Brookhaven Kennel Club Member of the American Kennel Club Long Island Golden Retriever Club Licensed by the American Kennel Club

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1 ENTRIES OPEN: Tuesday, February 15, 2011 at 8:00 a.m. At 294 Neptune Ave., W. Babylon, NY Entries Received prior to the above date and time will not be accepted ENTRIES CLOSE: Tuesday, March 22, 2011 at 6:00 p.m. Method of Entry is First Received Envelopes cannot have entries for more than Ten (10) dogs No hand deliveries within the 1 st 24 hours of opening PREMIUM LIST AKC AGILITY TRIALS Brookhaven Kennel Club Member of the American Kennel Club Long Island Golden Retriever Club Licensed by the American Kennel Club Saturday April 9, 2011 Event # Sunday April 10, 2011 Event # These Events are Accepting Entries for Mixed Breed Dogs Enrolled In the AKC Canine Partners Program Suffolk County Farm & Education Center 350 Yaphank Avenue, Yaphank, NY ENTRIES ARE LIMITED TO 330 RUNS PER DAY Cindy Medina 294 Neptune Ave W. Babylon, NY Pine Barrens Agility Trials Show Hours: 7 a.m. to 7 p.m. All Judging will be OUTDOORS on GRASS, RAIN OR SHINE Ring Size: 100 x 100 Judging starts at 8:00 a.m. CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under AKC Rules and Regulations. James P. Crowley, Secretary FRIDAY, APRIL 4, 2008

2 SATURDAY, APRIL 9, 2011 Officers of Brookhaven Kennel Club President... Claudia Jones, 802 South Service Rd., Dix Hills, NY Vice President. Janet Cupolo, 52 Graham St., Farmingdale, NY Treasurer... Kathie Amore, 21 Shepherd La, Smithtown, NY Secretary.... Diane Marques, 11 N William St, E. Patchogue, NY Board of Directors Toby Frisch, Allison Lavorato, Marie Fiore, Joseph Diaz Agility Event Committee Janet Cupolo, Claudia Jones, Kathie Amore, Marie Fiore, Linda Baranowski, Joan Behrend, Bruce Behrend Other Trial Positions Chairperson... Janet Cupolo, 52 Graham St, Farmingdale, NY (516) , janrdc@aol.com Secretary... Cindy Medina, 294 Neptune Ave., W. Babylon, NY (631) LITrialsec@optonline.net Volunteer Coordinator... Linda Baranowski... (631) lindabaranowski@yahoo.com SUNDAY, APRIL 10, 2011 Officers of Long Island Golden Retriever Club President...Mel Berman, 38 Haymaker Lane, Levittown, NY Vice President.Janet Bunce, 125 Brooksite Drive, Smithtown, NY Treasurer. Justine Lorentzson, 6 Cheshire St., Huntington Station, NY Secretary... Karen Tragesser, P.O. Box 502, Lynbrook, NY Board of Directors Cindy Groveman, Lynn Gallager, Sue Greca, Deyanne Hinman, Janet Leek Agility Event Committee Barbara Verga, Christy Luse, Mel Berman, Deyanne Hinman, Ruth Coleman Sue Levine, Jeanne Kaufman, Janet Leek, Joan Ostermann, Brenda Verderosa, Other Trial Positions Trial Chairpeson... Barbara Verga, 2 Berryhill Dr., Fort Salonga, NY (631) holverga@aol.com Secretary... Cindy Medina, 294 Neptune Ave., W. Babylon, NY (631) litrialsec@optonline.net Volunteer Coordinator... Sue Levine...(516) dogluvers@att.net EQUIPMENT Obstacles will conform to current requirements of the Regulations for Agility Trials. The equipment for this event is being provided by MAX200 Dog Obedience Equipment, Inc. and will be available for sale at the end of this event. If you are interested in a specific item, it is strongly suggested that you reserve it in advance, as most equipment is sold before it arrives at our trial. FMI you may call or them at info@max200.com SHOW PHOTOGRAPHER Barry Rosen Photography Please visit his website to see previous pictures of our trial. Judge & Assignments Arlene Spooner (#90109) 692 Cooper Ave, Oradell, NJ We will run as a one ring trial using two rings. Judging All Classes in the following order: (INCLUDING ALL MIXED BREEDS) Exc Std, Nov JWW, Open Std, Exc JWW, Nov Std, Open JWW Saturday 26 4, Sunday 4 26 A, B, & P classes will run together & ELECTRONIC TIMING WILL BE USED PRIZES ALL PRIZES, AWARDS, AND RIBBONS MUST BE CLAIMED THE