Skyline Agility Club of Northern NJ (Licensed by the American Kennel Club)

Transcription

1 PREMIUM LIST AKC All-Breed AGILITY TRIALS This Event is Accepting Entries for Dogs Listed in the AKC Canine Partners Program ENTRY METHOD: FIRST RECEIVED ENTRIES FOR ALL DOGS OPEN April 1, 2014 at 8am (Eastern DST) at Trial Secretary s address. All entries received before this date will be returned. Overnight or certified mail must be sent No Signature Required waiver signed. ENTRIES CLOSE ON: May 5, 2014 at 6pm (Eastern DST) after which time entries cannot be accepted, canceled, altered, or substituted except as provided for in Chapter 11, Section 6 of the Rules Applying to Dog Shows. Withdrawn entries are subject to a refund as allowed in Chapter 1, Section 9 and/or Chapter 1, Section 14 of the Regulations for entries are subject to a refund as allowed in Chapter 1, Section 9 and/or Chapter 1, Section 14 of the Regulations for prior to the opening date shall be treated as an invalid entry and shall be returned to the sender. Skyline Agility Club of Northern NJ (Licensed by the American Kennel Club) Friday, May 23, 2014 Event # Saturday, May 24, 2014 Event # Sunday, May 25, 2014 Event # DIRECTIONS TO TRIAL SITE Victoria Farms Tetz Lane, Middletown, NY From the NYS Thruway (North or South): Exit 16 - Merge onto NY-17 W Exit Crystal Run Crossing. Right onto Crystal Run Crossing. Left onto Crystal Run Road to end. Right at stop sign - County Rd 83/Goshen Turnpike/ Scotchtown Ave. Approximately 1.2 miles to Tetz Lane - Victoria Farms sign on left. Left onto Tetz Lane to end. From I-84 (Eastbound or Westbound): Exit 4E to merge onto NY-17 E toward New York. Exit 122 toward Crystal Run Road. Turn right onto Crystal Run Road to end. Right at stop sign - County Rd 83/Goshen Turnpike/ Scotchtown Ave. Approximately 1.2 miles to Tetz Lane - Victoria Farms sign on left. Left onto Tetz Lane to end. Victoria Farms 120 Tetz Lane, Middletown, NY ENTRY LIMITS Friday, Saturday & Sunday 330 runs per day Ring Size: 77 x Indoors on dirt Trial Hours: All Days 7:00am to 7:00pm Judging will begin at 8:00am. Electronic timing will be used. Day-to-day move ups allowed. ENTRY METHOD FIRST RECEIVED Judge: Christie Lee McNamara 28 Brookside Drive, Wilbraham, MA CERTIFICATION Permission is granted by the American Kennel Club for the holding of this event under American Kennel Club rules and regulations James P. Crowley, Secretary

2 OFFICERS OF Skyline Agility Club of Northern NJ President Barbara Kennedy Vice President Betsi Hartman Secretary Kristen Mathieson, P.O. Box 138, Norwood, NJ Treasurer Susan Cappiello BOARD OF DIRECTORS Victor Garcia, Lynne Garfinkle, Pat Koziol, Linda Ranieri TRIAL CHAIRPERSON Barbara Kennedy P.O. Box 272 Tomkins Cove, NY TRIAL SECRETARY Arlene Spooner 692 Cooper Avenue Oradell, NJ EVENT COMMITTEE Jill Conroy, Rob Conroy, Frances Hannan, Barbara Kennedy, Carol Wert & the members of Skyline Agility Club JUDGE & ASSIGNMENTS Christie Lee McNamara (#34585) 28 Brookside Drive, Wilbrham, MA All Master, Excellent, Open & Novice Classes JWW & Standand (Including A, B & Preferred), T2B & FAST VETERINARIAN ON CALL Veterinarian (24 hr. on-call) Orange County Animal Emergency Service 517 Route 211 East. Middletown, NY (845) Driving Directions: Total Distance: 4.2 miles (Total Time: 7 Minutes) Tetz Ln toward Scotchtown Ave / CR-83 /Turn right onto Scotchtown Ave / CR (1.9) miles / Turn left onto RT miles on right 517 Route 211 E, Middletown, NY Exhibitors should follow their veterinarian s recommendations to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. EMERGENCY SERVICES: Fire / Ambulance / Police NOTICE TO EXHIBITORS - SAFETY, BEHAVIOR & LIABILITY The safety of the dog is our primary concern. By entering this trial, exhibitors acknowledge that they are familiar with the rules and regulations of this sport, and that their dogs are familiar with and able to perform all obstacles safely. It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create unnecessary disturbance or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the event committee, be asked to leave the show site. In such case, no refund of any fees paid will be made. Skyline Agility Club of Northern New Jersey, Spooner Agility Trial Secretary Services and its agents, employees, etc., will assume no responsibilities for any loss, damage or injury sustained by exhibitors or handlers, or to any of their dogs or property and further assumes no responsibility for injury to children. SACNNJ reserves the right to decline entries for cause and may remove any dog on account of aggression. No one shall have any recourse or claim against the SACNJ or any official thereof. All dogs must be on leash at all times when on trial grounds except when in the designated warm-up area or competing on the course. ADDITIONAL SITE INFORMATION During trial hours, dogs must be on lead on trial site (all property of Victoria Farms) at all times except at the practice jump or in the ring. Unattended dogs must be in crates or ex-pens even in stalls. Stalls are for crating only no chairs. All dogs must be crated. Food vendor will be available on site. No food or treats are to be left in the building overnight. Stall windows must be closed when stall is not in use. Water spigots inside and outside must be tightly closed after each use. No heaters of any kind - propane, kerosene or electric - allowed in stalls, in any building or within 100 feet of any building. No smoking in any building or within 50 feet of any building. Cigarette butts must be placed in sand containers. Scoop the poop anywhere on the grounds. Park in designated locations. Self-contained RVs only / Limited number / Pre-registration required All trash is to be placed in proper receptacles.. No unsupervised children shall be allowed on or about the premises. The consumption of alcoholic beverages is prohibited during trial hours. Be aware there are cats on grounds with access to all areas of the barn to control critters.

