This Event is Accepting Entries for Mixed Breed Dogs Listed in the AKC Canine Partners Program SM JUDGES & CLASSES

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1 THREE ALL-BREED AKC LICENSED AGILITY TRIALS Event No. Fri , Sat , Sun CHUCKANUT DOG TRAINING ASSOCIATION, INC. Friday, Saturday and Sunday July 17, 18, 19, 2015 Northwest Washington Fairgrounds 1775 Front Street, Lynden, Washington Indoors on dirt (95 deep x 110 wide ring size) FRIDAY TRIAL IS LIMITED TO 170 Runs Excellent only Entries are by first received - 85 online, 85 paper entries in first 48 hrs. SATURDAY 660 Runs All Levels SUNDAY is an UNLIMITED TRIAL (Number of entries and level not restricted, and a second judge will be assigned to take any runs beyond the number allowed (330) by the primary judge who is identified below. This Event is Accepting Entries for Mixed Breed Dogs Listed in the AKC Canine Partners Program SM JUDGES & CLASSES SANDRA MOODY, E Trap Pond Rd, Georgetown, DE Friday, Exc/Mas STD & JWW Saturday FAST & JWW All levels, Sunday all levels STD, JWW & T2B ROBIN KLETKE th Ave NE, Woodinville, WA Saturday T2B and STD All levels OPENING: Wednesday, JUNE 1 st, 2015 at 8:00 AM CLOSING: Friday, JULY 3rd, 2015 at 5:00 PM at the Trial Secretary s home after which time entries cannot be accepted, cancelled or substituted except as provided for in Chapter 11, Section 6 of the Dog Show rules. Entries received prior to opening date and time will not be accepted. Any special delivery mail, must specify NO SIGNATURE REQUIRED Entries may be paper or online through Confirmations will be sent by unless no submitted or other form of delivery is requested. JUDGING BEGINS TENTATIVELY AT: 5:00 p.m. on Friday, 8:30 a.m. on Saturday and Sunday Times may be adjusted based on the number of entries per day. CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under American Kennel Club Rules and Regulations James Crowley, Secretary. 1

2 OFFICERS OF CHUCKANUT DOG TRAINING ASSOCIATION President Nancy Reynolds, 4341 Rural Ave., Bellingham, WA Vice President Alecia Elvstad, 8239 Pheasant Rd., Blaine, WA Secretary Regina Delahunt, 3835 Howard Ave., Bellingham, WA Treasurer George Sanders, th St., Bellingham, WA AGILITY EVENT COMMITTEE Amy Anderson, Karen Dolphin, Alecia Elvstad, Stefan Elvstad, Marian Snapp (Includes all Officers & Board Members of CDTA) Agility Trial Chair: (member) Karen Dolphin, 2984 Youngs Rd., Custer, WA (360) Trial Secretary Marian Snapp, 2620 Shepardson St., Bellingham, WA (360) Make checks payable to CDTA. Fees: $17.00 for each of the 1 st, 2 nd and 3 rd runs, and $12.00 for the 4 th run per dog, per day, as applicable. These include required AKC fees of ($3.50/3.00/3.00/3.00). One entry form per dog may be used for all days. Entries Open Wednesday, JUNE 1st, 2015 at 8:00 a.m. Entries Close on Friday, JULY 3rd, 2015 at 5 p.m. at the Trial Secretary s home. You may also enter online through ONLINE VS PAPER ENTRIES During the first 48 hours after opening, the initial limit of entries designated as either online or paper will be as follows: 50% online and 50% paper entries. If either form of entry has not filled at the end of the 48 hour time period, the club reserves the right to decrease or increase either one accordingly. A maximum of 10 entries per envelope is allowed. Envelopes with more than 10 entries and/or entries received prior to the opening date will be returned. Paper entries received within 24 hrs. of the opening date & time must include postage or be metered. Must be delivered by a multi-state or multi - national postal or carrier service, including, but not limited to USPS, FedEx, UPS & DHL. If above conditions are not met, the entries are not valid and must be returned to the send VETERINARIAN: Emergency Animal Care, 317 Telegraph Road, Bellingham, WA, (360) Directions: Exit the Fairgrounds on Front St. or Kok Rd. and turn West. Turn Left on Guide Meridian and continue South to Telegraph Rd. in Bellingham. Turn Left. The clinic is on the Right, one block up. DOGS ELIGIBLE TO ENTER This trial is open to any dog fifteen (15) months of age or older that is registered with the AKC or that has AKC Limited Registration, PAL/ILP, or an AKC Canine Partners listing number with the exception of bitches in season, blind or deaf dogs, aggressive dogs or those suffering from any deformity, injury, or illness which may affect the dog s physical or mental performance. Exhibitors should follow their veterinarian s recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. COURSE FAMILIARIZATION AND WARM-UPS