UAPBTO National Breed Specialty Conformation EntryFor United American Pit Bull Terrier OrganizationOwner's InformationName *Phone *Email Address *Street Address *City *State/Province *ZIP / Postal Code *Junior's InformationIf ApplicableJunior's NameJunior's #Dog's InformationUKC Permanent or TL # *For Novice Puppy ONLY, if you do not have a registration number, you may enter litter number or "000".Registered Name *Call Name *Date of Birth *Sex *SelectMaleFemaleEntry DetailsApplicable class selection options will appear once entry selectedSelect Entries *Regular Conformation (non-member)Altered Conformation (non-member)Regular Conformation (UAPBTO member)Altered Conformation (UAPBTO member)Junior ShowmanshipNon-Licensed - Novice PuppyNon-Licensed - VeteranNon-Licensed - Brood BitchNon-Licensed - Stud DogClass Selection (Regular or Altered Conformation) *Puppy (6 months - under 1 year)Junior (1 year - under 2 years)Adult (2 years & over)Open (6 months & Over)Breeder / Handler (6 months & over, shown by breeder)Champion (CH)Grand Champion (GrCH)Junior Showmanship Class Selection *Pee Wee (2 years - under 4 years old)Sub JR (4 years - under 6 years old)Pre- Junior (6 years - under 8 years old)Novice Junior (8 years - under 13 years old)Open Junior (8 years - under 13 years old)Novice Senior (13 years - 18 years old)Open Senior (13 years - 18 years old)Total Dog/ JuniorTotal DogTotal JuniorCheck if ApplicablePaymentElectronic Signature *Type your full name to electronically sign your entry formConsent * 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 theentry 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 definedby 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, itsjudges, 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 furtheragree 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 anyaction, decision or judgment made by any UKC or host club representative or approved Judge underthe official UKC Rules and Regulations governing this event. I acknowledge that the current Official UKCRules and Regulations (Agility, Conformation, Dock Jumping, Drag Racing, Junior Showmanship, LureCoursing, Obedience, Rally Obedience, Weight Pull, Precision Coursing) have been made available tome, and that I am familiar with their contents. My signature indicates that I understand and agree to theabove 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 itsterms, and understand that I am giving up substantial rights, including my right to sue. I acknowledgethat I am signing the agreement freely and voluntarily and intend by my signature to be a complete andunconditional release of all liability to the greatest extent allowed by law. Entry Total CalculationSubmit Entry