Collie Club of America, Inc. Collies Only Agility Trial (Licensed by the American Kennel Club)

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1 PREMIUM LIST Events # & # Collie Club of America, Inc. Collies Only Agility Trial (Licensed by the American Kennel Club) Sunday and Monday, March : All Standard, JWW, Premier, T2B, & FAST Classes Agility At The Farm 8N861 Burlington Road Campton Hills, IL Ring Size: 100x80 Indoors in climate controlled building on artificial turf Show Hours: 7:00 a.m. 30 minutes after last run Entries limited to 350 per day. This is a FIRST RECEIVED trial. Entries open at 8:00 a.m. on January 7, 2019 Final closing date 6:00 p.m. on March 4, 2019 after which time entries cannot be accepted, canceled, altered or substituted, except as provided for in Chapter 11, section 6 of the Dog Show Rules. 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 Collie Club of America Officers President... Gwen Means 1st VP... Sue Wyglendowski Secretary... Jane Clymer, 3385 Upland Road, Lost Springs, KS Treasurer:... Michael Esch, 20 Wooden Lane, Lambertville NJ AKC Delegate... John G. Buddie Directors at Large... Maria (Lily) Russell, Dan Cardoza Host Show Committee Kelly Montgomery... Chair Jean Framke... Co-Chair nd Street, Homewood, IL showchairs@ccanational2019.org Agility Trial Committee Trial Chairman: Donna Darland N968 Summer Breeze Lane, Greenville, WI agility@ccanational2019.org Trial Secretary: Robert Olson, 817 Ogden Ave #3549, Lisle, IL secretary@livetrial.net (630) Other committee members: Caryn Thacker, Robert Olson, Deanne Olson, Paul Darland, Beth Elliott ENTRY INFORMATION: Entry fee is $25 for the first entry, $15 for the second, $12 for the third, and $10 for any additional entry of the same dog per day (includes $3.50/$3 AKC recording fee per entry). Mail all entries with fees (checks or money orders only; no starter checks please) payable to Collie Club of America to: Robert Olson - CCA, 817 Ogden Ave #3549, Lisle, IL Hand delivery address is 22W462 Sycamore Dr. Glen Ellyn, IL after 24 hours after the opening time. Returned checks will incur a $25 fee. A maximum of ten (10) dogs may be submitted per envelope of entries. Entries that are incorrect, illegible, or incomplete will not be accepted and will be returned to the exhibitor. Express mail entries must waive the signature requirement or they will be refused. Exhibitors are responsible for complete, accurate and legible information on their entry forms. All illegible or incomplete forms may be returned without prior notification to the exhibitor. Trial secretary assumes no responsibility for incorrect entry information due to illegibility of the entry. Entries will not be accepted without proper fees and signatures. Entries must be submitted on entry forms with the AKC agreement printed on the reverse side. Entries submitted without the agreement will be returned. If any exhibitor wishes to know that he made it into the trial, he must either include a valid address on the entry form (preferred) or include a selfaddressed stamped postcard or envelope. JUDGE All Classes Terry Elger, Judge No N 79th St, Milwaukee, WI Agility and Herding Exhibitors: Please write separate checks for herding and agility. Do not combine entry fees for both venues in a single check.