Handlers in all classes 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. A warm-up area, consisting of a regulation agility jump, shall be provided for all exhibitors. There will be no Novice equipment familiarization at these trials. CHECK YOUR ENTRY FORMS AND CONFIRMATIONS Please be aware that AKC rules prohibit modification of an entry after the closing date/time. The ONLY allowed changes are for move-ups in class and those are required in writing by 6PM of the Monday before the trial. The trial secretary is not allowed to change jump heights, preferred vs. regular, or move down in classes after closing. A preliminary confirmation will be sent when the entry is received and processed. Make sure to check those confirmations closely and notify the trial secretary if you have corrections or changes before the closing date. 2

3 ******** WAIT LIST - FRIDAY ONLY ******** CDTA is offering a wait list to fill openings created by withdrawn entries after the trial's closing date/time. A maximum of 15 entries will be placed on the club's wait list. All entries, including wait-listed entries, must be received by the Trial Secretary prior to the Friday, July 3rd, 2015, 5 p.m deadline. Any entries withdrawn, with notification to the Trial Secretary in writing ( OK) by 6 p.m. Monday, July 13 th, 2015 will be replaced by a wait listed entry if any are available. If, and ONLY if, a withdrawn entry is replaced by a wait listed entry will a full refund be issued for the withdrawn entry for any FRIDAY runs ONLY. Any wait listed entry that does not move off the Friday wait list into the trial by 6 p.m. Monday, July 13 th, 2015 will receive a full refund for the requested run(s). OBSTACLES AND RING SIZE All obstacles shall meet the specifications as outlined in the current edition of Regulations for Agility Trials. These agility trials will be held indoors on groomed dirt surface with ring sizes of 95 deep x 110 wide. Crating is on cement in the same building and there is plenty of room. There are also bleachers in the arena. CLASSES AND DIVISIONS It is the exhibitor s responsibility to enter the dog in the correct class. The Trial Secretary cannot make any changes (except for move-ups as noted) after the closing date of the trial. Be sure to check your entry form and confirmation letter carefully and make certain you have entered the correct classes. NOTE: Do NOT enter a class higher than you are eligible for on the assumption you will complete a title before this trial. Move-downs after the closing date for entries are not allowed. If this is your first entry in Preferred class you must start in the Novice class, or if you have not yet used your one-time lateral transfer the dog may enter in the same level as it runs in the regular classes but must jump 4 lower. A complete set of rules for all classes is available from the American Kennel Club, 8051 Arco Corporate Drive, Suite 100, Raleigh, NC , or from the AKC website at Classes and Levels Trial Day(s) RING 1 RING 2 FRIDAY STD Exc/Mas only JWW Exc/Mas only SATURDAY SUNDAY STD & T2B all levels STD & T2B all levels FAST and JWW - all levels JWW all levels JUDGING begins 5:00 p.m. Friday and 8:30 a.m. on Saturday and Sunday. Height Divisions All dogs without height cards must be measured by the judge before running. On Saturday and Sunday, measuring will begin at 8:00 a.m. and will occur after the excellent classes are complete. Regular Height at Withers Preferred (can jump higher) (must jump measured height) 8 For dogs 11 inches and under at the withers 4 12 For dogs 14 inches and under at the withers 8 16 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 At discretion of handler. NOTE: A dog must be entered only in Preferred or only in Regular for any set of trials (weekend). Entries may not be split between Preferred and Regular. If the measurement of your dog at the trial puts your dog into a different jump height than entered in, you must notify the Trial Secretary immediately. HEIGHT CARD REGULATIONS When filling out the entry form, there is a section at the top of the form for exhibitors to mark if your dog needs to be measured. This lets the Trial Secretary know whether to include your dog on the Dogs To Be Measured List. It is no longer required that you submit a copy of your dog s jump height card with your entry form or show it during day of show check-in. However, you should have the card with you if asked for it. 3

