UKC Carolina Classic Online Entry -- April 4 - 6, 2014
Date: April 4, 2014
Date: April 5, 2014
Date: April 6, 2014

Dog's 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:
Is this a new address?
Phone (day): (evening):
Verify Email:

Complete the Information next to each Event Entered. You can Not enter Both Conformation and the Altered Class.
Conformation (Dog show Class)
Licensed Class:

Altered Conformation (Licensed Class)
Altered Licensed Class:

Obedience Trial Classes
Dog Height at Shoulder:
Jump Height:

Dock Jumping Splashes

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


Terrier Race

Rally Obedience
RO 3 Division

Agility Trial Classes

Total Dog

Are you competing for:

Total Dog

Total Junior

Payment Information
*Payment Method
*Cardholder's Name:
*Cardholder's Address:
*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, Dog Sport, Junior Showmanship, Obedience, Terrier Race, Weight Pull) 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.