DAY OF THE TRIAL NO PRIZES WILL BE MAILED First Place Blue Rosette Second Place Red Rosette Third Place Yellow Rosette Fourth Place White Rosette Qualifying Dark Green Ribbon A dog related item will be given for all placements valued up to $2.00 New Title, MX, MXJ, MXP, MJP and MACH & PAX Rosettes will be awarded by the hosting clubs MACH Bars awarded by MAX200 CLASSES OFFERED Class Standard Jumpers With Weaves Regular Nov A, Nov B, Open, Exc A, Exc B Nov A, Nov B, Open, Exc A, Exc B Preferred Novice, Open, Exc A, Exc B Novice, Open, Exc A & B Please see the AKC Regulations for Agility Trials for current class descriptions. Dogs must be entered only in Regular Classes or Preferred Classes with no crossover between them allowed at the same set of trials. HEIGHT DIVISIONS Owners/Agents are responsible for entering the proper height divisions. All height divisions will be offered in both the standard classes and the jumpers with weaves classes. Regular Exhibitors may choose to enter their dog in a higher height division than required by AKC, but not in a height division lower than the AKC mandated height Preferred The following jump heights must be used in all Preferred Classes. REGULAR PREFERRED Dogs 11 inches and under at the withers 8 inches 4 inches Dogs 14 inches and under at the withers 12 inches 8 inches Dogs 18 inches and under at the withers 16 inches 12 inches Dogs 22 inches and under at the withers 20 inches 16 inches Dogs over 22 inches 24 inches 20 inches Dogs may be entered at 26 height at their owner s discretion. SEE CURRENT HEIGHT CARD RULES

3 **TRIAL REGULATIONS NOTICE TO EXHIBITORS ** THE TRIAL will be open from 7:00 a.m. to 7:00 p.m. RETURNED CHECKS do not constitute a valid entry fee. A charge of $25.00 will be made for each returned check. FAX, TELEPHONE AND UNSIGNED ENTRIES cannot be accepted. ENTRIES NOT ON OFFICIAL AKC ENTRY FORMS OR PHOTOCOPIES OF ENTRY FORMS without the Agreement and Rules attached to the Official AKC Entry Form are NOT ACCEPTABLE. ENTRIES RECEIVED WITHOUT FEES will not be accepted. NO ENTRY SHALL BE MADE AND NO ENTRY SHALL BE ACCEPTED, WHICH SPECIFIES ANY CONDITIONS AS TO ITS ACCEPTANCE. ACKNOWLEDGEMENT OF ENTRIES will be made as soon as trial closes or limits are reached. Acknowledgment of entries will include confirmation notices. ENTRY FEES shall not be refunded in the event that a dog is absent, disqualified, excused by Veterinarian or Judge, or barred from competition by action of Trial Committee. If because of riots, civil disturbances or other acts beyond the control of the management, it is impossible to open or to complete the trial, no refund of entry fees will be made. ERRORS ON ENTRY BLANKS-Owners are responsible for errors in making out entry forms, and no entry fee will be refunded in event of such errors or cancellation of entries after trial has closed. CONSULT FINAL CONFIRMATION FOR TIME OF JUDGING. WALKTHRUS. No umbrellas allowed during walkthrus. JUDGES ARE NOT REQUIRED TO WAIT FOR DOGS. The Owner of each dog is solely responsible for having it ready at ringside when it is to be judged. The Club has no responsibility for providing service through a public address system or stewards or runners for the purpose of calling or locating dogs that are not brought into the ring when required. TRIAL COMMITTEE will use due care and diligence for the welfare of dogs and exhibitors, but will not be responsible for, nor assume any liability in the event of an accident or misfortune to either dogs or exhibitors participating in this show. DOGS ELIGIBLE TO PARTICIPATE. This trial is open to all dogs 15 months of age or older that are registered with the American Kennel Club, or are registerable breeds that have obtained an AKC, ILP or PAL number. Bitches in season, aggressive, blind or deaf dogs or dogs suffering from any deformity, injury or illness which may affect the dog s physical or mental performance are ineligible to participate. MIXED BREED DOGS that have been listed with AKC Canine Partners may participate provided their listing number has been recorded on the entry form and the trial-giving club is offering the optional mixed breed classes. DOGS MAY ARRIVE any time prior to Judging, if the dog does not need to be measured. Otherwise, they must be available for measuring before their class begins. 