Obedience & Rally Trials Licensed by the AKC

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1 + Entries close at 12:00 Noon, Wednesday, April 13, 2011, after which time entries cannot be accepted, cancelled or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Obedience Events Combined Premium List Rally Events # # # # Butler Dog Training Association Obedience & Rally Trials Licensed by the AKC Entries will be accepted for dogs listed in the AKC Canine Partners program April 30 - May 1, 2011 Trial hours 7:00 am to 7:00 pm Saturday and Sunday Cooper Hall, Roebling Park 155 N. Rebecca Street, Saxonburg, PA Trials will be held indoors & unbenched THIS CLUB DOES NOT AGREE TO ARBITRATE CLAIMS AS SET FORTH ON THE OFFICIAL AKC ENTRY FORM FOR THIS EVENT

2 RALLY TRIAL MOVE-UP FORM (Present this form to the Trial Secretary or the Superintendent) After a dog earns a title, it may be moved up to the next class in a future trial even though the closing date for the trial has passed. This move-up may be requested if, according to the owner s records, the dog has completed the requirements for the title after the closing date of the trial in which the advanced entry is to be made. The request for a move-up must be in writing and presented to the superintendent or trial secretary at least 30 minutes prior to the start of each trial. Move-ups may be approved, provided the next level class is provided and judge is available and the class has not reached its limit. Name of Club: Butler Dog Training Association Dog s AKC Registered Name: Dog s AKC #: Breed: Move Entry to: (circle one) Date: Sex: Rally Advanced A B List Jump Height: Rally Excellent A B List Jump Height: Owner s Name: Handler s Name: (if applicable) Butler Dog Training Association OFFICERS OF THE CLUB President.Betty Scarnato Vice President....Sam Abbott Treasurer... Jean Duggan Director of Training...Nancy Kieffer Secretary Jeanette Nestor 125 S. Isabella Street, Saxonburg, PA ( ) GNE144@aol.com Adam Edwards Dari Harding Board of Directors Jody Johnston Cheryl Youkers OBEDIENCE / RALLY TRIAL COMMITTEE Obedience Trial Chair...Nancy Kieffer 140 Swamp Run Road, Butler PA (724) DogpawsCS@zoominternet.net Rally Trial Chair...Nancy Kieffer 140 Swamp Run Road, Butler PA (724) DogpawsCS@zoominternet.net Obedience / Rally Trial Secretary...Linda Arnold 102 Coverdale Road, Butler, PA (724) lindy53@zoominternet.net Chief Ring Steward. Cheryl Youkers Trophies. Billie Jo Edwards Grounds.Sam Abbott Emergency Response Coordinator....Bernie Abbott Catalog Advertising.. Dari Harding Hospitality.. Cheryl Sanson Veterinarian Veterinary Emergency Clinic, 807 Camp Horne Road, Pittsburgh, PA (412) Signature of Owner or Agent duly authorized to make this entry: Signature of Trial Secretary Or Superintendent, if approved: AMERICAN KENNEL CLUB CERTIFICATION Permission is granted by The American Kennel Club, Inc. for the holding of these events under American Kennel Club rules and regulations. James P. Crowley, Secretary

3 Please note that the Rally and Obedience Trials are separate AKC events with separate fees. Same day entries in Obedience and Rally classes may NOT be combined for a second-class entry discount Obedience Trial Fees Regular Obedience Classes (Beginner Novice A & B, Novice A & B, Open A & B,Utility A & B) $24.00 for the first entry of a dog per day (includes $.50 AKC recording fee and $1.50 AKC event fee); $12.00 for each additional same-day entry of same dog in regular Obedience classes. Rally Trial Fees Regular Rally Classes (Novice A & B, Advanced A & B, Excellent A & B) $24.00 for the first entry of a dog per day (includes $3.00 AKC recording fee); $12.00 for each additional same-day entry of same dog in regular Rally classes. Classes with Jumps will be judged in Jump Height