Columbia Agility Team presents The 6 th Annual NW Cup

Transcription

1 Columbia Agility Team presents The 6 th Annual NW Cup USDAA Grand Prix of Dog Agility Qualifier and USDAA Sanctioned Agility Test Standard & Non-Standard Classes Championship and Performance Junior Handler Titling Beginners Elementary Intermediate Senior Judges: Kenneth Tatsch, Dallas, TX Frank Holik, Highland, MI Peggy Hammond, Austin, TX Tara Choate, Oregon City, OR January 11 & 12, 2003 Clark County Fairgrounds Vancouver, WA 3 rings indoors on packed earth Entry closes 5 pm, Friday, Dec.6, 2002 There is no secondary closing for this event. USDAA, Agility Dog, Advanced Agility Dog, Master Agility Dog, Agility Dog Champion and Grand Prix of Dog Agility are registered trademarks and Jumpers Master SM, Gamblers Master SM, Relay Master SM, Snooker Master SM, Performance Dog I SM, Performance Dog II SM, Performance Dog III SM, Performance Jumper SM, Performance Gambler SM, Performance Snooker SM, Accomplished Performance Dog SM, Veteran Agility Dog SM,, Veteran Advanced Agility Dog SM JH Beginner SM, JH Elementary SM, JH Intermediate SM, and JH Senior SM are exclusive service marks of United States Dog Agility Association, Inc.

2 Organizing Committee Trial Chairman: Trial Secretary: Chief Ring Steward: Chief Scorers: Jim Hibbard, (503) Venita Barraque, (503) Lisa Klein Hilary Hankins Chief Course Builders: Tom Berkley Awards Wendy Ware Entry closes: 6 pm, Friday, Dec. 6, Dogs entered in Performance classes are welcome to enter the Grand Prix; however, because the Grand Prix is run at Championship height, the handler must submit a separate entry form for that run, listing the dog at its Championship height. Fees: Grand Prix $17 Each Standard run $15 per standard run All other runs $8 per run Weekend packages are available as shown on the entry form. Junior handlers are eligible for a 50% discount on all runs whether in a junior handling class or in a regular agility class. This may not be combined with any package or CAT discount. Each dog must have a USDAA number to run at this trial. If your dog does not have one, fill out the registration form included in this premium and return it with your entry. The fee is $18 for Dog Registration Application and $10 for Junior Handler Registration Application. Directions to Show Site: Clark County Fairgrounds is located at Exit 9, North of the Oregon/Washington Border. Take I-5 Exit #9 (Washington!), head West on 179th, go 1/2 mile, turn left onto 2nd Ave., then left again at Gate 7. Building 106 is on the right at the end of the road. FOOD: The Clark County Fairgrounds has a food vendor that serves hot dogs, hamburgers, soft drinks, and misc. snack foods. PET FRIENDLY ACCOMMODATIONS UNIVERSITY INN, 1500 NE 134th St., Vancouver WA, Rate of $69 for people mentioning CAT. SHILO INN, Hwy 99, Vancouver WA, Basic Room rate is $68.95 and a $10.00 pet deposit. COMFORT INN, NE 20th Ave, Vancouver WA, Basic room rate is $65.00 and a $10.00 pet deposit. CAMPING: Clark County Fairgrounds has many RV hook ups and tent sites, on the South Side of the Exposition & Equestrian Bldg. These cost $10/night with or without hookup, and need to be reserved and paid for, at the time of entry. All these must be reserved and the money included with your entry form. As with each event CAT puts on, a percentage of the proceeds will go to charity. The recipient for this event will be Dove Lewis Veterinary Hospital.

