Nashville Dog Training Club All Breed Obedience and Rally Trials

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1 LICENSED BY THE AMERICAN KENNEL CLUB Nashville Dog Training Club All Breed Obedience and Rally Trials Four days: January 25-28, 2018 Williamson County Agricultural Center 4215 Long Lane, Franklin, TN Trial Hours 7:30 a.m. to 6:00 p.m. (Central Standard Time) These trials will be held indoors in a heated arena, fully matted on concrete. Four rings - sizes 40' x 50', each This event is Accepting Entries for Dogs Listed in the AKC Canine Partners program Entries Close: Wednesday, January 10, 2018 at 6:00 pm CST after which time entries cannot be accepted, cancelled, altered, or substituted except as provided in Chapter 11, Section 6 of the Dog Show Rules. Licensed All-Breed Obedience Trials AKC Event#: , , , Kellie Verrelli, NDTC Trial Secretary 3337 Beech Log Road Watertown, TN Dated Material Please Forward Licensed All-Breed Rally Trials AKC Event#: , , , Combined entries for all classes are limited to 8 hours per judge per day and a wait list will be maintained

2 Nashville Dog Training Club, Inc Officers and Directors President Vice President Treasurer Secretary Property Chair Historian / Membership Training Director Cheryl Tisdale Diane Overstreet Connie Thornton Maggie Sanguinetti 353 Battle Road, Cane Ridge, TN ptmaggie@comcast.net Sheril Ray Janie Meeks Heather Roberts January 2018 Trial Committee Trial Chair Cheryl Tisdale 3850 W Trimble Road Milton, TN eqwynd@peoplepc.com Trial Secretary Kellie Verrelli 3337 Beech Log Road, Watertown, TN ktverrelli@hotmail.com Chief Steward Cheryl Tisdale Trophy Chair Debbi Martin Hospitality Heather Roberts Property Jeanine Collins Judge Hospitality Marie Murphy Emergency Contact Cheryl Tisdale eqwynd@peoplepc.com Fees Obedience Regular and Optional Titling es: First Entry per dog each Day: $28.00; Additional Obed Entry, same day: $24.00 Obedience Non-Regular es: $24.00 per entry except as follows: * $13 per dog for entries in Brace, 2 dogs per Brace, Saturday only * $7 per dog for entries in Team, 4 dogs per Team, Saturday only Note: Team may enter a 5th dog as an alternate with no entry fee. Your team determines the 4 who will compete at the time the class begins. Rally Regular es: First Entry per dog each Day: $28.00; Additional Rally Entry, same day: $24.00 Judges: Mr Kenneth Kincaid (91228) Mrs. Aimee P Kincaid (91226) Mr. Robert Alan Portnoy (100585) Judging Assignments: Orlando, FL Orlando, FL Berkeley Lake, GA /25/2018 1/26/2018 1/27/2018 1/28/2018 THURSDAY FRIDAY SATURDAY SUNDAY OBEDIENCE, Regular and Optional Titling es: NOVICE A K Kincaid RA Portnoy RA Portnoy A P Kincaid NOVICE B K Kincaid RA Portnoy RA Portnoy A P Kincaid PREF K Kincaid RA Portnoy RA Portnoy A P Kincaid NOVICE BEGIN. NOV. K Kincaid RA Portnoy RA Portnoy A P Kincaid A BEGIN. NOV. K Kincaid RA Portnoy RA Portnoy A P Kincaid B GRAD. NOVICE A P Kincaid K Kincaid A P Kincaid K Kincaid PREF OPEN A P Kincaid K Kincaid A P Kincaid K Kincaid OPEN A A P Kincaid K Kincaid A P Kincaid K Kincaid OPEN B A P Kincaid K Kincaid A P Kincaid K Kincaid GRAD. OPEN K Kincaid A P Kincaid K Kincaid A P Kincaid PREF UTILITY K Kincaid A P Kincaid K Kincaid A P Kincaid UTILITY A K Kincaid A P Kincaid K Kincaid A P Kincaid UTILITY B K Kincaid A P Kincaid K Kincaid A P Kincaid VERSATILITY K Kincaid A P Kincaid K Kincaid A P Kincaid