4 Enter online at Qualifying score required for all prizes. Qualifying score Dark Green Rosette First Prize Blue Rosette Second Prize Red Rosette PRIZES AND AWARDS Third Prize Yellow Rosette Fourth Prize White Rosette New Title Ribbons will be given for any dog completing a title at this trial. Please ask for yours! Please notify the Trial Chair or Trial Secretary if you have the potential of completing a MACH, PACH or PAX title at this trial. MOVE-UPS CHECK-IN Deadline for move-ups for these trials is Monday, July 13th, 2015 at 6 p.m. PST. Move-ups must be submitted in writing (e- mail okay). Move-ups are not official until confirmation of the move-up has been received by the participant. Friday to Saturday and Saturday to Sunday move-ups will be allowed. Check-in will be near the NORTH entrance to the building. Armbands will be available there. PLEASE remember to check in directly with the Gate Steward before your runs. JUDGING SCHEDULE JUDGING WILL BEGIN NO EARLIER THAN 5:00 P.M. ON FRIDAY AND 8:30 A.M. ON SATURDAY AND SUNDAY. We will be running two rings ALTERNATELY on Friday. On Saturday we will run two rings CONCURRENTLY. On Sunday we will be running two rings ALTERNATELY unless we reach the maximum number of runs for one judge (330). If this happens, a second judge will be assigned to judge the additional runs. This may mean rings will run concurrently for a period of time. Notification regarding final schedule of judging will be sent after closing. For Sunday runs only, any participant has the right to withdraw from runs assigned to the overage judge with full refund for that run/those runs only. Notify the trial secretary as soon as you know that you do not want to run under the overage judge. This judging schedule for Sunday is subject to change based on number of entries. Changes will be noted in the final confirmation letter and in the final schedule that will be sent to all exhibitors during the final week before the trial. PLEASE CHECK THEN! Friday - alternating Ring 1 Sandra Moody Exc Std Ring 2 Sandra Moody Exc Jww Saturday - concurrently Ring 1 Robin Kletke Exc Std Opn Std Nov Std T2B Ring 2 Sandra Moody Exc Fast Opn Fast Nov Fast Exc JWW Opn JWW Nov JWW Sunday alternating Unless more than 330 runs in which case a second judge will be added to take the over flow. Ring 1 Sandra Moody Exc Std Opn Std Nov Std Ring 2 Sandra Moody T2B Exc JWW Opn JWW Nov JWW REFUNDS: A complete refund will be given, for any reason, if withdrawal notice is received before the closing date and time. After closing, a refund of entry fees, less $10/day, will be given for any bitch that comes into season. If requested, a written notification from a veterinarian must be provided to the Trial Secretary before its first scheduled run of the weekend. A refund of one-half the entry fees will be given for dogs that are injured, provided a veterinary certificate is provided AND notification is received by the Trial Secretary at least 30 minutes before the dog is scheduled to run in its first run of the weekend. No other refunds will be given after closing with the exception as stated under Friday - Wait List on p. 3. No refunds will be given for amounts less than $10.. 4

5 HOSPITALITY INFORMATION Food will be available for volunteers. Volunteers will receive a sticker from the Chief Ring Steward. Food remaining after the volunteers have eaten will be available, by donation, on all days. There are also eating facilities nearby. Sorry, we are not allowed to sell food on the fairgrounds VENDORS We accept vendors with dog related items only. Contact Trial Chairperson Karen Dolphin (360) or sylvieflynn@gmail.com to arrange space. A nominal fee of $25 will be charged. DIRECTIONS TO SHOW LOCATION Front St., Lynden From the NorthWest, take I-5 south to exit 270, Birch Bay-Lynden Road, turn east and proceed approximately 8.2 mi. to Hwy 539 (Guide Meridian St.), turn left. Turn Right on Front St. (North of the fairgrounds) Enter at gate #2. From the NorthEast, take Hwy 11 to Sumas, then R on Halverstick, Follow signs for Everson and Lynden. Continue on Hwy 546 (E. Badger Way) to Guide Meridian Rd. Turn Left. Turn Left again on Front St. (North of the fairgrounds) Enter at gate #2. From the South, take I-5 to Exit #256A onto Hwy 539 (Guide Meridian St. right turn) and proceed approximately 10 miles to Lynden. Turn Right on Front St. (North of the fairgrounds) Enter at gate #2. When you reach the Fairgrounds, enter through Gate #2, drive due south toward the grandstand. The arena is to your right once you pass the grassy areas and water tower. Parking will be to the northeast of the arena, on the west side of the arena or across Kok Road to the