order, beginning with the highest jump height then in descending order. Handlers with multiple entries in the same jump height will be accommodated. Entries will be accepted for Dogs listed with AKC Canine Partners and may participate provided their AKC Canine Partners listing number has been recorded on the entry form. Two-day Combination Obedience/Rally Catalogs may be pre-ordered for $5.00 each. ***Only pre-ordered catalogs will be available*** All checks and money orders are to be made payable to: Butler Dog Training Association (BDTA) Mail all entries with fees to: Linda Arnold, Trial Secretary, 102 Coverdale Road, Butler, PA Judges Mrs. Catherine Peters, 5802 Carol Avenue, Morton Grove, IL Mr. Rick L. Garvin, 4566 Harbour Hills Drive, Manhattan, KS Obedience Judging Assignments Catherine Peters Judging Assignments Saturday April 30, 2011 Novice A Novice B Beginner Novice A Beginner Novice B Sunday May 1, 2011 Open A Open B Utility A Utility B Directions to Trial Site (Watch for DOG SHOW signs) From the North (Butler) Take Route 8 south 11 miles to left on Dinnerbell Road. Go 7 miles to Saxonburg; follow through Main Street to T. Turn left, watch for Roebling Park on right. Cooper Hall is behind the Museum. From the South (PA Turnpike, Butler Exit) Take Route 8 north 11 miles to right on Dinnerbell Road. Go 7 miles to Saxonburg; follow through Main Street to T. Turn left, watch for Roebling Park on right. Cooper Hall is behind the Museum. From the West (PA turnpike, Cranberry Exit, Route 19 to Route 228 or I-79, Mars Exit, Route 228) Take Route 228 east approximately 11 miles to left on Route 8. Go north approximately 4 miles to right on Dinnerbell Road. Go 7 miles to Saxonburg; follow through Main Street to T. Turn left, watch for Roebling Park on right. Cooper Hall is behind the Museum. From the East (Route 28, Route 356 exit) Take Route 356 towards Butler approximately 7.5 miles to left on Neupert Road (watch for Concordia Nursing Home on right) Go approximately 2 miles on Neupert Road, staying straight through stop sign, to left on Rebecca Street. Roebling Park is on the left; Cooper Hall is behind the museum. Motels (Accommodations listed are from the yellow pages and not endorsed by BDTA. Please take care to research each motel/hotel independently. Some motels have limited pet policies & deposit/fee requirements) Comfort Inn, Butler, PA (724) Days Inn, Butler, PA (724) Comfort Inn, Gibsonia, PA (724) Comfort Inn, Cranberry Twp., and PA (724) Red Roof Inn, Cranberry Twp., PA (724) Approx. 12 miles to Trial Site Approx. 12 miles to Trial Site Approx. 18 miles to Trial Site Approx. 25 miles to Trial Site Approx. 25 miles to Trial Site Limited Camping sites with full hook ups are available on a first come first serve basis. Please Contact Sam Abbott at for reservations. Cost is $35.00 per night or $65.00 for both (Friday/Saturday) Rick Garvin Open A Open B Utility A Utility B Novice A Novice B Beginner Novice A Beginner Novice B Rally Trial will commence 30 minutes after last obedience entry Rally Judging Assignments Catherine Peters Rick Garvin Saturday April 25, 2009 Rally Novice A/B Rally Advanced A/B Rally Excellent A/B XXXXXXXXXXXXXXX Sunday April 26, 2009 XXXXXXXXXXXXXXX Rally Novice A/B Rally Advanced A/B Rally Excellent A/B General Information Obedience Trials held prior to Rally Trials at same site. Food and beverages will be available at the show site. Exhibitors are responsible for picking up after their dog(s). Designated areas will be provided. Please do not park on the grass adjacent to the driveways or parking areas BDTA will not be responsible for any lost or damaged items left at the show site. Obedience / Rally Combined Catalogs may be pre-ordered. A limited number of Catalogs will be available at the Trial.

