UFO World Cup© Local Registration Form

PLLEASE PRINT CLEARLY

COMPETITOR / TELEPHONE
FIRST NAME / LAST NAME
ADDRESS
STREET ADDRESS / CITY / STATE / ZIP CODE
EMAIL ADDRESS
COMPETITION CITY / Millersville, MD / DISC DOG CLUB AFFILIATION (only one)

LIABILITY WAIVER

I, the undersigned, intending to be legally bound, do hereby certify that Iand my canine are healthy and fit to compete in the UFO Event. I the undersigned,assigns, executers, and administrators waive and release any and all rights for claims and damagesfor injuries arising out of or in any way related to my participation in the Event which Imay have against the following parties: the UFO, sponsors of the Event, and the administratorand owner of the facility hosting the Event, together with contractors, agents, employees,and representatives of each of them. I, the undersigned, intending to be legally bound, do hereby grantpermission to the UFO the right to record, broadcast, photograph, film, and videotapemy performances and related interviews at the Event and use these together with my name,image, likeness, and biographical information for such publicity and promotionalpurposes as it may desire.

SIGNED / DATE
(Parent’s or Guardian’s Signature if competitor under 18)
DOG NAME (1) / AGE / BREED / MALE / FEMALE
DOG NAME (2) / AGE / BREED / MALE / FEMALE
DOG NAME (3) / AGE / BREED / MALE / FEMALE
DOG NAME (4) / AGE / BREED / MALE / FEMALE
Dog# / Division / Level / Fee
Open / Intermediate / Novice / Cost / Late / Total
1 / Novice Throw & Catch (only) / $10 / $5
Throw & Catch (only) / $15 / $5
Freestyle (only) / $15 / $5
Combined (Overall) / $30 / $5
2 / Novice Throw & Catch (only) / $10 / $5
Throw & Catch (only) / $15 / $5
Freestyle (only) / $15 / $5
Combined (Overall) / $30 / $5
3 / Novice Throw & Catch (only) / $10 / $5
Throw & Catch (only) / $15 / $5
Freestyle (only) / $15 / $5
Combined (Overall) / $30 / $5
4 / Novice Throw & Catch (only) / $10 / $5
Throw & Catch (only) / $15 / $5
Freestyle (only) / $15 / $5
Combined (Overall) / $30 / $5
Total

Divisions:

Throw & CatchTeams have 60 seconds to make as many throws with one disc accumulating points via catches by the canine within a multi zone 50 meter field. Any level can enter.

FreestyleTeams have 120 seconds to perform a freeform routine to music using up to 7 Discs being judged under the 40 Point, 4 Category DISC scoring system. Intermediate and Open Levels can enter.

Open Combined Can only be entered by the Open Level Teams and is when the team is playing in both Freestyle and Throw & Catch. This is the only Division that can earn World Cup Points.

Levels:Handlersare NOT allowed to enter multiplelevels.

OpenEnter in only one of either Freestyle, or Throw & Catch, or Combined. Entries in Open Combined are the only ones that can earn World Cup Points.

IntermediateCan enter Throw & Catch and/or Freestyle division. There is no combined score.

NoviceHandles are those that are competing in their first year or have not quite progressed to a higher level. This level can enter only the Throw & Catch Division.