Seaside Park Ventura County Fairgrounds 10 W. Harbor Blvd. Ventura, CA 93001

Transcription

1 Licensed by the American Kennel Club Unbenched Indoors Events Limited to 100 Dogs Seaside Park Ventura County Fairgrounds 10 W. Harbor Blvd. Ventura, CA ENTRIES CLOSE WEDNESDAY, JUNE 14, :00 PM Pacific Time

2 GOLDEN STATE CHINESE SHAR-PEI CLUB JUDGES Morning Specialty # Sweepstakes Classes Judged By Ms. Madeline Patterson 4570 N. Moorpark Road, Santa Rosa Valley, CA Conformation Classes Judged by Ms. Lani McKennon 1014 N. Catalina Street, Burbank, CA Afternoon Specialty Event # Conformation Classes Judged By Mr. R. C. Williams (93917) P. O. Box 205, Shingle Springs, CA Show Hours: 8 AM to 5 PM SHOW SECRETARY and SHOW CHAIRMAN Stephanie Weise (doggie_sec@hotmail.com) Mission Drive West, La Quinta, CA Website: doggiesecretary.ambercreek.net PHOTOGRAPHER Kitten Rodwell -- flashkatphotos@aol.com Permission has been granted by the American Kennel Club for holding this event under American Kennel Club rules and regulations. James P. Crowley, Secretary 2

3 GOLDEN STATE CHINESE SHAR-PEI CLUB OFFICERS & DIRECTORS & CHAIRMEN President Lynn Olds Vice President Cyndy Cheek Secretary Marie Bradley 6562 Sandy Lane, Riverside, CA Treasurer Judy Dorough Board of Directors Carol Brudno, Don Nelson, and Mark Chang COMMITTEE CHAIRMEN: Hospitality: Mark Chang Ribbons: Jane Mundy Raffle: Carol Brudno Trophies: Cyndy Cheek The Event Committee shall consist of all officers present. 24-HOUR VETERINARY HOSPITALS Veterinary Medical and Surgical Group (805) Sperry Avenue, Ventura, CA Pet Emergency Clinic (805) South Victoria Avenue, Ventura, CA 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. 3

4 $$$ ENTRY FEES PER SHOW $$$ First Conformation Entry of Each Dog Per Show $27.00 Additional Conformation Entry of Same Dog Per Show $20.00 (Additional entry for these events is defined as Non-Regular Classes for Stud Dog and Brood Bitch and does not include sweepstakes) Bred By Exhibitor Classes $22.00 Puppy and Veteran Classes $22.00 Puppy & Veteran Sweepstakes (must also be entered in a regular class) $12.00 CLASSIFICATION -- Regular Classes The following classes will be provided for both Dogs and Bitches: Puppy: 6 Mos. & Under 9 Mos. Bred By Exhibitor Horse Coat Puppy: 9 Mos. & Under 12 Mos. American Bred 12 Mos. & Under 18 Mos. Open Brush Coat Novice Open Horse Coat Amateur Owner Handler Winners Bred By Exhibitor Brush Coat Best of Breed NON-REGULAR CLASSES INVOLVING SINGLE DOG ENTRIES Veteran Classes for Dogs and Bitches 7 years of age and older Winners from these classes are eligible, if undefeated in another class, for Best of Breed Competition. Note: Chapter 11, Section 8, of the Dog Show Rules provides that castrated males and spayed females may be entered in the Veteran Classes at specialty shows. Entry Fee: $22.00 NON-REGULAR CLASSES INVOLVING MULIPLE DOG ENTRIES STUD DOG CLASS is for Stud Dogs and at least two of their Get. It is not necessary that the Get be under the same ownership as that of the Stud Dog. The Stud Dog may be entered separately in one of the regular classes, or, if a Champion of Record, in Best of Breed Competition, but MUST be entered in the Stud Dog Class. The Get MUST be entered in one of the regular classes. The Stud Dog must be shown in the ring with the Get. The class will be judged on the merits of the Get. While the merits of the Stud Dog are not to be considered in the placement of the entry, the Stud Dog must be examined to determine if it has a condition that would require its disqualification or excusal under the AKC Dog Show Rules, AKC Policy, or the standard of the breed. Entry Fee: $20.00 BROOD BITCH CLASS is the same as for the Stud Dog class except substitute Brood Bitch for Stud Dog and Produce for Get. Note: Chapter 11, Section 8 of the Dog Show Rules provides that castrated males may be entered as the Stud Dog and spayed females may be entered as the Brood Bitch. As the judge s decision in the Non-Regular Classes involving Multiple Dog Entries is based on the merits of more than one dog or bitch, no one of the dogs or bitches making up the entry judged first in these classes will be eligible to compete for Best of Breed by virtue of having won these classes. 4

