Baxter County Fairgrounds 1507 Fairgrounds Drive Mountain Home, AR 72653

Transcription

1 Sherry Gibbany NAKC Trial Secretary 3953 Old Capps Rd Harrison, AR Premium List THREE DAYS ALL-BREED OBEDIENCE AND RALLY TRIALS *A.K.C. Licensed This event is Accepting Entries for All American Dogs Enrolled in the AKC Canine Partners Program FRIDAY, JULY 24, 2015 OBEDIENCE TRIAL # AND RALLY TRIAL # SATURDAY, JULY 25, 2015 OBEDIENCE TRIAL # AND RALLY TRIAL # SUNDAY, JULY 26, 2015 OBEDIENCE TRIAL # AND RALLY TRIAL # Baxter County Fairgrounds 1507 Fairgrounds Drive Mountain Home, AR ENTRIES CLOSE: 6:00 p.m. Wednesday July 8, 2015 CDT, after which time entries cannot be accepted, cancelled, altered, or substituted except as provided for in Chapter 11, Section 6 of the Rules Applying to Dog Shows. Indoors - Climate controlled and fully matted *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 North Arkansas Kennel Club, Inc. Barbara Allen... President Jerry O Dell... Vice President Cj L. Titus... Treasurer Sherry Gibbany... Secretary Betsie Czeschin, Rhonda Ludwig, Patti Mole, Bambi Walden, and Gordon Watkins... Board of Directors Trial Chairperson OFFICERS Lisa Thompson Sherry Gibbany P. O. Box Old Capps Rd Flippin, AR Harrison, AR luath@southshore.com sidekick86@windstream.net EVENT COMMITTEE Trial Secretary Awards... Sherry Gibbany Emergency & Disaster... Sherry Gibbany Raffle..Arlene Myslinski and Diane Strickland Chief Ring Steward.Carol Percifull And all officers and directors of North Arkansas Kennel Club, Inc. Trial Veterinarian (on call 24 hr emergency service) All Creatures Veterinary Hospital Clinic Hours: 4549 Hwy 62 W Mon Fri 8:00 am 5:00 pm Mountain Home, AR Sat. 8:00 am 12:00 pm hr emergency service Directions to Veterinarian Hospital Drive to Hwy 62, turn west (left) onto Hwy 62W towards Gassville/Harrison. Approximately 2.4 miles, it is located on the south side of Hwy 62 next to Tractor Supply and opposite side of Hwy 62 from Stitch-Co. JUDGES Nancy Withers 15 Hain Ave, Wernersville, PA Patricia Hess Accokeek Rd, Accokeek, MD Obedience classes will NOT be run in Height Order FRIDAY SATURDAY SUNDAY Obedience Novice A Nancy Withers Nancy Withers Patricia Hess Novice B Nancy Withers Nancy Withers Patricia Hess Open A Nancy Withers Patricia Hess Patricia Hess Open B Patricia Hess Nancy Withers Nancy Withers Utility A Nancy Withers Nancy Withers Patricia Hess Utility B Nancy Withers Patricia Hess Patricia Hess Optional Titling Beginner Novice A & B Patricia Hess Nancy Withers Nancy Withers Graduate Novice Nancy Withers Nancy Withers Patricia Hess Graduate Open Nancy Withers Nancy Withers Patricia Hess Versatility Nancy Withers Nancy Withers Patricia Hess Pre-Novice Patricia Hess Nancy Withers Nancy Withers Pre-Open Patricia Hess Patricia Hess Nancy Withers Pre-Utility Nancy Withers Patricia Hess Patricia Hess Non Regular Wildcard Novice Patricia Hess Patricia Hess Not offered Wildcard Open Patricia Hess Patricia Hess Not offered Wildcard Utility Patricia Hess Patricia Hess Not offered Rally Rally Novice A & B Patricia Hess Patricia Hess Nancy Withers Rally Advanced A & B Patricia Hess Patricia Hess Nancy Withers Rally Excellent A & B Patricia Hess Patricia Hess Nancy Withers Classes Offered Obedience: Novice A & B, Open A & B, Utility A & B, Beginner A & B, Graduate Novice, Graduate Open, Versatility, Pre-Novice, Pre-Open, Pre-Utility Non-Regular Obedience: Wildcard Novice, Wildcard Open, Wildcard Utility Rally: Novice A & B, Advanced A & B, Excellent A & B Move-Ups Move-ups will be allowed at this trial per AKC Obedience Regulations, Chapter 1, Section 16. Move-ups close one half hour prior to judging each day. Request must be in writing prior to the event. It is recommended that move-up requests be sent by to the Trial Secretary prior to day of show. If an address is provided with your request, an confirmation will be sent.