4 Saturday Breed Prizes: Sporting Group HS Dog in Sporting Group $ 20 Cash Georgia Slater, In Memory of Misty, Dagwood & Blondie HS Cocker Spaniel $ 10 Cash Sandra Winters HS Cocker Spaniel in Beginner Novice $ 20 Cash Georgia Slater, Maggie, Bentley & Patriot HS Cocker Spaniel in Novice A $ 10 Cash Marsha Gavula HS Cocker Spaniel with Agility Title $ 20 Cash Georgia Slater, In Memory of Misty, Dagwood & Blondie HS Cocker Spaniel with their Rally Title $ 20 Cash Donald & Bonnie Mulneix HS Cocker Spaniel with their Championship $ 20 Cash Sandra Winters Highest Combined Score Cocker Spaniel $ 20 Cash Donald & Bonnie Mulneix HS Golden Retriever $ 20 Cash Amy Montag-Smith, In Honor of Deuce HS Golden Retriever in Novice A $ 25 Cash Amy Montag-Smith, In Memory of Simon HS Golden Retriever in Utility A Etched Mirror Dawn & Bob Ecklund, In Memory of Brady Highest Combined Score Golden Retriever $ 20 Cash Laurie Forbes HS Labrador Retriever Thermometer Linda Arnold, In Memory of Zebediah HS Labrador Retriever in Novice A Treat Jar Linda Arnold, In Memory of Zebediah HS Labrador Retriever in Any A Class Salt/Pepper Shakers Dawn & Bob Ecklund HS Labrador Retriever with Agility Title Weather Center Linda Arnold & Wilson HS Vizsla $ 25 Cash Jean Duggan Saturday Breed Prizes: Hound Group HS Dog in Hound Group Coaster Set Pat Curtis HS Basset Hound $ 10 Cash Jeanette Nestor, In Memory of Red HS Basset Hound in Open A or B Keepsake Box Pat Curtis HS Beagle Etched Coffee Mug Nancy Kieffer, In Memory of Abby HS Greyhound Tapestry Collar Nancy Kieffer, In Memory of Star HS Irish Wolfhound $ 20 Cash Betty Scarnato, In Honor of John & Sarah HS Rhodesian Ridgeback $ 20 Cash Tim & Pam Rape, In Memory of Sassy Saturday Breed Prizes: Working Group HS Dog in Working Group Picture Frame Pat Curtis HS Akita Akita Pin Pat Curtis HS Boxer Desk Set Cheryl Hathaway HS Boxer in Novice A $ 10 Cash Sam & Bernie Abbott HS Bullmastiff in Beginner Novice $ 20 Cash Adam & Billie Jo Edwards HS Bullmastiff in Novice A $ 20 Cash Adam & Billie Jo Edwards HS Doberman Pinscher in Novice A $ 10 Cash Sam & Bernie Abbott HS Portuguese Water Dog $ 20 Cash Donna Krepin HS Portuguese Water Dog in Novice A or B Etched Treat Jar Nancy Kieffer, In Memory of Blaze HS Rottweiler $ 10 Cash Kathy Coyle HS Rottweiler in Novice A $ 20 Cash Lisa Szafranski HS Rottweiler with Rally Title $ 25 Cash Custom Marble & Granite HS Samoyed Picture Frame Set Regina Beilstein, In Memory of Snowball, Frosty & Junior HS Siberian Husky $ 30 Cash Maggie Toth, Dancing Winds Saturday Breed Prizes: Terrier Group HS Dog in Terrier Group Etched Treat Jar Nancy Kieffer, In Memory of Chester HS Boston Terrier $ 20 Cash Dawn & Bob Ecklund, In Memory of Mollie HS Scottish Terrier Collar and Lead Frances Cashdollar & Tessie HS Scottish Terrier in Novice A or B Key Chain Frances Cashdollar, In Memory of Kellie HS Miniature Schnauzer Pet Bed Frances Cashdollar, In Memory of Taz HS Tibetan Terrier Dog Bowl Nancy Kieffer & Maddie HS West Highland White Terrier Breed Towel WPPWESTIE.org HS WHW Terrier in Novice A or B Wind Sock WPPWESTIE.org HS Wheaton Terrier $ 20 Cash Greg Ramsey Saturday Breed Prizes: Toy Group HS Dog in Toy Group Treat Jar Nikki Rock HS Chihuahua Picture Frame Linda Arnold, In Memory of Cisco HS Havanese in Novice A $ 10 Cash Bob & Dawn Ecklund HS Pug in Novice A $ 10 Cash Sam & Bernie Abbott HS Shih Tzu in Novice A or B Key Chain Frances Cashdollar, In Memory of Daisy & Esther HS Toy Poodle in Novice B $ 20 Cash Cheryl Youkers, In Memory of Winkie Saturday Breed Prizes: Non-Sporting Group HS Dog in Non-Sporting Group Picture Frame Linda Arnold, In Memory of Lucky HS Non-Sporting Dog in Beginner Novice $ 20 Cash Ellie Lojek, In Memory of Sam HS Bulldog Ash Tray Mack Trucks HS Standard Poodle in Novice A $ 20 Cash Cheryl Youkers, Willa & Tuli HS Standard Poodle in Utility A $ 20 Cash Dawn & Bob Ecklund, In Memory of Reuben Saturday Breed Prizes: Herding Group HS Dog in Herding Group Filled Basket Nikki Rock, In Memory of Cashew HS Dog in Herding Group w/advanced Rally Title $ 10 Cash Nikki Rock HS Australian Shepherd Picture Frame Linda Arnold, In Memory of Quilpie HS Collie Book Nikki Rock, In Memory of Judy Charleton HS Collie in Novice A Picture Frame Phyl Schraf, In Memory of Brigadoon HS Collie in Novice B Filled Dog Bowl Phyl Schraf, In Memory of Gabriella HS Collie with a Rally Title $ 20 Cash Nikki Rock, In Memory of Judy Charleton HS Shetland Sheepdog $ 20 Cash Wendy & Nick McClaine HS Shetland Sheepdog in Novice A $ 20 Cash Erica Schott-Heim HS Shetland Sheepdog in Open A Treat Jar Nikki Rock, In Memory of Judy Charleton Saturday Specialty Prizes HS Champion of Record $ 25 Cash Windy Knob Kennels, In Memory of CH Shersan Bright and Shining Star HS Dog w/ilp/pal Number in Novice A or B Etched Crock Jar Nancy Kieffer, In Memory of Chester HS Dog from Shelter/Rescue/Breed Rescue $ 25 Cash Custom Marble & Granite HS Mixed Breed Dog $ 25 Cash Custom Marble & Granite HS Mixed Breed Dog in Beginner Novice Quilted Mat Linda Arnold & Brooks HS Mixed Breed Dog in Novice A $ 20 Cash Cheryl Sanson, In Honor of the Rainbow Bridge HS Mixed Breed Dog in Utility A Dog Bowls/Placemat Nancy Kieffer & Sprite HS Mixed Breed Senior Dog (8 yrs or older) Dog Bowls/Placemat Nancy Kieffer & Maddie *HS Junior Handler (17 or younger) Design-A-Bowl Friend of BDTA *HS Senior Handler (over 55) Filled Basket Nikki Rock, In Memory of Scottie

