Agility Entry Form Agility Online Entry Form Agility Online Entry Form Fill in the online form once for each dog you are entering for the trial. Once your entry is confirmed you will get a confirmation email for each dog directly from the trial software. Each online transaction (not each dog or run but each whole transaction) will be charged a 7% processing fee to cover the additional charges and work K-9 Sports is incurring. The Processing fee is non-refundable should the event be cancelled. Event Name, Location and Date * GSDCO Salem: Aug 2-4, 2024WVESS Salem: July 26-28, 2024MCDF Eugene: Aug 16-18, 2024EDOC Eugene: Aug 23-25, 2024 Owner First Name * Owner Last Name * Co-Owner First Name Co-Owner Last Name Address * City * State * ZIP * Country * Phone * Email * Handler First Name * Usually the same as the owner first name. Handler Last Name * Usually the same as the owner last name. If Jr Handler, enter AKC Jr Handler number below Note: to receive theJR Handler discount, a paper entry is required. Dog Information For All-American or PAL dogs please put N/A in Sire/Dam fields if they are unknown. AKC Registered Dog Name * AKC Title Prefix AKC Suffix Call Name * Breed of Dog * Breeder * Sire * Dam * AKC Registered Number * Enter your dog's AKC number using the format indicated Date of Birth * Use the popup calendar to select the date of birth. Sex * MaleFemale Height at Withers * Format is XX.XX. No alpha, symbols, spaces, slashes, or dashes. Example: 12.25 Measurement Info * My dog needs to be measured My dog has a Temporary Jump Height Card My dog has a Permanent Jump Height Card Titling * Regular Titling Preferred Titling See premium for details about titling track options. If you want to mix regular and preferred classes, you must submit 2 separate forms. One for Regular and on for Preferred. Height Class * 481216202424C Day 1 My First Day of Competition * FriSatSunMonTueWedThu Day 1 Runs * STD JWW FAST T2B PREM STD PREM JWW Check any levels that you plan to enter in the trial STD Classes MasterExcellentOpenNovice BNovice ANovice P JWW Classes MasterExcellentOpenNovice BNovice ANovice P FAST Classes MasterExcellentOpenNovice BNovice ANovice P Total Runs for Day 1 Total for Day 1 (One Run) Total for Day 1: $20.00 Total for Day 1 (Two Runs) Total for Day 1: $40.00 Total for Day 1 (Three Runs) Total for Day 1: $55.00 Total for Day 1 (Four Runs) Total for Day 1: $70.00 Total for Day 1 (Five Runs) Total for Day 1: $83.00 Total for Day 1 (Six Runs) Total for Day 1: $96.00 Day 2 My Second Day of Competition FriSatSunMonTueWedThu Day 2 Runs STD JWW FAST T2B PREM STD PREM JWW Check any levels that you plan to enter in the trial STD Classes MasterExcellentOpenNovice BNovice ANovice P JWW Classes MasterExcellentOpenNovice BNovice ANovice P FAST Classes MasterExcellentOpenNovice BNovice ANovice P Total Runs for Day 2 Total for Day 2 (One Run) Total for Day 2: $20.00 Total for Day 2 (Two Runs) Total for Day 2: $40.00 Total for Day 2 (Three Runs) Total for Day 2: $55.00 Total for Day 2 (Four Runs) Total for Day 2: $70.00 Total for Day 2 (Five Runs) Total for Day 1: $83.00 Total for Day 2 (Six Runs) Total for Day 2: $96.00 Day 3 My Third Day of Competition FriSatSunMonTueWedThu Day 3 Runs STD JWW FAST T2B PREM STD PREM JWW Check any levels that you plan to enter in the trial STD Classes MasterExcellentOpenNovice BNovice ANovice P JWW Classes MasterExcellentOpenNovice BNovice ANovice P FAST Classes MasterExcellentOpenNovice BNovice ANovice P Total Runs for Day 3 Total for Day 3 (One Run) Total for Day 3: $20.00 Total for Day 3 (Two Runs) Total for Day 3: $40.00 Total for Day 3 (Three Runs) Total for Day 3: $55.00 Total for Day 3 (Four Runs) Total for Day 1: $70.00 Total for Day 3 (Five Runs) Total for Day 3: $83.00 Total for Day 3 (Six Runs) Total for Day 3: $96.00 Day 4 My Fourth Day of Competition FriSatSunMonTueWedThu Day 4 Runs STD JWW FAST T2B PREM STD PREM JWW Check any levels that you plan to enter in the trial STD Classes MasterExcellentOpenNovice BNovice ANovice P JWW Classes MasterExcellentOpenNovice BNovice ANovice P FAST Classes MasterExcellentOpenNovice BNovice ANovice P Total Runs for Day 4 Total for Day 4 (One Run) Total for Day 4: $20.00 Total for Day 4 (Two Runs) Total for Day 4: $40.00 Total for Day 3 (Three Runs) Total for Day 1: $55.00 Total for Day 4 (Four Runs) Total for Day 4: $70.00 Total for Day 4 (Five Runs) Total for Day 4: $83.00 Total for Day 4 (Six Runs) Total for Day 4: $96.00 Entry Totals Value of Certificates/Coupons/Vouchers for this Club's agility trial $ Value of certificates/coupons/vouchers will be deducted from the PayPal Invoice. These items must then be mailed to the Secretary or brought to the trial and turned in to the Secretary. Grand Total (includes 7% processing fee) $ Comments to Secretary AKC Agreement * I have read the AKC Agreement and any additional rules and regulations as appearing in the premium list for this event. For payment of entry fees, you will be taken to PayPal to pay. Fee of 7% will be added to all online payments. Signature * Enter your Full Name as your electronic Signature Worker Code If you are not certain what this is, please ignore. Submit If you are human, leave this field blank. Δ
