The American Lhasa Apso Club, Inc.
OFFICIAL ONLINE FUTURITY ENTRY FORM

Entry fee: $20.00

To nominate a litter for the year beginning April 1,    
to March 31, 

IMPORTANT:  COMPLETE ALL SECTIONS.

                        Whelping date:    (mm/dd/yyyy)
  
                             # of males:    # of females :  

                                 Breeder: 
  
             City & State of birth : 

                                          Sire:

                                        Dam: 

                Person making entry:     

                                  Phone no:

                         Street address:   

                                  City:

                                         State:   Zip: 

                                         Email: 

AGREEMENT

I (we) acknowledge that the “Rules Applying to Registration and Dog Shows” have been made available to me (us) and that I am (we are) familiar with their contents. I (we) agree that the Club holding this show has the right to refuse this entry for cause which the Club shall deem to be sufficient. In consideration of the acceptance of this entry and of the holding of the show and of the opportunity to have the dog judged and to win prize money, ribbons or trophies, I (we) agree to hold this Club, its members, directors, officers, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or mentioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and for 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 Club or any of the parties aforementioned.

I CERTIFY that I am the actual owner of this bitch or dog being qualified or that I am the only 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 Futurity, and further agree to be bound by the ”Agreement” accompanying this entry for. I (we) certify and represent the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement.

Single copies of the latest edition of the “Rules Applying to Registration and Dog Shows” may be obtained without charge from any Superintendent or from the American Kennel Club, 51 Madison Avenue, New York, NY 10010.

 Do not post my name on the ALAC website breeder list