3 AKC Event & Recording Fees Each Obedience entry fee includes a 50 cent AKC recording fee and $3.00 AKC Event Service Fee will be required for the first entry of each dog and a $3.00 Service Fee for each additional entry of the same dog in the regular and non-regular recordable single entry class. A Recording Fee of $3.00 will be required for each entry of each dog entered in any Rally Trial (Chapter 1, Section 5 of Rally Regulations). Recording Fees and Event Service Fees are to be collected by the show giving club and paid to the American Kennel Club. Entry Fees Includes the AKC recording and service fee Make checks payable to: NAKC Obedience Classes First Entry Each Dog/Each Day... $23.00 Each Additional Entry of Same Dog/Same Day... $17.00 Non-regular classes (Wildcard)/Each Day... $15.00 Rally Classes First Entry Each Dog/Each Day... $23.00 Each Additional Entry of Same Dog/Same Day... $17.00 Obedience and Rally are two SEPARATE EVENTS. Obedience and Rally on the same day are required to pay two (2) First Entry fees. The additional entry fee is only applicable within each event. Entries must be signed and include the full page AGREEMENT on the back of (or attached to) the entry form. Incomplete entries are not valid and WILL BE RETURNED. Entries will be accepted for dogs listed in the AKC Canine Partners Program Entry Fees Payable to: Mail entries and fees to: NAKC Sherry Gibbany, 3953 Old Capps Rd, Harrison, AR You must waive the signature requirement on all overnight deliveries Dogs Eligible to Enter This trial is open to all dogs over the age of 6 months that are registered with the American Kennel Club. Including ILP/PAL registration, AKC Canine Partners listing number, and Approved FSS breeds, except bitches in season, aggressive dogs or dogs suffering from any deformity, injury or illness, which may affect a dog s physical or mental performance. Refer to Chapter 1, Section 14 of the Obedience Regulations for further restrictions. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registrable breeds that may participate. Mountain Home Hotel/Motels Please confirm dog policies when making your reservations. Do not leave dogs unattended or loose in rooms. All motel/hotels are considered part of the show site. All AKC rules and regulations apply. Exhibitors are expected to clean up after their dogs and respect motel property and rules. NO grooming or bathing of dogs in rooms. Do not let dogs destroy or foul the rooms. Put plastic under crates. Exercise dogs in designated areas only. An Event Committee hearing will be held for individuals reported for any motel complaints. Any offenses may result in an Event Committee hearing. The River Rock Inn 1350 Hwy 62W, Mountain Home, AR Closest lodging to trial site (870) $55.95-$ tax (pet fee $8.00/night) Host hotel: Ask for dog show discount Swimming pool, & closest to the bypass Ramada Inn 1127 NE Hwy 62, Mountain Home, AR miles west of fairgrounds - (870) $ tax - $13.50 per night per dog pet deposit Ask for dog show discount Restaurants, large grocery store, Feed Store are nearby Holiday Inn Express 1005 Coley Drive, Mountain Home, AR $ (king) of $99.99 ( two queen) + tax - $35 one time pet fee Gaston s White River Resort Road, Lakeview, AR miles from show site $89 two double; $99 one double and one king No pet fees Sister Cree k Resort 9833 Promise Land Rd, Mountain Home, AR $73 - $104 per night $7.00 pet fee MENTION DOG SHOW Super Hwy 62E, Mountain Home, AR $53 + tax ($10 pet fee per pet per night) Cotter Trout Lodge 107 Harding Blvd, Cotter, AR about 15 minutes from show site $60 single; $70 double + tax ($20 per dog pet fee, one time fee and 2 dogs only per room) Offer 10% discount if have 5 or more exhibitors staying there (5 rooms) Has restaurant next door. RV Resort with full hookups Denton Ferry RV Park 740 Denton Ferry Rd, Cotter, AR miles west of fairgrounds - (870) or More Info and On-line Reservations at $25 to $35 per night Prices are subject to change so please confirm with motels & RV parks