5 AKC NATIONAL OWNER-HANDLED SERIES -- NOHS All dogs that are owner-handled and are not solely owned or exhibited by professional handlers* meet the requirements for this competition. Exhibitors must declare their dog is Owner-Handled eligible at the time of entry using the check box on entry form. Eligible dogs will be identified by an asterisk in the steward s book and the catalog. Dogs must be handled by an owner-handler eligible for the AKC National Owner Handled Series throughout the breed level competition for the regular show. This includes the class competition and subsequent competition in the breed ring. Additionally, dogs must be handled by an eligible owner-handler for all AKC National Owner Handled Series competition. Owner-Handled Best of Breed will be selected from the dogs that are competing in the Best of Breed competition including Winners Dog, Winners Bitch and winners of the non-regular classes. All dogs in the BOB competition will stay in the ring after the judge makes his/her placements in BOB competition. The ring steward will ask all professional handlers, household members, current assistants to professional handlers, and non-eligible exhibitors to leave the ring and the judge will then select the Best Owner-Handled. *Professional handlers are defined as any person who belongs or has belonged to a professional handler s organization, distributed rate cards, or otherwise advertised or represented themselves as handling dogs for pay or received payment for handling a dog within the last five years. DESIGNATING NOHS BEST OF BREED Best of Breed Automatic NOHS BOB awarded Best of Opposite (BOB is not eligible) Select Dog and Bitch both eligible (BOB & BOS are not eligible) Select Dog or Bitch eligible (BOB, BOS & other Select not eligible) Competes for NOHS BOB with Competes for NOHS BOB with Competes for NOHS BOB with All eligible dogs of the Opposite sex including eligible WD or WB and non-regular class winners. Eligible WD or WB (BOW eliminates if both eligible Eligible WD or WB (BOW eliminates if both eligible) plus all eligible dogs of the opposite sex to the Select. DON T FORGET TO CHECK THE OWNER-HANDLED ELIGIBLE BOX ON THE BOTTOM OF THE ENTRY FORM IF ENTERING THIS COMPETITION: Owner/Handled Eligible? Yes [ ] No [ ] 5

6 EVENT RIBBONS AND PRIZES The GOLDEN STATE CHINESE SHAR-PEI CLUB, through the generosity of its friends and members, who will be listed in the catalog, offers ribbons and the following prizes for each event: Morning Specialty Hand Painted Rocks from Ventura Beach will be presented to: BEST OF BREED BEST OF OPPOSITE SEX BEST OF WINNERS WINNERS DOG and WINNERS BITCH RESERVE WINNERS DOG and BITCH Afternoon Specialty Dog Food, Treat, or Toy containers will be presented to: BEST OF BREED BEST OF OPPOSITE SEX BEST OF WINNERS WINNERS DOG and WINNERS BITCH RESERVE WINNERS DOG and BITCH After the Best of Breed and National Owner Handled Competitions, there will be a competition for Best Veteran. The following ribbon prizes will be awarded: REGULAR CLASSES First Prize: Blue Ribbon Second Prize: Red Ribbon Third Prize: Yellow Ribbon Fourth prize: White Ribbon Winners: Purple Rosette Reserve Winners: Purple & White Rosette Best of Winners: Blue & White Rosette Best of Opposite Sex: Red & White Rosette Best of Breed: Purple & Gold Rosette Select Dog/Select Bitch: Light Blue and White Rosette Award(s) of Merit: Red, White and Blue Rosette National Owner Handled Series: Maroon Rosette Best Veteran in Regular Classes: Dark Green Rosette 6

