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June 17-18, 2023 Prepaid Entry
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UKI Entry Form: June 17-18, 2023
Use this form to enter and pay online for a UKI show at Agility Challenge Acres.
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Handler Information and Consent
Please note that a separate entry must be made for each dog entered at this show.
This field is hidden when viewing the form
Show ID
Handler Name
(Required)
First
Last
Handler's UKI Number
(Required)
Please enter a number only, no H required.
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
(Required)
Phone
(Required)
Consent
(Required)
I agree to the policy shown below.
The person who signs this agreement represents that he/she is authorized to enter into this agreement on behalf of both the exhibitor and the owner of the participating dog. In consideration of acceptance of this entry: Exhibitor/owner certifies that any and every dog they bring to this
facility, whether participation or not, is not a hazard to persons, dogs, or property and assume all responsibility, liability and expenses resulting
from damages causes by their dog(s). Exhibitor/owner releases UK Agility International, UK Agility Ltd, and their agents, officers & members
and THE AGILITY CHALLENGE will defend them and hold them harmless from all present and future loss, injury, damage, claims, demands and
liabilities involving your dog, and or others equipment. Without limiting the generality of the foregoing hold harmless provisions, exhibitor/owner
hereby specifically assume sole responsibility for and agree to indemnify and save aforementioned parties harmless from any and all loss and
expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damages because of bodily
injuries, including death, at any time in consequence of my (our) participation in the event or training, howsoever such injury or death may be
caused and whether or not the same may have been caused or may have been alleged to have been caused by negligence of the
aforementioned parties or any of their employees or agents or any other persons. Exhibitor/owner acknowledge all hazards presented by the
training facility, event and the event premises, including but not limited to, the condition of grounds, lighting, security, measures or lack of,
electrical appliances, fittings, parking areas, fences or the ability for a dog to escape from the training area, the presence of unfamiliar animals
and people, the possibility of another ill animal or your own getting ill, and agility equipment; exhibitor and owner assume the risk of any harm
arising from and any and all of these including allowing their dogs to run wearing collars, stop pad protectors, bitch in season pants, or any similar
items. Everyone must be very careful to watch their dogs on the property, clean up after yourselves and your dogs. We reserve the right to
excuse any person for what we deem to be using excessive harshness, or any dog we feel cannot safely perform the obstacles. We reserve the
right to excuse any person for what we deem as aggressive or abusive towards another person or dog. By my signature I also agree to the
COVID-19 clause detailed in this premium.
Dog Entry Information
Dog's Call / Pet Name
(Required)
Dog's UKI Number
(Required)
Please enter a number only, no D required
Dog's Registered Name
Dog Breed
Affenpinscher
Afghan Hound
Airedale Terrier
Akbash Dog
Akita
Alaskan Klee Kai
Alaskan Malamute
American Bandogge
American Bulldog
American Cocker Spaniel
American English Coonhund
American Eskimo Dog
American Foxhound
American Hairless Terrier
American Pit Bull Terrier
American Pointer
American Russell Terrier
American Staffordshire Terrier
American Water Spaniel
Anatolian Shepherd Dog
Argentine Dogo
Australian Cattle Dog
Australian Kelpie
Australian Koolie
Australian Shepherd
Australian Terrier
Basenji
Basset Hound
Beagle