2 NOTICE TO EXHIBITORS: It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee, be asked to leave the trial site. In such case, no refund of any fees paid will be made. All handlers must pick up after their dogs. Anyone not cleaning up after his or her dog will be requested to leave the trial. The owner/handler of each dog is solely responsible for having it ready at ringside when the class is to be judged. Please help your fellow competitors, the trial workers, and the judge by checking in with the gate steward well ahead of your run, and being prompt at the line when your turn comes to run. ARBITRATION: This club does not agree to arbitrate claims as set forth on the official AKC entry form for this event. CRATING AND SETUP: Crating will be on concrete or wooden shelf. REFUNDS: Entry fees will not be refunded in the event that a dog is absent, excused, disqualified or barred from the competition by action of the Show Committee. No entry fees will be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, act of God, public emergency, act of a public enemy, or any other cause beyond control of the organizing committee. Entry fees will not be returned after the closing date for any reason with the following exception: bitches that come in season may have their entry fee returned, less an $8.00 per day administrative fee, by sending a signed statement from a veterinarian, on their letterhead, to the Trial Secretary by 8:00 a.m. the day of the Trial. PRIZES AND AWARDS: Dogs must qualify to receive awards. Qualifying rosettes will be awarded to all dogs receiving a qualifying score. Placement rosettes will be rewarded for 1 st through 4 th place in each class in each height division. New title rosettes will be awarded to dogs completing an agility title at this trial. All prizes must be claimed at the trial; none will be mailed. Additional special prizes will be available and are described in the center pages of this premium. Dogs receiving a MACH or PACH will receive a rosette and award bar. Dogs receiving a PAX title will receive a rosette. Please contact the trial secretary at secretary@livetrial.net if you think you may complete one of these titles at this trial. VETERINARIAN (on call): VCA Aurora Animal Hospital 2600 W Galena Blvd Aurora, IL PHOTOGRAPHER: Whitney Rupp- Chops Photography Official show win photographs must be taken by David Sombach at CCA in Peoria. Special Demonstrations on Sunday: Recognition of Not Ready For Prime Time Collies: For Collies a least 9 months old with basic agility skills that are not ready to be entered in competition and are not entered in the CCA agility trials on March 24-25, The dog will be introduced and a statement from the owner will be read. Then the dog may run the Novice JWW course or any portion of the course, at any height desired - 4"-8"-12"- 16" or bars on the ground. The Collie will be presented with a ribbon. Recognition of Veteran Agility Collies Eligible to enter: for Veteran Collies (over 7 years) that have an agility title and who have retired from AKC agility competition and are not entered in the CCA agility trials on March 24-25, The dog will be introduced and a statement will be read which describes the dog's major agility accomplishments. Then the dog may run the Novice JWW course or any portion of the course, at any height desired - 4"-8"-12"-16" or bars on the ground. The Collie will be presented with a ribbon. Please send the following required information to secretary@livetrial.net by closing date March 4: Owner name Dog registered name with titles Dog call name Dog age on March 26 Presentation statement (max is 70 words) There is no fee to participate in these demonstrations.

3 MOST VERSATILE COLLIE IN THE 2019 NATIONAL SPECIALTY SHOW To be eligible for this award a Collie must participate in at least three of the four AKC events offered by the CCA (Breed, Obedience/ Rally, Agility or Herding). Sign up for the award at any performance event. You must sign up for the award to be eligible, and signup sheets must be turned in to Jim Smotrel by the end of the agility trial. The detailed rules for determining the winner from the Collies that qualify for the award are given below. Note that weighting factors are used in each of the performance events to recognize the increased difficulty of the higher level classes. In the Non-Best of Variety classes, points are awarded based on the number of dogs defeated in the class. All scores will be recorded from the posted Judge's sheets. Jim Smotrel will maintain the official scores at this show. The award presentations will be announced on Saturday, March 30, 2019 in the main conformation ring (Time TBA). MOST VERSATILE COLLIE PRIZES Most Versatile Collie in Show: CCA 15 Silver Plated Loving Cup and Large Rosette. Handcrafted Metal Art of 2019 Show Logo in Small Wood Frame Most Versatile Collie Qualifiers: Qualifying Rosette and Handcrafted Metal Art Barn