5 NOTICE TO EXHIBITORS Mail all OBEDIENCE and RALLY entries and fees to: Linda Arnold, BDTA Trial Secretary, 102 Coverdale Road, Butler PA Make all Checks and Money Orders payable to Butler Dog Training Association (BDTA). Please mail checks or money orders with entries. The Trial Secretary assumes no responsibility for cash sent through the mail. Telegraph, Telephone and Unsigned entries Cannot be Accepted. Entries not on official AKC Entry forms or photocopies of entry forms without agreement and rules on the reverse side of the official AKC entry form are NOT ACCEPTABLE. Entries without fees will not be accepted. Acknowledgement of entries by written conformation letter will be made as soon as possible after Trial closes. Should acknowledge not be received by the exhibitor within a reasonable time, please notify the Obedience/Rally Trial Secretary, Linda Arnold at (724) or by lindy53@zoominternet.net. If a legible address is provided, conformation of receipt of entry will be made as soon as possible as entries are received and processed. Post Dated Checks and Returned Checks do not constitute a valid entry fee. The Obedience/Rally Trial Secretary will add a collection fee of $25.00 to the amount of each returned check. No Refund For Duplicate Entries. Every effort will be made to find duplicate entries; however, if the entry has been processed, no refund will be made. Declination of Entries. No Entry shall be made and no entry shall be accepted which specifies any conditions as to its acceptance. Butler Dog Training Association may decline any entries and may remove any dog on account of disease, viciousness, or other cause, and no one shall have any claim against BDTA or any official thereof. Entry Fees Shall Not Be Refunded in the event a dog is absent, disqualified, excused by a Veterinarian or Judge, or barred from competition by action of the show committee. If because of riots, civil disturbances, weather or other acts beyond the control of the management it is impossible to open or complete the show, no refund of entries will be made. Errors On Entry Blanks. Owners are responsible for errors in the filing out of entry forms. No entry and no entry fee will be refunded in the event of such errors, or for cancellation of entries after the published closing date. Please type or print carefully on entry forms to eliminate errors. Move-up Policy. Obedience and Rally move-ups will be accepted as space permits within entry limits, in accordance with Chapter 1, Section 16 of the Obedience Regulations. Requests for move-ups must be made in writing and presented to trial secretary at least 30 minutes before the start of each Trial. Bitches In Season will not be admitted to the Trial. Any exhibitor with an entered bitch in season on the Trial date will be refunded the entry fee less $5.00 upon written certification by a veterinarian given to the Trial Secretary before the start of judging each trial. Exhibitors are Responsible for the Behavior of Their Dogs and/or Children. All dogs present must be held on leash or confined to their crates except when being judged or when in the exercising area. Exhibitors are responsible for cleaning up after their dogs. Any exhibitor whose dogs and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Show Committee, be asked to leave the show site. In such case, no refund of any entry fees will be made. Judges will not wait for any dog holding up a class. Owners or agents alone are responsible for the presence of their dogs in the judging ring when their classes are called to be judged. Dogs may arrive any time prior to their scheduled time of judging. Dogs not required for further judging will be excused. Due to limited space, crating in designated areas only. No space for un-entered dogs. Exhibitors may be asked to stack crates at BDTA discretion. The Hall will not be available to the exhibitors the night before the Trial. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of external parasites, any communicable diseases and have appropriate vaccinations. Obedience Class Prizes Ribbon Prizes First Place. Blue Ribbon Second Place Red Ribbon Third Place Yellow Ribbon Fourth Place White Ribbon Qualifying Score....Green Ribbon HS Dog in Regular Classes.. Blue and Gold Rosette HS Dog in Open & Utility Classes, Combined.Blue and Green Rosette A Rosette is offered by Butler Dog Training Association for any dog attaining the third leg of its Obedience Title at our trial. (Saturday) Trophy and Cash Prizes, Regular Obedience Classes Highest Scoring Dog in Regular Classes...$75.00 Highest Combined Score in Open B & Utility A or B. $75.00 First Place...Picture Frame First through Fourth placements donated in loving memory of all those wagging tails and longing hearts waiting for each and every one of us at the Rainbow Bridge. (Sunday) Highest Scoring Dog in Regular Classes.....$75.00 Highest Combined Score in Open B & Utility A or B. $75.00 First Place....$10.00 Ribbon & Prizes for Rally Classes (Saturday & Sunday) First Place. Blue Ribbon and Picture Frame Second Place....Red Ribbon Third Place.. Yellow Ribbon Fourth Place. White Ribbon Qualifying Score.. Green Ribbon A Rosette is offered by BDTA for any dog attaining the third leg of its Rally Title at our trial. Rules for Awards HS Dog means Highest Scoring Dog of either sex. Qualifying scores are required for all prizes in Regular Obedience and Rally Obedience Classes. All Special Prizes and Breed Prizes will be awarded and must be claimed by the conclusion of the Trial. None will be mailed. Winning dog and/or handler must be present or prize will be forfeited. Any unclaimed award will remain with B.D.T.A. If there are multiple entries of same dog, only the highest score will be eligible for special awards. All trophies are offered for Regular classes only, unless otherwise specified. BDTA reserves the right to substitute unavailable trophies with one of equal or greater value. Please note in the event an obedience or rally class is divided, Prizes will not be duplicated.

6 AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, AGREEMENT I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS 1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard). 2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and dogs which, according to their owners records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship. 3. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e., age division, color division, weight division. 4. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.) 5. Dogs entering mixed breed classes (eligible only in standalone Agility, Obedience and Rally trials) should mark Breed as MIXED BREED. Variety, Breeder, Sire, Dam information shall remain blank for mixed breed entrants. AKC Canine Partners listing number must be included on the entry form and AKC* NO. must be checked. 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 an agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP If Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner? OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Butler Dog Training Association Obedience and Rally Trials Obedience Events & Rally Events & SATURDAY, APRIL 30, 2011 SATURDAY, APRIL 30, 2011 SUNDAY, MAY 1, 2011 SUNDAY, MAY 1, 2011 Obedience Trial Entry Fees: $24.00 for the first entry of a dog and $12.00 for each additional same-day entry of the same dog in regular Obedience classes. (includes a $0.50 AKC recording fee and a $1.50 event fee). Rally Trial Entry Fees: $24.00 for the first entry of a dog and $12.00 for each additional same-day entry of the same dog in regular Rally classes. (includes $3.00 AKC recording fee) per trial. Entries close at 12:00 Noon, Wednesday, April 13, 2011, after which time entries cannot be accepted, cancelled or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Mail OBEDIENCE / RALLY entries with fees to: Linda Arnold, Rally Trial Secretary, 102 Coverdale Road, Butler, PA Make Checks or Money Orders payable to: Butler Dog Training Association (BDTA) Obedience / Rally Combined Catalog Pre-order $5.00 I ENCLOSE $...for entry fees * Special Awards Eligible JR Handler SR Handler 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 ADDITIONAL CLASSES NAME OF (See Back) JR. HANDLER (if any) FULL NAME OF DOG OBEDIENCE CLASS (Jump Height) ( 5 ) Enter number here AKC* NO. PAL NO. FOREIGN REG NO & COUNTRY BREEDER SIRE DAM CLASS ( 3 ) DIVISION RALLY CLASS JUNIOR HANDLER NUMBER DATE OF BIRTH (Jump Height) PLACE OF (list country) BIRTH Do not print the above in the catalog JR. SHOWMANSHIP CLASS ACTUAL OWNER (S ( 4 ) (Please Print) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNER S AGENT (IF ANY) AT THE SHOW I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. SIGNATURE of owner or his agent duly authorized to make this entry Are you a new exhibitor? YES NO TELEPHONE# Address (An acknowledgment or receipt of entry may be sent to this address): AEN999 (8/09)

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