American Belgian Tervuren Club Inc. (Member of the American Kennel Club)

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1 Premium List American Belgian Tervuren Club Inc. (Member of the American Kennel Club) AKC Herding Instinct Testing Tuesday, April 10th, 2018 Two event # s Title available! All Breed Belgian Preferred Morning: Afternoon: Purina Farms 300 Checkerboard Dr, Gray Summit, MO, Trials will be held outdoors regardless of weather Event hours 7am-5pm each day Entries Open on February 1 st, 2018 at 8 am at the Test Secretary s address Any entries received before this date/time will be returned. Day of Event Entries will be accepted for this Herding Instinct testing, but will not exceed the limit: 20 runs AM Testing, 20 Runs PM Testing American Kennel Club Certification Permission has been granted by the American Kennel Club for the holding of this event under American Kennel Club rules and regulations. James P. Crowley, Secretary

2 Entry fees: include AKC recording fees $40.00 per test entry There will be a $25.00 service charge for any returned checks. Mail all entries with fees (checks only) payable to ABTC to A. Burnidge/ABTC, 1073 Charlie Butts Road, Franklin, KY aburnidge@hotmail.com phone All mail must be left with no acceptance signature required. Entry form changes, additions, corrections and cancellations MUST be received in writing prior to the March 14th closing date, be legible and include the AKC number, or no refund will be issued. No telephone changes accepted. changes are welcomed. No refunds for duplicate entries or entry form errors. Entries not on official herding entry forms, or photocopies of entry forms, without the Release Form on the reverse side of the entry form are not acceptable. No entry shall be accepted which specifies any condition as to its acceptance. Checks returned for insufficient fees will have the entry cancelled; acceptance of such an entry will only be made if the full fees, plus a $25 administrative fee, are paid via certified check or money order & received prior to the start of judging. Entry fees will not be refunded in the event that a dog is absent, disqualified, excused by a judge, or barred from the competition by actions of the Trial Committee. Refunds of entries pulled after closing date will be made as long as an alternate runs; if no alternate runs, no refund will be given. Entry fees will not be refunded if the trial cannot open or be completed by reason of riot, civil disturbance, fire or Act of God, public emergency, act of public enemy, strike or any other cause beyond the control of the club. Entries with addresses will be acknowledged with an receipt. Confirmations and judging schedules will be ed after closing. If you want a hard copy confirmation mailed, please note this on your entry. Secretary is not responsible for non-delivery of s due to delivery errors or spam blockers, and no further efforts will be made. Bitches in season will run last in the tests. JUDGES: Dan Delegge Dean St., Woodstock, IL HIC AM event Sean Hathaway 612 Fuqua Rd Rockfield, KY HIC AM event Sharol Hathaway 612 Fuqua Rd Rockfield, KY HIC PM event Peggy Richter 1218 Moonwind, Inyokern, CA HIC PM event LIVESTOCK Sheep; Katahdin/Cross: 3 - head per run (Value: $150.00)

3 SITE INFORMATION: Please bring your own chairs and shade tents/screens as there is little shade available. Dogs MUST be confined in vehicles or crated. Crates/ex-pens need to be placed only in the areas designated by the Trial Committee. Dogs should be leashed when not in the arena. Exhibitors MUST clean up after their dogs and themselves! Anyone witnessed not cleaning up after their dogs will be excused from the trial with no refund. Herding Instinct Certificate will take place in a minimum sized arena per the AKC rulebook. The owner, an agent or Judge may handle the dog. Dog must be able to exhibit a sit or a down on lead before being allowed in the ring. Dogs must be under control prior to entering the ring. Judges reserve the right to refuse contact of the stock for lack of control at the gate. If there are Alternate entries, all alternates must report to the Trial Secretary before the start of the day s classes. DIRECTIONS TO PURINA FARMS I-44 from East or West Take Gray Summit Exit #253 (Hwy 100 E). Turn north on Hwy 100 E. Go approximately ½ mile to Country Road MM & turn left. There are small Purina signs on the corner. MM is a very winding road. Large vehicles use care. Go West about ¾ miles to Nestle Purina Farm s lower field, by the white barn. Gravel parking lot will be on your LEFT. If you reach the main entrance to the Farm you have gone too far. ACCOMMODATIONS: The following motels have agreed to accept guests with WELL MANNERED dogs. Please verify pet policy when making a reservation. Owners must assume full responsibility for clean-up. Holiday Inn St.Louis West (ABTC National Host Motel) 4901 Six Flags Road, Eureka, MO, 63025, US Super 8 Motel 1015 E. Main St., Union, MO Super 8 Motel 44 Exit 240 S. Service Rd. St. Claire, MO Comfort Inn 1320 Thornton St., Pacific, MO America s Best Inn 1725 W. 5 th St. Eureka, MO RV Campground KOA St Louis West: Old US Hwy 66, Eureka, MO (800) (Day parking available at the herding trial site for up to 10 large RVs)