Star RULES FOR THE MOST VERSATILE COLLIE AWARD To be eligible for this award, your Collie needs a qualifying score in at least three of the four AKC events at the National Specialty. A Collie that receives MVC points in Breed is considered to have received a qualifying score in that event. Only one score will be counted for each event. The Collie obtaining the highest point total will win the award. The following scoring system will apply: Breed: All Collies that are a conformation champion or have at least 5 championship points will receive a minimum of 40 MVC points for entering and showing in a conformation class at the CCA National. Collies with less than 5 Championship points will not automatically receive any MVC points for showing in a conformation class. Points will only be awarded for placing in a class and defeating competition. Since this is an individual award, Brace Class performance do not count. No points will be awarded to Collies entering a conformation class and not showing (i.e. marked absent). In the BOV class and winners competition, points will be awarded as follows: Making no cuts: 40 points Reserve Winners: 75 points Making first cut: 50 points Winners: 80 points Making second cut: 60 points Best of Winners: 85 points Making third cut: 70 points BOS to BOV: 90 points Awards of Merit: 80 points Best of Variety: 100 points Select Dog or Bitch 85 points In all other conformation classes, points will be awarded based on the number of dogs defeated in that class as follows: No placement: 40 points for conformation Champions 0 points for Collies with fewer than 5 CH points Placements: Two (2) additional MVC points are awarded for every dog defeated in the class up to a maximum total number of 70 MVC points. (Collies with less than 5 CH points will also receive the base 40 MVC points for placing and defeating dogs in a class.) Herding Test and Trial: (No points are awarded for Herding Instinct or Exhibition Only entries) Herding Tested Class: Passing: 50 points Pre-Trial Tested Class: Passing: 50 points Started Trial Class: 90% of total score (out of 100) Intermediate Trial Class: 95% of total score (out of 100) Advanced Trial Class: 100% of total score (out of 100) Obedience & Rally Trial: (Non-Regular Classes (except for Veterans Class) do not count.) Beginner Novice: 40% of total score (out of 200) Novice and Veteran: 45% of total score (out of 200) Graduate Novice: 46% of total score (out of 200) Open and Versatility: 47% of total score (out of 200) Graduate Open: 48% of total score (out of 200) Utility: 50% of total score (out of 200) Rally Novice: 60% of total score (out of 100) Rally Intermediate: 67% of total score (out of 100) Rally Advanced: 75% of total score (out of 100) Rally Excellent: 90% of total score (out of 100) Rally Master: 94% of total score (out of 100) Agility Trial: Standard and JWW Classes, both Regular and preferred: Novice: 90% of total score (out of 100) Open: 95% of total score (out of 100) Excellent/Master/Premier:100% of total score (out of 100) FAST: 125% of total score (out of 80) Time2Beat: 95% (90 + T2B points earned)

4 MOVE-UP REGULATIONS: Dogs may be moved up to a higher class at the request of the owner, as a result of qualifying for an agility title, provided that the request is made in writing to the trial secretary only. Forms may be mailed to Robert Olson, 817 Ogden Ave. #3549, Lisle, IL or ed to secretary@livetrial.net. No phone move-ups. Pretrial moveups (for either day) must be received by the trial secretary by 6:00 p.m. Monday, March 18, Day to day moveups are offered, and must be received by the trial secretary in writing at the trial site by the end of ribbon awards on Sunday, March 24, Dogs so moved up will be entered at the end of the running order, and every effort will be made to accommodate handlers running multiple dogs the same class. A dog which has been entered in a Novice A class for which it is not eligible to be entered in due to class restrictions on the dog or handler may be moved to the Novice B class under the following conditions: The request for the move must be in writing and presented to the superintendent or trial secretary at least 30 minutes prior to the start of each trial. The request must state the reason and justification for the move from a Novice A class to the Novice B class. AKC AGILITY MOVE-UP FORM Move-ups must be made in writing - verbal requests will not be accepted. move-ups are acceptable. Return forms to the Trial Secretary only. Notice to exhibitors using if you do not receive an acknowledgement from me, I did not receive your message! I am not responsible for misdirected , and cannot make allowances for it! AKC Registered Name: AKC Registration Number: HEIGHT DIVISIONS: Owners are responsible for entering the proper height divisions. Handlers may opt to run in a higher height division in the Regular program, but not in a lower division than their proper height division. Handlers must run in their proper height division in the Preferred program. Regular Preferred Height at Withers 8 4 For dogs 11 inches and under at the withers 12 8 For dogs 14 inches and under at the withers For dogs 18 inches and under at the withers For dogs 22 inches and under at the withers For dogs over 22 inches at the withers. Regular Dogs may not be entered in this height if they are 22 inches and under. 