2014 OFFICIAL APPLICATION

Personal Information

Musher Name:
Mailing Address:
Street / City
Province/Territory/State Zip/Postal Code Country
Home Phone: / ( ) / AltPhone: / ( )
E-mail Address:
Birth Date: / SSN / SIN:
dd/mm/yyyy
Driver’s License No. / Issuing State/Terr/Country:
Passport No. / Full name on Passport:
PassportCity & Country of issue:
Passport Issue date: / Passport Expiry date:
dd/mm/yyyy / dd/mm/yyyy
Where will you be training in the fall/winter (if different from mailing address):
Best time to contact:
Indicate what information may / Merchants: / Phone Email Address
be provided to the following: / Educational Institutions: / Phone Email Address
Media (We will release your email address): Phone

Qualifying Races

Completed previous Iditarod or Yukon Quest / Please specify race and years:
Completed 200 qualifier (within 42 months of start) / Please specify race and years:
Completed 300 qualifier (within 42 months of start) / Please specify race and years:
Races still required to complete in order to qualify:
200 Mile / Please specify:
300 Mile / Please specify:
Are you currently censured by any sled dog racing organization? / Yes No
Have you ever been convicted of animal abuse or neglect? / Yes No
Please be advised that anyone with a criminal record may not be allowed access to cross the Canada/US border

Musher Profile Questions

Musher Name:
Musher’s Age (at race start): / Personal Website address: /
Current Residence: / Nationality:
Occupation(s):
Who are your sponsors for 2014?
No. of years running dogs: / How many dogs currently in your kennel?
Kennel Name:
Kennel bloodlines:
Breeds included:
How did your kennel get its name?
Please share with us some stories about your dogs: (Ex. your favourite dog, a dog with a unique story, a dog from your kennel that you hope will run on your 2014 team, sibling/parent/grandparent dogs that are running together, family of dogs with a lot of YQ finishes, a dog with personality quirks or special talents, etc.)
How did you get started running dogs?
What do you love most about running dogs?
Why did you enter the 2014 Yukon Quest? What are your goals for the race?
List recent sled dog races and/or your best performances:
Year / Race / Finish Position
Are you a member of any other organizations involving sled dog sports? (Please list them):
Musher, please indicate that you have submitted the following REQUIREMENTS FOR ENTRY:
Receipt of the following items constitute the musher’s application for entry in the race, and further acknowledges that the musher understands and agrees to comply with every rule as stated in the Official Yukon Quest 2014 Race Rules. Entries are unofficial until the Official Entry Application is approved and accepted by the Yukon Quest Rules Committee.
Application / Entry Fee / Musher Profile questions Photocopy of passport ID page
Current photo (Preferably digital – must be high resolution, min 1MB or 1,400 pixels)
*Please note: The offices will no longer accept incomplete applications at any time.*
Credit Card # / Exp Date / V-code
Musher Signature / (3 digit security code)
Date
For office use only:
Office: / Staff initials: / Date: / Time: / Method of Payment:

Page 1 of 3