Larimer County Fairgrounds (The Ranch) First National Bank Building 5280 Arena Cr. (I 25 N of Crossroads Blvd), Loveland, CO 80538

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1 AKC OBEDIENCE and RALLY PREMIUM LIST ENTRIES CLOSE: 6:00 p.m. (MST) Wednesday, December 27, 2017 after which time entries cannot be accepted, cancelled, altered, or substituted except as provided for in Chapter 11, Section 6 of the Rules Applying to Dog Shows. LONGS PEAK DOG TRAINING CLUB OBEDIENCE TRIALS AND RALLY TRIALS (Licensed by the American Kennel Club) This Event is Accepting Entries for Dogs Listed in the AKC Canine Partners Program Saturday, January 13, 2018 (Event #s , ) Sunday, January 14, 2018 (Event #s , ) Monday, January 15, 2018 (Event #s , ) Larimer County Fairgrounds (The Ranch) First National Bank Building 5280 Arena Cr. (I 25 N of Crossroads Blvd), Loveland, CO This trial will be held indoors on matted flooring Show Hours 7:00 AM to 30 Min After the Conclusion of Judging Lookout K9 Trial Services, LLC Deb Lewis, AKC Annually Licensed Trial Secretary 3083 Coyote Ridge Dr deb@lookoutk9trials.com Berthoud, CO Express mail entries must include signature waiver MAKE CHECKS and MONEY ORDERS payable to Longs Peak DTC (LPDTC). FOREIGN EXHIBITORS must make fees payable in U.S. Funds. Longs Peak Dog Training Club Officers President Ginger Sammonds Vice President Susan Yonemura Secretary E Ole Maverick Rd, Cheyenne WY Francie Pusateri Treasurer Katherine Hokens Board of Directors: Jane Marino, Denise Jernberg, Carolyn Peterson, TRIAL CHAIRMAN Joanne Bartley 8553 W 94th Ave, Westminster, CO * joanne.bartley@comcast.net * (303) EVENT COMMITTEE MEMBERS Ginger Sammonds gingers@lpbroadband.net 970/ Chief Ring Steward Denise Jernberg & Lorretta Manix Grounds & Equipment Ginger Sammonds & Linda Dixson Hospitality and Judges Liaison Barbera Curtis, Jane Marino & Victoria Kander Trophies Carolyn Peterson Catalog Advertising Carolyn Peterson Ribbons Janie Ritchie jrmassage@msn.com Vendors Kathy Kregel Facility Contracts & all Member of the Longs Peak Dog Training Club TRIAL SECRETARY Deb Lewis Trial Secretary 3083 Coyote Ridge Dr, Berthoud, CO * (970) * deb@lookoutk9trials.com Trial & Emergency Veterinarian (on call): Four Seasons Veterinary Specialists 4120 Clydesdale Pkwy, Loveland, CO * * Directions: (3 minutes, 1.2 miles) Head south on S County Road 5 for 0.5 miles. Turn right onto E Cross Roads Blvd and go 0.3 miles. Turn left onto Clydesdale Parkway. Turn left at first opportunity. Clinic is on the right. Trial Site Emergency Phone Number: 970/ Exhibitors should follow their veterinarian s recommendations to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. EMERGENCY SERVICES FIRE/LOVELAND POLICE/AMBULANCE: Loveland, Colorado 911 CATALOG ADVERTISING Catalog Ads maybe reserved by contacting Carolyn Peterson, carolynckcs@comcast.net. Ad prices Black & White $25 for a full page, $15 for a half page. Color ads, please add $ AMERICAN KENNEL CLUB RULES AND REGULATIONS GOVERN THESE TRIALS CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under the American Kennel Club rules and regulations. Gina DeNardi, Secretary PRE ORDER YOUR CATALOG Check off box is located on the top of the Entry Form. Send $5.00 ea (payable to LPDTC) with your entry to the Trial Secretary. Catalogs available by PRE ORDER ONLY

2 ENTRY FEES PER DAY First entry of each dog [Obedience Trial] (includes AKC recording & event fee).... $27.00 Second/Additional entry of same dog [Obedience Trial] (includes AKC event fee).$22.00 Non Titling* Obedience $22.00 First entry of each dog [Rally Trial] (includes AKC event fee) $27.00 Second entry of same dog [Rally Trial] (includes AKC recording & event fee). $22.00 *Team entries must be paid in full by one Team member, and include a list of all Team Members. JUNIOR HANDLER ENTRY FEES (with valid AKC Jr Handler #)..1/2 ALL ABOVE LISTED FEES Obedience Entry Fee: $27.00 for the first entry of each dog each day (including 50 cent AKC recording fee and a $3.00 event service fee) entered in obedience each day and $22.00 for each additional entry of the same dog each day (including a $3.00 event service fee for each additional entry of the same dog in the regular and non regular recordable single entry classes) in all AKC licensed and member club events. Rally Entry Fee: $27.00 for the first entry of each dog each day and $22.00 for each additional entry each day (including a recording fee of $3.50 for each entry of each dog) entered in rally each