OFFICIAL UNITED KENNEL CLUB, INC. PERFORMANCE ENTRY FORM
HOST CLUB: SISU Dog Sporting Club of Northern Minnesota
Date: May 4, 2024 Trial 1	Date: May 5, 2024 Trial 1
Dog must not be entered without a permanent UKC® registration number or a UKC Temporary Listing number. If your dog's permanent registration is pending at UKC, and you do not have a valid TL number, your entry will be invalid.
Dog's UKC Permanent or TL #:
*Breed of Dog: Select One... Unrecognized Breed Affenpinscher Afghan Hound Aidi Airedale Terrier Akbash Dog Akita Alaskan Klee Kai Alaskan Malamute Alentejo Mastiff Alpine Drachsbracke American Black & Tan Coonhound American Bulldog American Bully American Eskimo American Foxhound American Hairless Terrier American Leopard Hound American Pit Bull Terrier American Water Spaniel Anatolian Shepherd Anglo-Francais de Petite Venerie Appenzeller Ariegeois Australian Cattle Dog Australian Kelpie Australian Shepherd Australian Terrier Austrian Black and Tan Hound Austrian Pinscher Azawakh Barak Barbet Basenji Basset Artesien Normand Basset Bleu De Gascogne Basset Fauve De Bretagne Basset Hound Bavarian Mountain Hound Beagle Beagle Harrier Bearded Collie Beauceron Bedlington Terrier Belgian Shepherd Dog Bergamasco Berger Des Pyrenees Berger Picard Bernese Mountain Dog Bichon Frise Biewer Terrier Billy Black Forest Hound Black Mouth Cur Black Russian Terrier Bloodhound Bluetick Coonhound Bolognese Border Collie Border Terrier Borzoi Boston Terrier Bouvier Des Ardennes Bouvier des Flandres Boxer Boykin Spaniel Bracco Italiano Braque D'Auvergne Braque de Bourbonnais Braque de l'Ariege Braque Francais, de Grande Taille Braque Francais, de Petite Taille Braque Saint Germain Briard Briquet Griffon Vendeen Brittany Brussels Griffon Bull Terrier Bullmastiff Ca de Bestiar (Majorca Shepherd Dog) Cairn Terrier Canaan Dog Canadian Eskimo Dog Cane Corso Italiano Cao de Castro Laboreiro Cardigan Welsh Corgi Carolina Dog Catalan Sheepdog Caucasian Ovcharka Cavalier King Charles Spaniel Central Asian Shepherd Cesky Fousek Cesky Terrier Chart Polski (Polish Greyhound) Chesapeake Bay Retriever Chien d'Artois Chien Francais Blanc et Noir Chien Francais Tricolore Chihuahua Chinese Crested Chinese Shar-Pei Chinook Chow Chow Cimarron Uruguayo Ciobanesc Romanesc Carpatin Ciobanesc Romanesc Mioritic Cirneco dell'Etna Clumber Spaniel Cocker Spaniel Collie Coton De Tulear Croatian Sheepdog Curly-Coated Retriever Czechoslovakian Vlcak (Czechoslovakian Wolfdog) Dachshund Dalmatian Dandie Dinmont Terrier Danish-Swedish Farmdog Danish Broholmer Deutsche Bracke Deutscher Wachtelhund (German Spaniel) Doberman Pinscher Dogo Argentino Dogue De Bordeaux Drentse Patrijshond Drever Dunker Dutch Shepherd Dutch Smoushond East Siberian Laika English Bulldog English Cocker Spaniel English Coonhound English Foxhound English Pointer English Setter English Shepherd English Springer Spaniel English Toy Spaniel Entlebucher Epagneul Bleu de Picardie Epagneul Breton Epagneul Picard Epagneul Pont-Audemer Estrela Mountain Dog Eurasian Field Spaniel Finnish Hound Finnish Lapphund Finnish Spitz Flat Coated Retriever Francais Blanc et Orange French Bulldog French Spaniel Fresian Water Dog German Long Haired Pointer German Pinscher German Rough Haired Pointer German Shepherd Dog German Shorthaired Pointer German Spitz German Wirehaired Pointer Giant Schnauzer Glen of Imaal Terrier Golden Retriever Gordon Setter Grand Basset Griffon Vendeen Grand Bleu De Gascogne Grand Gascon-Saintongeois Grand Griffon Vendeen Great Anglo-Francais Tricolor Hound Great Anglo-Francais White and Black Hound Great Anglo-Francais White and Orange Hound Great Dane Great Pyrenees Greater Swiss Mountain Dog Greenland Dog Greyhound Griffon Bleu de Gascogne Griffon Fauve de Bretagne Griffon Nivernais Haldenstover Hamiltonstovare Hanoverian Hound Harrier Havanese Hellenic Hound Hokkaido Hovawart Hungarian Greyhound Hungarian Wire-Haired Vizsla Hygen Hound Ibizan Hound Icelandic Sheepdog Irish Red and White Setter Irish Setter Irish Terrier Irish Water Spaniel Irish Wolfhound Istrian Coarse-Haired Hound Istrian Short-Haired Hound Italian Greyhound Italian Hound Jack Russell Terrier Jagdterrier Japanese Akita Japanese Chin Japanese Spitz Japanese Terrier Jindo Kai Kangal Dog >Karelian Bear Dog Karst Shepherd Dog Keeshond Kerry Blue Terrier Kishu Komondor Kooikerhondje Kromfohrlander Kuvasz Labrador Retriever Lagotto Romagnolo Lakeland Terrier Lancashire Heeler Lapinporokoira (Lapponian Herder) Leonberger Lhasa Apso Louisiana Catahoula Leopard Dog Lowchen