October 4-6, Volunteer Worker Form

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1 Volunteer Worker Form Your help is appreciated. Workers will receive lunch or discount coupons good toward future YAC trials. Please fill out this form and return it with your entry. A copy of the worker schedule will be sent by to all exhibitors prior to the trial. Volunteer coordinator is Pamm Myers please contact her at: Pamm@ShutterPaws.com Name: Phone : I m willing to do: Timer Gate Steward Course Building Scribe Score Runner Leash Runner Asst. Scribe Ring Crew Anything! Days I will be able to work FRI SAT SUN Classes I am entered in and on which days: EXC STD (20-26 ) EXC JWW (20-26 ) EXC STD (4 16 ) EXC JWW (4 16 ) OPEN STD NOVICE STD EXC FAST NOV FAST OPEN JWW NOVICE JWW OPEN FAST T2B Entry Method is First Received Entries Open: Wednesday, July 3, 2013 at 9:00 am (Eastern) 6907 Havenwood Drive, Raleigh, NC Entries Received Prior to OPENING DATE will not be accepted Entries Close: September 13, 2013 at 5:00 pm (Eastern) After which time no entries will be accepted, cancelled, altered or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Youngsville Agility Club of North Carolina Three AKC All Breed Agility Trials This Event is Accepting Entries for Dogs Listed in the AKC Canine Partners Program Event #: & & October 4-6, 2013 Total of 330 Runs Per Day Trial to be held at: Teamworks Dog Training, LLC Robbins Road, Youngsville, NC Show hours: 7:00 am to 7:00 pm All Days: Check In 7:00am, Judging Begins 8:00am Covered Arena 100 x 100 w/artificial turf American Kennel Club Certification Permission has been granted by the American Kennel Club for the holding of this event under American Kennel Club rules and regulations. James P. Crowley, Secretary

2 President: Michele Godlevski Secretary: Joann Burtness Youngsville Agility Club Officers Vice President: Mark Allemang Treasurer: Pamm Myers Trial Committee Trial Chair: Michele Godlevski Chief Course Builder: Mark Allemang Worker Coordinator: Pamm Myers Trial Secretary Patty Nowak 6907 Havenwood Drive, Raleigh, NC All s and confirm receipt of all cancellations and move-ups please allow hours for a response. If you do not hear from me within that time, please call me. JUDGING PANEL Karen Wlodarski # Old Oak Walk Johns Island, SC Friday: FAST, JWW, STD All Levels Saturday: FAST, JWW, STD Excellent/Master Sunday: JWW, STD Exc/Master, T2B Reg/Pref. Brian Brane # Silene Pittsboro, NC Saturday: FAST, JWW, STD Open & Novice Sunday: JWW, STD Open & Novice RUNNING ORDER Friday: Master/Exc. FAST, Open FAST, Novice FAST, Master/Exc. STD, Open STD, Novice STD, Master/Exc. JWW, Open JWW, Novice JWW Saturday: Master/Exc. JWW, Open JWW, Novice JWW, Master/Exc. STD, Open STD, Novice STD, Master/Exc. FAST, Open FAST, Novice FAST Sunday: Master/Exc. STD, Open STD, Novice STD, Master/Exc. JWW, Open JWW, Novice JWW, T2B Regular/Preferred Preferred Classes will run concurrently with the Regular Classes using the same course as the Regular Classes. Friday and Sunday classes will be run from small to tall and Saturday will be from tall to small. VETERINARIAN ON CALL: Quail Corners Animal Hospital and Emergency Care Center 1613 E. Millbrook Road, Raleigh, NC Change of Excellent B To Master To help resolve the confusion that has been occurred over the years with Excellent A and Excellent B classes, which are two distinctly different classes, we are renaming them to match the names of the titles that are earned from those two, different classes. The requirements to qualify are different in each of these classes as is the title earned when they complete the title requirements. In an effort to eliminate this confusion, as of January 1, 2013 the name of the Excellent A class will change to "Excellent" and the name of the Excellent B class will change to "Master". Please note, only the name is changing. The class themselves and the titles earned remain the same. The new entry form reflects the change. The changes will be as follows: Excellent A will change to Excellent Excellent A Preferred will change to Excellent Preferred Excellent B will change to Master Excellent B Preferred will change to Master Preferred Height Card Process: Copies of height cards no longer need to be sent with your entry. Please check the appropriate box on the entry form regarding your dog s measurement status so the trial secretary knows whether to include you on the Dogs to Be Measured List. Regular Preferred Information 8 4 For dogs 11 & under at withers 12 8 For dogs 14 & under at withers For dogs 18 & under at withers For dogs 22 & under at withers For dogs over 22 at withers Dogs may be entered at this height at their owner s discretion