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 the obstacles safely. 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. According to New York State Law, Rabies vaccination and dog license are mandatory. ALL EXHIBITORS MUST PICK UP AFTER THEIR DOGS!! *** IMPORTANT NOTICE TO EXHIBITORS *** For your convenience we have combined the entry form for both clubs into one entry form. However, since we are two clubs we do require that you enclose; TW0 SEPARATE CHECKS OR MONEY ORDERS PAYABLE to BKC (for Sat) or LIGRC (for Sun). ENTRY FEE $26.00 for the first entry of a dog; $13.00 for each additional entry of the same dog. (Includes $3.00 AKC recording fee for each class of each day) Envelopes/transactions cannot have entries for more than the (10) dogs maximum. OPENING DATE 8:00 a.m. Tuesday, February 15, 2011 at 294 Neptune Ave. W. Babylon, NY Each trial is LIMITED to 330 runs. CLOSING DATE for entries 6:00 p.m., Tuesday, March 22, 2011, after which entries cannot be accepted, cancelled or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules and in Chapter 1, Section 13 of the AKC Agility Trial Rules and Regulations. MAIL ALL ENTRIES to BKC/LIGRC c/o Cindy Medina, 294 Neptune Ave., W. Babylon, NY If you send overnight delivery, please remember to sign the signature waiver. REFUNDS: There shall be no refunds for entries withdrawn in the event a dog and/or handler are absent or dismissed from competition, regardless of the reason for such dismissal. If because of riots, civil disturbances or other acts beyond the control of management it is impossible to open or complete the show, no refund of entry fee will be made. Refunds are allowed if requested before the closing date. Refunds after closing date for bitches in season and judge changes only. Refunds for BIS are subject to a $5.00 processing. BITCHES IN SEASON are not eligible to participate. Entry fees will be refunded subject to a $5.00 processing fee. Written verification from a veterinarian is required. Notification for refund of bitches in season must be RECEIVED no later than 48 hrs after end of the trial. A Veterinarian's note AND Final Trial Confirmation for dog must accompany any such refund. ABOUT CONFIRMATIONS Preliminary confirmations will be via either as an attachment or in the body of an to all exhibitors who provide their address. If you do not have an address and want a preliminary confirmation, please send a stamped self-addressed envelope. FINAL CONFIRMATIONS WILL BE ED OUT ALSO and ARMBANDS PICKED UP AT THE TRIAL. DATA ENTRY AND CHANGES TO YOUR INFORMATION Data entry mistakes happen. That is why we ask everyone to READ their preliminary confirmation and final confirmation. For the majority of entries, dog and owner/handler information remains the same. However, if you have a: New address, New Titles, New Handler, New address and phone, New jump height (including jump height changes from trial to trial. For example, dog jumps 24" at one trial, then 26" in the next trial.) Highlighting ANY of these changes on entry forms would be especially helpful so that these changes can be updated in our database. Then, please review your confirmations carefully to ensure that your requested changes have been made. FOOD & BEVERAGES There will be a food vendor at this site for purchase. The Minichini family has been providing delicious food to us for many years. Our volunteers will receive a voucher towards food purchase.