Bearded Collie
Beauceron
Bedlington Terrier
Belgian Laekenois
Belgian Malinois
Belgian Sheepdog
Belgian Shepherd
Belgian Tervuren
Bergamasco Sheepdog
Bernese Mountain Dog
Bichon Frise
Biewer Terrier
Black and Tan Coonhound
Black Russian Terrier
Blackmouth Cur
Bleus de Gascogne
Bloodhound
Bluetick Coonhound
Boerboel
Bolognese
Border Collie
Border Terrier
Border-Border
Borzoi
Boston Terrier
Bouvier des Flandres
Boxer
Boykin Spaniel
Briard
Brittany Spaniel
Brooklyn Carchasher
Brussels Griffon
Bull Terrier
Bulldog
Bullmastiff
Cairn Terrier
Canaan Dog
Cane Corso
Cao de Castro Laboreiro
Cardigan Welsh Corgi
Carolina Dog
Catahoula Leopard Dog
Catalin Sheepdog
Caucasian Ovcharka
Cavalier King Charles Spaniel
Cesky Terrier
Chesapeake Bay Retriever
Chihuahua
Chinese Crested
Chinese Foo Dog
Chinese Shar-Pei
Chinook
Chow Chow
Clumber Spaniel
Cockapoo
Cocker Spaniel
Collie-Rough
Collie-Smooth
Coton de Tuléar
Croatian Sheepdog
Cross Breed
Crossbreed
Curly-Coated Retriever
Dachshund
Dalmatian
Dandie Dinmont Terrier
Danish Swedish Farmdog
Doberman Pinscher
Dogue de Bordeaux
Dutch Shepherd
English Cocker Spaniel
English Foxhound
English Pointer
English Setter
English Shepherd Dog
English Springer Spaniel
English Toy Spaniel
English Toy Terrier
Entlebucher Sennenhund
Field Spaniel
Fila Brasileiro
Finnish Lapphund
Finnish Spitz
Flat-Coated Retriever
Fox Terrier
French Bulldog
German Coolie
German Pinscher
German Shepherd Dog
German Shorthaired Pointer
German Spitz
German Wirehaired Pointer
Giant Schnauzer
Golden Retriever
Gordon Setter
Great Dane
Great Pyrenees
Greater Swiss Mountain Dog
Greyhound
Groenendael
Hamiltonstovare
Harrier
Havanese
Hovawart
Ibizan Hound
Iceland Dog
Irish Glen of Imaal Terrier
Irish Red and White Spaniel
Irish Setter
Irish Terrier
Irish Water Spaniel
Irish Wolfhound
Italian Greyhound
Italian Pointer
Italian Spinoni
Jack Russell Terrier
Jagdterrier
Japanese Chin
Japanese Spitz
Jindo
Kangal Dog
Karelian Bear Dog
Keeshond
Kerry Blue Terrier
Komondor
Kooikerhondje
Kromfohrländer
Kuvasz
Labradoodle
Labrador Retriever
Lagotto Romagnolo
Lakeland Terrier
Lancashire Heeler
Lapponian Herder
Leonberger
Lhasa Apso
Llewellin Setter
Long Haired Whippet
Lowchen
Lurcher
Lymysg
Maltese
Manchester Terrier
Mastiff
McNab
Mexican Hairless Dog
Miniature American Shepherd
Miniature Dachshund
Miniature Pinscher
Miniature Schnauzer
Mixed Breed
Mountain Cur
Mudi
Munsterlander Large
Munsterlander Small
Native American Indian Dog
Neapolitan Mastiff
New Guinea Singing Dog
New Zealand Huntaway
Newfoundland
Norfolk Terrier
North American Shepherd
Norwegian Buhund
Norwegian Elkhound
Norwegian Lundehund
Norwich Terrier
Nova Scotia Duck Tolling Retriever
Old English Sheepdog
Other
Otterhound
Oxford Terrier
Papillon
Parson Russell Terrier
Patterdale Terrier
Pekingese
Pembroke Welsh Corgi
Peruvian Inca Orchid
Petit Basset Griffon Vendeen
Pharaoh Hound
Picardy Spaniel
Pinchester Terrier
Plott Hound
Polish Lowland Sheepdog
Pomeranian
Poodle-Miniature
Poodle-Other
Poodle-Standard
Poodle-Toy
Portuguese Podengo Pequeno
Portuguese Water Dog
Presa Canario
Pug
Puli
Pumi
Pyrenean Sheepdog
Pyrenean Shepherd
Rat Terrier
Red and White Spaniel
Rhodesian Doberman
Rhodesian Ridgeback
Romania Water Dog
Rottweiler
Saint Bernard
Saluki
Samoyed
Schapendoes
Schipperke
Schnauzer
Scottish Deerhound
Scottish Terrier
Sealyham Terrier
Shar-Pei
Shelter Hound
Shetland Sheepdog
Shiba Inu
Shih Tzu
Shiloh Shepherd
Shin Tau
Siberian Husky
Silken Windhound
Silky Terrier
Skye Terrier
Sloughi
Smooth Fox Terrier
Soft Coated Wheaten Terrier
Spaniel
Spanish Water Dog
Stabyhoun
Staffordshire Bull Terrier
Standard Schnauzer
Stumpy Tail Cattle Dog
Swedish Shepherd
Swedish Vallhund
Tenterfield Terrier
Terrier Thing
Thai Ridgeback Dog
Tibetan Mastiff
Tibetan Spaniel
Tibetan Terrier
Tosa Inu
Toy Fox Terrier
Treeing Walker Coonhound
Unknown
Vizsla
Weimaraner
Welsh Corgi
Welsh Springer Spaniel
Welsh Terrier
West Highland White Terrier