Lundehund Majorca Mastiff Maltese Manchester Terrier Maremma Sheepdog Mastiff Mi-Ki Miniature American Shepherd Miniature Bull Terrier Miniature Pinscher Miniature Schnauzer Montenegrin Mountain Hound Mountain Cur Mountain Feist Mudi Multi-Colored Poodle Multi-Colored Standard Poodle Munsterlander (Large) Munsterlander (Small) Neapolitan Mastiff Newfoundland Norfolk Terrier Norrbottenspetz Norwegian Buhund Norwegian Elkhound Norwich Terrier Nova Scotia Duck Tolling Retriever Old Danish Pointing Dog Old English Sheepdog Olde English Bulldogge Otterhound Owczarek Podhalanski Papillon Parson Russell Terrier Patterdale Terrier Pekingese Pembroke Welsh Corgi Perdiguero de Burgos Perro De Presa Canario Peruvian Inca Orchid Petit Basset Griffon Vendeen Petit Bleu De Gascogne Petit Gascon-Saintongeois Pharaoh Hound Plott Hound Podenco Canario Podengo Portugueso Poitevin Polish Hound Polski Owczarek Nizinny Pomeranian Poodle Porcelaine Portuguese Pointer Portuguese Sheepdog Portuguese Water Dog Posavaz Hound Pudelpointer Pug Puli Pumi Pyrenean Mastiff Rat Terrier Redbone Coonhound Rhodesian Ridgeback Rottweiler Russian-European Laika Russkiy Toy Saarloosewolfdog Saint Bernard Saluki Samoyed Sarplaninac Schapendoes Schiller Hound Schipperke Scottish Deerhound Scottish Terrier Sealyham Terrier Serbian Hound Serbian Tricolor Hound Shetland Sheepdog Shiba Shih Tzu Shikoku Siberian Husky Silken Windhound Silky Terrier Skye Terrier Sloughi Slovac Cuvac Slovakian Wire-Haired Pointing Dog Smaland Hound Small Swiss Hound Smooth Fox Terrier Soft-Coated Wheaten Terrier South African Boerboel South Russian Shepherd Dog Spanish Greyhound Spanish Hound Spanish Mastiff Spanish Water Dog Spinone Italiano Sporting Lucas Terrier Stabyhoun Staffordshire Bull Terrier Standard Poodle Standard Schnauzer Stephens' Cur Stumpy Tail Cattle Dog Styrian Coarse Haired Hound Sussex Spaniel Swedish Elkhound Swedish Lapphund Swedish Vallhund Swiss Hound Teddy Roosevelt Terrier Thai Ridgeback Tibetan Mastiff Tibetan Spaniel Tibetan Terrier Tornjak Tosa Ken Toy Fox Terrier Transylvanian Hound Treeing Cur Treeing Feist Treeing Walker Coonhound Tyrolean Hound Vizsla Volpino Italiano Weimaraner Welsh Hound Welsh Springer Spaniel Welsh Terrier West Highland White Terrier West Siberian Laika Westphalian Dachsbracke Whippet White Shepherd Wire Fox Terrier Wirehaired Pointing Griffon Xoloitzcuintli Yorkshire Terrier        Variety (if applicable): N/A        *Sex: Select One... Male Female
*Dog's Height at Withers:
*Dog's Name:
*Call Name:    *Date of Birth:
Junior's Name:
Junior ID No:
*Dog owner's name(s):
*Address:
*City:    *State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY    *ZIP:
*Phone:    *E-mail:
Weight Pull: Division A Division B	Veteran Junior Handler
WAIVER All events are held under the Official Rules and Regulations of the United Kennel Club. Absolutely no alcoholic beverages, illegal drugs or firearms will be allowed on the grounds or in the buildings on the day of a UKC Licensed event. UKC, its agents and employees, and the host club assume no responsibility for any loss, damage, or injury sustained by spectators or by exhibitors and handlers, or to any of their dogs or property, and further assume no responsibility for injury to children not under the control of their parents or guardians. UKC and the host club are not responsible for loss, accidents or theft. By signing this form, I hereby agree to waive any claim, action, or lawsuit and further agree to indemnify and hold UKC, the host club and any approved UKC Judge harmless from any claims, actions or lawsuits resulting from my participation in this event, and any action, decision or judgment made by any UKC or host club representative or approved Judge under the official UKC Rules and Regulations governing this event. I acknowledge that the current Official UKC Rules and Regulations (Agility, Conformation, Dock Jumping, Drag Race, Juniors, Lure Coursing, Obedience, Rally Obedience, Weight Pull, Precision Coursing) have been made available to me, and that I am familiar with their contents. My signature indicates that I understand and agree to the above and to abide by all of the current Official UKC Rules and Regulations.  I Agree I have read and agree to the waiver on this electronic entry form. By pressing the submit button I understand that doing so is in lieu of an actual signature, and that the information entered above is correct to the extent of my knowledge. After pressing submit, you will be given the opportunity to make a payment.