3 GENERAL INFORMATION The trial will be held in a covered arena with artificial turf. Your dogs must remain on leash when they are not competing or in the warm-up areas. Poop bags are located throughout the premises for your convenience in picking up after your dog(s). Handlers are responsible for cleaning up after their dogs on the grounds and at the hotels. Handlers found to be in violation of either of these policies may be excused by the Trial Committee without benefit of refund. ENTRY FEES: $25.00 first entry of each dog, each day; $13.00 subsequent entries of same dog, same day. (includes AKC recording fees of $3.50 for 1 st entry and $3.00 for each additional entry of the same dog, per day) Please make checks payable to Youngsville Agility Club (YAC). Checks made out incorrectly do not constitute a valid entry fee and your entry will be returned. No refunds granted for checks made in excess of the correct amount if overage equals less than $10. There will be a $35 fee for returned checks, and the exhibitor may be asked to submit cash or money order for future events. All express mail must be left with no acceptance signature required. Entry form changes, additions, corrections and cancellations MUST be received in writing prior to the September 13, 2013 closing date, be legible and include the AKC number, or no refund will be issued. No telephone changes accepted. WAIT LIST POLICY: Entries for this trial are being accepted on a firstreceived basis until the closing date of September 13, 2013 at 5:00pm. YAC will be offering a wait list up until the closing date for those entries received in excess of the daily limits. No more than 25 entries will be included on the wait list. All entries, including those that are wait listed, must be received by the final closing date. Any entries withdrawn by the final closing date of September 13 th will be replaced by a wait listed entry (if available) and a full refund will be issued to the withdrawn entry. Any entry remaining on the waiting list after the final closing date of September 13 th will receive a full refund. YAC will NOT be allowing move-ups from the waiting list into the trial after the final closing date. SITE INFORMATION: All classes will be held in the covered arena on artificial turf. In order to reduce running and volunteer conflicts only one class will be run at a time. However, if inclement weather threatens, the club may run some classes in the outdoor sand ring at the same time to allow competitors to finish in a timely manner. OBSTACLES: Obstacles will meet the specifications for obstacles in the current edition of the regulations for Agility Trials. Rubber surfaced contacts, 24 weave poles and electronic timing will be used. WARM-UP AREAS are fully fenced and consist of a regulation jump. Exhibitors may not use the warm up areas to relieve their dogs. DOGS ELIGIBLE TO ENTER: This trial is open to all dogs over the age of 15 months that are registered with the American Kennel Club or are registerable breeds that have obtained AKC ILP or PAL numbers, except bitches in heat, aggressive dogs, or dogs suffering from any deformity, injury or illness which may affect the dog s physical or mental performance. Dogs or registerable breeds with an accepted foreign registration number are eligible to participate subject to Chapter 11, Section 1 of the Dog Show Rules. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registerable breeds they may participate. 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. 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 show site. In such cases, no refund of any fees paid will be made. Youngsville Agility Club and Teamworks Dog Training LLC, its agents, members, etc., assume no responsibility for any loss, damage, or injury sustained by exhibitors, handlers, or to any of their dogs or property and further, assume no responsibility for injury to children. REFUNDS: Entry fees for bitches that come into season after the closing date will be refunded (minus a $11.00 administrative fee per day) if a veterinarian certificate is presented to the trial secretary prior to the start of judging. Refunds due to illness or injury of either dog and/or handler will be made on a case-by-case basis by the trial committee and a vet s and/or physician s note must be presented prior to the start of judging. No entry fees will be refunded if the Trial cannot open or be completed by reason of riots, civil disturbances, fire, acts of God, public emergency, or any other cause beyond the control of the Club. Entry fees shall not be refunded in the event that a dog is absent, disqualified, excused by vet or judge or barred from competition by action of the trial committee.

