Two All-Breed Obedience Trials Event # and # Two All-Breed Rally Trials Event # and #

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1 Obedience C match on Friday evening see details inside! ENTRIES CLOSE 5:00 P.M., WEDNESDAY, January 31, 2018 Two All-Breed Obedience Trials Event # and # Two All-Breed Rally Trials Event # and # SPOKANE DOG TRAINING CLUB, INC. (Licensed by the American Kennel Club) Friday, February 16, 2018 (AM and PM Rally Trials Only) Saturday, February 17, 2018 (Obedience Only) Sunday, February 18, 2018 (Obedience Only) Spokane Dog Training Club 2620 N. Locust, Spokane, Washington ENTRIES LIMITED: Obedience - 8 hours of judging each day Rally - 60 dogs per trial RALLY TRIAL HOURS: 7:00AM TO 5:00 PM (FRIDAY) Rally judging begins at 8:00 AM for the AM trial, 1:00 PM for the PM trial OBEDIENCE TRIAL HOURS: 7:00 A.M. to 6:00 P.M. (SATURDAY & SUNDAY) These Trials to be held Indoors This Event is Accepting Entries for Mixed Breed Dogs Listed in the AKC Canine Partners Program MAIL ENTRIES WITH FEES TO: Rosie Banta, Trial Secretary 1121 S Blake Rd Spokane Valley, WA Phone: (509) sdtcobediencesecretary@gmail.com CERTIFICATION Permission has been granted by the American Kennel Club for the holding of these events under American Kennel Club rules and regulations. Gina M. DiNardo, Secretary

2 NOTICE TO EXHIBITORS The American Kennel Club Rules and Regulations will govern these Shows and Exhibitors must make themselves familiar with the agreement of the American Kennel Club, referred to on the reverse side of the entry blanks that accompany this Show Premium list. DIRECTIONS TO SHOW SITE TRIAL REGULATIONS ENTRY INFORMATION: Entries close at 1121 S. Blake Rd, Spokane Valley, WA at 5:00 pm, Wednesday, January 31, Fees must accompany entries. Canadian Exhibitors MUST make all checks and/or money orders payable in U.S. funds. All checks and money orders should be made payable to Spokane Dog Training Club and mailed to Trial Secretary, Rosie Banta, 1121 S. Blake Rd, Spokane Valley, WA Argonne Trent SDTC RR track AMERICAN KENNEL CLUB RECORDING FEE: A RECORDING FEE will be required for each dog entered at any Licensed or Member Club Show, Obedience Trial, or Tracking Test. This Recording Fee is to be collected by the Show-giving Club and paid to the American Kennel Club. If a dog is entered in more than one class in the show, the Recording Fee is to be collected on the first entry only. (American Kennel Club Rule, Chapter 11, Section 2.) Knox Locust Montgomery No entry will be accepted which specifies any condition as to its acceptance. Telephone, telegraph and unsigned entries cannot be accepted and will be returned. Entries not on Official AKC Entry Forms and Photocopies of Entry Forms without the Agreement and Rules on the reverse side are NOT ACCEPTABLE see Obed. Reg. Chapt. 1, Section 3. The Club assumes no responsibility for wrong or incomplete information given on the entry blank by the owner or the owner s agent, or if the dog is entered in a class in which it is not eligible to compete. THE RESPONSIBILITY FOR THE COMPLETENESS OF ANY ENTRY RESTS SOLELY WITH THE ENTRANT. Argonne Mullan I-90 Entry fees shall not be refunded in the event that a dog is absent, disqualified, sick, lame, excused by the Judge or Veterinarian, or barred from competition by action of the Show Committee, or because it has been entered incorrectly. There is no refund for DUPLICATE ENTRIES or OVERPAYMENTS. The Secretary will make every effort to find all duplicate entries, but if the entry has been processed, no refund will be made. If, because of riots, civil disturbances or other acts beyond the control of the management, it is impossible to open or to complete the Show, no refund of entry fees will be made. Entry fees will be refunded for BITCHES THAT COME IN SEASON after the closing date, provided that written notice is given to the Trial Secretary PRIOR TO THE BEGINNING OF JUDGING for the day. REFUNDS for cancellations due to judge change, bitches in season or cancellations made prior to entry closing will be mailed to the Exhibitor or Agent AFTER THE TRIAL. RETURNED CHECKS DO NOT CONSTITUTE A VALID ENTRY FEE. The Secretary will add a collection fee to the amount of each returned check. Subsequent returned checks from the same exhibitor or agent may result in their being put on a CASH ONLY basis. THIS CLUB DOES NOT AGREE TO ARBITRATE CLAIMS AS SET FORTH ON THE OFFICIAL AKC ENTRY FORM FOR THIS EVENT. JUDGING: No dogs will be allowed in the show area except those regularly entered in the Trial. DO NOT BRING ANY DOGS THAT ARE NOT ENTERED. There is no provision for unentered dogs. The judging will start promptly as specified in the entry confirmation. Dogs may arrive any time prior to their time of judging and may leave immediately thereafter, unless required for further judging. The Club will not be responsible and is not obligated to furnish any service for notifying exhibitors or their agents of class judging. Owners or agents alone are responsible for the presence of their dogs in the judging ring. It is the responsibility of the exhibitor to have their dog ready to be shown and at the entrance of the judging ring when the steward calls for the class; it is not the responsibility of the ring steward to locate any dog, its owner or its agent when the dog s presence is needed in the judging ring. Judges will NOT wait for any dog holding up a class. Move ups are allowed at this trial according to AKC Regulations. ACKNOWLEDGMENTS: Entries will be acknowledged after entries close, with acknowledgment and judging program sent to the address on entry. If you wish to receive a hard copy please send a self-address stamped envelope to Rosie Banta, 1121 S. Blake Rd, Spokane Valley, WA Should exhibitor NOT receive an acknowledgment within a reasonable time, please contact the Trial Secretary at (509) or sdtcobediencesecretary@gmail.com. LOSS OR DAMAGE: The Show Committee will use due care and diligence for the welfare of dogs and exhibitors but will not be responsible for or assume any liability in the event of any accident or misfortune to either dogs or exhibitors participating in this Trial. The welfare of an Exhibitor s child is assumed to be the responsibility of the Exhibitor. It is distinctly understood that exhibitors will exercise control and restraint over their children on the day of the show. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites and any communicable disease and have appropriate vaccinations. Take I-90 to exit 287 (Argonne). Go north on Mullan (one-way, becoming Argonne twoway just north of the freeway). Turn RIGHT on Montgomery. Turn LEFT on Locust (one block past the traffic light at the Yoke s Fresh Market grocery store). There is no light at Locust. Locust ends at the RR tracks; SDTC is on the right at the end of the street. Some parking is available adjacent to the club building and on the street, and parking is permitted in the lot northeast of Yoke s Fresh Market. Do not park in the Spokane Gymnastics lots; your vehicle may be towed. The SDTC parking lot does not have sufficient space for motor homes. No overnight parking is available on show site. There is no charge for day parking. ACCOMMODATIONS Although we try to verify motel information, policies and ownerships may change, so we suggest that you check a facility s pet policy when making reservations. MOTELS Park Lane Motel, 4412 E. Sprague, Spokane WA (509) Super 8 Motel, 2020 N. Argonne, Spokane WA (509) Mirabeau Park Hotel, 1100 N. Sullivan, Veradale WA (509) (Formerly Doubletree) CAMPING Park Lane RV Park, 4412 E. Sprague, Spokane WA (509) (Self contained RV s only -- no public showers or toilets) Trailer Inn s RV Park, 6021 E. 4 th, Spokane WA (509) KOA, 3025 N. Barker Rd., Otis Orchards WA (509) AWARDS: Ribbons will be awarded at the trial. No ribbons will be mailed.

