 17, 2016
Date: Saturday June 18, 2016
Date: Sunday June 19, 2016

Friday is the Conformation Qualifier and Saturday is Performance Qualifier.
Exhibitors using Dock Jumping as a Total Dog Performance qualifier must indicate "Dock Jumping" in the Total Dog Section of the entry form.
A dog may not be entered without a permanent UKC Registration Number, a UKC Temporary Listing Number, or a UKC Limited Privilege Number. If your dog's Permanent Registration is pending at UKC, and you do not have a Valid Temporary Listing Number, the entry will not be accepted.

Registration Number: Variety (if applicable):
Breed of Dog:
Sex: Date of Birth:
Dog's Name: Call Name
Dog Owner's Name(s): Address:
City: State:
Zip: Country:
Phone (day): (evening):
Email: Is this a new address?
Verify Email:

Complete the Information next to each Event Entered.
Conformation (Dog show Class)
Regular or Altered
Licensed Class:

Obedience Trial Classes
Dog Height at Shoulder:
Jump Height:

Lure Coursing Meet

Junior Information
Junior Showmanship
Jr. Class:
Jr. Member #

Barn Hunt exhibitors must attach a scanned copy of their Barn Hunt confirmation to submit with their Premier online entry in order to receive the discount.


Drag Racing

Rally Obedience
RO 3 Division

Agility Trial Classes

Weight Pull

Are you competing for:

Total Dog

Total Junior

Total Dog Hunting Bye-In

Dock Jumping:

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

All events are held under the Official Rules and Regulations of the United Kennel Club, Inc. Absolutely no alcoholic beverages, 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 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, Obedience, Terrier Race, Weight Pull, Rally Obedience) 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 have read and agree to the waiver on this form. I swear that this dog is not being handled by a professional handler in Conformation.