6 FAST CATs & CATs in Fort Pierce, Florida hosted by theTailwaggers Agility Club of South Florida Saint Lucie County Fairgrounds15601 West Midway RoadFort Pierce, FL 34945 DEC 27th-30th, 2024 LICENSED BYTHE AMERICAN KENNEL CLUB PREMIUM LIST EVENT REGISTRATION Please enable JavaScript in your browser to complete this form.Would you like to participate in our Fast CAT 101 Seminar Thursday, December 26th, 2024 from 2:30PM-4:30PM?YesNoHow many dogs will participate in the Fast CAT 101 Seminar? (Choose one option) *One Dog - $37.00Two Dogs - $48.25Three Dogs - $59.50Four Dogs - $70.75 $35 for first dog, $5 each additional dog, plus fees.Indicate in which event(s) your dog will participate. (Choose all that apply) *Fast CATCAT/CABTSelect the Fast CAT event(s) in which your dog will run. (Choose all that apply)Test 1 - Fri 12/27 - ID 11 - $28.25Test 2 - Fri 12/27 - ID 12 - $28.25Test 1 - Sat 12/28 - ID 13 - $28.25Test 2 - Sat 12/28 - ID 14 - $28.25Test 1 - Sun 12/29 - ID 23 - $28.25Test 2 - Sun 12/29 - ID 24 - $28.25Test 1 - Mon 12/30 - ID 25 - $28.25Test 2 - Mon 12/30 - ID 26 - $28.25 $27 per test per dog, plus fees.Select the CAT/CABT event(s) in which your dog will run. (Choose all that apply) (copy)Test 1 - Fri 12/27 - ID 15 - $28.25Test 2 - Fri 12/27 - ID 16 - $28.25Test 1 - Sat 12/28 - ID 17 - $28.25Test 2 - Sat 12/28 - ID 18 - $28.25Test 1 - Sun 12/29 - ID 19 - $28.25Test 2 - Sun 12/29 - ID 20 - $28.25Test 1 - Mon 12/30 - ID 32 - $28.25Test 1 - Mon 12/30 - ID 33 - $28.25 $27 per test per dog, plus fees.Dog Size/Handicap *Under 12"12" to under 18"Over 18" Size is determined by height of withers (tip of shoulder blades) to the ground.Dog's Call Name: *AKC Registered Name: *AKC Registration Number: *Date of Birth: *Sex: *Breed: *Is your dog expected to earn a new title at this event? * Please specify which title - FCAT, CA, CAA, CAX, etc.Your Dog's Instagram Handle: Tell us your dog's Instagram handle and you could be featured on our feed @blackknightscoursing!Owner/Handler Name: *FirstLastEmail: *Phone: *Address: *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTotal due today for selected options:$0.00Payment: *CardName on CardAgreement: *I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have 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 event, and any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them.Submit Permission has been granted by the American Kennel Club
