of Entry Form
UCSC - Holywell Challenge 2nd & 3rd Nov 2019
£30 x 2 Day 1st Entry per person
£10 x 2 Day Extra Class/s Entry per person
£20 x 1 Day 1st Entry per person
£10 x 1 day Extra Class/s per person
£15 Junior Entry 1 or 2 days
Saturday PM Meal in the Marquee x £6.50*
Fresh Beer Battered Fish (or Veggie Stilton and Asparagus Pie) and Mushy peas or Curry sauce. *special pre-order price
Camping @ £10.00 per unit, per night
Caravans x £15.00 per night
Non Member Fee £3.00 per person
By Cheque payable to United
Canine Sports Club
Half Acre, Back Street, East Stour, Dorset SP8 5JY
TEL – 07901607663
Payment can be made via Bank Transfer to :
SC - 08-92-99 ACC - 65697128
United Canine Sports Club
or by PAYPAL to
of Dog ID
I hereby acknowledge and agree to abide by the rules of this race and to responsible for the conduct of my helpers and my dogs.
I understand the requirement to wear helmets and acknowledge the recommendations on the use and wearing of safety equipment whilst competing.
I shall not hold the UCSC, Race Organisers or any affiliates liable for any injury or damage to my dogs, myself or persons I am responsible for, my equipment, or for loss or damage to my property.
In accepting my entrance into this race I understand this should not be construed as acceptance by the Race Organisers of any responsibility for establishing the fitness for purpose of any equipment I use in the race, or acceptance by them of any liabilities, howsoever arising resulting from any defect in or accident involving such equipment.
I agree to fully indemnify and hold harmless the Race Organisers against any and all such liabilities.
I have no health issues which affect my ability to take part at this event.
I declare the dogs entered are fit enough to race, have not contracted or knowingly been exposed to any infectious or contagious disease during the three weeks prior to the event & I will not compete with them if they incur such risks between now and the days of the event.
(In the event of the competitor being a junior entrant a parent or guardian should Tick Agree to the Form below on their behalf)