PREMIUM LIST. AKC Licensed All-Breed Agility Trial NOVICE - OPEN ONLY Sat/Sun, February 17 & 18, 2007

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1 Lafayette 101 Agility Doncaster Carolyn IN Club Regnier, Dr of Indianapolis Trial Secretary PREMIUM LIST Event Numbers: & DATED MATERIAL AKC Licensed All-Breed Agility Trial NOVICE - OPEN ONLY Sat/Sun, February 17 & 18, 2007 Pawsitive Partners Dog Training Center 5750 Elmwood Ct Indianapolis IN Trial hours: 7:00 am - 6:00 pm EST Judging begins: Sat/Sun - 9:00 am Entries will be chosen by Random Draw *Entries accepted beginning: Wed, Jan 3, 07 at 8:00 am at the Trial Secretary s address. Any entries received before this date/time will be returned. *Draw closes: Tue, Jan 16, 06 at 2:00 pm and the Random Draw will be held at 2475 SR 25W, Lafayette Tues, Jan 16 at 6:00 pm. Event CLOSES: Wed, Jan 31, 06 at 5:00 pm Limit each day: 330 runs per day/per judge American Kennel Club certification Permission has been granted by the American Kennel Club for the holding of this event under American Kennel Club rules and regulations. James P. Crowley, Secretary

2 Agility Club of Indianapolis Trial Chairman Trial Secretary Shannon Wilson Carolyn Regnier 416 E Hanna Ave 101 Doncaster Dr Indianapolis IN Lafayette IN swilson416@comcast.net LaceDobes@aol.com Trial Committee Members Liz Ulen Al Boulanger Mo Boulanger Donna Wolfe Toni Marbach and all the Officers & Directors of the club Trial Judge: Mike Willis, PO Box 11546, Kansas City MO, WORKER SIGN-UP FORM ANYONE may volunteer to work at our trials and by virtue of the Random Draw, we can reserve entry spaces for 30 workers. If you would like to volunteer, fill out the form below and return it with your entry form. Mark WORKER on the outside of the envelope. Returning this form will not guarantee entry into the trial, but we will take as many workers into slots that we can. Those with the least conflicts will be given preference to keep the trial flow smooth. Notification of worker status will be made as soon as possible by the Trial Chairman (swilson416@comcast.net). Name Phone Day(s) Entered: Saturday Sunday * * * * * * * * * * * * * * * * * PLEASE NOTE: Entries must be on the AKC specified size entry form and include signature, fees, and agreement on the back or they will be returned to the exhibitor. Entries are opened upon receipt and exhibitors are responsible for complete, accurate and LEGIBLE information on entry forms as well as correct fees; illegible or incomplete entries will be returned. Fill in all the blanks, please. The Trial Secretary is not allowed to call or for information omitted. If you include an address, you agree to be notified via for information regarding the Wait List (if applicable and no post card included). No refunds given under $10 for your wrong addition. Checks returned from our bank will incur a $20 charge and all future entries will be on a *cash only* basis. You MUST designate a Height at Withers. Please do not use staples! Express Mail entries must include YOUR signature permitting them to be left at the Trial Secretary s address or they will be refused. If you include an address, you are agreeing to being contacted via and please check it often. MOVEUPS: Written (or ed) moveups to the Trial Secretary will be accepted until th noon on Mon, Feb 12 by sending: Your Name, dog s Call Name, class entered and which class you are moving to. All classes entered (i.e., Std Open 20", JWW Nov B 16", Pref Std Nov 16", FAST, etc.) Please X the jobs you are willing to work; and cross out the ones you would not like to do. Course Builder Scribe Asst Scribe Timer Gate Steward Score Table Ring Crew Scribe runner Leash runner Floater Sat Sun

