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UKC NOSEWORK TRIAL ENTRY FORM
Entries Open: Monday, March 30, 2015. Entries Close: Wednesday, May 6, 2015
4:30 p.m. (EDT) or when numerical limit for the event has been reached, whichever comes first. After the closing date and time
entries will not be accepted, cancelled, substituted or altered. No wait list will be established. No exceptions will be made.
Mail entries to: United Kennel Club Premier Entries, 100 E Kilgore Rd, Kalamazoo MI 49002-5584; Make checks payable to
United Kennel Club or UKC.
Credit Card #:__________________________________________________ Exp.(mm/yy) __________
Dog’s UKC Registered Name:
Dog’s UKC Registration Number:
Dog’s Call Name:
Owner’s Name:
Address:
Dog’s Date of Birth:
(MM/DD/YYYY)
City, State, and Postal Code
Breed:
Sex:
Phone:
Email:
Jr. Member #
Search Command:
Final Response at Alert:
Check each Pre-Trial and/or Element that you wish to enter.
Attach a copy of proof passing an NACSW Birch ORT if you wish to use that in place of the Pre-Trial.
Entry Fees: Entry Fees: $ 25 first entry, $20 each additional entry - same day/same dog/same event and eventype/made at the same time.
Thursday, June 11, 2015 Trial 1
Thursday, June 11, 2015 Trial 2
⃝ Pre-Trial Novice (PTN)
⃝ Novice Container A
⃝ Novice Container B
⃝ Pre-Trial Advanced (PTA)
⃝ Advanced Container A
⃝ Advanced Container B
⃝ Novice Container A
⃝ Novice Container B
Friday, June 12, 2015 Trial 1
Friday, June 12, 2015 Trial 2
⃝ Pre-Trial Novice (PTN)
⃝ Novice Vehicle A
⃝ Novice Vehicle B
⃝ Novice Vehicle A
⃝ Novice Vehicle B
⃝ Pre-Trial Advanced (PTA)
⃝ Advanced Vehicle A
⃝ Advanced Vehicle B
⃝ Advanced Container A
⃝ Advanced Container B
⃝ Advanced Vehicle A
⃝ Advanced Vehicle B
Saturday, June 13, 2015 Trial 1
Saturday, June 11, 2015 Trial 2
⃝ Pre-Trial Novice (PTN)
⃝ Novice Exterior A* **
⃝ Novice Exterior B* **
⃝ Novice Exterior A* **
⃝ Novice Exterior B* **
⃝ Pre-Trial Advanced (PTA)
⃝ Advanced Exterior A* **
⃝ Advanced Exterior B* **
⃝ Advanced Exterior A* **
⃝ Advanced Exterior B* **
Sunday, June 14, 2015
⃝ Pre-Trial Novice (PTN)
⃝ Pre-Trial Advanced (PTA)
⃝ Pre-Trial Superior (PTS)
⃝ Pre-Trial Elite (PTE)
⃝ Pre-Trial Master (PTM)
Total Amount Due for All Pre-Trials and Trials entered:
*Total Dog Qualifying event ** Total Junior Qualifying Event
$
Form not complete until you have read and signed the waiver on back (or pg. 2). Invalid without signature.
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1. Nosework classes consist of Pre-Trial which is for dogs that need certification to enter Nosework Levels N - E. If dog has
a title from NACSW in the applicable class, please submit a copy of the title to directly enter Levels N - E without the PreTrial requirements.
2. Individual element classes are divided into Levels “N”-“E” and further divided into “A” and “B” sections depending on
the experience of the dog and/or handler. Be sure to check the rules regarding the divisions. For these classes, dogs will
only be searching the elements chosen.
3. Full Nosework Trials are divided into Levels “N”-“E” and further divided into “A” and “B” sections depending on the
experience of the dog and/or handler. These trials contain all four elements. Dogs must qualify in an element to earn legs
toward that title.
4. Handler Discrimination. One glove will be used and must be provided by the handler.
5. All entries must be submitted on the current “Official UKC® Nosework Entry Form”.
6. Use a separate entry form for each dog entered in a club's event.
7. Mail all completed entry forms to the Event Secretary listed under the event, unless otherwise specified. Make checks
payable to the United Kennel Club or UKC.
8. Nosework events are open to all UKC registered breeds and mixed-breed dogs with a valid Performance Listing/Limited
Privilege number/Permanent Registration/Temporary Listing.
9. 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 or call the Dog Events
Department at (269) 343-9020. (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/Limited Privilege 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, stepchild, sibling, grandchild and in-law provided that the handler is not a professional handler as defined by UKC Rules and
Regulations.
WAIVER: All events are held under the Official Rules and Regulations of the United Kennel Club, Inc. Absolutely no alcoholic beverages, 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 waive any claim, action, or lawsuit and further agree to indemnify and hold UKC, the host club, event volunteers, and any
approved UKC Judge and/or certifying official harmless from any claims, actions or lawsuits resulting from my participation in this event, and any action, decision or
judgment made by any UKC or host club representative or approved Judge/Certifying Official under the official UKC Rules and Regulations governing this event. I
acknowledge that the current Official UKC Rules and Regulations for Nosework 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 and agree to the waiver on this form.
___________________________________________
Signature of Owner/Handler
_____________
Date
____________________________________
If owner is a minor/Signature of Parent or Guardian
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