THER GERMAN SHEPHERD DOG CLUB OF HOUSTON. NOTE: THESE EVENTS ARE OPEN TO ALL BREEDS! The facility has packed dirt floors and is climate controlled

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1 Entries Close Wednesday, April 25, 2007 at 6:00 PM Unbenched Obedience Indoors - Event # & Rally Indoors - Event # & THER GERMAN SHEPHERD DOG CLUB OF HOUSTON GERMAN SHEPHERD DOG CLUB OF HOUSTON, INC. OFFICERS President Lynn Goswick Vice President Peggy Douglas Treasurer Vickie Lewis Corresponding Secretary Jane Bates W. FM 1097 Rd, Montgomery, TX Recording Secretary Vicky Lewis Board Members: Leticia Alamia, Kathleen Conway, Troy Gressett, Sheila Gressett, Sandy Bruner OBEDIENCE TRIAL COMMITTEE Trial Chairman Leticia A. Alamia And officers of the club Trial Secretary Vikki Youngmeyer 7910 Picador Drive, Houston, TX (281) (h) & (c) vikkiy@windstream.net American Kennel Club Licensed Club Saturday & Sunday May 12-13, 2007 NEW LOCATION!!! Louis Pearce Pavilion, George Bush Drive Texas A&M University, College Station, TX Show Hours: 7:00 AM - 5:00 PM NOTE: THESE EVENTS ARE OPEN TO ALL BREEDS! The facility has packed dirt floors and is climate controlled CERTIFICATION Permission is granted by the American Kennel Club to hold these events under American Kennel Club Rules and Regulations. James Crowley, Secretary Chief Ring Steward Troy Gresset Trophies /Ribbons Vickie Lewis Judges/Hospitality Letty Alamia Show Hospitality Kathleen Conway Show Veterinarian (on call) Texas A&M College of Veterinary Medicine Small Animal Clinic University Drive, between Welborn Rd. & Harvey Mitchell Pkwy (FM 2818), College Station, TX or ARBITRATION AGREEMENT This club does not agree to arbitrate claims as set forth on the Official AKC entry form for these events. 2

2 OBEDIENCE EVENTS # # Entry Fees (Both Days) First entry of each dog each day: $22 (Includes 50 cent AKC Recording Fee and $1.50 AKC Service Fee) Each additional entry same dog same day $15 RALLY ASSIGNMENTS Class Sat. May 12 Sun. May 13 Novice A&B Mr. Norman Mrs. McCarthy Advanced A&B Mr. Norman Mrs. McCarthy Excellent A&B Mr. Norman Mrs. McCarthy OBEDIENCE JUDGES Mr. Gene Norman 406 Dula Circle, Duncanville, TX Mr. Frank Saling P.O. Box 305, Snook, TX OBEDIENCE ASSIGNMENTS Class Sat. May 12 Sun. May 13 Novice A Mr. Saling Mr. Norman Novice B Mr. Saling Mr. Norman Open A Mr. Saling Mr. Norman Open B Mr. Saling Mr. Norman Utility A Mr. Saling Mr. Norman Utility B Mr. Saling Mr. Norman RALLY EVENTS # # Entry Fees (Both Days) First entry of each dog each day: $22 (Includes $3.00 AKC Recording Fee) Each additional entry same dog $15 JUDGES Mrs. Elizabeth McCarthy 2422 County Rd. 221, Floresville, TX Mr. Gene Norman 406 Dula Circle, Duncanville, TX PLEASE NOTE: Move-ups will be allowed for both rally and obedience classes if requested in writing and presented to show secretary at least 30 minutes prior to the start of Saturday s events. Move-ups may be approved, provided the next level class and judge is available and the class has not reached its limit. Please refer to the Obedience Regulations, Chapter 1, Section 16 for a complete description of the procedure. For move-ups on Sunday, please submit the paperwork to the show secretary on Saturday before the close of the show. An obedience class is NOT considered an additional class for these events. RIBBON AWARDS (OBEDIENCE & RALLY) 1 st Place: Blue; 2 nd Place: Red, 3 rd Place: Yellow; 4 th Place: White Dark Green Ribbon for all Qualifying Scores Highest Scoring Dog Regular Obedience Classes Blue & Gold Rosette Highest Scoring German Shepherd Dog Regular Obedience Classes - Blue & Gold Rosette Highest Combined Score in Open B & Utility (Obedience) Blue & Green Rosette Highest Combined Score in Open B & Utility German Shepherd Dog (Obedience) - Blue & Green Rosette Qualifying score required for all Regular Class obedience prizes and ribbon awards. "DOG" means either sex. GSDC reserves the right to substitute trophies of equal or greater value. TROPHY PRIZES Regular Classes OBEDIENCE TROPHY PRIZES Both Days High in Trial German Shepherd Dog: $35.00 cash award Donated by Chaos Kennels, Leticia Alamia, John P. O Neill and Kathleen Conway D.C. 3 4

