Rally Entry

Consent *

I understand that there is a $4.50 processing fee added to each entry submission.
I understand my entry form is not submitted until payment is completed.
I understand that online entry requires a separate entry form be completed for each dog and each event.
We want you to keep the points earned at UKC Licensed events. Important things to remember:
• Dog not UKC registered? Apply for a Temporary Listing Number ( TL) online at www.ukcdogs.com/tl-numbers.( TL fees are non-refundable, non-transferable and do not apply to the cost of permanent registration.)
• All dogs entering UKC events must be permanently registered, have a valid Temporary Listing Number, or a Performance Listing number.
• All entry forms must be completed and signed. Incorrect information submitted on the
entry form may invalidate your wins.
• To be eligible to enter into the Breeder/Handler class, you must be one of the breeders of record, or a member of the immediate family of one of the breeders of record.
Immediate family includes: spouse, parent, step-parent, child, step-child, sibling, grandchild, or in-law, so long as the handler is not a professional handler as defined
by UKC Rules and Regulations.
The United Kennel Club complies with the Americans with Disabilities Act. If you require an accommodation, please contact the Event Chair or Secretary for this club’s event.
I have read and understand UKC's entry waiver. I swear that this dog is not being handled by a professional handler in conformation.
- Event Participation Waiver
  - All events are held under the Official Rules and Regulations of the United Kennel Club. Absolutely no 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.

- - By signing this form, I hereby agree to release, waive, discharge and covenant not to sue UKC, its
    judges, officers, employee and agents and the host club from liability arising from any claim, action,
    or lawsuit, including the negligence of the UKC, its judges, officers, employee and agents, and further
    agree to indemnify and hold UKC, the host club and any approved UKC Judge harmless from any claims,
    actions or lawsuits, including attorneys’ fees, 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, Dock Jumping, Drag Racing, Junior Showmanship, Lure
    Coursing, Obedience, Rally Obedience, Weight Pull, Precision Coursing) 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 this waiver of liability, assumption of risk, and indemnity agreement, fully understand its
    terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge
    that I am signing the agreement freely and voluntarily and intend by my signature to be a complete and
    unconditional release of all liability to the greatest extent allowed by law.

For Middle GA Kennel Club

Owner's Information

Junior's Information

If Applicable

Dog's Information

Entry Details

Trials(s) *

Additional Information (Select any that apply)

Payment