7 EVENT RIBBONS AND PRIZES (Cont d) AWARD OF MERIT: After awarding Best of Breed, Best of Winners, and Best Opposite Sex, the judge may give Awards of Merit to exhibitors in the breed ring that are, in the judge s opinion, outstanding specimens. The total number of Awards of Merit the judge is allowed to award is determined by the total number of dogs and bitches competing in the Best of Breed Competition as follows: 1-10 Entries (1); Entries (2); 15 or more Entries (3). Best of Breed, Best of Winners, and Best Opposite Sex, Select Dog and Select Bitch are not eligible. GRAND CHAMPION POINTS -- Champions of Record and dogs which have completed the requirements for a championship but whose championships are unconfirmed that are entered in Best of Breed competition are eligible for Grand Championship competition. Grand Championship points will be recorded for: Best of Breed, Best of Opposite Sex to Best of Breed, Select Dog, and Select Bitch. For a complete explanation, see Rules Applying to Dog Shows Chapter 16, Sect. 6. SWEEPSTAKES RIBBONS AND PRIZES First Prize: Rose Ribbon Third Prize: Light Green Ribbon Second Prize: Brown Ribbon Fourth Prize: Gray Ribbon Best Puppy and Best Veteran: Rose & Green Rosette Best Opposite Puppy and Best Opposite Veteran: Lavender Rosette Two Sweepstakes classes will be offered for puppy dogs and bitches: 6 months and under 9 months and 9 months and under 12 months Two Sweepstakes classes will be offered for veteran dogs and bitches: 7 years and under 9 years and 9 years and over Golden State Chinese Shar-Pei Club will retain 35% of all sweepstakes entry fees for puppies and veterans and the remainder will be dispersed as follows: Best Puppy and Best Veteran 40% Best Opposite Puppy and Best Opposite Veteran 25% 7

8 ATTENTION EXHIBITORS RAMP RULES: As of July 1, 2015, the Chinese Shar-Pei is a mandatory ramp breed. All dogs will be judged on a ramp at these specialties. LUNCH Lunch will be hosted by the Club between shows! CATALOG PREORDER: There will be a limited number of catalogs available for purchase at the show. Please purchase your catalog for $5.00 when entering the Specialty that way you can be assured one will be waiting for you! There is a space on the entry form for this purpose. CATALOG ADVERTISEMENTS Contact Show Secretary if you are interested in placing an ad. Absolute due date for ads: Wednesday, June 14, 2017 Full color outside back cover: $35.00 Full color inside front or back cover: $25.00 Inside ad full page: $20.00 Inside ad half page: $10.00 Business Card: $5.00 RAFFLE Ventura and Regional Shows! There will be a 50/50 drawing between shows in Ventura; however, a fabulous raffle is planned for the Regional in Sacramento! Please contact Carol Brudno to donate raffle items or bring them to the show. Thanks in advance CLEAN UP Golden State Chinese Shar-Pei Club hosts self-cleaning dog shows! This means that all exhibitors are required to clean up after their own dogs. This includes all rings, aisles, walkways, parking lots and all areas of the show grounds! Failure to adhere to these rules may result in disciplinary action. Thank you for your cooperation. SHOW PARKING Please go to and refer to the Ventura Dog Fanciers or Burbank Kennel Club Premium List for complete parking instructions and information. Day of show parking is $

