AKC ALL-BREED AGILITY TRIALS. GOLDEN RETRIEVER CLUB OF COLUMBUS, OHIO (Licensed by the American Kennel Club) PREMIUM LIST

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1 AKC ALL-BREED AGILITY TRIALS June 26 and 27, 2010 (Event # and # ) GOLDEN RETRIEVER CLUB OF COLUMBUS, OHIO (Licensed by the American Kennel Club) PREMIUM LIST The Sports Barn at Easton 3599 Chiller Lane Columbus, OH Entry Fees: $19 Entry Fee For Each Class (includes $3 AKC recording fee for each class) Standard, JWW and FAST (all levels) offered Saturday and Sunday This Event Is Accepting Entries For Mixed Breed Dogs Enrolled In The AKC Canine Partners Program Entries Limited To 660 Runs Per Day: 330 Runs Per Judge Susie Thomas, Trial Secretary Golden Retriever Club of Columbus, Ohio 8609 North Spring Court NW Pickerington, OH Entry Method: Random Draw (A maximum of 10 entries per envelope) Draw Period Opens: April 26, 2010 at 8:00AM Draw Period Closes: May 18, 2010 at 6:00PM Random Draw: May 19, 2010 at 3:00PM Entries Close: June 11, 2010 at 6:00 PM Trial Hours: 7:00AM 6:00PM This Event Will Be Held Indoors On Artificial Turf Permission has been granted by the American Kennel Club for the holding of theses events under American Kennel Club rules and regulations. James P. Crowley, Secretary

2 Golden Retriever Club of Columbus, Ohio Officers President Jim Darst 6247 York Road SW, Pataskala, OH Vice President Rich Wuellner 2401 Brookwood Rd., Columbus, OH Treasurer Ruth Wylie 7440 Home Rd., Delaware, OH Recording Secretary Kendra Bobulski 5433 Bixby Road, Canal Winchester, OH Corresponding Secretary Susan Leese 1811 South Galena Rd., Galena, OH Board of Directors Nancy Burns, Donna Collier, Karen Elliott, Carol Lowy, Martha Noreault Trial Chairman David Hirsch, 2878 Etna Street Columbus, OH ( ) IMPORTANT NOTICE CONCERNING MOVE-UPS There will be move-ups during this trial. Dogs who qualify for a higher class preceding the trial (and after closing) may be moved up if the request is received by the Trial Secretary no later than 6:00PM, Monday, June 21, No move-ups between Novice A and B. Moveup requests must be made in writing. requests will be accepted as long as they are received by 6:00PM June 21. Dogs who qualify for a higher class on Saturday, June 26 may move up for Sunday if the written request is received by the trial secretary no later than 15 minutes after the last dog runs on Saturday, June 26. GOLDEN RETRIEVER CLUB OF COLUMBUS, OHIO AGILITY TRIAL MOVE-UP REQUEST June 26 and 27, 2010 Call Name: AKC Number: Owner s Name: Trial Secretary Trial Committee Susie Thomas, 8609 North Spring Court NW, Pickerington, OH ( ) susiethomas@insight.rr.com David Hirsch, Kim Knight, Carol Lowy, Marc Lowy, Cathy Wuellner, Richard Wuellner, Susan Leese Armband Number: REGULAR AGILITY CLASSES: Moved From (circle one): Novice A Novice B Open Excellent A Jump Height (circle one): Trial Coordinator Susan Crank (SusanCrank@aol.com) RANDOM DRAW: 3:00 PM ON WEDNESDAY, MAY 19, 2010 AT THE RESIDENCE OF THE TRIAL SECRETARY, 8609 NORTH SPRING COURT NW, PICKERINGTON, OH Judges and Judging Assignments John Senger, Castle Cove Lane, Houston, TX Saturday: All Standard and Novice FAST Sunday: All JWW and Open/Excellent FAST Pamela S. Sturtz, 458 Blakesley-Nurse Hollow Rd., Afton, NY Saturday: All JWW and Open/Excellent FAST Sunday: All Standard and Novice FAST Jump Height Cards (Refer to Regulations for Agility Trials, Chapter 2, Section 4 Effective January 1, 2010 Jump Height Cards do not have to be