24C N/A Dogs may be entered at this height at their owner s discretion if their measurement is 22 inches and under at the withers. Dogs who measure into the 24 regular jump height division may not enter 24-choice. Dogs that run in a height division lower than their proper division will be eliminated DOGS ELIGIBLE TO ENTER: All collies fifteen (15) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) are eligible to participate, except bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect the dog s physical or mental performance. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registerable breeds that may participate. SAFETY: The safety of the dogs is our primary concern. By entering this trial, exhibitors acknowledge that they are familiar with the rules and regulations of this sport, and that their dogs are familiar with and able to perform all obstacles safely. COURSE FAMILIARIZATION/OBSTACLES: Handlers are permitted to walk the course, without a dog, prior to the start of the class. A walk-through period will be held prior to each class. The walk-through may be split at the judge s discretion. The judges briefing will outline the course and answer handler questions. Obstacles will meet the specifications for obstacles in the current edition of the regulations for Agility Trials. There will be no contact familiarization for Novice dogs at any of these trials. Single copies of the latest edition of the rules may be obtained without charge from the AKC at 8051 Arco Corporate Drive, Raleigh, NC Also available online at Breed/Variety: Owner(s) Name:

5 Catalog Sales Reserved Catalog Reservations will be accepted between January 2 and March 4, 2019 The 2019 National will have one combined Show Catalog that will include not only Conformation, Junior Showmanship, and Obedience & Rally entries, but also Herding and Agility entries. No other individual event catalogs will be available for Herding & Agility. Pre-ordered Show Catalogs can be designated for pick-up at any event, PLEASE SPECIFY when ordering. Pre-ordered Show Catalogs are $15. A limited number of Show Catalogs will be available for purchase at each event for $20. Pre-ordered Invitational Catalogs are $8.00 with the purchase of a regular show catalog. A limited number of Invitational Catalogs will be available for $10.00 at the catalog table in Peoria. See CCA 2019 National website at ccanational2019.org for Reservation Form Make Checks Payable to: CCA 2019 Show Account with Catalog in the memo line Send Order Form & Payment to: Joan O Connor 48W781 Winters Road, Maple Park, IL Questions: catalogsales@ccanational2019.org Welcome Bags Nancy Berg & Jerry Sulewski welcomeparty@ccanational2019.org Reservations open January 2 nd and close March 1 st, 2019 Don t miss out on the CCA 2019 Welcome Bags. Bags will be available by reservation only and can be picked up at either the Herding/Agility events or at the Peoria Civic Center. Please specify where you will be picking up your bag when reserving. One bag per person. See the CCA 2019 National website for more details Please your reservation (preferred) to welcomeparty@ccanational2019.org or mail to Nancy Berg, 656 Moraine Ct, Colgate, WI CCA 2019 National Show Merchandise Lenore Owens & Jean Framke merchandise@ccanational2019.org CCA 2019 logo merchandise will be available for sale online beginning in January. Pre-sales can be shipped in advance of the National or designated for pick-up in either Peoria or Campton Hills. See the CCA 2019 National website at ccanational2019.org for available items, prices and ordering details Make Checks Payable to: CCA 2019 Show Account with Merchandise in the memo line Send payment to: Lenore Owens 1728 Jeffrey Drive, Lowell, IN Community Service Project Karen Soeder & Patt Caldwell community@ccanational2019.org Please support our 2019 National Specialty Community Service Project. We have chosen to support the Dream Center Peoria, Basic Human Needs Program which encompasses The Shelter, The Village and The HOPE Store. Dream Center Peoria is a faith-based not-for-profit organization whose mission is to impact individuals and families in poverty, starting with kids and youth. Items can be dropped off at any of the 2019 National Events. Herding / Agility / Conformation / OB-Rally. Items requested are: New, full-size shampoo, deodorant, body wash, toothpaste, shaving supplies, diapers, and feminine hygiene products. See the CCA 2019 National website at ccanational2019.org for more details.