3 CLASSES OFFERED & RUN ORDER & JUDGING TIMES FRIDAY, SATURDAY & SUNDAY Judging starts at 8:00am FRIDAY 4-26 Master/Exc FAST Open FAST Novice FAST Master/Exc Standard Open Standard Novice Standard Master/Exc JWW Open JWW Novice JWW SATURDAY 26-4 Master/Exc FAST Open FAST Novice FAST Master/Exc Standard Open Standard Novice Standard Master/Exc JWW Open JWW Novice JWW SUNDAY 26-4 Master/Exc Standard Open Standard Novice Standard Time 2 Beat Master/Exc JWW Open JWW Novice JWW Please consult the AKC Regulations for Agility Trials for a complete description and eligibility for entry into these classes. The exhibitor is fully responsible for entering the dog in the correct class(es)/height divisions. Dogs running in a lower or higher height division than eligible for will be eliminated. ENTRY FEES PER DAY First entry of each dog (includes $3.50 AKC recording fee)...$25 Second entry of same dog, same day (includes $3.00 AKC recording fee)...$18 Third entry of same dog, same day (includes $3.00 AKC recording fee)...$14 Mail entry forms and fees to: Arlene Spooner, Trial Secretary, 692 Cooper Avenue, Oradell, NJ Please make checks or money order payable to Skyline Agility Club. No cash. No entries will be accepted by phone, fax or hand delivery. Express mail entries must include signature waiver allowing them to be left at the secretary s address. All questions and inquiries may be directed to: Arlene Spooner at arlene@spooneragility.com (phone No entry shall be made and no entry shall be accepted which specifies any conditions as to its acceptance. Illegible entries will not be processed and will be returned to the exhibitor. Returned checks do not constitute a valid entry and the Trial Secretary will add a $25.00 collection fee to the amount of each check If you would like to know the status of your entry prior to the issuance of the judging schedule upon closing, please enclose a self-addressed, stamped envelope or postcard along with your entry. confirmations will be sent to exhibitors with legible addresses on entry form. DOGS ELIGIBLE TO ENTER This trial is open to all dogs fifteen (15) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, Purebreed Alternative Listing /Indefinite Listing Privileges (PAL/ILP), or AKC Canine Partners listing number, approved Foundation Stock Service (FSS) breeds are eligible to participate. Dogs with a Purebreed Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number must be spayed or neutered in order to compete. Wherever the word dog is used it includes both sexes. Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible, and neither are bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect the dog s physical or mental performance. No dog shall compete if it is taped or bandaged in any way or has anything attached to it for medical purposes. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registrable breeds that may participate. Puppies under four months of age are strictly prohibited from the trial grounds. WAIT LIST INFORMATION Skyline is offering a wait list to fill openings created by withdrawn entries after the trial s closing date/time. A maximum of 25 entries will be placed on the club s wait list. All entries, including wait listed entries, must be received by the Trial Secretary prior to May 5, 2014, at 6PM. Any entries withdrawn that are received by Monday, May 19, 2014, at 6pm that aree replaced by a wait list entry, a full refund will be issued for the withdrawn entry. Any wait listed entry that does not move off the wait list into the trial by Monday May 19, 2014, at 6pm will receive a full refund. (Trial Secretary will destroy entry and check) REFUNDS There shall be no refunds for entries withdrawn after closing date in the event a dog and/or handler are injured, absent, or dismissed from competition, regardless of the reason for such dismissal. If because of riots, civil disturbances or other acts beyond control of management it is impossible to open or complete show, no refund of entry fee will be made. Refunds are allowed if requested before closing date. Refunds after closing date for bitches in season only. There will be a $3.00 per run processing fee for ANY refunds. No refunds for overpayments of less than $10. BITCHES IN SEASON are not eligible to participate. Entry fees will be refunded subject to a $3.00 per run processing fee. Written verification from a veterinarian is required. Notification for refund of bitches in season must be RECEIVED no later than 48 hours after end of the trial. A copy of Veterinarian s note AND copy of Final Trial Confirmation for dog MUST accompany any such refund. Requests can be ed to Arlene@spooneragiity.com.