9 All entries with fees must be in the office of the Show Secretary no later than 5:00 PM, PT, Wednesday, June 14, NO EXCEPTIONS! After this time, entries cannot be accepted, canceled, changed, substituted, corrected, completed, or signed and no entry fees will be returned. Any change or cancellation must be made in writing and received prior to closing, except as provided for in Chapter 11, Section 6 of the American Kennel Club Dog Show Rules. All mail service deliveries must be no signature required. No attempt will be made to retrieve entries from mail services! MAKE ALL CHECKS PAYABLE TO: GSCSPC SEND ALL ENTRIES (NO FAXES) WITH FEES TO: SHOW SECRETARY Stephanie Weise (760) or (909) Mission Drive West, La Quinta, CA Upon receipt of the entry form, an will be sent to the address listed on the entry form. If you do not receive this in a timely manner, please contact the Show Secretary to confirm that your entry has been received. The Judge s Schedule and Confirmation Receipts will be mailed to the exhibitor 7-10 days prior to the event. Your information will be e- mailed to you if you have chosen this option on the entry form. CREDIT CARD PAYMENTS CAN BE MADE THROUGH PAYPAL You can now use your credit card or PayPal account to pay for entry fees on-line. There are a few extra steps involved for this service. Send an to doggie_sec@hotmail.com and an entry form and instructions will be sent to you. Upon return of your completed entry form via to the Show Secretary, an invoice will be sent to you. A link will take you to PayPal and there you can pay by credit card or PayPal. There is a non-refundable service fee of 4% of the total money collected. This fee will be added to your entry fees and listed on the invoice. ALL ENTRY FEES MUST be submitted within 48 hours after receiving an invoice from the Show Secretary. Your entry IS NOT ACCEPTED and IS NOT VALID until all funds have been received by the Show Secretary. NO EXCEPTIONS. All entries must be received by Wednesday, June 14, 2017 by 5:00 PM Pacific Time regardless of payment method! 9

10 Golden State Chinese Shar-Pei Club is pleased to support the all-breed shows. In addition to entering their specialties, please be sure to enter the following shows: Ventura County Dog Fanciers Association Friday, June 30, 2017 JUDGES Breed: Ms. Brenda Newcomb Group: Ms. Brenda Newcomb Best in Show: Dr. Troy Clifford Dargin Burbank Kennel Club Wear Black and White Event Saturday, July 1, 2017 JUDGES Breed: Dr. Troy Clifford Dargin Group: Mr. Kenneth Berg Best in Show: Dr. Roger Pritchard Burbank Kennel Club Wear Black and White Event Sunday, July 2, 2017 JUDGES Breed: Dr. Roger Pritchard Group: Dr. Troy Clifford Dargin Best in Show: Ms. Lani McKennon The superintendent for these shows is Jack Bradshaw. Please go to their website at for all the particulars. 10

11 NOTICE TO EXHIBITORS 1. Entries must reach the Show Secretary, Stephanie Weise, Mission Drive West, La Quinta, CA by 5:00 PM, PT June 14, Fees must accompany entries. The Club and the Show Secretary assume no responsibility for wrong or incomplete information given on the entry form by the owner or agent of the owner. The Club and the Show Secretary assume no responsibility for the owner or owner s agent entering a dog in a class in which the dog is not eligible to compete, or for entering the same dog twice. 2. Returned checks do not constitute a valid entry fee. The Show Secretary will add a collection fee of $10.00 to the amount of each returned check. Subsequent returned checks for the same exhibitors may result in their being put on a CASH ONLY basis. The returned check MUST BE MADE GOOD by cash or money order BEFORE the dog will be allowed in the ring. 3. Upon receipt of entries, the Show Secretary will send an to the address (if any) listed on the entry form. Exhibitor s confirmation slips and judging program will be mailed to the street address given on the entry form. If not received within a reasonable time prior to the show, notify the Show Secretary. Confirmations returned by the Post Office marked undeliverable will be held at the Show Secretary s office. 4. During the hours of judging owners are to be on call, and have their dogs ready to bring into the judging ring promptly so that judging is not delayed. Dogs need only be present for their judging. Dogs not needed for further judging may be excused. It is the responsibility of the exhibitor to have his/her dog ready to be shown and at the entrance of the judging ring when the steward calls for the class. Owners of dogs or the handlers of dogs alone are responsible for the presence of their dogs in the judging ring. This means it is not the responsibility of the ring steward, or of any agent of the show-giving club to locate any dog, its owner, or handler, when the dog s presence is needed in a judging ring. It should be understood by every exhibitor and handler that waiting for dogs to be brought into the ring is a courtesy extended to the owner or handler of the dog. There is no rule of these clubs or the AKC that requires a judge to wait for an owner or handler to bring his/her dog into the ring. 5. Trophies and prizes will be awarded in the judging ring after the completion of each class. All trophies must be claimed the day of the show. None will be mailed. 6. Exhibitors are advised to familiarize themselves with the agreement of the American Kennel Club, referred to on the reverse side of the entry forms that accompany the premium list. Rule books may be obtained from the AKC, 5580 Centerview Dr., Suite 200, Raleigh, NC The Club, the Show Secretary, Club members, or employees will not be responsible for loss of or damage to any dog exhibited, whether the result of accident or other causes and in addition assumes no responsibility for any loss, damage, or injury sustained by an exhibitor, owner or handler. It is distinctly understood that every dog at this show is in the care, custody, and control of his/her owner or handler/agent during the entire time the dog is on the show premises. The welfare of an exhibitor s or attendee s child is to be the responsibility of the exhibitor or attendee. It is distinctly understood that exhibitors and attendees will exercise control and restraint over their children on the days of the show. 8. No grooming tables, pens or exhibitor setups will be allowed in the aisles and all grooming must be done away from the judging ring in areas specified by the clubs. 9. Entry fees shall NOT be refunded in the event that a dog is absent, disqualified, sick, lame, excused by a veterinarian or judge, barred from competition by action of the Event Committee, or because the dog is ineligible to compete due to being entered incorrectly. There is no refund of entry fees for duplicate entry. 10. There is no provision for un-entered dogs at this show. 11. Declination of Entries. Golden State Chinese Shar-Pei Club may decline any entries for cause and may refuse to receive or may remove any dog on account of disease, viciousness, or other causes, and no one shall have any claim or recourse against the Club or any official thereof. 12. If, because of riots, civil disturbances, or other acts beyond the control of the management, it is impossible to open or complete the show, no refund of entry will be made. 13. Do not leave any dogs in closed vehicles. 14. The American Kennel Club will collect a $3.00 Event Service Fee for the first entry of a dog and a $3.00 service fee for each additional entry of the same dog in the regular and non-regular recordable single entry classes, in all AKC licensed and member club events. The current.50 cent recording (fee) will continue to be collected. All fees are collected by the show-giving club and paid to AKC. 15. Dogs which according to their owners records have completed the requirements for a championship after the closing of entries for the show but whose championships are unconfirmed, may be transferred from one of the regular classes to the Best of Breed Competition, provided this transfer is made by the Show Secretary at least one half hour prior to the start of the earliest Conformation judging at the show. 11