4 MEASURING and HEIGHT CARDS If a measurement is necessary, it is the exhibitor s responsibility to have their dog(s) measured prior to running. If your dog does not have a Permanent height card, or if your dog has turned 2 years of age, since getting your temporary height card, your dog NEEDS to be measured. Exhibitors are NO longer required to send their height cards in with their entries, Jump Height cards are NO longer required to be shown during checkin. The entry form has 3 new boxes: 1) My dog needs to be measured, 2) My dog has a Temporary Height Card, 3) My dog has a Permanent Height Card. ONE OF THESE THREE BOXES MUST BE CHECKED. All dogs competing in agility must possess an official AKC Jump Height Card. Dogs that do not have a valid Jump Height Card must be measured by a judge of record for that trial and will only be effective for that set of trials, excluding the dogs jumping in the 24-inch or 26-inch height division. If an official measurer is present, all dogs that have not been issued a permanent Jump Height Card or temporary jump height (yellow) form must be measured for a Jump Height Card regardless of the jump height entered. If there is not an AKC Field Rep or VMO in attendance, all dogs that have not been issued a permanent Jump Height Card or temporary jump height (yellow) form may still compete; however, they must be measured by a judge of record for the trial, prior to running at each trial. The judge s measurement will be valid for this trial or back-to-back trials only. If a dog is measured by an AKC Field Rep or VMO and is now eligible to jump in a lower height class, the measurement is effective immediately for any future runs. This does not apply to a challenge measurement for a permanent jump height card. Effective January 1, 2010, exhibitors are no longer required to provide proof to Trial Secretaries that their dog has a valid jump height card as part of the check-in process. See Simplified Jump Card Process Section for a complete AKC Explanation. NOTES FROM TRIAL SECRETARY Signature Waiver - Please remember to check the No Signature Required box AND sign that spot where you authorize them to deliver on any overnight package. My Post Office will not even attempt to deliver packages that require a signature. Move Up Deadline - Remember that the Move-up Deadline for your first day of a weekend trial is ALWAYS Monday at 6 pm. Please send those move-ups in right away. Novice Exhibitors please read the section on the move-up form or under Move-ups about when you need to change from Novice A to Novice B and also read the section under classes to determine whether you should enter Novice A or Novice B level classes. PLEASE USE NEW ENTRY FORMS! Remember to check off one of the height card boxes. You do not need to send me your height card, I will just throw it out. Mixed Breeds Entries - Remember to mark your breed as Mixed Breed, no hybrid. If you send overnight delivery, please remember to sign the signature waiver. MIXED BREED OPTIONAL CLASSES ARE offered at these trials! All owners of mixed breed dogs must first obtain an AKC Canine Partners listing number before they may enter an AKC Agility event. Dogs entered in the mixed breed classes must list the breed name as All American Dog on the entry form and not as a breed hybrid. No other breed description may be used to identify a mixed breed entry. Additionally, the exhibitor must provide their AKC Canine Partners listing number on the entry form and check-mark AKC No. on the form. NEW WAIT LIST POLICY: Wait List for Withdrawn Entries after the Closing Date/Time: A wait list is being offered to fill openings created by withdrawn entries, either before or after the trial's closing date/time. A maximum of 30 entries per day, will be accepted for the wait list. All entries, including wait listed entries must be received by the Trial Secretary prior to the closing date. Any entries withdrawn that are received by the Monday preceding the trial (April 4, 2011, 6pm) will be replaced by a wait listed entry if any are available. If a withdrawn entry is replaced by a wait listed entry, a full refund will be issued for the withdrawn entry. If the withdrawn entry after closing cannot be replaced, no refund will be due. Any wait listed entry that does not move off the wait list into the trial, checks will be shredded.

