SUNDAY FEBRUARY 24, 2019 INDOORS-UNBENCHED ****VI-LEE S CLASSIC SWEEPSTAKES**** All judging and grooming indoors

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1 EVENTS # & # Entries Close WED 6 p.m., February 6, 2019 PREMIUM LIST THE CHICAGO COLLIE CLUB (Member of the American Kennel Club) 111 h & 112 th ANNUAL SPECIALTY SHOWS (UNBENCHED) NOTE: LIMITED ENTRY 100 DOGS PER SHOW JUDGES A.M. SHOW **** EVENT # Regular Classes & Junior Showmanship Mrs. Hildegarde S. Morgan # Regency Dr., Fort Collins, CO Sweepstakes Ms. Sarah Garrison Kelley... P.O. Box 225, Linden, IN P.M. SHOW **** EVENT # Regular Classes Susan Christie # N. Salvage Rd., Antioch, IL ENTRY FEES Entry of a dog unless otherwise specified below... $27.00 Puppy classes as a first entry... $19.00 Sweepstakes (must also be entered in regular show class)... $10.00 Junior Showmanship as a first entry... $10.00 Junior Showmanship as a second entry... Free Catalogs may be pre-ordered by checking the selection on your entry form and including an additional $4 with your entry fees. There will be a limited number of catalogs available the day of the show at a cost of $5. SUNDAY FEBRUARY 24, 2019 INDOORS-UNBENCHED ****VI-LEE S CLASSIC SWEEPSTAKES**** All judging and grooming indoors FRANCIS FIELD FAIR GROUNDS MAIN BUILDING 801 E. Francis Road New Lenox, Illinois Show Hours: 6:30 a.m. to 7 p.m. (CST) NEW EXHIBITOR BRIEFING OFFERED FOR MORE INFORMATION CONTACT: LENORE OWENS (219) lenoreowens@sbcglobal.net ** BASKET RAFFLE ** 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. Gina M. Dinardo, Executive Secretary NOTE CLOSING DATE: Wed 6:00 P.M. FEBRUARY 6, 2019, at the show secretary s office. ALL OVERNIGHT DELIVERIES MUST BE MARKED WAIVE SIGNATURE. MAIL ENTRIES AND FEES TO: Robert Olson CCC 817 Ogden Ave #3549 Lisle, IL Make all checks/money orders payable to CHICAGO COLLIE CLUB. FAX/ ENTRIES: Entries may be faxed to the Show Secretary at , or scanned and ed to secretary@livetrial.net. Both the front and back of each entry form must be included, completely filled out and signed, or the entry will not be accepted. Payment must be made via the online store at Fees for online entries and catalog preorders include a service fee of $0.50-$1.50 depending on the entry amount. HAND-DELIVERED ENTRIES: May be dropped off at 22W462 Sycamore Dr, Glen Ellyn, IL in the mailbox on the wall by the front door NOT in the mailbox at the street. DIRECTIONS TO SHOW SITE From I-80: Take the US30/Maple St exit 137 turn right W Lincoln Hwy(US-30 E/W Maple St, turn left onto N Cedar Rd 1.1 mile, turn Right onto E. Francis Rd 0.8 miles, 801 E Francis Road is on left. From I-355: Towards Joliet, exit US-6/Southwest Hwy take ramp towards New Lenox, turn left on Maple Rd. (US-6 E), turn right on E. Francis Rd, 801 E. Francis Road on Left.