3 Agility Club of Indianapolis Board of Directors President: Liz Ulen Vice President: Al Boulanger Secretary: Suzanne Crosby, 1857 Remington Pl, Indianapolis IN Treasurer: Chris Moore Member Directors: Joni Keaton and Shannon Wilson VETERINARIAN ON CALL Indianapolis Veterinary Emergency Center 5245 Victory Dr Indianapolis IN ** 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 for the state in which they are competing. Notice to Exhibitors * Safety of the dogs is our primary concern. By entering this trial, exhibitors acknowledge 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 disturbances or engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee, be asked to leave the Trial site. In such case, no refund of any fee paid will be made. Any incidents of dog aggression resulting in harm to other dogs or people that occur within the show grounds will be reported by the Show Committee to the proper authorities. Site Information Trial Hours: SAT/SUN - 6:00 am to 6:00 pm (EST) One Judge/One ring each day Ring is: 90' x 100' Indoor on artificial turf. Xpens and crates may be left over night, but the ACI will not be responsible for personal articles left at the site. No grooming is allowed in the building. No dogs may be left overnight and no overnight vehicle or RV parking will be allowed. * Entry fees will not be refunded in the event that a dog is absent, disqualified, excused or barred from the competition by action of the Trial Committee. * All dogs MUST be on-leash, crated, securely penned, or otherwise under physical control at all times when not competing or at the practice jump. Crating space is limited, please crate in the designated area. * There may be no more than 10 dogs per entry envelope. * No entry fee will be refunded if the trial cannot open or be completed by means of riot, civil disturbance, fire, or an act of God, emergency, act of public enemy, or any other cause beyond the control of the organizing committee. * Dogs are not required to be at the Trial until scheduled time of judging; however, exhibitors are responsible for being at the ringside when it is their turn to run. Judges need not wait for any dog holding up the class. Please check in with the Gate Steward. * Refunds: A refund of 100% of the entry fees will be given for any reason, if the request is received by the Trial Sec, in writing or ed, prior to closing. After closing and prior to trial starting, entry fees (less administrative, judging and AKC fees) will be refunded for: injured dogs, injured handlers, and bitches in season ( when a letter from your veterinarian is presented before 8:00 am the first day of the trial). A doctor/vet s letter may be required for injuries, at the discretion of the Trial Committee. Requests for refunds received after the start of the trial will not be given for any reason. ACI assumes no responsibility for any loss or injury sustained by exhibitors, handlers, nor any of their dogs, children, or personal property. All handlers must pick up after their dogs. Anyone witnessed not cleaning up after their dogs will be requested to leave the trial site and no refunds given. If you would like advance confirmation of your entry after the Draw date, please enclose a self- addressed and stamped (. 25) POSTCARD with your entry. No phone or confirmation will be given before the confirmation letter. * In accordance with AKC Rules Applying to Dog Shows, no dogs under the age of 6 months are allowed on the show site. All AKC rules apply regarding toys and food in the ring. Per Chapter 11, Sec 11 - only dogs eligible to be entered in an AKC trial are allowed on the trial grounds. There will be no food for sale in the building. Workers will be fed! There are several fast food restaurants in the area.