4 HEIGHT DIVISIONS Dog s Height at Withers REGULAR _ PREFERRED 11 inches and under inches and under inches and under at the withers inches and under at the withers Over 22 inches Entered at owner s discretion 26 N/A MEASURING and HEIGHT CARD INFORMATION When filling out the entry form, there is a section at the top of the form for exhibitors to designate whether your dog needs to be officially measured. Please check the box so that the Trial Secretary knows whether to include your dog on the Dogs To Be Measured list. Owners/Agents are responsible for entering the proper height divisions. All dogs competing in agility must possess an official AKC Jump Height Card. An official AKC Jump Height Card is defined as either a permanent jump height card, a valid temporary jump height form, copies of two different measuring forms (placing the dog in the same height class) dated on or after the dog s second birthday, or copies of three different measuring forms (two of which place the dog in the same height class) on or after the dog s second birthday. Dogs in the Preferred classes must jump their measured height since they are not allowed to jump in a higher height as dogs in the regular classes are. If you are unsure of the height or your dog and you don t have a height card please enter the lower height and if necessary the judge will move you up. All dogs (except those jumping 24 or 26 ) without jump height cards/forms must be measured/wicketed by the Judge of Record PRIOR to running in their class; this measurement will be valid for the weekend of trials only. If a Volunteer Measuring Official or an Agility Field Rep is present, all dogs without a valid jump height card/form must be measured at some time during the trial. If the dog cannot be measured by the VMO prior to running, it must be measured by the judge before its first run. You are not required to show your height card or send a copy with your entry. You are required to mark on your entry form if your dog needs to be measured. For more information please visit events/agility/jump_height_card.cfm OBSTACLES AND RING CONDITIONS Obstacles will meet the specifications for obstacles in the current edition of the Regulations for Agility Trials. All classes will take place indoors on dirt. Ring size will be 77 x 115. Max 200 rubberized contact equipment. Breakaway tire will be used. COURSE WALK-THROUGHS INFORMATION Handlers in all classes are permitted to walk the course, without a dog, during a walk-through period held prior to the start of the class. The walkthrough is restricted to handlers entered in that class only. Handlers with multiple dogs, at events with multiple rings may request to walk with a height group other than the one their dog is entered in if a conflict is imminent. A warm-up area, consisting of one regulation agility jump for each ring, may be provided for exhibitors. Warm-up area is to be used exclusively for warming up the dog and not for training or relieving of the dog. RINGSIDE Dogs may arrive any time prior to judging if dog has a valid temporary or Permanent jump height card. Otherwise, they must be available for measuring prior to the start of their class if a VMO or AKC Field Rep is available to measure dogs. All dogs not needed for further judging will be excused. Judges are not required to wait for dogs. The owner/handler of each dog is solely responsible for having it ready at ringside when it is to be judged. The Club has no responsibility for providing service through a public address system or stewards or runners for the purpose of calling or locating dogs that are not brought into the ring when required. Skyline agrees to arbitrate claims as set forth on Official AKC Entry Form RIBBONS, AWARDS AND PRIZES Rosettes will be awarded in each jump height division in each class as follows: First Place...Blue Second Place......Red Third Place. Yellow Fourth Place...White Qualifying Score....Dark Green Ribbon New title rosettes MACH, PACH & PAX Rosettes & Bars ALL PRIZES, AWARDS, ROSETTES AND RIBBONS MUST BE CLAIMED DAY OF TRIAL. NO PRIZES WILL BE MAILED