2 Chicago Collie Club, Sunday, February 24, 2019 Events # & # SHOW SECRETARY Robert Olson 817 Ogden Ave #3549 Lisle, IL (630) NOTE CLOSING DATE: Wednesday 6:00 P.M. FEBRUARY 6, 2018, at the show secretary s office. ALL OVERNIGHT DELIVERIES MUST BE MARKED WAIVE SIGNATURE _CHICAGO COLLIE CLUB OFFICERS PRESIDENT... Louise Palarik EXECUTIVE VICE-PRESIDENT... Larry Reynolds VICE PRESIDENT... Robert Shuldes TREASURER... Jean Framke SECRETARY... Lenore Owens 1728 Jeffrey Dr., Lowell, IN lenoreowens@sbcglobal.net BOARD OF DIRECTORS... Patt Caldwell Pam Vergin-Green BREEDER REFERRAL Jean Framke Margot MacCracken SHOW CHAIRPERSON TROPHY COMMITTEE Lenore Owens Bertha Garrison 1728 Jeffrey Drive Margot MacCracken Lowell, IN (219) lenoreowens@sbcglobal.net VETERINARIAN SHOW PHOTOGRAPHER Animal Emergency of Mokena Shannon Hayes th Avenue 4873 High Chaparral Rd. Mokena, IL Marshall, WI (708) (608) shannonhayesphotos@gmail.com Chicago Collie Club, Sunday, February 24, 2019 Events # & EXHIBITORS PLEASE NOTE No smoking in the building. Class cash prizes will be paid in the ring to the person showing the dog. Claims for prize money must be made in the ring before the judging of that breed is over, and the Secretary s Office advised at once. The Secretary and the Show giving club disclaim any liability for cash prizes after the judging of the breed is over. Recording Fee of $0. 50 and the $3.00 AKC Event Service fee will be required for each dog entered at any Licensed or Member Club Show, Obedience Trial or Tracking Test. This recording fee and service fee is to be collected by the Show Giving Club and paid to the American Kennel Club. If a dog is entered in more than one class in the show, the recording fee is to be collected on the first entry only.. Entry fees shall not be refunded in the event a dog is absent, disqualified, excused by veterinarian or judge, or barred from competition by action of the Show Committee. If because of riots, civil disturbances or other acts beyond the control of the management it is impossible to open or to complete the show, no refund or entry will be made. Returned checks do not constitute a valid entry. The Chicago Collie Club may add a collection fee to the amount of each returned check. Subsequent returned checks from the same exhibitor may result in their being placed on a cash only basis. Errors on Entry Blanks Owners are responsible for errors in making out entry forms, whoever may make such errors. No entry fee will be refunded in the event of such errors or cancellations of entries after published closing date. Entry Form Changes, additions or corrections, MUST be received in writing or by telegram prior to the closing of entries. Those received by telephone are not acceptable. The Owner or Handler of each dog is solely responsible for having it ready at ringside when the class is ready to be judged. The Show-Giving Club and the Superintendent have no obligation or responsibility for providing service through a public address system or stewards or runners for the purpose of locating dogs that are not brought into the ring when required. All dogs must be on a leash or confined to crates or exercise pens except when being judged. There will be no private exercise pens inside the show building. Unentered dogs, including those under six months of age, are not allowed in the building. The Show-Giving Club, the Show Secretary, their Agents, employees, etc., assume no responsibility for any loss, damage or injury sustained by exhibitors, handlers, or to any dogs or property and further assume no responsibility for injury to children not under the control of their parents or guardians. SHOW SITE/RV HOOK-UP: Electrical hook up available only for $25 a day. Must notify Show Secretary in Advance. Website:

3 CLASSIFICATIONS (dogs mean either sex) ROUGH (REGULAR) SMOOTH (REGULAR) 6 months. & under 9 months, dogs Puppy, Dogs 9 months & under 12 months, dogs Bred-by-exhibitor, dogs 12 months & under 18 months, dogs American Bred, dogs Bred-by-exhibitor, dogs Open, Dogs American Bred, dogs Winners Dog Open dogs, Blue Merle Non-regular veteran dogs 7 yrs. & up Open dogs, Sable & White Open dogs, Tri-color Open dogs, White Winners Dog Non-regular Veteran Dogs, 7 yrs. & up BEST OF VARIETY COMPETITION IN ROUGH & SMOOTH BEST OF BREED COMPETITION RIBBON PRIZES WILL BE AS FOLLOWS Regular classes 1 st Prize... Blue Ribbon 2 nd Prize... Red Ribbon 3 rd Prize...Yellow Ribbon 4 th Prize... White Ribbon Winners...Purple Rosette Reserve Winners... Purple & White Rosette Best of Winners... Blue & White Rosette Select...Light Blue & White Best of Variety of Breed... Purple & Gold Rosette Best of Opposite Sex to Best of Breed & Best of Variety... Red & White Rosette Best of Breed... Purple & Gold Rosette ROUGH BEST OF WINNERS CCA LOVING CUP (A.M. Show Only) to be presented by District Director (if present). Non-regular classes 1 st Prize... Rose Ribbon 2 nd Prize... Brown Ribbon 3 rd Prize... Light Green Ribbon 4 th Prize... Gray Ribbon BEST IN SWEEPS...Pink & Green Rosette BEST JUNIOR... Rose & Green Rosette This is a condensed form of the Premium list as provided for in Chapter 6, section 2A of the AKC Rules applying to Registration and Dog Shows. A trophy list will be available by writing to the club secretary. ******The Chicago Collie Club Presents***** THE VI-LEE S CLASSIC SWEEPSTAKES IN RECONGNITION OF VIVIAN & LEONARD JABAAY RENOWN BREEDERS AND THE FOUNDERS OF VI-LEE COLLIES FOR THEIR LIFETIME COMMITMENT TO THE COLLIE BREED AND FOR THE MANY YEARS OF SERVICE AS MEMBERS AND OFFICERS OF THE CHICAGO COLLIE CLUB (Rough/smooth combined) Sweepstakes will be judged before the regular classes. Entry fee shall be $10.00 for each puppy and entries shall be made at the same time and on the same entry form as for the regular classes, in the space for additional classes. All entries in the puppy sweepstakes must also be entered and shown in a regular class at the regular fee. The entry will be divided into six classes, the first place puppy from each of these six classes shall constitute a winners class which shall compete for Best Puppy in Sweeps. CLASSIFICATION Puppy, 6 months & under 9 months, dogs; puppy, 9 months & under 12 months, dogs; 12 months and under 18 months, dogs. (Same classes for bitches) DIVISION OF SWEEPSTAKES PRIZE MONEY 30% of entry fee will be retained to offset expenses First place, each class... 40% of 1/7 th of the stake Second place, each class... 30% of 1/7 th of the stake Third place, each class... 20% of 1/7 th of the stake Fourth place, each class... 10% of 1/7 th of the stake Best puppy in sweepstakes % of 1/7 th of the stake This is a condensed form of the Premium list as provided for in Chapter 6, section 2A of the AKC Rules applying to Registration and Dog Shows. A trophy list will be available by writing to the club secretary. FOOD AND BEVERAGES WILL BE AVAILABLE ON SITE HOTELS The following hotels may accept dogs. Grooming is restricted to show grounds only. Please be sure to clean up after your dogs to preserve our acceptance in the future. DAYS INN (815) Frontage Rd at!-55 & Rt. 52 E (Exit 253A) in Shorewood, IL. HOLIDAY INN.. (815) at Larkin Ave North (exit 130B, Joliet, IL RED ROOF INN. (815) at Larkin Ave North (exit 130B, Joliet, IL COMFORT INN (south). (815) at Larkin Ave North (exit 130B, Joliet, IL COMFORT INN (north) (815) Route 30 (exit 257) Joliet, IL. FAIRFIELD INN.. (815) Route 30 (exit 257) Joliet, IL. HOLIDAY INN (Matteson).. (708) & Lincoln Hwy (Rt. 30) Matteson, IL HAMPTON INN (Matteson). (708) & Lincoln Hwy (Rt. 30) Matteson, IL SUPER 8 Mokena/Frankfort /I-80 (708) West 191St Street, Mokena, IL 60448

4 Junior Showmanship Classes and Divisions The regular Junior Showmanship Classes shall be: (A) Novice. This shall be for boys and girls who are at least 9 years old and under 18 years old on the day of the show and who at the time entries close have not won three (3) first place awards, with competition present, in a Novice Class at a licensed or member show. Junior Handlers who win a third Novice Class with competition present after the closing of entries for a show are required to transfer their entry from the Novice Class to the Open Class by notifying the Superintendent or Show Secretary at least one-half hour prior to the scheduled start of Junior Showmanship judging at the show. (B) Open. This class shall be for boys and girls who are at least 9 years old and under 18 years old on the day of the show, and who have won three first place awards in a Novice Class in a licensed or member show, with competition present in the Novice class. (C) Master. This class will be for boys and girls who are at least 9 years old and under 18 years on the day of the show, and who have won 10 Best Junior wins with competition. The calendar for this class will be consistent with the eligibility dates for the AKC Eukanuba National Championship. All Juniors Meeting the criteria for this class are required to enter the Master Class and may change their entry the