5 MOVEUP CLARIFICATION Chapter 1, Section 19 of the Regulations for Agility Trials state: As per Section 19, American Kennel Club Regulation for Agility Trials, dogs may be moved up to a higher class, at the request of the Owner, as a result of qualifying for an agility title. Dogs so moved up will be entered at the end of the running order or otherwise at the secretary s or Judges discretion. Day to Day Move ups: Move ups from day to day at a set of back to back agility trials shall be at the discretion of the club. The request for moving up must be made to the Trial Secretary not later than the day preceding the event. When is an exhibitor eligible to request a move up? If an exhibitor wants to move up on the first day his/her dog is entered, the move up must be submitted by the first deadline, which is by 6pm on the Monday before the trial in most cases. (See Chapter 1, Section 19 of the Regulations for Agility Trials.) Once an exhibitor has shown on their first day, then day to day move ups apply. Example 1: Sally is only entered in Novice STD on Sunday of a trial weekend that encompasses Friday Sunday. Sally earned her NA title for Fluffy the previous weekend. Sally has until 6pm to request a move up for Sunday s entry. Sally may not request a day to day move up on Saturday, since she is not entered on Saturday, she s only entered on Sunday. In order to move up to a higher class level, she must notify the Trial Secretary that she wants/needs to move up prior to the deadline preceding the trial weekend. Example 2: Sally is only entered in Novice STD on Saturday and Sunday of a trial weekend that encompasses Friday Sunday. Sally earned her NA title for Fluffy the previous weekend. Sally only has until 6pm to request a move up for Saturday s entry. If she doesn t move up for Saturday s event by 6pm on Monday, Sally is allowed to move up on Saturday to Open STD for Sunday s event because she was entered on Saturday. Note: Day to day move up acceptance is dependant upon whether the dog was entered on the day of the move up request. The timeframe of when a dog has earned titles has no relevance in determining eligibility when accepting a day to day move up. NOVICE MOVEUPS: Dogs or Handlers having attained ANY AKC Agility Title (Std, JWW, OR FAST class) must be moved to the Nov B Classes (Std, JWW and FAST classes) for all trials that have reached the final closing date at the time that they get that first title. So be sure and contact the trial secretary to change your entry from Novice A to Novice B Once a trial closing date has past, a dog cannot be moved from Nov A to Nov B. If the trial has already reached the closing date on the day the dog obtained its title, the dog shall remain in the class in which it was originally entered. The dog can also be moved up a level (Nov to Open) at the request of the owner subject to the normal move-up criteria. Before the trial, Move ups may be made prior to the move-up deadline via to LItrialsec@optonline.net, or in writing to Cindy Medina, 294 Neptune Ave., W. Babylon, NY Verbal move ups will not be accepted. MOVE UP FORM Day To Day Move Ups: BKC & LIGRC s are accepting Day-to Day Move-ups for this Trial. ED MOVEUPS: When ing a move-up, please provide the following information. TRIAL NAME, Owner Name. Dog Call Name, Move up for what days (from to etc.), Move up for what classes, (from- to) (PLEASE include STD, JWW) PRE TRIAL MOVE-UPSs: are due in writing by 6 pm the Monday before the Thursday Sunday set of trials. Move-Up Deadline is Monday, April 4th, DAY-TO-DAY MOVE UPS: are only allowed for dogs entered at the set of back-to-back agility trials for succeeding days of that set of back-to-back agility trials and must be submitted in writing at the trial within ½ hour of the last run of the trial day for the following day(s) and can not be conveyed via fax, , or verbally to the trial secretary. Day to day move-ups are due by the end of the trial the previous day. And only apply to dogs that trialed on the day the move-up is requested for the next day. Trial Name: Owner s Name Reg #: Call Name: Breed: Jump Height: Arm Band #: (If Available) SATURDAY Move Up: Standard Class STD: Move from: to: Jumpers w/weaves JWW: Move from: to: SUNDAY Move Up: Standard Class Jumpers w/weaves STD: Move from: to: JWW: Move from: to:

6 ROUTES TO SHOW Long Island Expressway (495) to exit 67. At the light go south onto Yaphank Ave. and the entrance to the site is about ¼ mile on the right. It s right before the road goes uphill and directly across from the Department of Public Water. Turn right onto entrance road, then right onto the dirt road into the farm. The parking lot is the big grass field to the left of the road, more info about ring setup will be in the final confirmation. Sunrise Highway (Rte. 27): Leave Sunrise Highway at exit 57N (Horseblock Road). Then bear right onto County Road 21 (Yaphank Ave.). Travel 1 mile to the Cornell Cooperative Extension sign on the left. Turn left onto entrance road, then right onto the dirt road into the farm. The parking lot is the big grass field to the left of the road, more info about ring setup will be in the final confirmation. HOTELS Rates and pet policies change. Please call for current availability, rates and pet policy of the hotel. Deposits may be required. La Quinta Inn & Suites, (631) Aero Rd., Bohemia, NY Wyndham Wind Watch Hotel, (631) Vanderbilt Motor Parkway, Hauppauge, NY Sheraton Long Island, (631) Vanderbilt Motor Parkway, Hauppauge, NY Howard Johnson Inn, (631) Moreland Road, Commack, NY Residence Inn, (631) Veterans Memorial Hwy, Hauppauge, NY Residence Inn Plainview, (516) Gerhard Road, Plainview, NY Holiday Inn MacArthur Airport, (631) Veterans Memorial Highway, Ronkonkoma, NY The Comfort Inn, 2695 Route 112, Medford, NY (631) It is expected of each Exhibitor that all rules of the hotels and motels are followed. CAMPGROUNDS / RV INFORMATION On site RV parking is allowed but there are NO hookups. Cathedral County Pines Park (.67 miles away) 116 Middle Island Yaphank Rd., Middle Island, NY (631) VETERINARIANS (On Call) Animal Emergency Services - (631) Middle Country Rd., Selden, NY East End Veterinary Emergency (631) Old Country Rd., Riverhead, NY Atlantic Coast Veterinary Specialists (631) Veterans Memorial Hwy., Bohemia, NY miles miles miles

7 Brookhaven Kennel Club WOULD LIKE YOU TO HELP It takes a lot of people to run an agility trial. The club would appreciate your help in making this an efficient and successful trial. If you have never before worked at a trial, we will gladly train you. The Club is offering food & beverages, to workers. For more information contact: BKC - Linda Baranowski (631) lindabaranowski@yahoo.com 1. Name: Phone: I am running dogs Other Notes regarding my availability: 2. Enter CALL NAME, JUMP HEIGHT & CLASSES. CALL NAME Jump HT STD Class Level JWW Class Level Long Island Golden Retriever Club WOULD LIKE YOU TO HELP It takes a lot of people to run an agility trial. The club would appreciate your help in making this an efficient and successful trial. If you have never before worked at a trial, we will gladly train you. The Club is offering food & beverages, to workers. For more information contact: LIGRC Sue Levine (516) dogluvers@att.net 1. Name: Phone: I am running dogs Other Notes regarding my availability: 2. Enter CALL NAME, JUMP HEIGHT & CLASSES. CALL NAME Jump HT STD Class Level JWW Class Level 3. Check the jobs you are willing to help with. Friday Setup Course Builder Gate Steward Scribe Asst Scribe Timer Ring Crew Leash Runner Score Runner 3. Check the jobs you are willing to help with. Friday Setup Course Builder Gate Steward Scribe Asst Scribe Timer Ring Crew Leash Runner Score Runner 4. Please enclose this form with your Brookhaven Kennel Club entry. Thank You for Volunteering! 4. Please enclose this form with your Long Island Golden Retriever Club entry. Thank You for Volunteering!