4 Show Hours: 7:00 a.m. to 8:00 p.m. Friday and Saturday; 7:00 a.m. to 5:00 p.m. Sunday The trial building will be available for setups after 4:00 p.m. Thursday July 17, 2014 AWARDS AND PRIZES A qualifying score is required for all awards in the Regular and Optional Titling classes. A Dark Green Qualifying Ribbon will be given to each dog attaining a Qualifying Score. ALL AWARDS MUST BE CLAIMED THE DAY OF THE TRIAL. NONE WILL BE MAILED. NEW TITLES: A rosette is offered to any dog finishing an obedience or rally title at these trials. HIGH IN TRIAL Rosette offered by NAKC Friday, July 24, 2015; Saturday, July 25, 2015; Sunday, July 26, $50 Friday..Offered by North Arkansas Kennel Club Saturday.Offered by North Arkansas Kennel Club Sunday... Offered by North Arkansas Kennel Club HIGH COMBINED OPEN B AND UTILITY Rosette offered by NAKC Friday, July 24, 2015,; Saturday, July 25, 2015; Sunday, July 26, $25 Friday. Offered by Bambi Walden Saturday..Offered by Wendy Ethier Sunday Offered by Diane Strickland RALLY HIGH COMBINED ADVANCE B AND EXCELLENT B Rosette offered by NAKC Friday, July 24, 2015; Saturday, July 25, 2015; Sunday, July 26, $25 Friday Offered by Lynda Dudek Saturday..Offered by Charles Polacek Sunday..Offered by Cj L. Titus and C.J. Foster of D Barcy Dogs SPECIAL AWARDS Must sign up at Secretary s table in order to receive award. Friday, July 24, 2015; Saturday, July 25, 2015; Sunday, July 26, 2015.$10 High Scoring BelgianTervuren in Regular Obedience (Sat & Sun only) Offered by Patti Mole High Scoring Labrador Retriever in Rally (Sat only)..offered by Lori Sloas High Scoring Herding Breed in Regular Obedience Offered by Diane Strickland Notice to Exhibitors ENTRIES CLOSE AT 6 P.M., WEDNESDAY, JULY 8, 2015 CDT after which time entries cannot be accepted, cancelled, altered, or substituted. Changes, additions or corrections must be received in writing prior to close of entries. Those entries received by telephone are not acceptable. MAKE CHECKS PAYABLE to North Arkansas Kennel Club (NAKC) ALL ENTRIES MUST BE MAILED WITH FEES to Sherry Gibbany, 3953 Old Capps Rd, Harrison, AR RETURNED CHECKS do not constitute a valid entry fee. The Trial Secretary will add $25.00 fee to the amount of each returned check. ENTRIES WILL NOT BE ACCEPTED without fees or signature. Entries not on Official AKC forms and photocopies of entry forms without the Agreement and Rules on the reverse side of the Official AKC entry form are not acceptable. No entry shall be made and no entry accepted which specifies any condition as to its acceptance. ENTRY FEE WILL NOT BE REFUNDED for errors on entry blanks or for cancellation of entries after published closing date. There will be no refund in the event that a dog is absent, disqualified, excused by a Veterinarian or Judge, or barred from competition by the Event Committee. Entry fees will not be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, or act of God, public emergency, strikes or any other cause beyond the control of the North Arkansas Kennel Club. THE NORTH ARKANSAS KENNEL CLUB, the Trial Secretary, Trial Chairperson, Event Committee, etc. assume no responsibility for the loss, damage, or injuries sustained by spectators, exhibitors, exhibitors property and their dogs, and further assume no responsibility for injury to children. DOGS NEED TO BE PRESENT for scheduled judging. Consult judging program for time of judging. JUDGES NEED NOT WAIT FOR ANY DOG holding up a class. Owners or agents alone are responsible for the presence of their dog in the ring. MOVE-UPS WILL BE ACCEPTED PER AKC Regulations. Obedience and Rally Move-ups must be given to the Trial Secretary by 30 minutes before trial start time. JUMPS: Please put the jump height on the obedience and/or rally entry (if your dog is entered in a class with jumps). On Friday, Saturday and Sunday rally jump heights will be set lowest to highest. ALL DOGS MUST BE ON LEASH OR CRATED except when being judged. BITCHES IN SEASON are not permitted in the trial. Entry fees for bitches that come into season after closing date will be refunded minus $5.00. A written statement from a veterinarian must be provided on or before the day of the trial. THIS IS A NON-SMOKING FACILITY. CHILDREN MUST BE SUPERVISED by an adult at all times. NO STROLLERS ALLOWED. Exhibitors should follow their veterinarians recommendations to assure their dogs are free of internal and external parasites, any communicable diseases and have appropriate vaccinations.