south. Check in will be near the front doors of the arena! ACCOMMODATIONS PLEASE, CLEAN UP AFTER YOUR DOGS! Please confirm pet policies and fees at the hotel of your choice. Additional hotel information is available online at or at All motels request no unattended dogs in the rooms. Some restrictions may apply. Super 8 Motel, 5788 Barrett Rd., Ferndale, WA [Pet Fee] Motel 6, 5671 Riverside Dr., Ferndale, WA (newly opened, please call Motel 6 main number or contact Best Western Heritage Inn, 151 E. McLeod Rd., Bellingham, [Pet Fee] Holiday Inn Express, 4160 Guide Meridian, Bellingham, [Pet Fee] Quality Inn Grand Suites, 100 E. Kellogg Rd., Bellingham, [Pet Fee] Baymont Inn & Suites, 125 E. Kellogg Road, Bellingham, [NO Pet Fee] LaQuinta Inn & Suites, 1063 W. Bakerview Rd., Bellingham, [NO Pet Fee] Motel 6, 3701 Byron St., Bellingham, [NO Pet Fee] The majority of these places are 20 minutes away from the trial site. There are also a few places in Lynden. Check for any change in pet policies that may have occurred after this premium was distributed. OVERNIGHT PARKING Overnight parking is available on the site. A fee of $20.00 per night is charged. Electrical hookup is included in this fee. (There is no water hookup in the winter months so be sure to fill your tanks before you come.) PLEASE SEND the FORM ON PAGE 7 OF THIS PREMIUM INCLUDING PAYMENT ALONG WITH YOUR ENTRY. Enter through Gate 2 and proceed south. RV spots are available on the east and west sides of the road and along the side of the grandstand. You may choose a site for yourself. However, PLEASE RESPECT any Reserved signs. These are for people involved in putting on the trial. Reminder to Canadian exhibitors: Aldergrove/Lynden border crossing doesn t open until 8:00 A.M.! If you need to be at the Fairgrounds for the first morning classes, use Pacific Highway crossing from the West or Sumas crossing from the East as they are open 24 hrs. 5

6 TRIAL REGULATIONS & NOTICE TO EXHIBITORS The Trial will be open Friday from 4:15 p.m. to 9:30 p.m. and Sat./Sun. from 8:00 a.m. to 5:00 p.m. Consult final confirmation for order of classes and times of judging. Conditional, unsigned, incomplete, illegible, telephone, faxed, or telegraphed entries cannot be accepted. Entries not on official AKC forms and/or photocopies of AKC forms without the agreement and rules that accompany the Official AKC entry form are not acceptable. Returned checks do not constitute a valid entry. Post dated checks do not constitute a valid entry. Checks will be deposited immediately after the trial closes. No entry fee 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 the control of the organizing committee. Entry fees will NOT be refunded in the event of errors or cancellation of entries after the published closing date, or in the event a dog is absent, disqualified, excused by the Veterinarian or Judge during the trial, or barred from competition by the Show Committee. (Exceptions to Refunds are stated on page 2 and on page 3 under Friday Wait List) OWNERS ARE RESPONSIBLE for errors in entry forms, regardless of who may make such errors. It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and children. Any exhibitor w hose dog(s) and/or child(ren) 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 fees paid will be made. Sorry, no puppies under 3 months of age are allowed in the trial arena. Aggressive dogs will not be allowed. The safety of dogs is of primary concern. By entering this trial, exhibitors acknowledge that they are familiar with the rules and regulations of this sport and their dogs are familiar with and able to perform all obstacles safely. Head halters, pinch collars, electric and dummy electric collars are prohibited on trial grounds. Body harnesses are OK. All dogs must be on leash at all times except when in the ring or when in the designated agility warm up area. The leash may have a single pick-up bag and/or identification tag attached to it. Painted or stitched designs or information on collars can be only the dog s name and/or identifying information. The Chuckanut Dog Training Association, Inc., The Northwest Washington Fairgrounds, and Marian Snapp, assume no responsibility for any loss, damage or injury sustained by exhibitors, handlers, spectators, or to any of their dogs or property, and further assume no responsibility for injury to any child not under the control of his or her parents or guardian. There will be plenty of crating space adjacent to the rings and there are heated bathrooms along with showers. All set-ups for participants