5 SKYLINE AGILITY TRIAL MOVE-UP FORM Do not send this form to AKC. Send / to the Trial Secretary USE THIS FORM TO MOVE UP TO HIGHER AGILITY CLASS ONLY Dogs shall be moved up to a higher class at request of the owner as a result of the dog qualifying for an agility title. The request for a day-to-day move-up must be made to the Trial Secretary not later than 30 minutes past the last run the day preceding the event. All move-up entries are subject to availability of the class and payment of any difference in entry fee. It is the option of the club to allow move-ups. Dogs so moved-up will be entered at the end of the running order. Refer to Chapter 1, Section 20 of the Regulations for Agility Trials for additional move-up requirements. Move ups prior to trial date, must be received in writing ( is acceptable) by Monday November 25, 2013 at 6pm. Trial secretary will acknowledge receipt of all move-ups & corrections to entries. Date: Breed: Sex: Dog s AKC Registration Name Dog s AKC # Dog s Call Name Move Entry to Agility Class: (Circle One) / Jump Height Division: (Circle One) Regular Standard Open Excellent Master Regular JWW Open Excellent Master Regular FAST Open Excellent Master Preferred Standard Open Excellent Master Preferred JWW Open Excellent Master Preferred FAST Open Excellent Master Skyline Agility Club WOULD LIKE YOUR HELP An with a link to a Google document worker schedule will be ed. Volunteers receive food vouchers and there will be a workers raffle. Skyline Agility Club appreciates all volunteers Thank you. Owners Name: Handlers Name: Signature of owner or agent duly authorized to make this entry Signature of trial secretary If Approved Time Received Date

6 Accommodations MAKE YOUR RESERVATIONS AS SOON AS POSSIBLE We are counting on you to be on your best behavior in order to maintain the working relationship with our motels. We follow up on any complaints from motel owners or guests, so please report any issues to us. Double-check on rates & charges. Call to confirm reservation before arriving. Be sure your dog is free of fleas BEFORE arriving. Please be honest about how many people & dogs will be staying in room. Of course, as is standard agility procedure, all handlers/owners will pick up after their dogs. Please bag and dispose of dog waste properly. Please cover the motel s bedding with a sheet or blanket from home, whether or not you think your dog will get on the bed. Don t EVER leave dogs unattended. Take them with you when you go out for dinner. Even the best of dogs can get carried away in a motel room without you present. The following accept well-mannered dogs. Exhibitors must double check when making reservations in as much as motels sometimes change their policies. Microtel Inn (845) Crystal Run Crossing, Middletown, NY miles to site Hampton Inn (845) Crystal Run Crossing, Middletown, NY miles to site Super 8 Motel (845) Route 211 East, Middletown, NY miles to site Route 17 Exit 120 / Route I-84 Exit 4W Pet friendly. Holiday Inn Express-Chester (800) Brookside Ave., Chester, NY miles to site Pets accepted in smoking rooms with $30 cleaning deposit. Super 8 Motel-Newburgh (845) Route 300, Newburgh, NY miles to site Intersection NYS Thruway I-87 & I-84 Skyline Agility Club: RV Reservation Form May 2014 AKC Trial Please complete form and to Betsi Hartman - wvlady4@verizon.net or mail form with payment to reserve a spot. Limited to 10. Checks will be cashed after entry into trial is confirmed after closing. NO HOOK UPS. There will be set up on Thursday May 22, 2014, from 3pm to 5pm. Set up will begin at 7:00am Friday May 23, RVs must leave site by Sunday May 25, 2014, one hour after the close of the trial. ALL generators must use a mechanism (Gen-Turi or suitable exhaust hose) to direct on-board generator exhaust away from neighboring RVs *** FORM MUST BE COMPLETED IN FULL ***. Name Cell phone RV License Plate RV Type/Class Circle Slide-outs Class A Class B # nights x $15 per night Total Enclosed $ The signature below constitutes agreement and affirmation by applicant to terms and conditions above. Camper All reservations must be pre-paid. Checks payable to Skyline Agility Club. Class C RV Length Travel Trailer 5 th Wheel Circle Driver Side Passenger Side Both Date Out: Comments Date: Mail to: Betsi Hartman RV P.O. Box 8554, Woodcliff Lake, NJ