3 Class Descriptions USDAA Grand Prix of Dog Agility Local Qualifier: This single-round tournament is open to all dogs regardless of title or skill level. The course includes an A-frame, dog walk or cross-over, see-saw, pipe tunnel, collapsed tunnel, weave poles, tire jump and a variety of other jumps and hurdles. Scoring follows regulations for standard scoring under Masters rules, except that time standards may generally range from 3.50 to 3.75 yps for dogs competing in the 22 and 26 height classes; from 2.85 to 3.05 yps in the 12 height class; and from 3.00 to 3.25 yps for dogs competing in the 16 height class. Dogs that earn seven or fewer faults (combined course and time penalties) shall qualify to enter one of the Regional Championship events. A complete copy of the 2003 tournament rules, which are hereby incorporated by reference, will be posted at the event, or may be obtained directly from USDAA upon written request. Championship Dog Agility Program (formerly, Regular Classes): The Championship Program classes are for dogs not entered in the Performance Program at this event. Classes include standard agility, gamblers, jumpers, pairs relay and snooker agility as set forth in USDAA rules and regulations, each of which are conducted at three competitive levels, as listed below: The Starter/Novice level classes shall be for any dog that has not earned the Agility Dog title. When offered separately as Starters and Novice classes, the starters level classes are for any dog that has also not earned a title in the Performance Program, or any dog handled by a person who has not previously earned the Agility Dog title or a title in the Veterans or Performance Program with any dog. The Advanced level classes shall be for any dog that has earned the Agility Dog title and has not earned the Advanced Agility Dog title. The Masters level classes shall be for any dog that has earned the Advanced Agility Dog title. Additionally, any dog that has received two qualifying scores in one Advanced level nonstandard agility class (i.e., snooker, jumpers, gamblers or pairs relay), with scores being earned from 2 different judges (and with 2 different partners in pairs relay), shall be eligible for entry into the same Masters level nonstandard class without having earned the Advanced Agility Dog title. Performance Program Classes: Performance Program classes are open to dogs not entered in the Championship Dog Agility Program at the agility test. Classes include standard performance, gamblers performance, jumpers performance and snooker performance classes as defined in USDAA rules & regulations. Generally Performance Level I, Level II and Level III are run on courses used for Starters, Advanced and Masters classes in the Championship Program, with the following exceptions: the A-frame is set at 5'6", jump heights are one height class lower as set forth in Notes to Exhibitors, no spread hurdles are utilized and time standards in the standard and jumpers classes are extended by 3 seconds beyond that utilized in the Championship Program. Eligibility for entry is determined as follows: The Performance I classes shall be for any dog that has not earned the Performance Dog I SM title. The Performance II classes shall be for any dog that has earned the Performance Dog I SM title, the Agility Dog SM, or the Veteran Agility Dog SM title, but has not earned the Performance Dog II SM title. The Performance III classes shall be for any dog that has earned the Performance Dog II SM title, the Advanced Agility Dog title, or the Veteran Advanced Agility Dog SM title. Additionally, any dog that has received, from 2 different judges, either 2 qualifying scores in Level II nonstandard classes, 2 qualifying scores in Advanced level nonstandard classes, or 2 qualifying scores in Veterans level nonstandard classes shall be eligible for entry into the same Level III nonstandard class without having earned the Performance Dog III SM title. Non-Standard Class Descriptions Gamblers consists of a course with no pre-determined route where each obstacle is assigned a point value. In the opening period the handler seeks to accumulate points by performing the obstacles of his/her choice in the time allotted. At the conclusion of the opening the handler attempts the gamble, a sequence designated by the judge to be handled from a distance, for additional points. This non-standard class is pursuant to the provisions of Chapter 6 & 7 of USDAA Rules and Regulations. Jumpers consists of a course of jumps and may include a tire and tunnels. This non-standard class is scored pursuant to the provisions of Section 6.1 and Section 6.5 through 6.6 of USDAA Rules and Regulations. Snooker has an opening sequence of point collection similar to Gamblers followed by a closing sequence of a set pattern. It roughly parallels the billiards game of Snooker, requiring the dog to successfully complete a "red" jump prior to attempting an obstacle designated as any other color. Pairs Relay consists of a standard course with one dog and handler running a portion of the course, followed by a baton exchange to a second handler and dog who run the second portion of the course. This non-standard class is scored pursuant to the provisions of Section 6.1 and Section 6.5 through 6.6 of USDAA Rules and Regulations. Performance Pairs Relay will be run identically to its Championship counterpart with the exception of using the Performance jump heights, A-frame height, and 3-second time extension. It is offered strictly for fun and is not eligible for titling. Junior Handler Titling (Use Separate entry form) Dogs and Junior handlers may compete in the Junior Handler Program without regard to their accomplishments in other agility classes. A dog shall not be permitted to be entered on the same day in the same class with two different handlers. Classes offered are Beginners (on or off leash), Elementary, Intermediate and Senior as described in Section 8.2 of the current USDAA rule book. In the Beginners class the course shall be comprised of 10 obstacles with the A-frame set at a height of 4 6, in the Elementary class the course shall be comprised of 10 obstacles with the A-frame set at 5 0. Intermediate and Senior classes will have obstacles with the A-frame set at 5 6 for Intermediate and 6 0 for Senior (5 6 for 8 senior class). Intermediate and Senior Classes will also have a dog-walk, chute, a set of weave poles, a long-jump and a tire.