8 NEW Simplified Jump Height Card Process When filling out the entry form, there is a new section at the top of the form for exhibitors to designate whether your dog has a valid jump height card or if your dog needs to be measured. Please check the appropriate box so that the Trial Secretary knows 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. How do I know if I have a valid jump height card? If your dog is under the age of two years as of the trial s date: One (1) temporary measurement is required. Once measured, be sure to retain the Agility Measurement Form yellow copy and check My dog has a Temporary Jump Height Form box, otherwise your dog needs to be measured. If your dog turns two years of age or is older as of the trial s date, your temporary measurement expires on their 2nd birthday and your dog needs to be measured. If your dog is the age of two years or older as of the trial s date: A minimum of two (2) permanent measurements are required. If both permanent measurements place your dog into the same jump height class, the AKC office will issue you a permanent card. If not, then a third measurement is required to determine the dog s jump height class. Until such time that you have received all required measurements for a permanent jump height card, check the My dog needs to be measured box. Upon arrival at the trial, you must check to see if there is a Volunteer Measuring Official and/or an Agility Field Rep. present to perform official measurements. If not, and you posses a yellow copy of the Agility Measurement Form from a previous measurement, then your armband may be picked up during Check-In in lieu of being measured by the judge of record. Once you have received your permanent card from the AKC office, check the My dog has a Permanent Jump Height Card box on all future entry forms. Exception to the 2 permanent measurement requirement: If your dog measures over 22 inches at the withers, you have the option of selecting the Over 22 Reqst Perm box at the top left corner of the Agility Measurement Form to receive a permanent jump height card from AKC after a single measurement. If you do so, please also sign below the checkbox. By doing so, you are giving up your right to have a 2nd measurement performed on your dog in the future; however, you are not giving up your right to have the challenge measurement process performed in the future. Once you have received your permanent card from the AKC office, check the My dog has a Permanent Jump Height Card box on all future entry forms. What if my dog measures into a different jump height then what he is entered? If your dog has been measured by an AKC Field Representative or Volunteer Measuring Official (VMO) and is now eligible to jump in a lower height class, the measurement is effective immediately including any runs (regular or preferred class) which have not yet occurred on the same day that the measurement is recorded. This immediate action does not apply to measurements taken as part of completing the challenge measurement process. Dogs who measure into a higher jump height have always been required to be moved immediately. May I challenge my dog s jump height card measurement? Yes, each dog may go through the challenge process once after the age of two (2) years, if requested by the owner. (Any dogs under the age of two (2) years are also eligible for a challenge measurement.) What is the jump height card challenge process? The jump height card challenge process replicates the original measurement steps. A minimum of two (2) challenge measurements are required. If both challenge measurements place your dog into the same jump height class, then you will be issued a new permanent card from the AKC office. If the two challenge measurements place the dog in different jump height classes, then a third challenge measurement is required to determine the dog s jump height class. Until such time that you have received all required challenge measurements, you must continue to compete at the original jump height stated on the permanent jump height card that is in your possession. It is the sole responsibility of the exhibitor to have their original, official jump height card or temporary jump height form at each trial to present upon request. Additionally, if a measurement is necessary, it is the exhibitor s responsibility to have their dog measured prior to running. Regulations for Agility Trials, Chapter 2, Section 4. Questions regarding either the Simplified Jump Height Card Process or Mixed Breed Optional Classes should be sent to agility@akc.org.

