Agility Entry Form for GSPCA Agility Online Entry Form - GSPCA Agility Online Entry Form - GSPCA 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 or you request a refund. Event Name, Location and Date * GSPCA Longview: May 5-6, 2025 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 the JR 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 * AffenpinscherAfghan HoundAiredale TerrierAkitaAlaskan MalamuteAll American DogAmerican English CoonhoundAmerican Eskimo DogAmerican FoxhoundAmerican Hairless TerrierAmerican Staffordshire TerrierAmerican Water SpanielAnatolian ShepherdAppenzeller SennenhundArgentine DogosAustralian Cattle DogAustralian KelpieAustralian ShepherdAustralian TerrierAzawakhBasenjiBasset HoundBeagleBeagle (13 in. and under)Beagle (over 13 in.)Bearded CollieBeauceronBedlington TerrierBelgian LaekenoisBelgian MalinoisBelgian SheepdogBelgian TervurenBergamascoBernese Mountain DogBichon FriseBlack and Tan CoonhoundBlack Russion TerrierBlenheim & Prince Charles English Toy SpanielBloodhoundBluetick CoonhoundBologneseBorder CollieBorder TerrierBorzoiBoston TerrierBouvier des FlandresBoxerBoykin SpanielBracco ItalianiBriardBrittanyBrussels GriffonBull TerrierBull Terrier - ColoredBull Terrier - WhiteBulldogBullmastiffCairn TerrierCanaan DogCane CorsoCanine PartnerCardigan Welsh CorgiCatahoula Leopard DogCaucasian Mountain DogCavalier King Charles SpanielCentral Asian Shepherd DogCesky TerrierChesapeake Bay RetrieverChihuahuaChihuahuas (Long Coat)Chihuahuas (Smooth Coat)Chinese CrestedChinese Shar-peiChinookChow ChowClumber SpanielCocker SpanielCocker Spaniel (ASCOB)Cocker Spaniel (Black)Cocker Spaniel (Parti)CollieCoon HoundCoton de TulearCurly-Coated RetrieverCzechoslovakian WolfdogDachshundDachshund (Longhaired)Dachshund (Smooth)Dachshund (Wirehaired)DalmatianDandie Dinmont TerrierDanish-Swedish FarmdogDoberman PinscherDogue de BordeauxDrentsche PatrijshondDutch ShepherdEnglish Cocker SpanielEnglish SetterEnglish Springer SpanielEnglish Toy SpanielEntlebucher Mountain DogEstrela Mountain DogField SpanielFinnish LapphundFinnish SpitzFlat-coated RetrieverFox TerrierFox Terrier (Smooth)Fox Terrier (Wire)Foxhound (American)Foxhound (English)French BulldogFT Pointing BreedsFT RetrieversFT SpanielsGerman PinscherGerman Shepherd DogGerman Shorthaired PointerGerman SpitzGerman Wirehaired PointerGiant SchnauzerGlen of Imaal TerrierGolden RetrieverGordon SetterGrand Basset Griffon VendeenGreat DaneGreat PyreneesGreater Swiss Mountain DogGreyhoundHarrierHavaneseHovawartHT Pointing BreedsHT RetrieversHT SpanielsIbizan HoundIcelandic SheepdogIrish Red & White SetterIrish SetterIrish TerrierIrish Water SpanielIrish WolfhoundItalian GreyhoundJack Russell TerrierJapanese ChinKai KenKeeshondKerry Blue TerrierKing Charles & Ruby English Toy SpanielKomondorokKooikerhondjesKromfohrlanderKuvaszLabrador RetrieverLagotto RomagnoloLakeland TerrierLancashire HeelerLapponian HerderLeonbergerLhasa ApsoLowchenMalteseManchester TerrierMastiffMiniature American ShepherdMiniature Bull TerrierMiniature PinscherMiniature SchnauzerMudiNeapolitan MastiffNewfoundlandNorfolk TerrierNorwegian BuhundNorwegian ElkhoundNorwegian LundehundNorwich TerrierNova Scotia Duck Tolling RetrieverOld English SheepdogOtterhoundPapillonParson Russell TerrierPekingesePembroke Welsh CorgiPerro de Presa CanarioPeruvian Inca OrchidPetit Basset Griffon VendeenPharaoh HoundPlott HoundPointerPolish Lowland SheepdogPomeranianPoodlePoodle (Miniature)Poodle (Standard)Poodle (Toy)Portuguese PodengoPortuguese Podengo PequenoPortuguese Water DogPugPuliPumiPyrenean ShepherdRat TerrierRedbone CoonhoundRhodesian RidgebackRottweilerRough CollieRussell TerrierSaint BernardSalukiSamoyedSchipperkeScottish DeerhoundScottish TerrierSealyham TerrierShetland SheepdogShiba InuShih TzuSiberian HuskySilky TerrierSkye TerrierSloughiSmooth CollieSmooth Fox TerrierSoft Coated Wheaten TerrierSpanish Water DogSpinone ItalianoStaffordshire Bull TerrierStandard Manchester TerrierStandard SchnauzerSussex SpanielSwedish VallhundThai RidgebackTibetan MastiffTibetan SpanielTibetan TerrierTosaToy Fox TerrierToy Manchester TerrierTreeing Tennessee BrindleTreeing Walker CoonhoundVizslaWeimaranerWelsh Springer SpanielWelsh TerrierWest Highland White TerrierWhippetWire Fox TerrierWirehaired Pointing GriffonWorking KelpieXoloitzcuintliYorkshire Terrier 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 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: $24.00 Total for Day 1 (Two Runs) Total for Day 1: $44.00 Total for Day 1 (Three Runs) Total for Day 1: $64.00 Total for Day 1 (Four Runs) Total for Day 1: $0.00 Total for Day 1 (Five Runs) Total for Day 1: $0.00 Total for Day 1 (Six Runs) Total for Day 1: $0.00 Day 2 My Second Day of Competition FriSatSunMonTueWedThu Day 2 Runs STD JWW T2B 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: $24.00 Total for Day 2 (Two Runs) Total for Day 2: $44.00 Total for Day 2 (Three Runs) Total for Day 2: $64.00 Total for Day 2 (Four Runs) Total for Day 2: $74.00 Total for Day 2 (Five Runs) Total for Day 2: $89.00 Total for Day 2 (Six Runs) Total for Day 2: $104.00 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: $57.00 Total for Day 3 (Four Runs) Total for Day 3: $74.00 Total for Day 3 (Five Runs) Total for Day 3: $89.00 Total for Day 3 (Six Runs) Total for Day 3: $104.00 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 4: $57.00 Total for Day 4 (Four Runs) Total for Day 4: $74.00 Total for Day 4 (Five Runs) Total for Day 4: $89.00 Total for Day 4 (Six Runs) Total for Day 4: $104.00 Entry Totals $0.00 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) $0.00$ 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 SubscribeBuilt with Kit