4 Notice to Competitors A copy of USDAA's official rules & regulations may be obtained by contacting USDAA at or info@usdaa.com. Competitors, through submission of entry, acknowledge that they are knowledgeable of USDAA rules and regulations, as amended January 1, 2002, which are hereby incorporated by reference, including, but not limited to, the following rules and conditions for submission and acceptance of entry: This test is open to all dogs at least 18 months of age, including purebred and non-purebred, except bitches in season, dogs suffering from any deformity, injury or illness that may affect the dog's ability to perform safely, or dogs exhibiting signs of aggression. All dogs must be registered with USDAA in order to compete in USDAA sanctioned events. Junior Handlers must be registered separately to compete in Junior Handler Program classes. A registration form may be obtained from USDAA, or registration may be made concurrently with entry to this show, a form for which is included in this Agility Test Schedule. No leads, collars, food, toys, or other aids or devices shall be permitted on the course at any time except as provided for in USDAA Rules and Regulations. Safety shall always be of foremost consideration at all times. Handlers through entry at this event accept full responsibility for themselves, their guests and the actions of their dogs. The Organizing Committee may refuse any entry for any reason. No entry fee will be refunded if the Test cannot open or be completed by reason of riots, civil disturbances, fire, Act of God, public emergency, act of a public enemy, strike or any other cause beyond the control of the organizers. Dogs must be exercised only in designated areas. Please pick up after your dog. Dogs must be kept on leash while on the show grounds except when competing in the ring or in the warm-up jump area. Fault limits may be imposed by the organizing committee in all classes for which faults are assessed. Any such limits will be announced in the judge's briefing. The A-frame will be set at 5'6" for the 12" Championship height division and for all dogs in Performance. Following are the jump heights for the Championship Program (Performance heights in parenthesis): Dog Height Jump Height Long Jump Table Over 21" 26" (22") 60" (48") 24" (16") 21" or less 22" (16") 48" (36") 24" (16") 16" or less 16" (12") 36" (24") 16" or 12" (12") 12" or less 12" (8") 20" (12") 12" (12") All competitors through entry at this event waive any and all rights relative to video broadcast of this event. Competitors shall have the right to videotape portions of the event for their personal use only. No portion of this event may be videotaped from commercial or other purposes. All video, broadcast and telecast rights for this event are the exclusive property of United States Dog Agility Association, Inc. Portions of this event may be taped for television. Through entry at this event, ALL COMPETITORS AND HANDLERS HEREBY GRANT to USDAA and its representatives, agents and assigns, all rights and permission to use or appropriate his/her and their dog's name, biography, likeness, photograph, voice, performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media now known or hereafter to become known. All exhibitors and handlers hereby release USDAA and its representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of publicity, right of personality, or any similar right. This event will be held under official USDAA Rules and Regulations. Obstacles utilized meet USDAA specifications. Checks not honored by the bank do not constitute a valid entry fee. There will be a $20.00 service charge for returned checks. Payment of entry fees and service charges shall be made in cash or money order within 30 days of postmark of notice of returned check where notification is received after event date. Any fees not received within 30 days of notice result in cancellation of event results for all classes for the registration number(s) of delinquent entry/entries. No reinstatement of results is possible, and all awards must be returned within 10 days of notification, or the dog's registration may be suspended pending restitution. Any unpaid fees or shortfalls must be paid prior to the start of the event or entry is canceled without recourse by owner/handler. A 100% refund will be given for any requests received prior to the closing date for trial entries. A Refund of the entry fees less any expense incurred by Columbia Agility Team will be provided upon request which was received after the closing date to the day before the trial for the following reasons: dog in heat; injured or ill dog (with verification from a vet upon request); injured or ill handler (with verification from a doctor upon request); family emergency. No refunds will be given on balances of $5.00 or less in overpayments or as a result of canceled entries. Check-in will be held Friday night from 6:30 to 8:00 (measuring from 6:30 to 7:30) and Saturday morning at 6:45. First dog on the line at 8:00.