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13 Thursday, June 29, 2017 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM (Both sides of entry form must be submitted) Specialties and Sweepstakes (events limited to 100 dogs) Golden State Chinese Shar-Pei Club Ventura County Fairgrounds, 10 W. Harbor Blvd., Ventura, CA Morning Event No [ ] Sweepstakes [ ] Conformation ENTRIES CLOSE 6/14/17 Afternoon Event No [ ] Conformation Closing Date for Entries: 5:00 PM PT, Wednesday, June 14, After this time, entries cannot be accepted, canceled, or changed, except as provided for in Chapter 11, Section 6 of the AKC Dog Show Rules. Mail all entries with fees payable to GSCSPC to: Stephanie Weise, Mission Drive West, La Quinta, CA I enclose $ for entry fees and $ for my catalog. IMPORTANT: Read instructions on reverse side carefully before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. PLEASE PRINT. Next, be sure to read the Agreement and sign on the reverse side or Page 2. No form will be processed without your signature! BREED [5] CHINESE SHAR-PEI VARIETY[1] SEX DOG [2,3] DIVISION SHOW Weight, Color, etc. CLASS ADDITIONAL CLASSES SWEEPSTAKES CLASS RALLY/OBED CLASS NOT OFFERED JR. SHOWMANSHIP CLASS NOT OFFERED NAME OF (see back) JR. HANDLER NUMBER JR. HANDLER (if any) FULL NAME OF DOG [ ] AKC REG NO. [ ] PAL/ILP NO. [ ] FOREIGN REG NO. Enter number here: BREEDER SIRE DAM DATE OF BIRTH PLACE OF BIRTH (list country) (do not print above in catalog) ACTUAL OWNER(S) [4] OWNER S ADDRESS CITY STATE ZIP PHONE: CELL: [ ] Check here if you need the judging program mailed to you, otherwise it will be sent electronically. NAME OF OWNER S AGENT (if any) AT THE SHOW Are you a new exhibitor? [ ] yes [ ] no Owner/Handled Eligible? [ ] yes [ ] no ***BE SURE TO SIGN THE REVERSE SIDE OF THIS FORM. NO FORM WILL BE PROCESSED WITHOUT YOUR SIGNATURE***