4 Dogs are not required to be at the trial until the scheduled time of judging. All dogs not needed for further judging are excused. The owner/handler of each dog is solely responsible for having the dog ready at ringside when it is to be judged. Dogs under 6 months of age are NOT permitted on the show grounds of AKC Agility Events. 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 CLASS INFORMATION: All Regular and Preferred Standard, JWW classes will be offered each day. FAST will be offered on Friday and Saturday. 2TB will be offered on Sunday Only. Please consult AKC rules and regulations pertaining to Agility Trials for complete description and eligibility for entry in these classes. The exhibitor is fully responsible for entering the dog in the correct class/division. IT IS THE EXHIBITOR S RESPONSIBILITY TO ENTER THE CORRECT CLASS. PRIZES AND AWARDS: Each exhibitor will be offered a prize equaling $3-5 for each dog entered. One prize per dog, per day entered please. Rosettes will be awarded to the 1 st through 4 th places in each height division. Only qualifying scores are eligible for ribbons. Qualifying ribbons will be awarded to those dogs receiving qualifying scores. A special rosette and a MACH or PACH Bar will be offered for all dogs earning a MACH or PACH. All prizes must be claimed the day of the show, none will be mailed. MOVE-UP REGULATIONS: If a dog earns an agility title before this event it can be advanced to the next level of competition. Written notice ( is acceptable and preferred) must be given to the Trial Secretary, no later than Monday, September 30, 2013 by 6:00pm. Day to day move-ups will be offered written notice must be provided by close of the trial on Friday and Saturday, which will be considered the awarding of the ribbons for the last class on that day. Move-ups will be added to the end of the running order of the class they move up to. No verbal changes will be accepted. Changes from Nov A to Nov B can only be made before the trial closing date of September 13, INITIAL CONFIRMATIONS: If you wish confirmation of RECEIPT of entries, provide a valid, unblocked address or you may enclose a pre-addressed, pre-paid post card or envelope. Entries will be acknowledged via when they are received and when move-ups or cancellations are requested. FINAL CONFIRMATIONS: All entries will receive confirmations via e- mail. Entries without a valid address will receive confirmations via the US Post Office. If you provided an address but wish to receive your final confirmation via the US Post Office, please contact the trial secretary. If you have not received a copy of your confirmation before the show, contact the Trial Secretary. COURSE FAMILIARIZATION: Handlers in all classes are permitted to walk the course, without a dog, prior to the start of the class. The walkthrough allows handlers to plan their strategy for running the course. The walk-through period will be held prior to each class. The judge s briefing will outline the course and answer handler questions. There will not be equipment familiarization for Novice dogs. RV AND TENT CAMPING: Advanced reservations are required for all overnight RV s, pop-ups and tent camping. Reservations can be made online at the Teamworks Dog Training website ( under Events ). A limited number of electrical hookups are available for RV s. No water hookups or dumping. RESERVED PARKING is available only for RV s, handicapped and trial committee members. Otherwise, parking is on a first-come, first-served basis. TENTING is also on a first-come, first served basis. Any cones or flagging tape left in an attempt to save a parking or tenting spot will be removed and thrown away. The grounds will be available on Thursday after 3:00pm for set up (absolutely no earlier). There are signs clearly indicating where parking and tenting are. Anyone caught driving past barriers or disobeying the ground rules will be asked to leave the site without a refund. Youngsville Agility Club and Teamworks Dog Training will not be responsible for any lost or damaged items left at the show site. FOOD: Food and drinks will be available on the grounds. Nearby restaurants are located in Raleigh, Rolesville, Wake Forest and Youngsville.