9 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Brookhaven Kennel Club Long Island Golden Retriever Club SAT - BKC 4/09/11 STD only-$26 JWW only-$26 Both Classes $39 SUN - LIGRC 4/10/11 STD only-$26 JWW only-$26 Both Classes $39 CHECKS ARE PAYABLE TO EACH CLUB ENTERED. PAY TO: BKC FOR SAT ENTRIES AND LIGRC FOR SUN ENTRIES Entry Fees: $26 for first class each day, $13 for additional class each day (Includes $3.00 AKC recording fee per run) Trial is limited to 330 runs/day Trial Opens TUES.2/15/11 8:00 am Trial Closes TUES. 3/22/11 6:00 p.m. Mail to: BKC/LIGRC, c/o Cindy Medina, 294 Neptune Ave., West Babylon, NY Make sure you Check ONE of the Height Card Info boxes below (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) HEIGHT AT BREED SEX [ ] MY DOG NEEDS TO BE MEASURED [ ] MY DOG HAS A TEMPORARY JUMP HEIGHT FORM [ ] MY DOG HAS A PERMANENT JUMP HEIGHT CARD REGULAR STANDARD AGILITY REGULAR JUMPERS WITH WEAVES REGULAR FAST (circle one) (circle one) (circle one) WITHERS NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B JUMP HEIGHT (circle one) PREFERRED STANDARD AGILITY PREFERRED JWW PREFERRED FAST (circle one) (circle one) (circle one) NOVICE-P OPEN-P EXC-AP EXC-BP NOVICE-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP JUMP HEIGHT (circle one) NON-REGULAR AGILITY CLASSES (if offered): INTERNATIONAL SWEEPSTAKES CLASS JUMP HEIGHT (circle one) (circle class) STD JWW AKC NAME (Include AKC titles only) CALL NAME OF DOG (Enter number below) DATE OF BIRTH [ ] AKC NO. [ ] PAL/ILP NO. PLACE OF BIRTH (LIST COUNTRY) [ ] FOREIGN REG. NO. BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS NEW ADDRESS CITY, STATE, ZIP + 4 HANDLER IF JUNIOR HANDLER, PLEASE ENTER # BELOW FEE ENCLOSED 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 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 enrolled in the AKC Canine Partners Program SM may be eligible to enter all-breed AKC agility trials at the club s option, effective April 1, 2010/ 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 is 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 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 TELEPHONE : EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. ADDRESS: AEAGL2 - (09/10) OLA EDIT V7.0P

10 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Brookhaven Kennel Club Long Island Golden Retriever Club SAT- BKC 4/09/11 STD only-$26 JWW only-$26 Both Classes $39 SUN - LIGRC 4/10/11 STD only-$26 JWW only-$26 Both Classes $39 CHECKS ARE PAYABLE TO EACH CLUB ENTERED. PAY TO: BKC FOR SAT ENTRIES AND LIGRC FOR SUN ENTRIES Entry Fees: $26 for first class each day, $13 for additional class each day (Includes $3.00 AKC recording fee per run) Trial is limited to 330 runs/day Trial Opens TUES. 2/15/11 8:00 am Trial Closes TUES 3/22/11 6:00 p.m. Mail to: BKC/LIGRC, c/o Cindy Medina, 294 Neptune Ave., West Babylon, NY Make sure you Check ONE of the Height Card Info boxes below (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) HEIGHT AT BREED SEX [ ] MY DOG NEEDS TO BE MEASURED [ ] MY DOG HAS A TEMPORARY JUMP HEIGHT FORM [ ] MY DOG HAS A PERMANENT JUMP HEIGHT CARD REGULAR STANDARD AGILITY REGULAR JUMPERS WITH WEAVES REGULAR FAST (circle one) (circle one) (circle one) WITHERS NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B JUMP HEIGHT (circle one) PREFERRED STANDARD AGILITY PREFERRED JWW PREFERRED FAST (circle one) (circle one) (circle one) NOVICE-P OPEN-P EXC-AP EXC-BP NOVICE-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP JUMP HEIGHT (circle one) NON-REGULAR AGILITY CLASSES (if offered): INTERNATIONAL SWEEPSTAKES CLASS JUMP HEIGHT (circle one) (circle class) STD JWW AKC NAME (Include AKC titles only) CALL NAME OF DOG (Enter number below) DATE OF BIRTH [ ] AKC NO. [ ] PAL/ILP NO. PLACE OF BIRTH (LIST COUNTRY) [ ] FOREIGN REG. NO. BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS NEW ADDRESS CITY, STATE, ZIP + 4 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 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 enrolled in the AKC Canine Partners Program SM may be eligible to enter all-breed AKC agility trials at the club s option, effective April 1, 2010/ 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 is 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 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 HANDLER IF JUNIOR HANDLER, PLEASE ENTER # BELOW FEE ENCLOSED TELEPHONE : EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. ADDRESS: AEAGL2 - (09/10) OLA EDIT V7.0P