4 AMERICAN BELGIAN TERVUREN CLUB INC. OFFICERS President: Teresa Nash Vice President: Lynn Wetherell Recording Secretary: Nancy McClure, Membership/PR Secretary: Connie Perdue Treasurer: Susan Harris Board Members: John Amsden, Deb Eldredge, Debbie Duncan, Ingrid Friedman TEST/TRIAL COMMITTEE Chairperson: Sharol Hathaway 612 Fuqua Rd, Rockfield, KY Members: Sean Hathaway, Allison Burnidge, Lynn Earhart, Lara Matthews, Theresa Harrison Veterinarian On Call John Stolz DVM Washington Veterinarian Clinic 5585 Hwy 100 Washington, MO PRIZES AND AWARDS Tuesday, April 10 th, The American Belgian Tervuren Club, Inc. offers the following trophies through the generosity of donors to the trophy fund. All donors names will be listed in the specialty catalog. Trophies of greater or equal value may be substituted at the discretion of the trial chair. Qualify Prize: Toy Qualifiers: Dark Grn Rosette New Titles: Rosette LIABILITY: It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee, be asked to leave the show site. In such cases, no refund of any fees paid will be made. ABTC and its agents and employees, as well as the facility owners and livestock handlers, will assume no responsibility for any loss, damage or injury sustained by exhibitors or handlers, or to any of their dogs or property, & further assume no responsibility for injury to children.

5 OFFICAL AMERICAN KENNEL CLUB ENTRY FORM American Belgian Tervuren Club Inc. AKC Herding Instinct Tests Tuesday, April 10 th,2018 Purina Farms, Gray Summit, Missouri Entries open on February 1st, 8am. Entries received prior to this will be returned! Entries close: Day of entries accepted. Mail entries with fees payable to ABTC. Alison Burnidge 1073 Charlie Butts Road, Franklin KY All express or certified entries must include signature permitting them to be left at the Trial Secretary s address without receipt signature. Entries received without signature release will be returned. AM HIC TESTING PM HIC Testing Entry Fees: $40 per entry Fees Enclosed $ No dog may be entered in two classes on the same course with the same kind of stock. For entries of same dog in more than one class, indicate first priority entry level. If a trial fills, additional entries will be put on the alternate list. PLEASE PRINT OR TYPE. INCOMPLETE AND/OR ILLEGIBLE ENTRIES WILL NOT BE ACCEPTED. NOTE: TWO LEGS necessary for HIC titling. BREED VARIETY (1) SEX AKC REGISTERED NAME (include AKC titles only) CALL NAME OF DOG AKC REG NO. AKC LITTER NO. ILP NO. FOREIGN REG NO. & COUNTRY BREEDER SIRE DAM (Enter number here) DATE OF BIRTH PLACE OF BIRTH USA CANADA FOREIGN ACTUAL OWNERS OWNERS ADDRESS CITY, STATE, ZIP + 4 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 the consideration of the acceptance of this entry, I (we) agree to abide by the rules & 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 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. 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 agent duly authorized to make this entry TELEPHONE ADDRESS

6 AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, AGREEMENT I (we) acknowledge that the Rules Applying to Registration and Dog Shows and the Rules for Herding Tests & Trials have been made available to me (us), and that I (we) agree that the club holding this Herding Test or trial has the right to refuse this entry for cause, which the club shall deem to be sufficient. In consideration of the acceptance of this entry and the holding of the Herding Test or Trial and of the opportunity to have the dog tested or judged and to win prize money, ribbons, or trophies, I (we) agree to hold this club, its members, directors, governors, officers, agents, superintendents or show secretary and the owner or lessor of the premises and any employees of the aforementioned parties 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 upon the Herding Test or Trial premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim for damage or injury to the dog, whether such loss, disappearance, theft, damage or injury, be caused by the negligence of the club or any of the parties aforementioned, or by the negligence of any other person, or any other causes. I (we) hereby assume the sole responsibility for and agree to indemnify and save the aforementioned parties harmless from any and all loss and expenses (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 damages to property, arising out of or in consequence of my (our) participation in this Herding Test or Trial, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons. I (we) will pay for any livestock injuries or replacement value in the event of death of any livestock by my (our) dog. In case of injury to any stock caused by the dog entered, I (we) will assume total responsibility for any damage. I (we) agree to pay the full market value of the injured animal in case of serious injury, or the veterinarian bill if the injury is slight. 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 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 PROCE- DURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULA- TIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS 1. (Variety) If you are entering a dog of a 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, wire-haired); Bull Terriers (colored, white); Manchester Terriers (standard, toy); Chihuahuas (smooth coat, long coat); Poodles (toy, miniature, standard); Collie (rough, smooth); English Toy Spaniels (King Charles & Ruby, Blenheim & Prince Charles). 2. A dog must be entered in the name of the person who actually owned it at the time entries for a trial 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 trial for which entries closed after the date of acquisition, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his/her name. State on the entry form whether transfer application has been made to AKC. (For complete rules, refer to Chapter 11, Section 3.)