day of the show if entries have already closed. Once the eligibility time frame for that year has passed all participants return to the Open Class to compete for the following year. Eligibility of Dog. Each dog entered in regular Junior Showmanship Class must be of a breed eligible to compete in the conformation classes (including Miscellaneous Classes) at the event. Dogs may be PAL/ ILP, Full-, or Limited-Registered to compete in Junior Showmanship Classes, additionally, spayed and neutered specimens are eligible for competition. A Foreign dog, from a registry accepted by AKC for Registration, of an AKC Recognized breed is eligible to be entered on it s Foreign Number. Breeds excluded from competition at the event are not eligible. The dog must be entered in one of the classes associated with the event or must be entered for Junior Showmanship only. An eligible dog other than 4 the one entered may be substituted. Such substitution must be accompanied by an official AKC entry form. The junior must have the AKC number of the substitute dog. All such substitutions must be made with the Superintendent or Show Secretary at least one half hour prior to the judging of any Junior Showmanship Classes at the show. Each dog must be owned or co-owned by the Junior Handler or by the Junior Handler s father, mother, brother, sister, uncle, aunt, grandfather, or grandmother, including the corresponding step and half relations, or by a permanent member of the Junior Handler s household as recorded with The American Kennel Club at the time entries close or an application for transfer of ownership must be sent to The American Kennel Club by the new owner within seven days after the last day of the show. BITCHES IN SEASON ARE NOT ELIGIBLE. At a Specialty Show, each dog must be of the breed for which the show is held. A Junior is limited to one substitution at a dog show. If one of the owners of the dog is a judge, the dog may be entered in Junior Showmanship Only to be exhibited by the Junior at an event where the judge is judging classes other than Junior Showmanship. NOTICE: Junior handlers must include their AKC Junior Handler Number on each entry. You may obtain your junior identification number by calling the AKC Event Records Department at Be sure all information for Junior Showmanship is entered on the front and back of entry form. AKC Code of Sportsmanship PREFACE: The sport of purebred dog competitive events dates prior to 1884, the year of AKC s birth. Shared values of those involved in the sport include principles of sportsmanship. They are practiced in all sectors of our sport: conformation, performance and companion. Many believe that these principles of sportsmanship are the prime reason why our sport has thrived for over one hundred years. With the belief that it is useful to periodically articulate the fundamentals of our sport, this code is presented. Sportsmen respect the history, traditions and integrity of the sport of purebred dogs. Sportsmen commit themselves to values of fair play, honesty, courtesy, and vigorous competition, as well as winning and losing with grace. Sportsmen refuse to compromise their commitment and obligation to the sport of purebred dogs by injecting personal advantage or consideration into their decisions or behavior. The sportsman judge judges only on the merits of the dogs and considers no other factors. The sportsman judge or exhibitor accepts constructive criticism. The sportsman exhibitor declines to enter or exhibit under a judge where it might reasonably appear that the judge s placements could be based on something other than the merits of the dogs. The sportsman exhibitor refuses to compromise the impartiality of a judge. The sportsman respects the AKC bylaws, rules, regulations and policies governing the sport of purebred dogs. Sportsmen find that vigorous competition and civility are not inconsistent and are able to appreciate the merit of their competition and the effort of competitors. Sportsmen welcome, encourage and support newcomers to the sport. Sportsmen will deal fairly with all those who trade with them. Sportsmen are willing to share honest and open appraisals of both the strengths and weaknesses of their breeding stock. Sportsmen spurn any opportunity to take personal advantage of positions offered or bestowed upon them. Sportsmen always consider as paramount the welfare of their dog. Sportsmen refuse to embarrass the sport, the American Kennel Club, or themselves while taking part in the sport.