5 THREE C MATCHES! Rent-a-Ring Two rings will be available for rental on Thursday evening starting at 5:30 p.m. Friday & Saturday afternoon will start 30 minutes after the trial each day. Novice Open - Utility $10 for 10 Minutes Directions to Show Site From the West: Driving east from Harrison, AR on Hwy 62/412 E to Mountain Home: Upon entering into the outskirts of Mountain Home drive past the Sheid-Hopper Bypass, go straight through the stoplight on Hwy 62/412 E. Drive approximately 2 blocks; turn right on W. Wade Avenue for 0.3 miles. Turn right onto Fairgrounds Drive at the large sign. From the East: Hwy 62/412 W to Mountain Home. Turn left onto Sheid Hopper Bypass/US62 HWY 412 W for 5.5 miles. Turn right onto Hwy 62. Turn right onto W. Wade for 0.3 miles. Turn right onto Fairgrounds Drive. From the North: Hwy 201 S, turn right on 14 th Street. It is about one block to Fairgrounds on the left. 14 th St turns into W. Wade Ave. Please sign up by 5:00 p.m. for Thursday s Match Sign up on Friday and Saturday by 2:30 p.m. Sign up for the matches near the secretary s table. First Come First Served! ********************************** Contact Wendy Ethier or Susan Gilbert teampoodlear@gmail.com or reicherud@aol.com

6 Our raffle was so successful last year with many wonderful and creative donations that we are planning on making it even bigger & better this year! Welcome to Mountain Home, our home of mountains, lakes, and rivers. Nestled in the beautiful Ozark Mountains of Arkansas, the Mountain Home Area is one of the best vacation and retirement spots in the country. The Mountain Home Area encompasses two massive lakes, three rivers, and beautiful mountain scenery, fulfilling Arkansas' motto as "The Natural State." Drawing will be held Saturday afternoon! ALL RAFFLE ITEMS MUST BE CLAIMED FOLLOWING THE RAFFLE DRAWING ON SATURDAY OR SUNDAY NONE WILL BE MAILED The raffle is sponsored by donations from our North Arkansas Kennel Club members and local businesses. Contact Arlene Myslinski at or call (870) Or Diane Strickland at to sign up to donate a theme basket or other donations. Carol has a large list of possible themes ideas that will make fun baskets t raffle! Look for our upcoming Obedience Rally Trials December 4, 5 & 6, 2015 Harrison, AR Baskets and Donations listed our obedience section of our website