submitted with trial entry forms and do not have to be shown during check-in. Exhibitors must check the appropriate box on the entry form (dog needs measured or dog has temporary card or dog has permanent card) so that the trial secretary knows whether to include your dog on the Dogs To Be Measured List. It is the sole responsibility of the exhibitor to check the correct measurement box, to enter their dog(s) in the correct jump height and to have their dog(s) measured before running, if necessary. Exhibitors must have their original, official jump height card or temporary jump height form at each trial to present on request. Measuring There will be two Volunteer Measuring Officials present at this trial. 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. JUMPERS WITH WEAVES AGILITY CLASSES: Moved From (circle one): Novice A Novice B Open Excellent A Jump Height (circle one): FIFTEEN AND SEND TIME (FAST) CLASS: Moved From (circle one): Novice A Novice B Open Excellent A Jump Height (circle one): PREFERRED AGILITY CLASSES: Moved From (circle one): Novice Open Excellent A Jump Height (circle one): JUMPERS WITH WEAVES PREFERRED AGILITY CLASSES: Moved From (circle one): Novice Open Excellent A Jump Height (circle one): FIFTEEN AND SEND TIME (FAST) PREFERRED CLASS: Moved From (circle one): Novice Open Excellent A Jump Height (circle one): Send pre-trial move-up request to: Susie Thomas, Trial Secretary, 8609 North Spring Court NW, Pickerington, OH 43147, by fax ( ) or by (SusieThomas@insight.rr.com). ALL REQUESTS MUST BE IN WRITING.

3 DOGS ELIGIBLE TO ENTER These agility trials are open to all dogs fifteen (15) months of age or older that are registered with the American Kennel Club, or are that have AKC Limited Registration, Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number, or approved Foundation Stock Service (FSS) breeds. 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 not eligible 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. CLASSES OFFERED Standard, Jumpers With Weaves and FAST: Novice A & B, Open, Excellent A, Excellent B, Novice Preferred, Open Preferred, Excellent A Preferred, Excellent B Preferred MIXED BREED ENTRY FORMS Exhibitors must list Canine Partner, for Breed on the entry form. No other breed description may be used to identify a mixed breed entry. Additionally, the dog s AKC Canine Partners listing number must be entered on the entry form and the AKC No. box must be checked. RUNNING ORDER FAST classes will run in the morning, before standard and JWW, both days. JUDGING Planned start time for judging will be 8AM Saturday and Sunday. Depending on entries received start time may be later. Check final confirmation for final start time. COURSE FAMILIARIZATION AND WARM -UPS Handlers in all classes are permitted to walk the course, without a dog, prior to the start of the class. A warm-up area consisting of a regulation agility jump will be provided. AWARDS Rosettes and a dog toy valued at no more than $3.00 will be awarded to the first through fourth place dogs in each jump height and each class. A dark green qualifying ribbon will be awarded to all dogs receiving a qualifying score. A rosette will be given to those finishing an agility title. Dogs finishing a MACH will also receive a MACH bar. All ribbons, rosettes and prizes must be claimed at the trial none will be mailed. Dogs must qualify to receive placement awards. In addition, Goldens will be placed separately in each jump height and each class in which