Trackfest 2016 Trackfest 2017 Step 1 of 3 33% Name* First Last Address (Country)* U.S.A. Canada Address (USA)* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Address (Canada)* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code PhoneEmail* Enter Email Confirm Email Are you a member of UBT?* Yes No Are you bringing another household member?* Yes No Other Household Members Name First Last Participant Friday Saturday Sunday Saturday Night Dinner Other Household Member Friday Saturday Sunday Saturday Night Dinner 12 and under are freeTotal $0.00 AttendanceTest EntriesIf you are entering a dog for testing you must the dog experience questionnaire.Evaluations Please Select One UBT-I $50 UBT-II $75 UBT-III $100 Total $0.00 Dog Experience QuestionnaireMust be completed if your dog is participating in working or testing.Handler's Name* Dog's Name* Dog's Breed* Dog's Age* Does your dog work on lead or off lead?* On Lead Off Lead Has your dog ever tracked a deer in real life?* Yes No How many times?* Please give a brief description of a typical training line that you have trained your dog on up to this point (how line was laid, length, age, number of turns, etc.)* If you are not a member and would like to join and take advantage of the member’s discounted price for this event then please join online before completing this event registration form.Questions or additional info. for Trackfest Chairperson