5 ! DOG REGISTRATION APPLICATION - $18.00! JUNIOR HANDLER REGISTRATION APPLICATION - $10.00 Dogs must be registered with USDAA in order to compete in USDAA sanctioned events. A registration card and number with a "U" prefix will be issued to facilitate entry at USDAA events and tracking of show results in the regular classes. Junior handlers (those 18 years of age and younger) and their dogs must be separately registered for participation in the USDAA's Junior Handler Program (UJHP). A registration number with a "J" prefix will be assigned for use in entering UJHP events. A dog that is expected to compete in both programs (regular classes and UJHP) must be registered separately for each program. If registering for both programs at the same time, the total fee is $ Send this completed form with your entry form if you do not have a USDAA registration number. You must complete ALL information for a valid registration: FOR USDAA USE ONLY: OWNER/HANDLER INFORMATION: REG# UJHP# Primary Owner: Co-Owner: Handler: (If different from primary owner) Junior Handler: Telephone: ( ) (This line required for junior handler registration only) (Day telephone, if possible) Address: City/State: Postal Code: Country: DOG INFORMATION: Formal Name: Call Name: (Name to appear on certificates; please print clearly or type) Height Breed: Birth Withers: Prizes and Awards A maroon rosette will be awarded for all qualifying scores. Grand Prix: Placement rosettes will be awarded to 4 places in the 12" and 16" height classes and 5 places in the 22" and 26" height classes. Standard: Placement rosettes will be awarded to 4 places per height class, except in Starters and Performance I where they will be awarded to 6 places. Games: Placement rosettes will be awarded to 4 places per height class. In the case of Pairs relay, they will be awarded by mini and open divisions, rather than by height class. Junior Handlers will receive gold, silver or bronze medallions and maroon qualifying rosette for zero fault rounds. Northwest Cup Championship Program The Columbia Agility Team Northwest Cup traveling trophy will be awarded to the Mini (12 /16 ) and Open (22 /26 ) dog and handler teams who are Best in Trial as determined by the combined scores of the 2 Standard Agility events for all levels. Ties will be broken on the basis of the fastest average speed (YPS). In addition, individual trophies will be given for Best in Trial Mini and Open teams Best Mini and Open teams in each level will receive a mug, a rosette, and a certificate for free entry for one dog to a future CAT trial. Rosettes also go to the second through fourth place Mini and Open teams for each level. Performance Program Performance teams will also be vying for a traveling trophy and other awards. The criteria and prizes will be the same as those for the Championship teams except that there will be no division into Mini and Open height classes.

6 Help Wanted Willing workers wanted to lighten the load. No experience necessary. Send resume (below) with entry to Venita Barraque SW Wright St. Aloha, OR Salary: $5.00 meal voucher for each day worked. Mark your Experience level Task I ll do anything Setter Up/Tearer Down Registration Table Helper Course Builder Gate steward Ring Steward Runner Timer Scribe Scorekeeper Description Do any of the jobs below. Get equipment out of and into trailer Friday &/or Sunday afternoon. Verify USDAA numbers at check-in Friday evening &/or Saturday morning. Assist Chief Course Builder in setting equipment. Make sure dogs are ready at the start line. Set bars, straighten chutes, change jump heights. Take leashes or scribe sheets from one part of ring to another. Push a button to start and stop dog s time. Watch the judge and mark faults on scribe sheet. Help calculate &/or post scores. Train me Experienced Name: Phone: Classes entered: Willing to work (circle one): Saturday Sunday Either Both