3 High Combined From Open B & Utility German Shepherd Dog $35.00 cash award High in Trial: $35.00 cash award Donated by Chaos Kennels, German Shepherd Dogs & Cardigan Welsh Corgis and Kathleen Conway D.C. High Combined From Open B & Utility 5 $35.00 cash award Class Trophies German Shepherd Dogs: 1 st Place -Dog Related Item ($5 value) 2 nd Place -4 th Place-Dog Related Item ($3 value) Class Trophies: 1 st Place Dog Related Item ($5 value) 2 nd Place -4 th Place- Dog Related Item ($3 value) SPECIAL AWARDS Highest Scoring Papillion (obedience) $20 cash award Donated by Chaos Kennels, and Letty Alamia & John P. O Neill. Highest Scoring Champion of Record (obedience) $20 cash award Donated by Chaos Kennels and Letty Alamia & John P. O Neill. GSDC RALLY TROPHY PRIZES All Breeds Both days Class Trophies: 1 st Place - Dog Related Item ($5 value) 2 nd Place -4 th Place- Dog Related Item ($3 value) NOTICE TO EXHIBITORS Entries not on Official AKC entry Forms or Entry Forms without Agreement and Rules attached are NOT ACCEPTABLE. Unsigned Entry Forms cannot be accepted or entries which specify any conditions as to its acceptance. The safety of the dogs 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. GSDC and its agents, etc. assume no responsibility for any loss, damage or injury sustained by exhibitors, handlers or to any of their dogs or property and further assumes no responsibility for injury to children. Entry fee will not be refunded in the event that the dog is absent, disqualified, excused, or barred from competition by action of the Trial Committee. No entry fee will be returned if the Trial cannot open or be completed by reason of civil disturbance, fire and, and act of God, public emergency, act of a public enemy, or any other cause beyond the control of the organizing committee. Returned checks do not constitute a valid entry. A $25 service fee will be added for all returned checks. PAYPAL is now available. To submit your entries through PayPal you may fax your entry information to The fax will kick in after the telephone message. Both sides of the SIGNED entry form MUST be received and make your payment through PayPal. If you already have an account with PayPal, go to paypal.com, sign in Send Money, recipient is vikkiy@windstream.net. IMPORTANT: Please include a $2.00 processing fee per entry. If you do not have a PayPal account, click on Sign Up and follow the directions. There are no sign-up fees. No refund for duplicate entries. Care will be taken to find duplicates; however, if an entry has been processed no refund will be made. Owners are responsible for errors in making out entry forms, whoever may make such errors, and no entry fee will be refunded in the event of such errors or cancellation of entries after published closing date. PLEASE TYPE or PRINT CLEARLY. All dogs present must be on leash or confined to crates when not being judged. It is expressly understood that the exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor who dogs/and or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee, be asked to leave the Trial site. In such a case, no refund of any entry fees will be made. Bitches in season are not permitted in the Trial. Exhibitors are responsible for being at the ring gate when it is their turn. Judge need not wait for any dog holding up a class. GSDC and the Trial Secretary have no obligation or responsibility for providing service through a public address system or stewards for the purposes of calling or locating dogs that are not brought to the ring when required. Crates may be left in the area designated for crating for the duration of the Trial, but exhibitors do so at their own risk. Security will NOT be provided. GSDC assumes no responsibility for anything lost or stolen. No dogs may be left at the Trial site overnight. Exhibitors are responsible for picking up after their own dogs. Failure to do so could result in being excused from the Trial. Exhibitors should follow their veterinarian s recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. The AKC has charged Trial giving clubs the responsibility to enforce the Rules and Regulations forbidding drilling and/or unacceptable training on the trial grounds. Chapter 2, section 28 - The use of spiked or other special training collars WILL NOT be permitted on the trial site. DRILLING, INTENSIVE OR ABUSIVE TRAINING ON THE SHOW GROUNDS WILL NOT BE TOLERATED. These requirements should not be interpreted as preventing a handler from moving normally about the grounds or premises or from moving normally about the grounds or premises or from warming up their dog using any exercise performed in the obedience ring, provided the dog is on a leash being held by the handler. Warm-ups should be performed as far from the obedience rings as is reasonably possible and must not be disruptive to any dog or person. Physical or 6