7 OFFICAL AMERICAN KENNEL CLUB ENTRY FORM American Belgian Tervuren Club Inc. AKC Herding Instinct Test: Tuesday, April 10 th, 2018 Purina Farms, Gray Summit, Missouri Entries open on Febrary 1st, 8am. Entries received prior to this will be returned! Entries close: Day of entries accepted. Mail entries with fees payable to ABTC. Alison Burnidge 1073 Charlie Butts Road, Franklin KY All express or certified entries must include signature permitting them to be left at the Trial Secretary s address without receipt signature. Entries received without signature release will be returned. AM HIC Testing PM HIC Testing Entry Fees: $40 per entry Fees Enclosed $ No dog may be entered in two classes on the same course with the same kind of stock. For entries of same dog in more than one class, indicate first priority entry level. If a trial fills, additional entries will be put on the alternate list. PLEASE PRINT OR TYPE. INCOMPLETE AND/OR ILLEGIBLE ENTRIES WILL NOT BE ACCEPTED. NOTE: TWO LEGS necessary for HIC titling. BREED VARIETY (1) SEX AKC REGISTERED NAME (include AKC titles only) CALL NAME OF DOG AKC REG NO. AKC LITTER NO. ILP NO. FOREIGN REG NO. & COUNTRY BREEDER SIRE (Enter number here) DATE OF BIRTH PLACE OF BIRTH USA CANADA FOREIGN DAM ACTUAL OWNERS OWNERS ADDRESS CITY, STATE, ZIP + 4 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 the consideration of the acceptance of this entry, I (we) agree to abide by the rules & 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 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. 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 agent duly authorized to make this entry TELEPHONE ADDRESS

8 AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, AGREEMENT I (we) acknowledge that the Rules Applying to Registration and Dog Shows and the Rules for Herding Tests & Trials have been made available to me (us), and that I (we) agree that the club holding this Herding Test or trial has the right to refuse this entry for cause, which the club shall deem to be sufficient. In consideration of the acceptance of this entry and the holding of the Herding Test or Trial and of the opportunity to have the dog tested or judged and to win prize money, ribbons, or trophies, I (we) agree to hold this club, its members, directors, governors, officers, agents, superintendents or show secretary and the owner or lessor of the premises and any employees of the aforementioned parties 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 upon the Herding Test or Trial premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim for damage or injury to the dog, whether such loss, disappearance, theft, damage or injury, be caused by the negligence of the club or any of the parties aforementioned, or by the negligence of any other person, or any other causes. I (we) hereby assume the sole responsibility for and agree to indemnify and save the aforementioned parties harmless from any and all loss and expenses (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 damages to property, arising out of or in consequence of my (our) participation in this Herding Test or Trial, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons. I (we) will pay for any livestock injuries or replacement value in the event of death of any livestock by my (our) dog. In case of injury to any stock caused by the dog entered, I (we) will assume total responsibility for any damage. I (we) agree to pay the full market value of the injured animal in case of serious injury, or the veterinarian bill if the injury is slight. 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 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 PROCE- DURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULA- TIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS 1. (Variety) If you are entering a dog of a 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, wire-haired); Bull Terriers (colored, white); Manchester Terriers (standard, toy); Chihuahuas (smooth coat, long coat); Poodles (toy, miniature, standard); Collie (rough, smooth); English Toy Spaniels (King Charles & Ruby, Blenheim & Prince Charles). 2. A dog must be entered in the name of the person who actually owned it at the time entries for a trial 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 trial for which entries closed after the date of acquisition, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his/her name. State on the entry form whether transfer application has been made to AKC. (For complete rules, refer to Chapter 11, Section 3.)

Name: Dog & Class Entered: Dog & Class Entered: Dog & Class Entered: Zip Code: CC Type: CC Number:

Name: Dog & Class Entered: Dog & Class Entered: Dog & Class Entered: Zip Code: CC Type: CC Number: For those of you who want to enter by e-mail. Please fill out the attached entry form(s), save them to your computer, then e-mail them to me at Pfyre@PfyreWhpts.com No entry is complete without payment,

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