7 Entry Form Columbia Agility Team USDAA Sanctioned Agility Test and Grand Prix January 11-12, Entries must be received by December 6, A signed and dated General Agreement (back of this form) must be submitted with each completed entry form. Return completed form, with entry fee in U.S. funds payable to CAT to: Venita Barraque SW Wright St., Aloha, OR Owner/Handler Information! Some information has changed since my last CAT entry. Owner: Address: Day Phone: City, State, ZIP: Evening Phone: Handler, if other than registered owner: Dog Identification Dog s Call Name: USDAA Registration #: U Breed: Ht. at Withers: DOB: / / Pair s Partner U# Dog Owner Leave blank for DRAW. Dogs must be in the same division (mini/open). Program, Height Division and Class Information Championship Program Below Performance Program Below Height Choose only one! 12! 16! 22! 26! 8! 12! 16! 22 $ Amount Saturday $ Weekend Package - Includes all runs for your level except Grand Prix Quick entry: all runs at checked level (except Grand Prix).! Starters 6 runs/$54 $ Grand Prix ($17)! One level fits all! Novice 6 runs/$54! Advanced 6 runs/$54! Masters 8 runs/$70 Performance handlers fill out separate entry form at Championship height for GP. Quick entry: all runs at checked level (except Grand Prix).! PI 5 runs/$50! PII 5 runs/$50! PIII 7 runs/$62 Performance fill out separate entry form at Championship height for GP. $ Standard ($15)! Starters! Novice! Advanced! Masters! PI! PII! PIII $ Gamblers ($8)! Starters/Novice! Advanced! Masters! PI! PII! PIII $ Snooker ($8)! Masters! PIII $ Pairs Relay ($8)! Starters/Novice! Advanced! Masters Sunday $ Standard ($15)! Starters! Novice! Advanced! Masters! PI! PII! PIII $ Snooker ($8)! Starters/Novice! Advanced! Masters! PI! PII! PIII Gamblers ($8)! Masters! PIII $ Jumpers ($8)! Starters/Novice! Advanced! Masters! PI! PII! PIII $ Subtotal $ Total for Runs USDAA Registration (if needed) $ Fill out and include form on inside of back cover. $ DO NOT send form to USDAA office. Camping $10.00 per night without hookups, $ $10.00 with hookups $ Grand Total Be sure to sign the general agreement (back of the entry form)!

8 GENERAL AGREEMENT: I (we) agree that the Columbia Agility Team has the right to refuse this entry for cause, which the organizing committee alone shall deem to be sufficient. In consideration of the acceptance of this entry, of the holding of the event and of the opportunity to have the dog participate and/or to be judged, I (we) agree to hold the organizing committee, Columbia Agility Team, United States Dog Agility Association, Inc., including their members, officers, directors, agents and employees, sponsors of the event, and owners of the premises upon which the event is held and their employees harmless from any claim for loss or injury that may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or upon the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim. I (we) further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, appearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I (we) hereby assume the sole responsibility for and agree to indemnify 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, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or have been alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents or any other persons. I further acknowledge that I have read, understand and will abide by the Official Rules and Regulations of the United States Dog Agility Association, Inc. and the provisions for entry as set forth in the Agility Test Schedule of which this entry form is a part. I acknowledge and represent that the information supplied by me herein is correct to the best of my knowledge; if any portion of this information is found to be invalid or insufficient to establish the validity of my entry, such finding shall render my entry invalid in its entirety, for which there shall be no refund of fees paid. Further, I represent that I am the owner of the dog listed hereon, or that I have full authority as agent for dog's owner and shall hold Columbia Agility Team, USDAA, including their officers, directors, employees and agents and their sponsors harmless from any liability or claims made by dog's owner. Further, I hereby grant to United States Dog Agility Association, Inc., its representatives, agents and assigns, all rights and permission to use or appropriate my and the dog's name, biography, likeness, photograph, voice, performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media now known or hereafter to become known. I hereby release USDAA, its representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of personality or any similar right. Signature: Date: Day Telephone: Would you like to receive your confirmation by only? Y/N PARENT OR LEGAL GUARDIAN SIGNATURE FOR MINORS: Signature: Date:

9 GENERAL AGREEMENT: I (we) agree that the Columbia Agility Team has the right to refuse this entry for cause, which the organizing committee alone shall deem to be sufficient. In consideration of the acceptance of this entry, of the holding of the event and of the opportunity to have the dog participate and/or to be judged, I (we) agree to hold the organizing committee, Columbia Agility Team, United States Dog Agility Association, Inc., including their members, officers, directors, agents and employees, sponsors of the event, and owners of the premises upon which the event is held and their employees harmless from any claim for loss or injury that may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or upon the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim. I (we) further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, appearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I (we) hereby assume the sole responsibility for and agree to indemnify 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, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or have been alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents or any other persons. I further acknowledge that I have read, understand and will abide by the Official Rules and Regulations of the United States Dog Agility Association, Inc. and the provisions for entry as set forth in the Agility Test Schedule of which this entry form is a part. I acknowledge and represent that the information supplied by me herein is correct to the best of my knowledge; if any portion of this information is found to be invalid or insufficient to establish the validity of my entry, such finding shall render my entry invalid in its entirety, for which there shall be no refund of fees paid. Further, I represent that I am the owner of the dog listed hereon, or that I have full authority as agent for dog's owner and shall hold Columbia Agility Team, USDAA, including their officers, directors, employees and agents and their sponsors harmless from any liability or claims made by dog's owner. Further, I hereby grant to United States Dog Agility Association, Inc., its representatives, agents and assigns, all rights and permission to use or appropriate my and the dog's name, biography, likeness, photograph, voice, performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media now known or hereafter to become known. I hereby release USDAA, its representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of personality or any similar right. Signature: Date: Day Telephone: Would you like to receive your confirmation by only? Y/N PARENT OR LEGAL GUARDIAN SIGNATURE FOR MINORS: Signature: Date:

10 USDAA OFFICIAL JUNIOR HANDLER ENTRY FORM United States Dog Agility Association, Inc. Sanctioned Agility Test Vancouver, WA. January 11 & 12, 2003 Return this completed form with entry fees payable to CAT to: Venita Barraque, SW Wright St., Aloha, OR Entries close at 5:00 pm on Friday, December 6, 2002 for receipt of entries, after which no cancellations, alterations or changes will be accepted except that changes in class level only will be accepted pursuant to provisions as outlined in section Entries & Closing Date. SIGNED ENTRIES AND APPROPRIATE FEES MUST BE RECEIVED AT THE ABOVE ADDRESS BY 5:00 pm on DECEMBER 6, 2002 IN ORDER TO BE VALID. DOG S IDENTIFICATION: Dog s Call Name USDAA Junior# Junior Handler Class Height Dog s actual Ht at withers: to nearest highest 1/4 Breed: Birthdate: OWNER/HANDLER INFORMATION: Name: Address: City, State, ZIP: Phone # Handler, if other than owner: Can you volunteer to help: Yes No If Yes, what can you do? CLASS INFORMATION: Amt. Saturday Classes (Select One Level Only For Dog Listed Above) Beginner ($5) Off Lead On Lead Elementary ($5) Intermediate ($5) Senior ($5) Second Saturday Classes (Select One Level Only For Dog Listed Above) Beginner ($5) Off Lead On Lead Elementary ($5) Intermediate ($5) Senior ($5) A dog may not be entered in the same level with two different handlers. (Junior Handler prices are already reduced by 50%) SUBTOTAL Junior Handler Registration ($10) If not previously registered - attach registration application (use form provided on inside back page of this test schedule) Camping ($10 a night with or without hookup) TOTAL This entry is not valid unless the agreement on the reverse side of this form is completed, signed, dated and submitted with correct fees and received by the initial closing date at the address provided above.