day in all AKC licensed and member club events. If you would like to know the status of your entry prior to the issuance of the judging schedule upon closing, please enclose a self addressed, stamped envelope or postcard along with your entry. E mail confirmations will be sent to those listing a legible e mail address on the entry form. Mail entry forms and fees to: DEB LEWIS, Trial Secretary, 3083 COYOTE RIDGE DR, BERTHOUD, COLORADO Please make checks payable to LONGS PEAK DTC (LPDTC) No entries will be accepted by phone, fax. Payment must accompany all entries. Express mail entries must include the signature waiver allowing them to be left at the secretary s address. Inquiries may be directed to Deb Lewis at deb@lookoutk9trials.com. No entry shall be made and no entry shall be accepted which specifies any conditions as to its acceptance. OPTIONS FOR ENTRIES PAID BY CREDIT CARD (Check with individual companies for their policies and deadlines for submissions. These services all charge a fee for their service on top of the trial entry fees): Telephone Entry Services Best In Show Entries On Time K 9 Entry Service Show Line Show Time On Line Entry Services (THESE SERVICES HAVE EARLIER CLOSING DATES TO ARRIVE ON TIME) Info Dog.com Illegible entries will not be processed and will be returned to the exhibitor. Returned checks do not constitute a valid entry and the Trial Secretary will add a $25.00 collection fee to the amount of each returned check. Longs Peak Dog Training Club does not agree to arbitrate claims as set forth on the Official AKC entry form for these events. JUDGES, ASSIGNMENTS & CLASSES OFFERED: Dr. Kathleen M Galotti (17184) 1208 WOODLAND TRL, NORTHFIELD MN Mrs. Lora Cox (20288) 1467 Pashote Ct., Milpitas CA Ted G McCall (19183) 30 SOUTHWINDS DR, FAIRVIEW, NC Please consult the AKC Regulations for Obedience Trials and/or Rally Trials for a complete description and eligibility for entry into these classes. Descriptions of the non titling classes are in Chapter 20 of the Obedience Regulations. The exhibitor is fully responsible for entering the dog in the correct class(es)/height divisions. All exhibitors should obtain a copy of the American Kennel Club Regulations Obedience and Rally Trials by downloading or purchasing through the AKC Store on their website at Obedience Classes: Saturday Sunday Monday Titling Classes Beginner Novice A Ted G McCall Dr. Kathleen M Galotti Mrs. Lora Cox Beginner Novice B Ted G McCall Dr. Kathleen M Galotti Mrs. Lora Cox Preferred Novice Mrs. Lora Cox Ted G McCall Dr. Kathleen M Galotti Novice A Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall Novice B Mrs. Lora Cox Ted G McCall Dr. Kathleen M Galotti Graduate Novice Ted G McCall Dr. Kathleen M Galotti Mrs. Lora Cox Preferred Open Mrs. Lora Cox Ted G McCall Dr. Kathleen M Galotti Open A Ted G McCall Dr. Kathleen M Galotti Mrs. Lora Cox Open B Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall Graduate Open Mrs. Lora Cox Ted G McCall Dr. Kathleen M Galotti Preferred Utility Ted G McCall Dr. Kathleen M Galotti Mrs. Lora Cox Utility A Ted G McCall Dr. Kathleen M Galotti Mrs. Lora Cox Utility B Mrs. Lora Cox Ted G McCall Dr. Kathleen M Galotti Versatility Ted G McCall Dr. Kathleen M Galotti Mrs. Lora Cox Non Titling Classes Veterans To Be Assigned Not Offered Not Offered Brace Not Offered Not Offered To Be Assigned Team Not Offered To Be Assigned Not Offered Rally Classes Rally Novice A Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall Rally Novice B Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall Rally Intermediate Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall Rally Advanced A Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall Rally Advanced B Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall Rally Excellent A Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall Rally Excellent B Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall Rally Master Dr. Kathleen M Galotti Mrs. Lora Cox Ted G McCall FOOD SERVICE WILL BE AVAILABLE AT THE TRIAL SITE. JUMP HEIGHTS AND RUNNING ORDER We have requested your jump height for OBEDIENCE & RALLY classes which include jumping exercises. You are required to supply this information when requested, and we will organize the running order of dogs by jump height. Running Order in classes involving jumping exercises will be small to tall each day. ROUTES TO TRIAL 5280 Arena Cir, Loveland, CO 8538 From I 25 Take Exit 259 (E Crossroads Blvd). Continue East of Crossroads Blvd for 4/10 mile. Turn left (north) onto N Fairgrounds Ave (1/2 mile). Turn left onto Arena Cir (1/10 mile). First National Bank Building will be on your right (4/10 mile) HANDICAP PARKING If you require Handicapped Parking, there are a limited number of close in reserved parking slots that will allow you to park closer to the building than the marked Handicapped parking. You must be issued a permit to park in this reserved area. Please fill out the following form & return with your entry. NAME: VEHICLE:

3 AREA ACCOMMODATIONS These hotels have graciously agreed to accept our well mannered dogs. A pet deposit may be required. Please check with hotels for current policies and restrictions. Exhibitors will be subject to disciplinary action by LPDTC Show Committee for any reported damages! AmericInn Windsor (3.6 miles), 7645 Westgate Dr. Windsor CO Super 8 Windsor (east 6.5 miles), 1265 Main St Windsor CO Best Western Crossroads Inn, (south 4.1 miles), 5542 E US Hwy 34 Loveland CO Travelodge Loveland (SW, 6.7 miles), 1655 E Eisenhower Blvd Loveland CO La Quinta Loveland (southwest 11 mi.), 1450 Cascade Ave, Loveland CO La Quinta Fort Collins (north 11.3 miles), 3709 E Mulberry St Fort Collins CO Days Inn Fort Collins (north 12.2 miles), 3625 E Mulberry Fort Collins CO Courtyard by Marriott (11 miles) 1200 Oakridge Dr, Fort Collins, CO Hampton Inn (11 miles) 1620 Oakridge Dr, Fort Collins, CO Onsite RV parking is not available for this trial You are REQUIRED to clean up after your dog at all of these motels. All dogs should be aired on lead. DO NOT leave dogs unattended inside motel rooms. Please crate your dogs while in motel rooms. The future for using these motels for all Dog Sports is in your hands. PLEASE do not damage any motel rooms or their surrounding areas. Your cooperation will ensure the future availability of the area motels. Longs Peak DTC does not guarantee availability at these motels. AWARDS RIBBON PRIZES OFFERED JANUARY 13 15, 2018 Placement rosettes will be awarded for the first through fourth place in each class for Regular, Preferred and Optional Obedience and Rally Classes. First Place Second Place Third Place Fourth Place Blue Rosette Red Rosette Yellow Rosette White Rosette A green qualifying ribbon will be given to all qualifying dogs. Dogs must receive a qualifying score to receive placement awards. Highest Scoring Dog in Regular Obedience Classes......Large Blue & Gold Rosette Highest Scoring Dog in Preferred Obedience Classes......Large Blue & Gold Rosette Highest Combined Score in Open B & Utility Class.....Large Blue & Green Rosette Highest Combined Score in Preferred Open B & Utility Class.....Large Blue & Green Rosette Highest Combined Score in Rally Excellent B and Advanced B....Large Blue & Green Rosette Highest Scoring Triple Qualifying Score in Adv B, Exc B and Master...Large Red and Blue Rosette Highest Scoring Dog in the Regular A Obedience Classes..... Large Green & White Rosette New Title..Teal Rosette OTCH Title Large Red, White, and Blue Rosette NON REGULAR CLASSES: First Prize Second Prize Third Prize Fourth Prize Rose Rosette Brown Rosette Light Green Rosette Gray Rosette SPECIAL AWARDS The following will also be awarded at our trials. Highest Scoring Dog in Obedience Trial January 14, 2018: $35.00 Gift Card Highest Combined Score in Open B & Utility A or B Obedience Classes January 14, 2018: $30.00 Gift Card Highest Scoring Dog from the Regular A Obedience Classes Highest Scoring Dog from the Preferred Classes January 15, 2018: Plush Throw and Insulated Beverage Cup Highest Combined Score in Open B & Utility A or B Preferred Obedience Classes Highest Combined Score in Rally Advance B & Excellent B Classes Highest Combined Score in Rally Advanced B, Excellent B & Master Classes Saturday: Titling & Non Regular Obedience and Rally Classes All first place winners will receive an Insulated Lunch Bag All second, third and fourth place winners will receive a Dog Toy Sunday: Titling & Non Regular Obedience and Rally Classes All first place winners will receive a Leash All second, third and fourth place winners will receive a Dog Toy

