ENTER
ON LINE
Fill out the
entry form below for each dog entered click the Reset Button
at the bottom of the page to enter the next dog's information), click
the Record Your Entry button at the
bottom of the page to submit
your entry. Once you reach the Form Conformation Page, please
check your entry for any errors. If an error is found simply return to
this page, correct the error and
resubmit. Print a copy of the final entry for your records;
return to this page to pay for your
entry.
After you have successfully made an entry and
printed it for your records or faxed your entries, 661-224-1906,
click on the "Buy Now" button below.
PAY FOR ALL YOUR ENTRIES at ONE TIME
on LINE
using a Credit/Debit Card thru PayPal
(you do not need a PayPal account to use this service) Click on the Buy Now
Button below to begin.
A $5.00 convenience fee is charged per transaction
when using this service
- Only One Entry Required Per Dog -
Please Refer to the Premium List for Available Classes
Breed
Variety
Sex
Dog Show Class
Class Division
Additional Classes
Obedience Trial Class
Rally Class
Jump Height
Jr. Showmanship Class
Jr's Name
Jr's ID Number
Jr's Birth Date
Full Name of Dog
AKC REG Number
DATE OF BIRTH
AKC LITTER Number
ILP Number
PLACE OF
BIRTH
FOREIGN
Reg No &
Country Name
USACanadaForeign
Breeder
Sire
Dam
Actual Owner(s)
Owner's Address
City /
State / Zip
Name of Owner's Agent (if any) at the Show
Telephone
E-Mail
The AKC Junior
Handler Number MUST be included. Should you not have your
Junior Handler number, this may be obtained from the
American Kennel Club.
Phone:
(919) 816-3776, email: juniors@akc.org
If Jr. Handler is not the
owner of the dog identified on this form, what is the
relationship of the Junior to the owner?
I CERTIFY that I am the actual
owner of the dog, or that I am the duly authorized agent
of the actual owner whose name I have entered above. In
consideration of the acceptance of this entry, I (we)
agree to abide by the rules and regulations of The
American Kennel Club in effect at the time of this
event, and by any additional rules and regulations
appearing in the premium list for this event, and further agree to be
bound by the "Agreement" printed on the reverse side of the AKC ENTRY
FORM. I (we) certify and represent that the dog entered is not a
hazard to persons or other dogs. This entry is submitted for
acceptance on the foregoing representation and Agreement. I (we) agree
to conduct myself (ourselves) in accordance with all such Rules and
Regulations (including all provisions applying to discipline) and to
abide by any decisions made in accord with them. Back of Entry FormAgreement