must be a minimum of 10 back from the ring barriers. PLEASE CLEAN UP AFTER YOUR DOG(S). Failure to do so will be considered a benchable offense and we REALLY want to use this facility in the future. This club does not agree to arbitrate claims as set forth on the Official AKC Entry Form for this event. VOLUNTEERS We ll be using the White Board for all positions. If you want to do something special, please let us know and we ll sign you up ahead of time. Also, if you want to learn a job, just ask the chief ring steward who can put you with someone who will show you the ropes. Volunteer draws for prizes and future entries will be made after each day is complete. Thanks for your help! Fabulous lunch is provided for all volunteers! 6

7 CDTA OVERNIGHT CAMPING FORM Please note the following: Electrical hookups are available and included in the price. Water is available at the summer trial ONLY. Showers and toilet facilities are available 24 hrs./day. Separate dump station on site (fee is $5 payable at the site). Be courteous when running a generator; quiet hours are 10PM 6AM CDTA reserves the right to assign spots if needed for efficient use of space though generally spots are taken on a first come basis. Name: Thursday Friday Saturday Sunday Nights you will be staying: All other nights must be arranged for through the Fairgrounds office ( ). Tent/car/van/pickup Recreational Vehicle Cost is $20.00 per night for ANY overnight stays be they in a van, car, pickup, tent, or RV. *Camping fees are refundable if you do not attend the trial or you make other plans for accommodations, but you must let us know by the trial date no refunds after the trial. Make checks payable to CDTA Camping. (You may include it in the envelope with your entry/entries.) Total amount enclosed: Check #: Please fill out this form and send it with your check to: Marian Snapp, 2620 Shepardson St., Bellingham, WA LYNDEN AND NORTHWEST WASHINGTON FAIRGROUND FACILITIES Lynden is a quiet town located about 20 minutes north of Bellingham. Its Dutch heritage was established as settlers from Holland began to arrive in the early 1900s. The results of their hardy work ethic are still seen today in the area's successful dairy and berry farms, plus its well-maintained homes. The city provides full services, food and shops. Many of these are located within an easy walk of the trial site, and camping is available on-site in a park-like setting with water, power and dump station. Acres of manicured grass for long walks and a large but secluded streamside off-lead play park just to the west and below the Fairgrounds area are a few of the amenities that this trial site offers. Dogs must be on leash at all times on the Fairgrounds property. Be sure to visit for more information 7

8 OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM Chuckanut Dog Training Association NW Washington Fairgrounds, 1775 Front St., Lynden, WA Opens June 1 st, 2015 Closes July 3 rd, 2015 Entry Fees per dog per day $17 for each of runs 1,2,and 3, $12 for run #4, ALL RUNS on All Days Friday, July 17 STD JWW Saturday, July 18 STD JWW FAST T2B Sunday, July 19 STD JWW T2B Make Checks Payable to CDTA Catalog $10.00 Mail entries & payment to: Marian Snapp, 2620 Shepardson St., Bellingham, WA IMPORTANT: Carefully read instructions before filling out! ENTRY FEE ENCLOSED Choose Either Regular OR Preferred Classes Circle one jump height, and circle class selections :: Only one selection per class (STD, JWW, FAST, T2B) REGULAR Classes STD Nov A Nov B Open Exc Master JWW Nov A Nov B Open Exc Master FAST Nov A Nov B Open Exc Master T2B T2B PREFERRED Classes STD Nov P OpenP ExcP MasterP JWW Nov P OpenP ExcP MasterP FAST Nov P OpenP ExcP MasterP T2B T2BP Non-Regular Classes International Sweepstakes STD JWW Select: This Dog Needs To Be Measured Yes No SEX Ht. 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) 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. 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 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 negligence of the aforementioned parties or any of their employees or 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, INTREPRETATION 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 may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. 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? 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 forgoing 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. SIGN HERE X Telephone Number: Address: New Emergency Contact: - Name: Phone #: AEAGL2 (09/12)