4 Monday: Titling & Non Regular Obedience and Rally Classes All first place winners will receive a Hi Drive Tug Toy All second, third and fourth place winners will receive a Dog Toy All prizes must be claimed the day of the trial. None will be mailed. Drawings for Non Qualifiers For those whose dogs don t qualify, we will be having drawings each day for baskets of donated new or gently used items. All non qualifiers are eligible to place their armband in the drawings each day. Drawings will take place at the conclusion of all regular classes. Join us for a C Match on Saturday Night! January 13, 2018 The match will begin 30 minutes after conclusion of judging. 10 minutes ring time for $10 5 minutes ring time for $5 No food in the rings. *** Toys are allowed in the rings Sign up at the trial on Saturday Match Coordinator Emily Bink SAFETY, BEHAVIOR and LIABILITY NOTICE TO EXHIBITORS 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 an unnecessary disturbance 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 case, no refund of any fees paid will be made. The Longs Peak Dog Training Club and its agents, employees, etc., will assume no responsibilities for any loss, damage or injury sustained by exhibitors or handlers, or to any of their dogs or property and further assumes no responsibility for injury to children. The Longs Peak Dog Training Club reserves the right to decline entries for cause and may remove any dog on account of aggression. No one shall have any recourse or claim against the Longs Peak Dog Training Club or any official thereof. All dogs must be on leash at all times when on trial grounds except when competing. All regulations governing the use of this facility, and all regulations and decisions of the trial committee at this trial will be strictly enforced, including and not limited to the recorded information of this premium list. Puppies under 6 months of age are prohibited at AKC Obedience Trials or Rally Trials. This club does not agree to arbitrate claims as set forth on the Official AKC entry form for this event. ENTRY ELIGIBILITY This trial is open to all dogs six (6) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP), an AKC Canine Partners listing number, or approved Foundation Stock Service (FSS) breeds are eligible to participate. Dogs with a Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number must be spayed or neutered in order to compete. Wherever the word dog is used in these regulations it includes both sexes. Fees must accompany entries. Dogs should be physically sound. Dogs that are blind shall not be eligible, and neither are bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect the dog s physical or mental performance. No dog shall compete if it is taped or bandaged in any way or has anything attached to it for medical purposes. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registerable breeds that may participate. REFUNDS No entry fee will be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, an act of God, public emergency, act of a public enemy, or any other cause beyond the control of the organizing committee. No entry fee will be refunded in the event a dog is absent, disqualified, excused, or barred from competition by the action of the Trial Committee. Bitches in season are not permitted to compete in Obedience or Rally Trials. As such, the club will refund a portion of the paid fees per day of the entry fee paid for bitches unable to compete for this reason upon presentation of a veterinarian certificate. This certificate must be presented to the Trial Secretary prior to the start of judging on the first day of the trial or cluster of trials. A $10.00 per entered day recording fee will be withheld for entries withdrawn due to a bitch being reported in season. CATALOGS Check off box is located on the top of the Entry Form. Send $5.00 ea (payable to LPDTC) with your entry to the Trial Secretary. Catalogs available by PRE ORDER ONLY RINGSIDE Dogs may arrive any time prior to judging. 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. Exhibitors may bring their own chairs, but due to space constraints, seating may be restricted. CRATING and SEATING Crating will be restricted to outside the ring area. There will be indoor crating area available at the show grounds, but crating space is not guaranteed. The Show Site Committee reserves the right to alter crating arrangements for space purposes. Exhibitors are responsible for the conditions in and around their own crate. No dogs will be permitted to stay overnight at the show site. X pens may not be allowed. Individual chair seating may not be allowed, if space prohibits. Mats used under crates must match the dimensions of the crate. Excess matting will not be allowed. Please be prepared to stack crates. VENDORS Please contact Janie Ritchie, (970) , jrmassage@msn.com, for space availability. Fees are $50 for a 10 x10 indoor space for the 3 day weekend, or $20 per day. Booth space is limited. DOGS MUST BE ON LEAD AT ALL TIMES OR CONFINED TO A CRATE OR EXERCISE PEN, EXCEPT WHEN COMPETING. PLEASE CLEAN UP AFTER YOUR DOG

