UNITED KENNEL CLUB, INC





OFFICIAL UNITED KENNEL CLUB
Entry Form

Winter Classic
February 10-11, 2017

Advanced Nite Hunt Entry Application
The WINTER CLASSIC entry fee is $35 each night. Be sure to give your complete address, phone number and a valid email address. Confirmation will be sent to the registered owner.


Entries close on January 20, 2017.


Dog's Name
UKC Registration Number:*
Age:
Breed:
Sex:


Sole Signatory
(Registered owner's name(s)):*
Address:*
City:*
State:
Zip Code:*
Country:


Telephone: Daytime
E-mail address:*


Handler's name:
Handler's phone:


Night to hunt:
(check one box for each night)

What brand of telemetry, if any, do you use?

Will you be guiding your cast?


If so, we have projected Satellite casts out of the following locations as well as the traditional grounds casts. Please select where you would like to assemble with your cast:


As a guide, how far will you be taking your cast from the grounds/satellite club to where you will hunt?

    miles or

    minutes.

Will you be hunting on...


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: $35 per night.


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