4 verbal disciplining of a dog will not be permitted, except to a reasonable extent in case of an attack on either a dog or a person.. All dogs on the trial grounds must be six (6) months of age on the day of the trial. Facility available to exhibitors 6:00 pm Friday, May 11, Please bring your own chairs. Motels that will accept well-behaved dogs! (Please call for rates, as some restrictions may apply) PLEASE NOTE: THIS IS GRADUATION WEEKEND FOR TEXAS A&M and rooms will be hard to find, so plan accordingly and make your reservations ASAP!!! There are other hotels in the Bryan/College Station area, but these 3 have been the most courteous to exhibitors with dogs, so please support them with your business. Motel 6, 2327 Texas Ave. S., College Station, TX La Quinta Inn, 607 Texas Ave. College Station, TX Ramada Inn, 1502 Texas Ave S. College Station, TX Alternate lodging: Best Western, 8965 Hwy 6, Navasota, TX DATED MAIL FIRST Trial Secretary German Shepherd Dog Club Of Houston 7910 Picador Drive Houston, TX RV Information: RV s and travel trailers may park on the show grounds, but there are no hookups, so you must be completely self-contained. The following RV parks are the ones closest to the show site: Holiday RV Park, 1518 Harvey Michael S. Parkway, College Station, TX Lazy G RV Park, S. Hwy 6, College Station, TX College Station RV Park, 3911 F & B Rd, College Station, TX Directions to Louis Pearce Pavilion: From Austin. Hwy 21 to Bryan. As you re coming into Bryan, turn RIGHT onto FM 2818 (Harvey Mitchell Parkway). Stay on 2818 all the way to College Station, and turn LEFT onto George Bush Dr. The pavilion will be on the RIGHT about 1/3 mile. From Houston. Hwy 290 west to Hempstead. Turn RIGHT onto Hwy 6 North. Take the Business 6 exit (Business 6 becomes Texas Ave) in College Station. Turn LEFT onto FM 2818 (Harvey Mitchell Parkway Walmart will be on the left). Go a couple of miles on FM 2818, and turn RIGHT onto George Bush Dr. The Pavilion will be on the RIGHT about 1/3 mile. From Dallas/Ft. Worth. I-35 South to Waco. From Waco, take Hwy 6 south all the way to Bryan. Take the FM2818-Bryan Business Park-George Bush Library exit and turn RIGHT onto FM 2818 (Harvey Mitchell Parkway). Stay on FM 2818 all the way to College Station, and turn LEFT onto George Bush Dr. The Pavilion will be on the RIGHT about 1/3 mile. 7 8