3 Judging Assignments, continued: 1/25/2018 1/26/2018 1/27/2018 1/28/2018 THURSDAY FRIDAY SATURDAY SUNDAY OBEDIENCE Non-Regular es: WC NOVICE to be assigned after closing Non-Regular WC OPEN to be assigned after closing classes are WC UTILITY to be assigned after closing not offered on Sunday VETERAN to be assigned after closing (Brace and BRACE to be assigned after closing Team TEAM to be assigned after closing Saturday only) RALLY es: NOVICE A A P Kincaid RA Portnoy RA Portnoy K Kincaid NOVICE B A P Kincaid RA Portnoy RA Portnoy K Kincaid ADVANCED A A P Kincaid RA Portnoy RA Portnoy K Kincaid ADVANCED B A P Kincaid RA Portnoy RA Portnoy K Kincaid INTERMEDIATE A P Kincaid RA Portnoy RA Portnoy K Kincaid EXCELLENT A A P Kincaid RA Portnoy RA Portnoy K Kincaid EXCELLENT B A P Kincaid RA Portnoy RA Portnoy K Kincaid MASTER A P Kincaid RA Portnoy RA Portnoy K Kincaid Team Rally Novice Not offered Running Order: Thursday: Low to High, beginning with lowest jump height Friday: High to low, beginning with highest jump height Saturday: Low to High, beginning with lowest jump height Sunday: High to low, beginning with highest jump height Transfers (Move-Ups): Transfers (formerly called move-ups) in Obedience and Rally will be accepted in writing only. Transfers may be approved provided the class and judge are available and the class has not reached its limit. Transfer forms must be signed and submitted at least 30 minutes prior to the start of each trial. Nashville Dog Training Club is also hosting a 4 day Agility show at the same location for more information go to or trial secretary Jane agilitysecretary@gmail.com Prizes and Awards - Condensed Premium List Rally & Obedience Qualifying Score: Dark Green Ribbon Obedience High in Trial: Blue & Gold Rosette by NDTC Obedience High Combined: Blue & Green Rosette by NDTC Preferred Obedience High in Trial : Blue & Gold Rosette Preferred Obedience High Combined: Blue & Green Rosette Rally High Combined: Blue & Green Rosette Rally Triple Q HIT: Blue & Red Rosette Obedience & Rally, Regular & Optional Titling es First Prize: Blue Rosette Second Prize: Red Rosette Third Prize: Yellow Rosette Fourth Prize: White Rosette Non-Regular es First Prize: Rose Rosette Second Prize: Brown Rosette Third Prize: Light Green Rosette Fourth Prize: Gray Rosette New Title Rosette for any new obedience or rally title earned at the shows. Obedience Special Prizes JOYCE GARMAN MEMORIAL TROPHY The Joyce Garman Memorial trophy is awarded annually in loving memory of Joyce Garman, a longtime member of NDTC and competitor in obedience and agility. This trophy will be awarded to a dog with an agility title who wins the single highest score in a regular obedience class (Novice A or B, Open A or B, Utility A or B) over the course of the four-day trial. This trophy (a large pewter cup) must be won three times by the same handler for retirement of the trophy. The handler's name and year of award will be inscribed on the trophy, which will remain in possession of the NDTC until retired. The dog and handler will be given a 7-inch pewter plate to commemorate their win. A complete list of prizes will be available at the Secretary s Table at the trial. In accordance with AKC Rules & Regulations, Chapter 6, Section 2A, a complete list of prizes may be obtained on request by writing to the Trial Secretary. Please note that all prizes must be picked up on the day of the show or they become the property of NDTC. No trophies, ribbons, or prizes will be mailed.