6 CCA 2019 Performance Dinner The Herding and Agility event committees invite you to attend a Performance Dinner on Saturday evening after the conclusion of Saturday's Herding Trial (approximately 5:00 pm). Date: Saturday, March 23, 2019 Place: Agility at the Farm (agility building) 8N861 Burlington Road, Campton Hills IL Time: After herding is done; approximate time 5:00 PM Cost: $20.00 per person Please fill out the performance dinner reservation form below and send it with your check made out to Donna Darland to: Donna Darland N968 Summer Breeze Lane Greenville, WI agility@ccanational2019.org Don t wait!!!! Dinner form and payment MUST be received by March 1, 2019 Note: checks will not be cashed until after March 1 st. Menu: Italian Style Buffet Baked Lasagna Chicken Marsala Ravioli Pomodoro Caesar Salad Assorted Desserts Bring your own beverage PERFORMANCE DINNER RESERVATION FORM PLEASE PRINT LEGIBLY!! NAME: ADDRESS: CITY/STATE/ZIP: PHONE NUMBER ATTENDING: High in Trial Sunday Trophies High Scoring Collie with Herding Title Monday Trophies Engraved Wooden Leash Rack Engraved Wooden Grooming Brush High Scoring Collie with Obedience Title Engraved Wooden Grooming Brush High Scoring Collie with Rally Title High Scoring Collie with Tracking Title High Scoring Collie with Breed CH High Scoring Collie with ILP/PAL 1st place 2nd - 4th place High in Trial High Scoring Collie with Herding Title Engraved Wooden Grooming Brush Engraved Wooden Grooming Brush Engraved Wooden Grooming Brush Engraved Wooden Grooming Brush Soft Sided Cooler w/ Logo Luggage Tag Engraved Wooden Title Bar Holder Glass Cutting Board w/logo High Scoring Collie with Obedience Title Glass Cutting Board w/logo High Scoring Collie with Rally Title High Scoring Collie with Tracking Title High Scoring Collie with Breed CH High Scoring Collie with ILP/PAL 1st place 2nd - 4th place Glass Cutting Board w/logo Glass Cutting Board w/logo Glass Cutting Board w/logo Glass Cutting Board w/logo Engraved 5x7 Picture Frame Zippered Earbud & Cell Phone Kit Trophy Pledges Joanne Huff & Karen Paul trophies@ccanational2019.org Joanne Please support your 2019 Collie Club of America National Specialty Show & Trials with a trophy sponsorship! To view the full list of available placements, please see the CCA 2019 National website at ccanational2019.org. Call or Joanne Huff to reserve your choice. Make Checks Payable to: CCA 2019 Show Account with Trophy in the memo line. Send payment to: Joanne Huff 1705 State Street, Union Grove, WI For your sponsorship to be included in the catalog, your payment needs to be received by February 22, 2019

7 COLLIE HIT AGILITY DOG - AWARD SELECTION PROCESS CCA shall offer one High in Trial (HIT) agility award each day at the National Specialty. Only qualifying scores from the regular Standard and Jumpers with Weaves (JWW) classes count towards HIT. Preferred classes and additional classes, such as FAST and T2B, do not count towards HIT. For purposes of the HIT award, a "double Q" is defined as qualifying in both Standard and JWW, any level, or a combination of levels, on a single day of the agility trial. Classes are weighted as follows: Novice classes receive 90% of their score Open classes receive 95%, and Excellent/Masters receive 100%. Additionally, collies receive one point for each full second under standard course time (SCT). The HIT award is calculated by adding the weighted score of each of a collie's qualifying runs (Standard and JWW) plus one point for each full second under standard course time (SCT). The collie with the highest total score under this formula wins the HIT award. If no collie earns a "double Q," then the HIT award will be determined by calculating only the weighted score for Standard runs plus one point for each full second under SCT for the Standard run. In the event of a tie, the tie will be broken on the basis of the fastest yards per second (YPS) achieved in any run counted towards the HIT by the tied collies. Food: Lunch will be available for purchase at the show site. Details will be sent with trial confirmations. Please bring your own beverages. A performance dinner will be held on Saturday see details and reservation form elsewhere in the premium. Directions to the trial location: From the North: Rt 47 South to Burlington Road. Follow the roundabout to Burlington Road West (first exit). Agility at the Farm is the red building is on the right side of the road 0.5 miles down. From the South: Rt 47 North to Burlington Road, Follow the roundabout to Burlington Road West (third exit). Agility at the Farm is the red building is on the right side of the road 0.5 miles down. From the East: I90 to Rt. 47 Exit South to Burlington Road. Follow the roundabout to Burlington Road West (first exit). Agility at the Farm is the red building is on the right side of the road 0.5 miles down. From the West: I90 to Rt. 20 Exit South. 