7 OFFICIAL ENTRY FORM NORTH ARKANSAS KENNEL CLUB 1507 Fairgrouds Dr, Mountain Home, AR Entries close July 8, 2015 FRIDAY, July 24, 2015 OBEDIENCE RALLY SATURDAY July 25, 2015 OBEDIENCE RALLY SUNDAY July 26, 2015 OBEDIENCE RALLY FIRST OBED ENTRY $23. SECOND OBED ENTRY $17.NON-REGULAR (WILDCARD) $15 FIRST RALLY ENTRY $23 SECOND RALLY ENTRY $17. PAY TO: NAKC MAIL TO: SHERRY GIBBANY, TRIAL SEC, 3953 OLD CAPPS RD, HARRISON, AR I ENCLOSE $ FOR ENTRY FEES. SEND PAPER CONFIRMATION 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 PRINT). BREED VARIETY (1) SEX DOG (2,3) SHOW CLASS OBEDIENCE CLASSES (circle choice) Nov A Nov B Open A Open B Utility A Utility B RALLY CLASSES Nov A Nov B Adv A Adv B Exc A Exc B NAME OF JUNIOR HANDLER (see back if any) FULL NAME OF DOG AKC REG. NO. AKC LITTER NO. ILP/PAL NO. FOREIGN REG. NO. & COUNTRY BREEDER SIRE DAM ACTUAL OWNER(S) 4 OWNER S ADDRESS OBED Jump Height / ADDITIONAL CLASSES Enter number DATE OF BIRTH CLASS (3) DIVISION Weight, color, etc PLACE OF BIRTH (list country) Do not print the above in the catalog RALLY Jump Height JR SHOWMANSHIP CLASS CITY STATE ZIP NAME OF OWNER S AGENT AT (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 authorized to make this entry TELEPHONE # ARE YOU A NEW EXHIBITOR? YES NO Address (An acknowledgement of entry may be sent to this address) AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website, 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 the 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 expenses (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 a breed in which there are varieties for show purposes, please designate the particular variety your are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color); Beagles (not exceeding 13 inches, 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 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 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 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 made to 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 BIRTH 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 and agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP+4 If 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? AEN999 (11/08)

8 OFFICIAL ENTRY FORM NORTH ARKANSAS KENNEL CLUB 1507 Fairgrounds Dr, Mountain Home, AR Entries close July 8, 2015 FRIDAY July 24, 2015 OBEDIENCE RALLY SATURDAY July 25, 2015 OBEDIENCE RALLY SUNDAY July 26, 2015 OBEDIENCE RALLY FIRST OBED ENTRY $23. SECOND OBED ENTRY $17.NON-REGULAR (WILDCARD) $15 FIRST RALLY ENTRY $23 SECOND RALLY ENTRY $17. PAY TO: NAKC MAIL TO: SHERRY GIBBANY, TRIAL SEC, 3953 OLD CAPPS RD, HARRISON, AR I ENCLOSE $ FOR ENTRY FEES. SEND PAPER CONFIRMATION 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 PRINT). BREED VARIETY (1) SEX DOG (2,3) SHOW CLASS OBEDIENCE CLASSES (circle choice) Nov A Nov B Open A Open B Utility A Utility B RALLY CLASSES Nov A Nov B Adv A Adv B Exc A Exc B NAME OF JUNIOR HANDLER (see back if any) FULL NAME OF DOG AKC REG. NO. AKC LITTER NO. ILP/PAL NO. FOREIGN REG. NO. & COUNTRY BREEDER SIRE DAM ACTUAL OWNER(S) 4 OWNER S ADDRESS OBED Jump Height / ADDITIONAL CLASSES Enter number DATE OF BIRTH CLASS (3) DIVISION Weight, color, etc PLACE OF BIRTH (list country) Do not print the above in the catalog RALLY Jump Height JR SHOWMANSHIP CLASS CITY STATE ZIP NAME OF OWNER S AGENT AT (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 authorized to make this entry TELEPHONE # ARE YOU A NEW EXHIBITOR? YES NO Address (An acknowledgement of entry may be sent to this address) AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website, 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 the 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 expenses (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 a breed in which there are varieties for show purposes, please designate the particular variety your are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color); Beagles (not exceeding 13 inches, 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 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 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 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 made to 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 BIRTH 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 and agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP+4 If 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? AEN999 (11/08)

9