they are entered. Rosettes will be awarded for first through fourth place and for high scoring Golden in standard and jumpers with weaves each day. A prize (valued at no more than $6.00) donated by the Golden Retriever Club of Columbus, Ohio will be awarded to each Golden that qualifies. RING SIZE/SURFACE This event will be held indoors on artificial soccer turf. Ring size will be 85 x 100. OBSTACLES Obstacles shall meet the specifications for obstacles in the current edition of Regulations for Agility Trials. AKC AGILITY RULES All exhibitors should obtain a copy of the Regulations for Agility Trials by contacting the American Kennel Club, 8051 Arco Corporate Drive, Suite 100, Raleigh, NC , by phone (919) , by at info@akc.org, or on their website at Directions to the trial site: The Sports Barn At Easton, 3599 Chiller Lane, Columbus, OH From the North: Follow I-71 or Rt 23 South to I-270 in Columbus. Take I-270 East to Exit 33 (Easton Way). Go West on Easton Way to Sunbury Rd. Go North on Sunbury to 1 st street on right. Turn right onto Chiller Lane. Sports Barn is on the right. From the South: Take I-71 North to I-270 in Columbus. Take I-270 West to Exit 33(Easton Way). Go West on Easton Way to Sunbury Rd. Go North on Sunbury to 1 st street on right. Turn right onto Chiller Lane. Sports Barn is on the right. From the East or West: Take I-70 to I-270. Take I-270 North to Exit 33(Easton Way). Go West on Easton Way to Sunbury Rd. Go North on Sunbury to 1 st street on right. Turn right onto Chiller Lane. Sports Barn is on the right. Motels (Please confirm pet policies before making reservations) Red Roof Inn North, 7480 N. High St., Columbus, OH ( ) Motel 6 Cols-Worthington, 7474 N. High St., Columbus, OH ( ) Knights Inn, 32 Heather Down Rd., Westerville, OH ( ) Red Roof Inn East, 2449 Brice Rd., Reynoldsburg, OH ( ) LaQuinta, 2447 Brice Rd., Reynoldsburg, OH ( ) Days Inn & Suites, 2100 Brice Rd., Reynoldsburg, OH ( ) Camping: Camping at the site is by reservation only. There are no hook-ups; RV s and trailers must be self-contained. Please contact Kim Zaborniak or kimzab9@columbus.rr.com to inquire about availability of space. Kim will send a camping reservation form to those who contact her about overnight camping, if space is available. The completed form and the camping fee of $10 for the weekend must be paid prior to arrival at the trial site. Crating/Parking: Please crate in designated areas only. X-pens are allowed for two or more dogs. All crates must be placed on mats or tarps. Parking is available free of charge. Food: Food will be available from the concession on site. No food or coolers can be brought into the facility. All food and beverages must be consumed in the designated eating areas. There are also many restaurants in the area. Vendors: Vendors are welcome. Vending space is limited. Please contact Kim Zaborniak at or kimzab9@columbus.rr.com to reserve space. Each 10 x 10 vending space is $25 for the weekend. VETERINARIAN ON CALL: MedVet Medical Center For Pets 300 East Wilson Bridge Road Worthington, Ohio Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable disease, and have appropriate vaccinations. TRIAL WORKERS We need trial workers! Please let us know if you would be available to work the first class of the day, either ring. Contact Kim Zaborniak (kimzab9@columbus.rr.com) or Yvonne Mancino (gotjumps@earthlink.net). For other classes please sign up on our workers boards the day of the trial. Lunch provided plus a worker raffle.