14 AKC Rules Regulations, Policies and Guidelines are available on the American Kennel Club website: AGREEMENT 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 of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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 or 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 person. I(we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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 THIS 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. Signature of owner or his agent duly authorized to make this entry: 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 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] (Event Class) Consult the classification in the 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 the entry form whether transfer application has been mailed to the AKC (for complete rules, refer to Chapter 11, Section 3 of Rules Applying to Dog shows). [5] Mixed Breed dogs entering classes for Agility, Obedience, and Rally trials should mark Breed as All-American Dog/Mixed Breed. Sire and Dam information shall remain blank for mixed breed entrants. If this entry is for JUNIOR SHOWMANSHIP, please give the following information: AKC Junior Handler Number Jr. s Date of Birth The Jr. Handler number MUST be included. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club. Phone: (919) Address City State/Province Zip/Postal Code Country If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship to the owner?

15 Thursday, June 29, 2017 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM (Both sides of entry form must be submitted) Specialties and Sweepstakes (events limited to 100 dogs) Golden State Chinese Shar-Pei Club Ventura County Fairgrounds, 10 W. Harbor Blvd., Ventura, CA Morning Event No [ ] Sweepstakes [ ] Conformation ENTRIES CLOSE 6/14/17 Afternoon Event No [ ] Conformation Closing Date for Entries: 5:00 PM PT, Wednesday, June 14, After this time, entries cannot be accepted, canceled, or changed, except as provided for in Chapter 11, Section 6 of the AKC Dog Show Rules. Mail all entries with fees payable to GSCSPC to: Stephanie Weise, Mission Drive West, La Quinta, CA I enclose $ for entry fees and $ for my catalog. IMPORTANT: Read instructions on reverse side carefully before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. PLEASE PRINT. Next, be sure to read the Agreement and sign on the reverse side or Page 2. No form will be processed without your signature! BREED [5] CHINESE SHAR-PEI VARIETY[1] SEX DOG [2,3] DIVISION SHOW Weight, Color, etc. CLASS ADDITIONAL CLASSES SWEEPSTAKES CLASS RALLY/OBED CLASS NOT OFFERED JR. SHOWMANSHIP CLASS NOT OFFERED NAME OF (see back) JR. HANDLER NUMBER JR. HANDLER (if any) FULL NAME OF DOG [ ] AKC REG NO. [ ] PAL/ILP NO. [ ] FOREIGN REG NO. Enter number here: BREEDER SIRE DAM DATE OF BIRTH PLACE OF BIRTH (list country) (do not print above in catalog) ACTUAL OWNER(S) [4] OWNER S ADDRESS CITY STATE ZIP PHONE: CELL: [ ] Check here if you need the judging program mailed to you, otherwise it will be sent electronically. NAME OF OWNER S AGENT (if any) AT THE SHOW Are you a new exhibitor? [ ] yes [ ] no Owner/Handled Eligible? [ ] yes [ ] no ***BE SURE TO SIGN THE REVERSE SIDE OF THIS FORM. NO FORM WILL BE PROCESSED WITHOUT YOUR SIGNATURE***

16 AKC Rules Regulations, Policies and Guidelines are available on the American Kennel Club website: AGREEMENT 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 of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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 or 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 person. I(we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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 THIS 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. Signature of owner or his agent duly authorized to make this entry: 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 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] (Event Class) Consult the classification in the 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 the entry form whether transfer application has been mailed to the AKC (for complete rules, refer to Chapter 11, Section 3 of Rules Applying to Dog shows). [5] Mixed Breed dogs entering classes for Agility, Obedience, and Rally trials should mark Breed as All-American Dog/Mixed Breed. Sire and Dam information shall remain blank for mixed breed entrants. If this entry is for JUNIOR SHOWMANSHIP, please give the following information: AKC Junior Handler Number Jr. s Date of Birth The Jr. Handler number MUST be included. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club. Phone: (919) Address City State/Province Zip/Postal Code Country If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship to the owner?