5 DIRECTIONS TO TEAMWORKS AGILITY FIELD 195 ROBBINS ROAD, YOUNGSVILLE, NC From Points South/East: Take I-40 West to I-440 (Beltline) to Exit 11 (Route 1 North / Capital Blvd). Continue on Route 1 North/Capital Blvd. until it splits at US-401. Follow US-401 North, which splits to the right. You will go through town of Rolesville and enter Franklin County. Pass Rte 96; turn right on 98 East (second light past Rte 96). Pass Spencer's Gate development. At first major road, turn right on Bethlehem Church Rd (road called Clifton Pond Rd on other side). Turn left onto Robbins Rd. Look for white fence on left. Turn left into second gravel driveway at Teamworks Dog Training sign. From I-40 Headed East: Exit I-40 onto I-540 East. Continue on I-540 and take the exit for 401 north (Louisburg). Go through town of Rolesville. Pass Rte 96; enter Franklin County. Turn right onto 98 East (second light past Rte 96). Pass Spencer's Gate development. At first major road, turn right on Bethlehem Church Rd (road called Clifton Pond Rd on other side). Turn left onto Robbins Rd. Look for white fence on left. Turn left into second gravel driveway at Teamworks Dog Training sign. From Virginia and Points North of Raleigh: Take I-95 South to I-85 South. Follow Rte 1 South toward Raleigh. Take Rte 98 East. Follow signs to stay on route 98 East. Pass 401. Pass Spencer's Gate development. At first major road, turn right on Bethlehem Church Rd (road called Clifton Pond Road on other side). Turn left onto Robbins Rd. Look for the white fence on the left. Turn left into second gravel driveway at Teamworks Dog Training sign. From Durham and Points West of Raleigh: Take I-85 North. Take US- 70 East to Raleigh. Stay in the right hand lane. Watch for small sign for Rte 98 East to Wake Forest (it comes up fast). Take Rte 98 East to Wake Forest. You will be on this road for about 40 minutes. Pass Route 50; pass Rte 1. Go through Wake Forest, following signs stay on Rte 98 East. Pass Rte 96. Pass Rte 401. Pass Spencer's Gate development. At first major road, turn right on Bethlehem Church Rd (called Clifton Pond Rd on other side). Turn left onto Robbins Rd Look for white fence on left. Turn left into second gravel driveway at Teamworks Dog Training sign ACCOMMODATIONS The following motels located in North Carolina have accepted pets in the past. Please contact the hotel directly to verify their pet policies. Candlewood Suites at Retail Drive, Wake Forest, NC phone Approximately 20 minutes to trial site Day s Inn Raleigh at 3201 Wake Forest Road, Raleigh, NC phone Approximately 30 minutes to trial site. Day s Inn Glenwood-Crabtree at 6329 Glenwood Avenue Raleigh NC phone Approximately 40 minutes to trial site. La Quinta Inn and Suites Raleigh Crabtree at 2211 Summit Park Lane, Raleigh NC phone Approximately 40 minutes to trial site. Howard Johnson at 3120 New Bern Avenue Raleigh, NC phone Approximately 30 minutes to trial site. Comfort Suites at 4400 Capital Boulevard, Raleigh NC phone Approximately 30 minutes to trial site. Teamworks Agility Weather Hotline Agility trials are held rain or shine. However, in the case of severe weather, please call the Teamworks Agility Weather Hotline for updated information. If there is a need to delay or cancel a trial due to extreme conditions, there will be a message on this line.

6 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY Youngsville Agility Club Event #: & & Fri. 10/4 [ ] STD [ ] JWW [ ] FAST 1 only $25 2/$38 3/$51 Sat. 10/5 [ ] STD [ ] JWW [ ] FAST 1 only $25 2/$38 3/$51 Sun. 10/6 [ ] STD [ ] JWW [ ] T2B 1 only $25 2/$38 3/$51 Mail entries with fees payable to YAC to: Patty Nowak, 6907 Havenwood Drive, Raleigh, NC Opening Date: July 3, 2013 PLEASE PRINT OR TYPE your entry. Closing Date: September 13, 2013 Incomplete and/or illegible entries will be returned. Entries accepted on a first-received basis Limit 10 entries per envelope. 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 PREFERRED Classes Jump Ht Jump Ht STD Nov A Nov B Open Exc Master STD NovP OpenP ExcP MasterP JWW Nov A Nov B Open Exc Master FAST Nov A Nov B Open Exc Master T2B T2B JWW NovP OpenP ExcP MasterP FAST NovP OpenP ExcP MasterP T2B T2BP NON-REGULAR AGILITY CLASSES: INTERNATIONAL SWEEPSTAKES CLASS STD JWW This Dog Needs To Be Measured Yes AKC REG NO. No SEX HEIGHT at Withers BREED VARIETY CALL NAME AKC Registered Name (Include AKC titles only Enter Complete Registration Number Below [ ] ILP. [ ] PAL [ ] FOREIGN REG NO. & COUNTRY Breeder Sire Dam ACTUAL OWNERS DATE OF BIRTH PLACE OF BIRTH USA CANADA FOREIGN OWNERS ADDRESS NEW ADDRESS? [ ] HANDLER CITY, STATE & ZIP + 4 (if junior handler please enter # below) 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 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 lesser 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 there from, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other 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 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 ARBIRATION 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 above on this 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 SIGN HERE X Telephone Number: Address: ( New ) In Case of Emergency Name: Phone #: AEAGL2 (01/11) V8.3P Ed