4 Be sure to check if the motel still accepts dogs and make your reservation early! Please have your canine companions on their best behavior so these motels will want our business again. We recommend dogs be crated in your rooms when you are not there. And, as always, pick up after your dog. [Area Code: 317 and Zip code: 46203] Red Roof Inn 5221 Victory Dr, Indianapolis IN (exit 52: I-465) Holiday Inn 5120 Victory Dr, Indianapolis IN (exit 52: I-465) Motel Elmwood Ave, Indianapolis IN (exit 52: I-465) All three motels are within a two-mile radius of the trial site. Victory Dr is south of I-465. Please be responsible and pick up after your dogs! Classes Offered: Sat/Sun Regular: Std & JWW: Novice A & B, Open Pref: Std & JWW: Novice, Open FAST: Novice A & B, Open FAST Pref: Novice A & B, Open Entry fees: st $23.00 for 1 entry of each dog (includes $3 AKC fee) nd $11.00 for 2 each additional class (includes $1 AKC fee) Running Order: SAT: 4" - 26" SUN: 26" - 4" Class Order : Open JwW, Nov JwW, Open Std, Nov Std, Nov FAST, Open FAST Preferred entrants will run concurrent at the end of each jump height in each class. There will be NO obstacle familiarization offered for Novice dogs. Electronic timing will be used in both rings. When downloading the premium from the website, send the ENTIRE sheet with the entry form on it, do not cut it in half. The AKC Agreement MUST be included. Prizes & Awards st th Rosettes and a choice of dog toy will be awarded for 1 through 4 place in each jump height in each class (dogs must qualify to receive a placement). Qualifying ribbons will be awarded to all dogs receiving a qualifying score. All prizes to be claimed the day of the Trial, none will be mailed. Regular [Preferred] JUMP HEIGHT DIVISIONS 8" [4"] for dogs 11" and under at the withers 12" [8"] for dogs 14" and under at the withers 16" [12"] for dogs 18" and under at the withers 20" [16"] for dogs 22" and under at the withers 24" [20"] for dogs over 22" at the withers 26" Dogs entered at owner s discretion Entries will be returned that are NOT complete! Owners are responsible for entering the proper height divisions. Handlers may opt to run their dog in a higher division (except the Preferred classes), but not in a division lower than the dog s proper height division. Dogs that run in a height division lower than their proper division in the Regular Classes will be disqualified. HEIGHT CARDS Effective January 1, 2001, all dogs competing in AKC agility must present an official AKC Jump Height Card prior to running in any class. All dogs without a permanent or temporary Height Card will have to be measured by the judge before running except 24" class dogs, unless a VMO or REP is present. ACI will accept actual cut- to- size, photocopies of the permanent or temporary Jump Height Cards with the entries for this show. However, all exhibitors should carry the original AKC official Jump Height Card with them to each trial, in order to present the card upon request. There WILL BE an official from AKC to measure dogs who do not have a height card. Times and additional details will be in the confirmation letter.

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 of 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, their members, directors, governors, officers, agents, superintendents or event secretary and the 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 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 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 the negligence of the aforementioned parties or any of their employees, 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, INTERPRETATION 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. OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM for AGILITY TRIALS Agility Club of Indianapolis Feb 17-18, 2007 Class Fees Sat: G STD G JwW F Pref Std F Pref JwW FAST FAST PREF $23/$11 Sun: G STD G JwW F Pref Std F Pref JwW FAST FAST PREF Draw Opens: Jan 3, Draw Closes Jan 16, Random Draw on Jan 16, 07; Trial closes Jan 31, 07 MAIL TO: Carolyn Regnier, 101 Doncaster Dr, Lafayette IN Checks payable to: ACI TOTAL ENCLOSED $ Please Print All Information IMPORTANT: Read all instructions on before filling out entry. BREED: Variety: Sex: M F HEIGHT at Withers: STANDARD (circle one) Nov-A Nov-B Open Ex-A Ex-B PREF STANDARD (circle one) Nov Open Ex-A Ex-B FAST Class (circle one) FAST Preferred (circle one) JwW (circle one) PREF JwW (circle one) Nov Open Ex-A Ex-B Reg JUMP HEIGHT (circle one) Pref JUMP HEIGHT (circle one) FAST JUMP HEIGHT (circle one) FAST Pref Jump Ht (circle one) Non-Regular Agility Class International Sweepstakes Class NOT OFFERED AKC Registered Name (AKC Titles ONLY): CALL NAME 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. The Judge s 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. JUNIOR SHOWMANSHIP AKC Jr Handler #: If this entry is for Junior Showmanship, please give the following information: 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: AKC Reg. No. Date of Birth: Jr Handler #: AKC Litter No. ILP No. Foreign Reg. No. & Country Place of Birth US Canada Foreign Breeder Sire Dam Actual Owner(s) By signing the entry form, we certify that the Junior Handler does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in the Junior Showmanship program. Owner's Address City, State, Zip Handler (if different than owner) Name of Jr Handler Address City, State, Zip I certify that I am the legal 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 the show or obedience trial or agility trial 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. If the Jr Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Jr Handler to the owner? Telephone Signature of owner or his agent duly authorized to make this entry AEAGL2(4/04-1) address

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