Wheaten Terrier
Whippet
White German Shepherd Dog
Windsprite
Wire Fox Terrier
Wirehaired Pointing Griffon
Working Sheep Dog
Xoloitzcuintles
Yorkshire Terrier
Jump Height Selection
What height does your dog jump for Speedstakes and International Titling (which is also what your dog will jump for Masters Series)? Note that (s) after a height denotes SELECT (one jump height lower than normal). If you’re not sure what height your dog should jump for UKI, refer to this link:
https://ukagilityinternational.com/events/jump-heights/
Speedstakes Jump Height
(Required)
4(s)
8
8(s)
12
12(s)
16
16(s)
20
20(s)
22
24
International Jump Height
(Required)
4(s)
8
8(s)
12
12(s)
16
16(s)
20
20(s)
22
24
Level Selection
Indicate which level your dog competes at for International and Speedstakes Classes. Please check the correct box(es) even if you are not entering those classes during the weekend. If you’re not sure what level to enter, please refer to this link:
https://ukagilityinternational.com/events/levels/
International Level
(Required)
Beginner
Novice
Senior
Champ
This is the level your dog competes at for Agility, Jumping, Games, and Masters Series
Speedstakes Level
(Required)
Beginner
Novice
Senior
Champ
This is the level your dog competes at for Speedstakes
SATURDAY CLASSES
Select the classes you’d like to enter on Saturday
Saturday International Classes – Beginner
All levels will run the same Snooker course. Beginner and Novice will run the same course (agility, jumping).
Beginner Snooker
Beginner Agility
Beginner Jumping
Saturday International Classes – Novice
All levels will run the same Snooker course. Beginner and Novice will run the same course (agility, jumping).
Novice Snooker
Novice Agility
Novice Jumping
Saturday International Classes – Senior
All levels will run the same Snooker course. Senior and Champ will run slightly different courses (agility, jumping).
Senior Snooker
Senior Agility
Senior Jumping
Saturday International Classes – Champ
All levels will run the same Snooker course. Senior and Champ will run slightly different courses (agility, jumping).
Champ Snooker
Champ Agility
Champ Jumping
Saturday – Masters Series
Includes Masters Series Agility and Masters Series Jumping. All levels run the same courses.
Masters Series
Saturday Classes
SUNDAY CLASSES
Select the classes you’d like to enter on Sunday
Sunday International Classes – Beginner
Beginner and Novice will run the same course (agility, jumping). All levels will run the same Gamblers course.
Beginner Jumping
Beginner Agility
Beginner Gamblers
Sunday International Classes – Novice
Beginner and Novice will run the same course ( agility, jumping). All levels will run the same Gamblers course.
Novice Jumping
Novice Agility
Novice Gamblers
Sunday International Classes – Senior
Senior and Champ will run slightly different courses (agility, jumping). All levels will run the same Gamblers course.
Senior Jumping
Senior Agility
Senior Gamblers
Sunday International Classes – Champ
Senior and Champ will run slightly different courses (agility, jumping). All levels will run the same Gamblers course.
Champ Jumping
Champ Agility
Champ Gamblers
Sunday Speedstakes – Beginner
Beginner and Novice will run the same Speedstakes Course.
Beginner Speedstakes
Sunday Speedstakes – Novice
Beginner and Novice will run the same Speedstakes Course.
Novice Speedstakes
Sunday Speedstakes – Senior
Senior and Champ will run the same Speedstakes Course.
Senior Speedstakes
Sunday Speedstakes – Champ
Senior and Champ will run the same Speedstakes Course.
Champ Speedstakes
Sunday Classes
Review and Pay
Please review your selections below prior to submitting and paying for your entry.
{all_fields}
Total
Payment Method
(Required)
PayPal Checkout
Credit Card
American Express
MasterCard
Visa
Supported Credit Cards: American Express, MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
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