4 NOTICE TO EXHIBITORS 1. The safety of the dog 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 obstacles safely. 2. Entry fees will not be refunded in the event that the dog is absent, disqualified, excused, or barred from competition by the action of the show committee. Nor will entry fees be refunded if the trial cannot open or be completed by reason of civil disturbances, fire, an act of God, public emergency, act of public enemy, or any other cause beyond the control of the organizing committee. 3. For bitches in season, and injured dogs, entry fees (less $5 per class entered) will be refunded if the trial secretary receives such a request, along with a letter from their veterinarian, no later than 6PM June 28, Refund checks will not be issued for less than $ No entry shall specify any conditions as to its acceptance. Express Mail and delivery service entries must include signature permitting them to be left at the secretary s address without recipient s signature. If signature is required, entries may be returned to the sender if no one is present to sign. 6. Entries without correct fees, unsigned or returned checks do not constitute a valid entry and will be returned. Illegible or incomplete entry forms will be returned. Fees must be payable in U.S. funds. 7. Returned checks do not constitute a valid entry fee. There will be a $20 service charge for returned checks. 8. Entries must be made on official AKC entry forms, complete with the Agreement Statement, which must be read and SIGNED. Faxed, telegraphed, telephoned or ed entries will not be accepted. 9. Puppies under the age of 6 months are strictly prohibited from the premises. 10. All dogs must be on leash at all times except when in the ring or when in the designated agility warm-up area. 11. Pinch collars, electric and dummy collars are prohibited on trial grounds. 12. It is expressly understood that the 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 trial site. In such case no refund of any entry fees will be made. 13. Exhibitors are responsible for being at the ring gate when it is their turn to run. Every effort will be made to handle ring conflicts if the gate steward is notified of such conflict prior to the start of the class. 14. X-pens and crates can be left overnight. The show-giving club assumes no responsibility for personal property left overnight at the show site. 15. The Golden Retriever Club of Columbus, Ohio, its officers, directors and agents, will not be responsible for any loss or injury to any dog exhibited at this trial, to any person or for the possessions of any participant, whether the result of accident or any other cause. 16. The Trial Committee reserves the right to refuse entries for cause. 17. Electronic timers will be used at these trials. 18. CATALOGS - To purchase a full catalog, include $10.00 with entry fees. A limited number of catalogs will be available at the trial. CLASS INFORMATION REGULAR TITLING CLASSES: Novice Agility, Novice Jumpers With Weaves & Novice FAST Division A is for dogs and persons that have never acquired any AKC agility title. Additionally, a dog entered in Novice A must be handled by a person that has never put an AKC agility title on any dog, and the handler must be the Owner, Co-owner, or a member of the Owner s household. Division B is for dogs that have acquired the Novice Agility Title, or the Novice Jumpers With Weaves title, or for persons who have handled a dog to any AKC agility title, and for dogs being handled by someone other than the Owner, Co-owner, or household member subject to restrictions above. Open Agility Open to dogs that have acquired the Novice Agility or Open Agility titles but which have not acquired a qualifying score towards their Agility Excellent title. Open Jumpers With Weaves Open to dogs that have acquired the Novice JWW or the Open JWW titles but have not acquired a qualifying score towards an Excellent JWW title. Open FAST Open to dogs that have acquired the Novice FAST or Open FAST titles but which have not acquired a qualifying score towards their Agility Excellent title. Agility Excellent A Open to dogs that have acquired the Open Agility title or the Agility Excellent Title, but that have not acquired a qualifying score towards their Master Agility Excellent title. Excellent A Jumpers With Weaves Open to dogs that have acquired the Open JWW title and to dogs that have acquired the Excellent JWW title but have not acquired a qualifying score towards their Master Excellent JWW title. Excellent A FAST Open to dogs that have acquired the Open FAST or the Excellent FAST title, but that have not acquired a qualifying score towards their Master Excellent FAST title. Master Agility Excellent B Open only to dogs that have acquired the Agility Excellent title (AX) and dogs that have acquired the Master Agility Excellent title (MX). Master Excellent B Jumpers With Weaves Open only