National Canine Association Official Entry Form
DATE(S) OF EVENT: ___________________________________________________
NCA EVENT NAME: _________________________________________________
NCA EVENT LOCATION: ____________________________________________
Entry Fees for each event: $________ for the entry of a dog. Entries close: _______________________. Mail entries with
fees to: NCA 5 Wagon Wheel Way Ocala, FL 34482. Make Checks or Money Orders Payable to NCA. PLEASE NOTE:
Review instructions on reverse side before filling out entry form. Numbers in ( ) below refer to corresponding paragraphs on
reverse side. PLEASE PRINT.
IF YOU WANT TO PURCHASE A CATALOG, PLEASE CHECK HERE______ INCLUDE $5.00. ADDITIONAL
CATALOGS MAY NOT BE AVAILABLE.
CHECK Appropriate Boxes:
First Event: Entering AM?_____ Entering PM?_____
Second Event: Entering AM?_____ Entering PM?_____
Third Event: Entering AM?_____ Entering PM?_____
Forth Event: Entering AM?_____ Entering PM?_____
I enclose: $U.S_________________ for entry fees.
$U.S. _________for catalog ($5.00).
NCA Registration #________________________________________________________________________
If not, indicate AKC, UKC, etc., Reg. #________________________________________________________
Breed___________________________________ Variety (see # 1 reverse side)________________________
Sex____ DOB___________________ Dog Show Class (see # 2 reverse side) ________________________
Tier : Non-Professional or Professional Handling (see #3 reverse side) _______________________________
Name of Dog_____________________________________________________________________________
Breeder__________________________________________________________________________________
Sire_____________________________________________________________________________________
Dam_____________________________________________________________________________________
Owner (see #4 reverse side)__________________________________________________________________
Street Address_____________________________________________________________________________
City_____________________________________________
State_________
Zip Code______________
If entered in Professional Class, Name of Professional Handler___________________________________
I certify I am the owner or the agent of the owner of the dog listed above. I agree to comply with the rules and regulations of the
National Canine Association, Inc. in effect at this time and to any additional provisions published in the events schedule for this event.
It is further certified that to the best of my knowledge and belief, the dog entered herein has never acted in such a manner as
to be a hazard to any person or dog.
I also understand and agree that the decision of the judge is final in every respect including placements, excusals and
disqualifications.
Signature________________________________________________________________________________
Telephone (
) ________________________EMAIL_______________________________________
To receive championship points, you have 21 days from date of show to register. Registration Forms for
Purebred or Rescue dogs are available on our web site at www.nationalcanine.com or by calling (703) 451194x8. Either of these forms may be reproduced.
Instructions For Front Corresponding # in (
)
(1) VARIETY - If a dog is entered in a breed which has a variety, you must designate the variety.
(2) CLASS - Non-Professional Tier: Puppy (6-12mo), Bred by Exhibitor (dog must be handled by the breeder, co-breeder or
immediate family member), Open (for all dogs of the respective breed over the age of six months) and Best of Breed (for NCA
champions of record and Winners Dog/Bitch on the day). Professional Tier: Puppy (6-12mo), Limited (6mo-3yr), Open (for
all dogs of the respective breed over the age of six months) and Best of Breed (for NCA champions of record and Winners
Dog/Bitch on the day). Any dog or bitch that has attained its NCA championship may be shown in Best of Breed competition.
Dogs or bitches who have attained their championship, according to their owner's records and who have not received official
notification from the NCA, may be shown for a period of 120 days in Best of Breed Competition.
(3) TIER (Non-Professional & Professional) - This is determined by the status of the handler. A PROFESSIONAL handler is
an individual who has, in the past, or is currently accepting a fee for handling or acting as agent for any dog, including dogs
owned, co-owned or bred by them. Being reimbursed partially, or in full, for expenses only encountered in handling a dog for
a family member, friend, or associate does not constitute being a professional handler. ALL APPROVED JUDGES IN ANY
KENNEL CLUB OR REGISTRY WHO EXHIBIT DOGS MUST EXHIBIT IN THE PROFESSIONAL TIER. A NONPROFESSIONAL is an individual who has NOT been paid in any manner to actually handle or act as agent for any dog or
has NOT been listed as a handler or agent; however, they may be reimbursed for expenses ONLY for handling a dog.
(4) OWNER – A dog must be entered in the name of the individual who actually owned the dog at the time entries closed for this
event. List ONE owner only.
Copies of the latest editions of the Rules and Regulations for NCA Canine Registration and Performance Events may be
obtained without charge from the NATIONAL CANINE ASSOCIATION 6734 Huntsman Blvd. Springfield VA 22152 and
are posted at www.nationalcanine.com.
Agreement
I acknowledge that the "Rules and Regulations for NCA Canine Registrations and Performance Events" have been made
available to me, and that I am familiar with them. I waive any and all claims, causes of action, I might otherwise have against
the NCA and any NCA approved Judge, judging at this event, under NCA rules and regulations. I agree that the club holding
this event or the NCA has the right to refuse this entry for cause which the club or NCA shall deem to be sufficient. In
consideration of the acceptance of this entry and of the holding of the event and of the opportunity to participate in all
offerings at this event including prizes and awards of any sort, I agree to hold this club and its members, the NCA, directors,
governors, officers, agents, superintendents or event secretary and the owner or lessor of the premises and any employees of
the aforementioned parties, harmless from any claim for loss or injury which may be alleged to have been caused directly or
indirectly to any person, property or thing by the act of this dog or myself while in or upon the event premises or grounds or
near any entrance thereto, and I personally assume all responsibility and liability for any such claim; and I further agree that
the aforementioned parties shall be held harmless from any claim for loss of this dog by disappearance, theft, death or
otherwise and from any claim for damage or injury to the dog, whether such loss, disappearance, theft, damage or injury, be
caused or alleged to be caused by the negligence of the NCA or this club or any of the parties aforementioned, or by the
negligence of any other person for any other reasons or happenings.
I assume the sole responsibility for and agree to indemnify and save the aforementioned parties harmless from any loss and
expense (including but not limited to court costs and attorneys fees by all parties) by reason of the liability imposed by law
upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom,
sustained by any person(s), including myself or on account of damage to property, arising out of or in consequence of my
participation in this event, howsoever such injuries, death or damage to property may be caused, and whether or not the same
may have been caused or may be alleged to have been caused by negligence of the aforementioned parties or any of their
employees or agents, or any other person.