20 will split into 47/20, take the 47 fork. Continue South to Burlington Road. Follow the roundabout to Burlington Road West (first exit). Agility at the Farm is the red building is on the right side of the road 0.5 miles down. HIGHEST SCORING AWARD SELECTION PROCESS Highest scoring dog with obedience, etc. will be awarded to the dog with the highest qualifying score in the Excellent or Master Standard classes in the Regular (not Preferred) division. Ties will be broken by fastest yards per second.

8 Hotels: Please check with individual hotels for dog policy. See the CCA National website at for full details on the hotels including CCA block information and pet fees. Quality Inn & Suites CCA reservation block available 500 Tollgate Rd, Elgin IL (847) Distance to show site: 19.7 miles, 22 min Super 8 CCA reservation block available 1520 East Main St, St Charles IL (630) Distance to show site: 11.8 miles, 19 min Red Roof Inn CCA reservation block available 1212 West Lincoln Highway, DeKalb IL (815) Distance to show site: 20 miles, 32 min Motel DeKalb Ave, Sycamore, IL (815) Distance to show site: 15.6 miles, 23 min For ALL hotels: To help both the hotels and our fellow exhibitors we will strictly enforce the following rules: Plastic must be placed under all crates in guest rooms. Dogs must be crated in rooms when unattended. Dogs may not be bathed in the hotel room bathtub, and no grooming of dogs in the hotel rooms. Guests may not refuse cleaning service. All rooms are subject to examination by hotel staff and members of the show committee. Exercise your dogs only in designated exercise areas. You are responsible for cleanup. Damage to the hotel rooms or grounds will be considered impairing a club s ability to retain a site and will be grounds for an event hearing in accordance with AKC s Dealing with Misconduct Regulations. This can result in event suspension from 3 6 months and fines from $ $1, Hotel guests are personally responsible for any damages to the hotel facility by their animals. Under no circumstance will the Club be held responsible or liable for any damage caused by individual guests. Please make sure you are aware of your hotel s reservation cancellation / modification policy in advance of your stay! RV Parking Laura Rizzo & Sue Webber rvparking@ccanational2019.org RV Parking Reservations will be accepted beginning January 2, 2019 Campton Hills RV Parking There will be limited RV parking available by reservation only on site at Agility at the Farm Thursday March 21 Tuesday March 26. Fees per night: $15 (self-contained only /no hookups available) Full payment is due with reservation. See the CCA 2019 National website for more details and Reservation Forms Make Checks Payable to: CCA 2019 Show Account with RV Parking in the memo line Send Reservation Form and payment to: Sue Webber P.O. Box 2268, Wausau, WI Collie Club of America, Inc. Robert Olson, Trial Secretary 817 Ogden Ave #3549 Lisle, IL

9 OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM Collie Club of America March 24-25, 2019 Opens: 1/7/2019: Closes: 3/4/2019 Sun 3/24/2019 STD JWW FAST T2B PremStd PremJWW Mon 3/25/2019 STD JWW FAST T2B PremStd PremJWW Daily Entry Fee: 1 st run $25; 2 nd run $15; 3 rd run $12; add l runs $10. Make checks payable to: Collie Club of America; Mail to: Robert Olson CCA, 817 Ogden Ave #3549, Lisle, IL IMPORTANT: Carefully read instructions before filling out! ENTRY FEE ENCLOSED Choose Either Regular OR Preferred Classes Circle one jump height Circle class selections Only one selection per class (both Master & Premier allowed) REGULAR Classes C STD NovA JWW NovA FAST NovA T2B T2B NovB Open Exc Master Premier NovB Open Exc Master Premier NovB Open Exc Master STD PREFERRED Classes NovP OpenP ExcP MasterP PremierP JWW NovP OpenP ExcP MasterP PremierP FAST NovP OpenP ExcP MasterP T2B T2BP Non-Regular Classes International Sweepstakes STD JWW SEX This Dog Needs To Be Measured Yes No HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) AKC NO Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) 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. 