JTDFA Fast CAT/CAT September 2024 - Coursing Registrations

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- Step 1 of 3

DOG INFORMATION

AKC REGISTRATION NUMBER: *

Enter your dog's AKC Registration Number, Purebred Alternative Listing (PAL) Number or Canine Partner (CP) Number.

REGISTERED NAME: *

REGISTERED DOG BREED: *

CALL NAME: *

SEX OF DOG *

Male
Female

DOG'S HEIGHT *

Up to 12" - Handicap of 2
12" up to less than 18" - Handicap of 1.5
18" and over - Handicap of 1
My dog needs to be measured

A handicap system is applied to a dog’s MPH to determine the number of points earned. The handicap system is based on the height of the dog at its withers. If you are unsure, select My dog needs to be measured.

DOG'S DATE OF BIRTH / GOTCHA DAY *

Your dog MUST be at least 1 year of age on the specific trial event date to compete in a qualifying run.

WILL YOUR DOG EARN A NEW TITLE AT THIS EVENT?

BCAT - 150 points
DCAT - 500 points
FCAT - 1,000 points
Other
None

Rosettes are limited. Please let us know if you anticipate earning a new title at this event so that we can try to have a New Title Rosette.

OWNER/HANDLER INFORMATION

NAME: *

First

Last

MAILING ADDRESS: *

Address Line 1

Address Line 2

City

State

Zip Code

EMAIL: (verified) *

PHONE: *

IS THIS A JUNIOR OWNER/HANDLER?

Children 9 to under 18 years old learn basic handling abilities, and how to care for, and present, different breeds in a competition.

DAY/RUN ENTRY SELECTION

Indicate in which event(s) your dog will participate. (Choose all that apply) *

Fast CAT
CAT/CABT

Select the Fast CAT event(s) in which your dog will run. (Choose all that apply)

Test 1 - Friday 09/06 - ID XX - $30.00
Test 2 - Friday 09/06 - ID XX - $30.00
Test 1 - Saturday 09/07 - ID XX - $30.00
Test 2 - Saturday 09/07 - ID XX - $30.00
Test 1 - Sunday 09/08 - ID XX - $30.00
Test 2 - Sunday 09/08 - ID XX - $30.00

Select the CAT/CABT event(s) in which your dog will run. (Choose all that apply)

Test 1 - Friday 09/06 - ID XX - $30.00
Test 2 - Friday 09/06 - ID XX - $30.00
Test 1 - Saturday 09/07 - ID XX - $30.00
Test 2 - Saturday 09/07 - ID XX - $30.00
Test 1 - Sunday 09/08 - ID XX - $30.00
Test 2 - Sunday 09/08 - ID XX - $30.00

WOULD YOU LIKE TO REQUEST A TIME BLOCK?

This is not required.

FRIDAY 9/6 TIME BLOCK REQUEST

SATURDAY 9/7 TIME BLOCK REQUEST

SUNDAY 9/8 TIME BLOCK REQUEST

PAYMENT INFORMATION

AMOUNT DUE:

$0.00

PRE-ENTRY PAYMENT TYPE: *

Check
Credit Card

Make the check to JTDFA and mail to:

First Name Last Name, Address, City, TN 38401

Please put JTDFA and your dog's call name in the memo field

Stripe Credit Card *

Credit Card field is disabled, Stripe payments are not enabled in the form settings.

Checkboxes *

By clicking the Submit button, I understand and agree to the Terms & Conditions I have read, understood and agree to the AKC Rules, Regulations, Policies and Guidelines *AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.org AGREEMENT I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this event, and any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harm-less from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.

Signature *

Clear Signature