to dogs that have acquired the excellent JWW title and to dogs that have acquired the Master Excellent JWW title. Master Excellent B FAST Open only to dogs that have acquired the Excellent FAST title (XF) and dogs that have acquired the Master Excellent FAST title (MXF). PREFERRED CLASSES: Preferred classes are offered at all levels. All dogs must start in the Novice Preferred Class regardless of AKC agility titles already earned. The owner may choose to enter the Preferred Standard, the Preferred JWW and Preferred FAST classes in lieu of entering the Regular classes at any trial. However, the dog must be entered only in the Preferred classes or only in the Regular classes at the same set of trials. Preferred is scored identical to the Regular classes except 5 seconds is added to the SCT in Agility and JWW classes and 3 seconds in FAST classes.. HEIGHT DIVISIONS Owners are responsible for entering the proper height divisions. Dogs may be subject to measuring at check-in or must present their AKC permanent measuring card. Regular Preferred Classes Classes For dogs 11 and under at the withers 8 4 For dogs 14 and under at the withers 12 8 For dogs 18 and under at the withers For dogs 22 and under at the withers For dogs over 22 at the withers Optional (may be entered at owner s discretion) 26 N/A THESE TRIALS ARE OPEN TO ALL-BREEDS REGISTERED WITH AKC AND TO ALL MIXED BREEDS LISTED WITH AKC

5 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. Mixed breed dogs enrolled in the AKC Canine Partners program may be eligible to enter all-breed AKC agility trials at the club s option. Mixed breed dogs entered in these events must list the breed name as Canine Partner (mixed breed) and not as a breed hybrid and must include their AKC Canine Partners 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 of 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. OFFICIAL ENTRY FORM FOR AGILITY TRIALS (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) HEIGHT AT BREED SEX [ ] MY DOG NEEDS TO BE MEASURED WITHERS [ ] 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 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 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) (Enter number below) DATE OF BIRTH [ ] AKC NO. [ ] ILP [ ] PAL PLACE OF BIRTH (LIST COUNTRY) [ ] FOREIGN REG. NO. BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS CITY, STATE, ZIP + 4 GOLDEN RETRIEVER CLUB OF COLUMBUS, OHIO: JUNE 26 AND 27, 2010 Saturday (6/26) Std JWW FAST Std Pref JWW Pref FAST Pref Sunday (6/27) Std JWW FAST Std Pref JWW Pref FAST Pref Entry fee is $19 for each class. Make checks payable (in U.S. funds) to WILD WEAVERS OF OHIO. Mail To: Susie Thomas, Trial Secretary, 8609 North Spring Court NW, Pickerington, OH ENTRIES OPEN APRIL 26, ENTRIES CLOSE JUNE 11, NEW ADDRESS CALL NAME OF DOG SIGNATURE OF OWNER OR HIS AGENT DULY AUTHORIZED TO MAKE THIS ENTRY TELEPHONE : HANDLER IF JUNIOR HANDLER, PLEASE ENTER # BELOW FEE ENCLOSED ADDRESS: AEAGL2 - (01/10) EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. *Clubs holding all breed trials are eligible to allow mixed breed participation at agility trials beginning April 1, 2010.

6 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. Mixed breed dogs enrolled in the AKC Canine Partners program may be eligible to enter all-breed AKC agility trials at the club s option. Mixed breed dogs entered in these events must list the breed name as Canine Partner (mixed breed) and not as a breed hybrid and must include their AKC Canine Partners 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 of 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. OFFICIAL ENTRY FORM FOR AGILITY TRIALS (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) HEIGHT AT BREED SEX [ ] MY DOG NEEDS TO BE MEASURED WITHERS [ ] 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 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 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) (Enter number below) DATE OF BIRTH [ ] AKC NO. [ ] ILP [ ] PAL PLACE OF BIRTH (LIST COUNTRY) [ ] FOREIGN REG. NO. BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS CITY, STATE, ZIP + 4 GOLDEN RETRIEVER CLUB OF COLUMBUS, OHIO: JUNE 26 AND 27, 2010 Saturday (6/26) Std JWW FAST Std Pref JWW Pref FAST Pref Sunday (6/27) Std JWW FAST Std Pref JWW Pref FAST Pref Entry fee is $19 for each class. Make checks payable (in U.S. funds) to WILD WEAVERS OF OHIO. Mail To: Susie Thomas, Trial Secretary, 8609 North Spring Court NW, Pickerington, OH ENTRIES OPEN APRIL 26, ENTRIES CLOSE JUNE 11, NEW ADDRESS CALL NAME OF DOG SIGNATURE OF OWNER OR HIS AGENT DULY AUTHORIZED TO MAKE THIS ENTRY TELEPHONE : HANDLER IF JUNIOR HANDLER, PLEASE ENTER # BELOW FEE ENCLOSED ADDRESS: AEAGL2 - (01/10) EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. *Clubs holding all breed trials are eligible to allow mixed breed participation at agility trials beginning April 1, 2010.