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 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 of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other person. 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. INSTRUCTIONS Handlers whose dogs measure into the 8 through 20 regular jump height divisions may opt to enter in a higher or 24-choice height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs who measure into the 24 regular jump height division may not enter 24-choice. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog(s) measured prior to running. Dogs listed in the AKC Canine Partners SM program may be eligible to enter all-breed AKC agility trials at the club s option. These dogs should be listed as All American Dog and must include their AKC number on the entry form and check the AKC No. box. Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) If the 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? SIGNATURE of owner or his agent duly authorized to make this entry. OWNERS ADDRESS NEW ADDRESS CITY, STATE ZIP + 4 HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. SIGN HERE X Telephone Number: Address: New In Case of Emergency - Name: Phone #: AEAGL2 (10/17) AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site,

10 OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM Collie Club of America March 24-25, 2019 Opens: 1/7/2019: Closes: 3/4/2019 Sun 3/24/2019 STD JWW FAST T2B PremStd PremJWW Mon 3/25/2019 STD JWW FAST T2B PremStd PremJWW Daily Entry Fee: 1 st run $25; 2 nd run $15; 3 rd run $12; add l runs $10. Make checks payable to: Collie Club of America; Mail to: Robert Olson CCA, 817 Ogden Ave #3549, Lisle, IL IMPORTANT: Carefully read instructions before filling out! ENTRY FEE ENCLOSED Choose Either Regular OR Preferred Classes Circle one jump height Circle class selections Only one selection per class (both Master & Premier allowed) REGULAR Classes C STD NovA JWW NovA FAST NovA T2B T2B NovB Open Exc Master Premier NovB Open Exc Master Premier NovB Open Exc Master STD PREFERRED Classes NovP OpenP ExcP MasterP PremierP JWW NovP OpenP ExcP MasterP PremierP FAST NovP OpenP ExcP MasterP T2B T2BP Non-Regular Classes International Sweepstakes STD JWW SEX This Dog Needs To Be Measured Yes No HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) AKC NO Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) 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. 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 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 of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other person. 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. INSTRUCTIONS Handlers whose dogs measure into the 8 through 20 regular jump height divisions may opt to enter in a higher or 24-choice height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs who measure into the 24 regular jump height division may not enter 24-choice. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog(s) measured prior to running. Dogs listed in the AKC Canine Partners SM program may be eligible to enter all-breed AKC agility trials at the club s option. These dogs should be listed as All American Dog and must include their AKC number on the entry form and check the AKC No. box. Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) If the 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? SIGNATURE of owner or his agent duly authorized to make this entry. OWNERS ADDRESS NEW ADDRESS CITY, STATE ZIP + 4 HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. SIGN HERE X Telephone Number: Address: New In Case of Emergency - Name: Phone #: AEAGL2 (10/17) AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site,

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