4 Emergency Care 24 / 7: BluePearl Veterinary Partners 3020 Mallory Lane, Brentwood, TN / Directions: Take I-65 to Exit 68B. Turn left on Mallory Lane. Clinic is on the left. Other Emergency s: Hospital: Williamson County Medical Center / Carothers Road, Franklin, TN Fire Department: Peytonsville Volunteer F.D. (911) / Police: Williamson Co. Sheriff s Dept / Refunds: Entry fees will not be refunded in the event that the dog is absent, disqualified, excused by Judge, or barred from competition by action of Trial Committee. If because of riots, civil disturbances, or other acts beyond the control of the Club it is impossible to open or complete the show, no refund will be made. The club may cancel the events due to extreme weather conditions. No entry fee may be returned after entries close, except that of a bitch that comes in season or a dog/bitch for injury after being entered. A refund minus a $5.00 fee per entry to cover expenses will only be issued if the Trial Secretary receives a Veterinarian s Certificate to this effect at least one hour prior to the start of trials. Overpayment of fees by $5 and less will be considered a donation to the club. Trial Entry Information: Entries are acknowledged via when they are processed. Armband numbers are confirmed and judging programs are distributed via for all entries. Changes or corrections to entry forms must be received in writing or via prior to the close of entries. Entries are confirmed and the judging program is distributed via when all entries are processed, final judging assignments are complete, and exhibitor armband numbers have been assigned. Indicate UDX or 'RAE' if you are entering both OB & UB or both AB & EB and you want no entry if one class or the other is already closed due to entry limitations (Obedience Regulations: Chapter 1 Section 31). Obedience High Jump Height is required for all entries in classes with jumps. Rally Jump Height is required for all entries in classes with jumps. Entry Fees must be paid when submitting your entry. If a check is returned, we will add any bank fees to the amount due. Important information about early crating and setup --PLEASE READ! As stated in the Notice to Exhibitors section, the building will be open for crating at 1 pm. For the Club to ensure there are plenty of workers to unload the equipment trailer, we will allow early crating for workers who help with unloading and ring set up. We know that some people like to drop by the trial site early to set up their crating areas, but don't have the time or ability to help with the trailer unloading and ring set up. NDTC will once again allow early crating for a fee of $10 per mat. If you want to set up your crates early and you cannot stay to help unload the trailer, you will be charged $10 per mat that you put down. Early crating time will be 11 a.m.- 1 p.m. If you can volunteer to help unload the trailer and set up the rings, you will Not be charged for early set up! Get worker bucks! Earn our undying gratitude! Help us set a new record for speed of unloading and setup! We will have committee members at the site to monitor the entrance door, collect money, and keep the names of the volunteers willing to help prepare for the trial. Thanks in advance for your help! This is a combined event, so crating will be tighter than usual. Please conserve space so we can fit everyone in! If necessary, we may consolidate crating to fit more folks. Remember no crates, no dollies, and no dogs are allowed in and out the front doors of the building per Ag Center rules. We will also need people to stay after the trial is over on Sunday afternoon to pack up all the equipment. You will receive worker bucks and be included in another drawing for one free day of entries for any NDTC obedience trial for the next year. WE NEED HELP! If you can spare some time to help us prepare for the trial we will so appreciate your contribution. Any NDTC members needing volunteer hours, this is a great way to get them completed and get paid for your time. Thank you in advance for your understanding and help in making NDTC s Trial

5 the most enjoyable for everyone attending. Directions to the Trial Site From I-65 south of Nashville: Take exit # 61, Peytonsville Rd. Go EAST on Peytonsville Rd. Turn LEFT at the first street (Long Lane). Facility is on the right. HOTEL INFORMATION: When making reservations, please verify with the hotels their policies on accepting pets and their pet fees. Days Inn: 4217 So. Carothers Rd., Franklin, TN / (Refrigerators & microwave in room) Drury Plaza Hotel Franklin: 1874 West McEwen Drive - Franklin, TN, / LaQuinta: 4207 Franklin Commons Ct., Franklin, TN / (No pet deposit/ indoor pool) Ramada Inn: 6210 Hospitality Dr., Franklin, TN / Reminder: Hotel grounds are an extension of trial grounds in addition to respecting hotel property, exhibitors are responsible for cleaning up after their dogs on hotel grounds. The actions of exhibitors who hinder the future use of such facilities are subject to disciplinary action by the Trial Committee. RV PARKING: RV Parking is available ONLY on a reserved, prepaid basis. There are amp hookups on the hill on the east side of the arena. The facility has added 30 amp hookups to the barn area as well on Barn A. Hookups are $20 per night, payment due with entry. If you use two 30 amp spots, or a 30 amp and a 20 amp to create a 50 amp connection, you will be charged for two spots, or $40 per night. The facility does not count RVs, they count the number of outlets being used. There are no assigned spots, it is first come. Mail your RV reservations and payments with your entry form to the Trial Secretary. Name RV Fee: $ License: RV model: Catalog Advertising: Advertising space is available in the catalog. Rates up to $25 for a full page. Contact Kellie Verrelli, ktverrelli@hotmail.com Vendor Information Vendor spaces are available by invitation only for this trial. If you have not received an invitation and are interested in a space if one is available, please contact Wendy Boehme Boehme_w@bellsouth.net Call for Stewards: We would appreciate assistance with stewarding, to help all classes run smoothly. We provide a free lunch to each steward who serves two hours or more, along with "NDTC Bucks" in appreciation for your service. Sign up with your entry, or contact the Chief Steward directly, - Cheryl Tisdale eqwynd@peoplepc.com THURSDAY MATCH!! OC Match - Ring Time Thursday, January 25, 2018 Match will begin 30 minutes after the conclusion of all Obedience and Rally judging and will last for 3 hours. Match sign-up will begin on Thursday, January 25, 2018 at 1pm at the Trial Secretary's table. 4 rings - 1 will be a go-out ring only. Other rings will be a novice, open, utility. Rings will be monitored but judges/stewards will not be provided. Cost $10/10min, $5/5min in go out ring; payable when signing up - no advance sign-ups or refunds. Only 1 slot per person per ring will be accepted until everyone has signed up, and then additional sign-ups will be taken. For example: one person may sign up for one slot in the open ring and one slot in the utility ring, but may not sign up for 2 slots in the utility ring until after everyone else has had a turn. There are no prizes, ribbons, scoring or placements for the Match. Verbal corrections, gentle guidance and toys will be permitted. No food will be permitted in the rings. Group sits and downs are included at no additional charge for dogs signed up for Match Novice or Open ring time. Group exercises will be conducted at appropriate intervals at the club s discretion.