5 CLASS TRANSFERS The club will clearly state in its premium list whether transfers will or will not be allowed. If no statement is provided in the premium list the default is to allow transfers. A transfer from a rally class to a rally class may be requested if, according to the owner s records the handler and dog are eligible provided the club offers transfers. Transfers from an A to B class at the same level are allowed provided the host club allows transfers. (When a club does not allow transfers, refer to Section 14. Entry of Ineligible Dog.) The request for a transfer must be in writing and presented to the superintendent or trial secretary at least 30 minutes prior to the start of each trial. Clubs may choose to accept transfers prior to the day of the trial and this should be clearly stated in the premium list. Transfers may be approved provided the class and judge is available, and the class has not reached its limit. OBEDIENCE/RALLY TRIAL: TRANSFER FORM (formerly Move-up Form) Present this form to the Trial Secretary or the Superintendent. Please Lend Us A Hand! Please circle the class and indicate the OBEDIENCE level that was ORIGINALLY entered. Level: A or B Novice Open Utility Beginner Novice Other: TRANSFER Obedience Entry to Class: (Circle one class) Level: A or B : / Novice Open Utility Beginner Novice Other: Please circle the class and indicate the RALLY level that was ORIGINALLY entered. Level: A or B Novice Advanced Excellent TRANSFER Entry to Rally Class: (Circle one class) Level: A or B : Novice Advanced Excellent Name of Club: Longs Peak Dog Training Club Date: Dog s AKC Name Dog s AKC # Owner s Name: Handler s Name: (If applicable) Signature of owner or agent duly authorized to make this entry: Signature of Trial Secretary or Superintendent if approved: Date: Time Received: Every trial s success is based on those who can lend a hand. We d love to have your help with our independent Obedience/Rally Trial. Please provide the following information, and either return it to Chief Ring Steward, Ginger Sammonds gingers@lpbroadband.net 970/ , or return it to the trial secretary with your entry to the trial. Name: Address: Phone: Please check off the classes you will be ENTERED in: Obedience Novice A or B (circle) Rally Novice A or B (circle) Obedience Open A or B (circle) Rally Advanced A or B (circle) Obedience Utility A or B (circle) Rally Excellent A or B (circle) Obedience Other: Rally Intermediate Rally Master Please indicate which JOBS you wish to WORK: Table Steward Ribbons Wherever I am needed Ring Steward Set Up Timer Tear Down I am entered (please circle): Saturday Sunday Monday All Additional comments: Please check in at the Worker s List upon your arrival for possible volunteer assignments. Thank you from LONGS PEAK DOG TRAINING CLUB

6 Breed 4 Variety 1 Obedience Class 2,3 OFFICIAL OBEDIENCE ENTRY FORM LONGS PEAK DOG TRAINING CLUB OBEDIENCE AND RALLY TRIALS LARIMER COUNTY FAIRGROUNDS, THE RANCH, LOVELAND, COLORADO OBEDIENCE RALLY Saturday, January 13, 2018 Sunday, January 14, 2018 Monday, January 15, 2018 ENTRY FEES: ALL TITLING CLASSES: (AKC Recording & Event Fees included) $27.00 for 1st entry of each dog & $22.00 for a 2nd entry of same dog each day. Non-Titling classes are $ Team entries are $22.00 per team. JUNIOR HANDLER entry: 1/2 all listed fees (with AKC Jr Handler #). (If you are entering both obedience and rally, remember that they are independent trials, so the 1st entry in obedience is $27.00 and the 1st entry in rally is $27.00 EACH DAY). EACH day during the trial requires a 1st Entry Fee for that day. ENTRIES CLOSE December 27, 2017, AT 6:00 PM at the Trial Secretary s address. DELIVER ENTRIES WITH FEES PAYABLE TO LPDTC TO: Deb Lewis Trial Secretary, 3083 Coyote Ridge Dr, Berthoud CO PRE-ORDER CATALOG ($5.00 ea, available by pre-order ONLY) # / $ I have enclosed $ for my total entry fees IMPORTANT Read Instructions on reverse side carefully before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT). Next, be sure to read the Agreement and sign on the reverse. Rally Class 2,3 No form will be processed without your signature! Sex Additional Obedience Class 2,3 AdditionalRally Class 2,3 INSTRUCTIONS 1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard). 2. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e, A or B division. 3. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his/her name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.) 4. Dogs listed in the AKC Canine Partners SM Program may be eligible to enter all-breed AKC Obedience 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. Sire and Dam information shall remain blank for mixed breed entrants. Name of Junior Handler (If Any) Junior Handler Number AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: Full Name of Dog 4 AKC No. Enter number here Breeder Sire Dam Actual Owner(s) (Please Print) Owner s Address Telephone # Foreign Reg No. Address (An acknowledgement or receipt of entry may be sent to this address) Name of Agent/Handler at the Show (If any) Place of Birth (Enter Country below) Do not print the country in catalog Date of Birth City State/Prov Zip/Postal Code Country (if not USA) Are you a new exhibitor? Yes No AGREEMENT 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 any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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 person. I (we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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 THIS 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. Signature of owner or his agent duly authorized to make this entry: Telephone *** Be sure to read the Agreement and sign on the reverse. No form will be processed without your signature! *** AO9999 (01/14) v1.4 P Edit

7 Breed 4 Variety 1 Obedience Class 2,3 OFFICIAL OBEDIENCE ENTRY FORM LONGS PEAK DOG TRAINING CLUB OBEDIENCE AND RALLY TRIALS LARIMER COUNTY FAIRGROUNDS, THE RANCH, LOVELAND, COLORADO OBEDIENCE RALLY Saturday, January 13, 2018 Sunday, January 14, 2018 Monday, January 15, 2018 ENTRY FEES: ALL TITLING CLASSES: (AKC Recording & Event Fees included) $27.00 for 1st entry of each dog & $22.00 for a 2nd entry of same dog each day. Non-Titling classes are $ Team entries are $22.00 per team. JUNIOR HANDLER entry: 1/2 all listed fees (with AKC Jr Handler #). (If you are entering both obedience and rally, remember that they are independent trials, so the 1st entry in obedience is $27.00 and the 1st entry in rally is $27.00 EACH DAY). EACH day during the trial requires a 1st Entry Fee for that day. ENTRIES CLOSE December 27, 2017, AT 6:00 PM at the Trial Secretary s address. DELIVER ENTRIES WITH FEES PAYABLE TO LPDTC TO: Deb Lewis Trial Secretary, 3083 Coyote Ridge Dr, Berthoud CO PRE-ORDER CATALOG ($5.00 ea, available by pre-order ONLY) # / $ I have enclosed $ for my total entry fees IMPORTANT Read Instructions on reverse side carefully before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT). Next, be sure to read the Agreement and sign on the reverse. Rally Class 2,3 No form will be processed without your signature! Sex Additional Obedience Class 2,3 AdditionalRally Class 2,3 INSTRUCTIONS 1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard). 2. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e, A or B division. 3. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his/her name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.) 4. Dogs listed in the AKC Canine Partners SM Program may be eligible to enter all-breed AKC Obedience 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. Sire and Dam information shall remain blank for mixed breed entrants. Name of Junior Handler (If Any) Junior Handler Number AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: Full Name of Dog 4 AKC No. Enter number here Breeder Sire Dam Actual Owner(s) (Please Print) Owner s Address Telephone # Foreign Reg No. Address (An acknowledgement or receipt of entry may be sent to this address) Name of Agent/Handler at the Show (If any) Place of Birth (Enter Country below) Do not print the country in catalog Date of Birth City State/Prov Zip/Postal Code Country (if not USA) Are you a new exhibitor? Yes No AGREEMENT 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 any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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 person. I (we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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 THIS 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. Signature of owner or his agent duly authorized to make this entry: Telephone *** Be sure to read the Agreement and sign on the reverse. No form will be processed without your signature! *** AO9999 (01/14) v1.4 P Edit