5 AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, AGREEMENT I (we) agree that the club holding this event has the right to refuse this 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 the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, its members, directors, governors, officers, agents, superintendents or show secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and employees or volunteers of the 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 the 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 such 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 show or obedience trial, 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 persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCATION. 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 1. (Variety) if you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in. over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard). 2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and dogs which, according to their owner s records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship. 3. (Dog Show Class) Consult the classification in this premium list. If the dog show class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class which you are entering your dog, i.e., age division, color division, weight division. 4. A dog must be entered in the name of the person who actually owned it at the time entries for a show closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any show for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to A.K.C. (For complete rule refer to Chapter 11, Section 3.) If this entry is for Jr. Showmanship please give the following information: AKC JUNIOR HANDLER # JR. S DATE OF BIRTH The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone (919) By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in junior Showmanship. ADDRESS CITY STATE ZIP If Jr. Handler is not the owner of the dog identified on the face of the form, what is the relationship of the Jr. Handler to the owner? OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM German Shepherd Dog Club of Houston, Inc. Appropriate Box(s) must be checked See Page 3 for entry fees Obedience Saturday, May 12, 2007 Obedience Sunday May 13, 2007 Rally Saturday, May 12, 2007 Rally Sunday May 13, 2007 Louis Pearce Pavilion, George Bush Dr., Texas A&M University, College Station, TX Entries Close Wednesday, April 25, 2007 at 6:00 PM Mail entries with fees payable to GSDC of Houston. Vikki Youngmeyer, Trial Secretary, 7910 Picador Drive, Houston, TX I ENCLOSE $ for entry fees IMPORTANT Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicates sections of the instructions relevant to the information in that box (PLEASE PRINT) BREED VARIETY [1] SEX DOG [2] [3] SHOW DIVISION Weight color etc. ADDITIONAL ES OBEDIENCE Jump Height RALLY Jump Height NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG ο A.K.C. REG NO ο A.K.C. LITTER NO ο ILP NO ο FOREIGN REG NO & COUNTRY BREEDER SIRE DAM Enter number here DATE OF BIRTH JR. SHOWMANSHIP JR. S ID NUMBER PLACE OF ο USA ο Canada ο Foreign BIRTH Do not print the above in catalog ACTUAL OWNER(s) [4] (Please Print) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNERS AGENT (IF ANY) AT THE SHOW 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 show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, 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 foregoing representation and agreement. SIGNATURE of owner or his agent duly authorized to make this entry TELEPHONE #

6 AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, AGREEMENT I (we) agree that the club holding this event has the right to refuse this 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 the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, its members, directors, governors, officers, agents, superintendents or show secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and employees or volunteers of the 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 the 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 such 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 show or obedience trial, 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 persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCATION. 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 5. (Variety) if you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in. over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard). 6. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and dogs which, according to their owner s records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship. 7. (Dog Show Class) Consult the classification in this premium list. If the dog show class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class which you are entering your dog, i.e., age division, color division, weight division. 8. A dog must be entered in the name of the person who actually owned it at the time entries for a show closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any show for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to A.K.C. (For complete rule refer to Chapter 11, Section 3.) If this entry is for Jr. Showmanship please give the following information: AKC JUNIOR HANDLER # JR. S DATE OF BIRTH The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone (919) By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in junior Showmanship. ADDRESS CITY STATE ZIP If Jr. Handler is not the owner of the dog identified on the face of the form, what is the relationship of the Jr. Handler to the owner? OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM German Shepherd Dog Club of Houston, Inc. Appropriate Box(s) must be checked See Page 3 for entry fees Obedience Saturday, May 12, 2007 Obedience Sunday May 13, 2007 Rally Saturday, May 12, 2007 Rally Sunday May 13, 2007 Louis Pearce Pavilion, George Bush Dr., Texas A&M University, College Station, TX Entries Close Wednesday, April 25, 2007 at 6:00 PM I ENCLOSE $ for entry fees Mail entries with fees payable to GSDC of Houston. Trial Secretary, 7910 Picador Drive, Houston, TX IMPORTANT Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicates sections of the instructions relevant to the information in that box (PLEASE PRINT) BREED VARIETY [1] SEX DOG [2] [3] SHOW DIVISION Weight color etc. ADDITIONAL ES OBEDIENCE Jump Height RALLY Jump Height NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG ο A.K.C. REG NO ο A.K.C. LITTER NO ο ILP NO ο FOREIGN REG NO & COUNTRY BREEDER SIRE DAM Enter number here DATE OF BIRTH JR. SHOWMANSHIP JR. S ID NUMBER PLACE OF ο USA ο Canada ο Foreign BIRTH Do not print the above in catalog ACTUAL OWNER(s) [4] (Please Print) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNERS AGENT (IF ANY) AT THE SHOW 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 show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, 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 foregoing representation and agreement. SIGNATURE of owner or his agent duly authorized to make this entry TELEPHONE #

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