6 AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club 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 there from, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other 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 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. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and dogs which, according to their owners records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship. 3. (Event ) 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., age division, color division, weight division. 4. 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 name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.) AKC Junior Handler If this entry is for Junior Showmanship, please give the following information: Jr. s Date of Birth The above information is required. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP ENTRY FORM Nashville Dog Training Club Obedience & Rally Trials January 25-28, 2018 Obedience Trials: AKC Event # , , , Rally Trials: AKC Event# , , , Thursday, Jan 25, 2018 Friday, Jan 26, 2018 Saturday, Jan 27, 2018 Sunday, Jan 28, 2018 Entries Close at the Trial Secretary s home at 6:00PM Central time, Wed, January 10, NDTC Trial, Kellie Verrelli 3337 Beech Log Road, Watertown, TN $ and NDTC Bucks enclosed for entry fees and catalog orders IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. s in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT) Breed 5 Sex Obedience Team name: Name of (see back) Jr Handler (if any) Full Name of Dog AKC Reg No ILP or PAL No. Foreign Reg No. & Country Breeder Sire Dam Actual Owners 4 (PLEASE PRINT) Rally Jr Handler Enter full number here Date of Birth City State Zip Telephone Place of Birth USA Other: 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 show, obedience trial and/or agility trial, and by any additional rules and regulations appearing in the premium list for this show, obedience trial and/or agility trial, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement. S I G N A T U R E of owner or agent duly authorized to make this entry In Case of Emergency - Name: Phone#: If Jr Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner? Catalogs Pre-order - $5 each I am willing to help steward (which days)

7 AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club 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 there from, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other 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 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. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and dogs which, according to their owners records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship. 3. (Event ) 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., age division, color division, weight division. 4. 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 name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.) AKC Junior Handler If this entry is for Junior Showmanship, please give the following information: Jr. s Date of Birth The above information is required. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP If Jr Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner? ENTRY FORM Nashville Dog Training Club Obedience & Rally Trials January 25-28, 2018 Obedience Trials: AKC Event # , , , Rally Trials: AKC Event# , , , Thursday, Jan 25, 2018 Friday, Jan 26, 2018 Saturday, Jan 27, 2018 Sunday, Jan 28, 2018 Entries Close at the Trial Secretary s home at 6:00PM Central time, Wed, January 10, 2018 NDTC Trial, Kellie Verrelli 3337 Beech Log Road, Watertown, TN $ and NDTC Bucks enclosed for entry fees and catalog orders IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. s in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT) Breed 5 Sex Obedience Team name: Name of (see back) Jr Handler (if any) Full Name of Dog AKC Reg No ILP or PAL No. Foreign Reg No. & Country Breeder Sire Dam Actual Owners 4 (PLEASE PRINT) Rally Jr Handler Enter full number here Date of Birth City State Zip Telephone Place of Birth USA Other: 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 show, obedience trial and/or agility trial, and by any additional rules and regulations appearing in the premium list for this show, obedience trial and/or agility trial, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement. S I G N A T U R E of owner or agent duly authorized to make this entry In Case of Emergency - Name: Phone#: Catalogs Pre-order - $5 each I am willing to help steward (which days)

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