5 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM CHICAGO COLLIE CLUB 111 TH &112 TH ANNUAL SPECIALTY SHOWS Sun, February 24, 2018 FRANCIS FIELD FAIR GROUNDS NEW LENOX, IL ST SHOW # nd SHOW # Catalog Preorder ($4.00) $27.00 for first entry of dog; Puppy $19.00 $10.00 for Sweepstakes entry first show only (must also be entered in regular show class) ENTRIES CLOSE: Wednesday 6:00 p.m. February 6, 2019 at the office of the Show Secretary Make checks (in U.S. currency) payable to Chicago Collie Club. Mail entries with fees to: Robert Olson 817 Ogden Ave #3549, Lisle, IL ALL OVERNIGHT DELIVERIES MUST BE MARKED TO WAIVE SIGNATURE Entries will not be accepted without signature, fees, and back of entry form with agreement. Fees may be paid online at by the closing date. Signed entry form must be faxed to or scanned and ed to secretary@livetrial.net. I ENCLOSE $...for entry fees IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE TYPE OR PRINT LEGIBLY) BREED VARIETY (1) SEX DOG SHOW CLASS (2)(3) CLASS DIVISION Weight, color, etc. (3) ADDITIONAL CLASSES OBEDIENCE TRIAL CLASS CLASS (Jump Height) JR. SHOWMANSHIP NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG AKC REG NO. Enter number here AKC LITTER NO. ILP NO. FOREIGN REG NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNER(S) ADDRESS CITY JR. HANDLER NUMBER DATE OF PLACE OF USA Canada Foreign (Please Print) STATE ZIP NAME OF OWNER 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 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 foregoing 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 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 there from, 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 1. (Variety) if you are entering a dog of 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 owners 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. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in 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 an event 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 event 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 the AKC. (For complete rules, refer to Chapter 11, Section 3.) If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR. S DATE OF AKC JUNIOR HANDLER NUMBER 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 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? TELEPHONE# Address (An acknowledgment or receipt of entry may be sent to this address):

6 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM CHICAGO COLLIE CLUB 111 TH &112 TH ANNUAL SPECIALTY SHOWS Sun, February 24, 2018 FRANCIS FIELD FAIR GROUNDS NEW LENOX, IL ST SHOW # nd SHOW # Catalog Preorder ($4.00) $27.00 for first entry of dog; Puppy $19.00 $10.00 for Sweepstakes entry first show only (must also be entered in regular show class) ENTRIES CLOSE: Wednesday 6:00 p.m. February 6, 2019 at the office of the Show Secretary Make checks (in U.S. currency) payable to Chicago Collie Club. Mail entries with fees to: Robert Olson 817 Ogden Ave #3549, Lisle, IL ALL OVERNIGHT DELIVERIES MUST BE MARKED TO WAIVE SIGNATURE Entries will not be accepted without signature, fees, and back of entry form with agreement. Fees may be paid online at by the closing date. Signed entry form must be faxed to or scanned and ed to secretary@livetrial.net. I ENCLOSE $...for entry fees IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE TYPE OR PRINT LEGIBLY) BREED VARIETY (1) SEX DOG SHOW CLASS (2)(3) CLASS DIVISION Weight, color, etc. (3) ADDITIONAL CLASSES OBEDIENCE TRIAL CLASS CLASS (Jump Height) JR. SHOWMANSHIP NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG AKC REG NO. Enter number here AKC LITTER NO. ILP NO. FOREIGN REG NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNER(S) ADDRESS CITY JR. HANDLER NUMBER DATE OF PLACE OF USA Canada Foreign (Please Print) STATE ZIP NAME OF OWNER 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 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 foregoing 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 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 there from, 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 1. (Variety) if you are entering a dog of 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 owners 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. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in 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 an event 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 event 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 the AKC. (For complete rules, refer to Chapter 11, Section 3.) If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR. S DATE OF AKC JUNIOR HANDLER NUMBER 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 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? TELEPHONE# Address (An acknowledgment or receipt of entry may be sent to this address):