This form must be used by one person only (or partnership)
Writing MUST BE IN INK OR INDELIBLE PENCIL. Use one line for each dog. The name of the dog and all details as recorded with the Kennel Club must be given on this form. If an error is made the dog may be disqualified by the Committee of the Kennel Club. All dogs must be REGISTERED at the Kennel Club in the name of the owner. If the registration or transfer of ownership has not been confirmed it must be applied for before the closing date of entries. In case of dispute proof of postage of such application may be required by the Kennel Club. Dogs under 18 months of age on the day of competition cannot be entered for competition. On no account will entries be accepted without fees. If a dog is in the process of Registration or Transfer at the time entry is made, add the letters NAF or TAF as appropriate after its name. Please put classes in numerical order and USE BLOCK CAPITALS throughout when completing this entry form.
PLEASE CHECK ALL DETAILS BEFORE POSTING. / / West Lakeland DTC
Open Agility Show
Held under Kennel Club Rules and Regulations H & H1
Millom Rugby Union Football Club
Wilson Park, Haverigg, Millom, Cumbria, LA18 4HB
22nd23rd August 2015 / Entries and Fees to:
West Lakeland DTC
Showtime, Evenwood,
Low Westwood. NE17 7PZ
Tel: 01207 565774
Email:
Cheques payable to:
West Lakeland DTC
Entries with post-dated cheques will not be accepted
Closing Date –6th July2015(Post Mark)
Owner / Handler (if different to Owner)
Name:
Address:
Post Code:
Phone/Mob:
Email:
KC Registered Name of Dog / KC or ATC Reg No / Officially Measured / Breed / D/B / DoB / Grade / Size / Handler / Classes Entered.
Please tick box above to confirm that the owner is aware that the dog must be officially measured prior to competing / ↗ / DOGS IN CARS ON HOT DAYS
Your dog is vulnerable and AT RISK if left in a vehicle in high temperatures and even on days considered as slightly warm. Please take care of your dog.
If your dog is found to be at risk, forcible entry to your vehicle may be necessary without liability for any damage concerned. / Please book camping on separate form and send to Joanne Orrell / FEES: / No / Total
DECLARATION
A dog must at the time of entry for the competition, be registered as required by the Kennel Club Limited Rules and Regulations in the owner’s name (or else registration or transfer of registration be applied for).
Kennel Club Declaration:
1/We agree to submit to and be bound by Kennel Club Limited Rules & Regulations in their present form or as they may be amended from time to time in relation to all canine matters with which the Kennel Club is concerned and that this entry is made upon the basis that all current single or joint registered owners of this dog(s) have authorised/consented to this entry.
1/We also undertake to abide by the Regulations of this Show and not bring to the Show any dog which has contracted or been knowingly exposed to any infectious or contagious disease during the 21 days prior to the Show, or which is suffering from a visible condition which adversely affects its health or welfare.
1/We further declare that, I believe to the best of my knowledge that dogs are not liable to disqualification under Kennel Club Agility Show Regulations. / Single classes @ £3.00
Triple Teams @ £9.00
Helpers / When can you help? / Camping is limited; please tick here if you want your entries destroyed should your camping request NOT be accepted. / Helping Members - Free
Scoring / Sat AM / Online Running Orders will ONLY be available to those registered at (please tick box if you wish to download them)
Please ensure you add the postage fee if this does NOT apply to you.
Pole Picking / Sat PM
Ring Caller / Sun AM
Scribe / Sun PM / Postage / 1.00
Signature(s) of Owner(s) or Authorised Agent: / ← PLEASE SIGN DECLARATION / Cheque / PO / Total:
Date: / © Showtime Agility Show Processing 2011
Class 63: TRIPLE TEAM QUALIFIER
(To be completed by Team Captain ONLY)
Dogs may be any combination of Heights.
TEAM CAPTAINTEAM NAME
TEAM CAPTAIN’S ADDRESS
POSTCODE
EMAIL ADDRESS & OR PHONE NUMBER
Height / KC REGISTERED NAME OF DOG / KC REGISTRATION NUMBER
Handler 1:
Handler 2:
Handler 3:
Reserve 1:
Reserve 2: