• AKC Entry Form

    Lake Country Lure Coursers & Just Run With It



  • Dog Information

  • *
  • *


  • Owner Information

  • I CERTIFY that I am the actual owner of the hound, or that I am the duly authorized agent of the actual owner whose name I 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 trial, and by additional rules and regulations appearing in the premium list for this trial and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazzard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement.

  • Single copies of the latest editions of the "Rules Applying to Registration and Dog Shows' and "Lure Coursing Trial Regulations" may be obtained WITHOUT CHARGE from any Secretary at trial where they are officiating OR from THE AMERICAN KENNEL CLUB, 51 MADISON AVENUE, NEW YOUR, NY 10010 AGREEMENT I(we) acknowledge that the "Rules Applying to Registration and Dog Shows" and, if this entry is for a lure coursing trial, the "Lure Coursing Trial Regulations" have been made available to me (us) and that I am (we are) familiar with their contents. I (we) agree the Club holding this trial has the right to refuse this entry for cause that the club shall deem to be sufficient. In concideration of the acceptance of this entry and of the holding of this trial and of the opportunity to have the hound judged and to win prize money, ribbons, trophies, I(we) agree to hold this Club, its members, directors, governors, officers, agents, supperintendents or show secretary and the owner or lessor of the premisis and and employees of the afformentioned parties, harmlessfrom any claim for loss or injury which may be alleged to have been directly or indirectly caused to ant person or thing by the act of this dog while in or upon the show or trial premisis or grounds or near any entrance thereto, and I(we) personally assume all responsibility and liability for any damage or injury to the dog, wether such loss, dissappearance, theft, damage or injury, e caused or alleged to be caused by the neglegence of the club or any of the parties afformentioned, or by the negligence of any other person, or any other cause or causes. I (we) hearbyassume sole responsibility for and agree to indemnify and save the afformentioned parties harmless from any and all loss and expense (including legal fees) by reasonof the liability imposed by law upon any to the aformentioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves) or on account of damage to property arising out of or in consequence of my (our) participation in this trial, howsoever such injuries, death or damage to property may have been caused by negligence an the aformentioned parties or any of their employees ot agents, or any other persons. INSTRUCTIONS A dog must be entered in the name of the person who actually owned it at the time of entries for a trial closed. If a registered dog has been aquired by a new owner, it must be entered in the name of the new owner in any trial for which entried closed after the date of aquirement, regardless of wether the new owner had recieved the registration certificate indicating that the dog is recorded in his name. State on the entry form wether transfer application has been mailed to the AKC. (For complete rules refer to Chapter 14, Section 3 of the AKC "Rules Applying to Registration and Dog shows.

  • By Electronically Signing your name below, you certify that you have read and understood the above text.


    • $100.00
    • $80.00
    • $60.00
    • $40.00
    • $20.00
    • $80.00
    • $60.00
    • $40.00
    • $20.00
    • $40.00
    • $20.00
    Total Price