7 OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM SKYLINE AGILITY CLUB OF NNJ - MIDDLETOWN, NY Friday May 23, 2014 STD JWW FAST All Saturday May 24, 2014 STD JWW FAST All Sunday May 25, 2014 STD JWW T2B All First run fee - $25.00/Second run fee - $18.00/Third run fee - $14.00 Entry must include the Agreement MAKE CHECKS PAYABLE TO Skyline Agility Club Foreign exhibitors must pay by international money order. Mail to: Arlene Spooner, Trial Secretary, 692 Cooper Avenue, Oradell, NJ IMPORTANT: Carefully read instructions before filling out. Choose Either Regular OR Preferred Classes. Circle one jump height and circle class selections. Only one selection per class (STD, JWW, FAST, T2B). REGULAR Classes STD Nov A Nov B Open Exc Master JWW Nov A Nov B Open Exc Master FAST Nov A Nov B Open Exc Master T2B T2B STD JWW FAST T2B PREFERRED Classes T2B P Non-Regular Classes International Sweepstakes STD JWW Select This Dog Needs To Be Measured Yes No SEX HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) Enter Complete Registration # below: AKC NO ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS NEW ADDRESS CITY, STATE ZIP + 4 HANDLER JR. HANDLER # if applicable ENTRY FEE ENCLOSED $ DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) Exhibitor or owner MUST sign on the signature line beneath the instructions. ENTER AKC Rules, Regulations, Policies and Guidelines are available on American Kennel Club Web site, ww.akc.org. AGREEMENT I (we) agree that the club holding this event has the right to refuse entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold AKC, event- giving club, their members, directors, governors, officers, agents, superintendents or event secretary and owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend, and save the aforementioned parties harmless from any and all loss and expense (including legal fees) 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 or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage 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 persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTREPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog(s) measured prior to running. Dogs listed in the AKC Canine Partners SM program may be eligible to enter all-breed AKC agility trials at the club s option. These dogs should be listed as All American Dog & must include their AKC number on the entry form & check AKC No. box. Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) If the Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner 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 by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the forgoing representation and agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. SIGNATURE of owner or his agent duly authorized to make this entry. SIGN HERE X Telephone Number: Address: New In Case of Emergency - Name: Phone#: AEAGL2 (09/12)

8 OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM SKYLINE AGILITY CLUB OF NNJ - MIDDLETOWN, NY AKC Rules, Regulations, Policies and Guidelines are available on American Kennel Club Web site, ww.akc.org. AGREEMENT Friday May 23, 2014 STD JWW FAST All Saturday May 24, 2014 STD JWW FAST All Sunday May 25, 2014 STD JWW T2B All First run fee - $25.00/Second run fee - $18.00/Third run fee - $14.00 Entry must include the Agreement MAKE CHECKS PAYABLE TO Skyline Agility Club Foreign exhibitors must pay by international money order. Mail to: Arlene Spooner, Trial Secretary, 692 Cooper Avenue, Oradell, NJ IMPORTANT: Carefully read instructions before filling out. Choose Either Regular OR Preferred Classes. Circle one jump height and circle class selections. Only one selection per class (STD, JWW, FAST, T2B). REGULAR Classes STD Nov A Nov B Open Exc Master JWW Nov A Nov B Open Exc Master FAST Nov A Nov B Open Exc Master T2B T2B STD JWW FAST T2B PREFERRED Classes T2B P Non-Regular Classes International Sweepstakes STD JWW Select This Dog Needs To Be Measured Yes No SEX HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) Enter Complete Registration # below: AKC NO ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS ENTRY FEE ENCLOSED $ DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) I (we) agree that the club holding this event has the right to refuse entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold AKC, event- giving club, their members, directors, governors, officers, agents, superintendents or event secretary and owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend, and save the aforementioned parties harmless from any and all loss and expense (including legal fees) 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 or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage 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 persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTREPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog(s) measured prior to running. Dogs listed in the AKC Canine Partners SM program may be eligible to enter all-breed AKC agility trials at the club s option. These dogs should be listed as All American Dog & must include their AKC number on the entry form & check AKC No. box. Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) If the Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner 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 by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the forgoing representation and agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. SIGNATURE of owner or his agent duly authorized to make this entry. OWNERS ADDRESS NEW ADDRESS CITY, STATE ZIP + 4 HANDLER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. ENTER SIGN HERE X Telephone Number: Address: New In Case of Emergency - Name: Phone#: AEAGL2 (09/12)