3 ENTRY FEES FOR EACH DAY Highest Priced Class considered the FIRST ENTRY *FIRST ENTRY OF A DOG in each trial in OBEDIENCE or RALLY... $24.00 *Each Additional Entry of the same dog in the same trial... $16.00 *These Fees include the AKC Recording and Service Fees for each entry of a dog ENTRIES CLOSE 5:00 pm - Wednesday, January 31, at 1121 S. Blake Rd, Spokane Valley, WA No Entry will be accepted, canceled, or substituted except as provided for in Chapter 14, Section 6, of the Dog Show Rules. MAIL ENTRIES WITH FEES (checks payable to SDTC) to: Rosie Banta, Trial Secretary, 1121 S. Blake Rd, Spokane Valley, WA CANADIAN EXHIBITORS must make checks payable in U.S. funds. Transfers in Obedience and Rally will be allowed at these trials per AKC Regulations. OBEDIENCE AND RALLY CLASSES AND JUDGING ASSIGNMENTS Friday (AM) Friday (PM) RALLY CLASSES Novice A Dr. Hallie A. Ray Dr. Hallie A. Ray Novice B Dr. Hallie A. Ray Dr. Hallie A. Ray Intermediate Dr. Hallie A. Ray Dr. Hallie A. Ray Advanced A Dr. Hallie A. Ray Dr. Hallie A. Ray Advanced B Dr. Hallie A. Ray Dr. Hallie A. Ray Excellent A Dr. Hallie A. Ray Dr. Hallie A. Ray Excellent B Dr. Hallie A. Ray Dr. Hallie A. Ray Masters Dr. Hallie A. Ray Dr. Hallie A. Ray Saturday Sunday OBEDIENCE CLASSES Novice A Dr. Hallie A. Ray Dr. Hallie A. Ray Novice B Dr. Hallie A. Ray Dr. Hallie A. Ray Beginner Novice A Dr. Hallie A. Ray NOT OFFERED Beginner Novice B Dr. Hallie A. Ray NOT OFFERED Graduate Novice NOT OFFERED Dr. Hallie A. Ray Open A Dr. Hallie A. Ray Dr. Hallie A. Ray Open B Dr. Hallie A. Ray Dr. Hallie A. Ray Graduate Open NOT OFFERED Dr. Hallie A. Ray Utility A Dr. Hallie A. Ray Dr. Hallie A. Ray Utility B Dr. Hallie A. Ray Dr. Hallie A. Ray Versatility NOT OFFERED Dr. Hallie A. Ray Rosettes will be given for High In Trial and High Combined in obedience, High Combined in rally, and first through fourth place in each class. Green ribbons will be given for qualifying scores. Title ribbons will be given for those earning a new title Rally will be limited to 60 entries per rally event. Obedience will be limited to 8 hours of judging. Spokane Dog Training Club will hold an obedience C match ( Rent-A-Ring ) on Friday, February 16, 2017, 6 p.m. to 8 p.m. $5.00 for 5 minutes ring time, payable at the match secretary table upon arrival. No pre-entries. No Rally runs offered. Officers of Spokane Dog Training Club, Inc. President... Eric Dickson Vice President... Maxine Bignall Treasurer... Karen Hagensen Secretary... Carol Douglas 3210 E. 16 th Ave. Spokane, WA Director of Training... Gail Dickson Board of Directors Jim Clark Wendy Costello Laurie Kruger Mary Jane McCall Obedience and Rally Trial Committee Trial Chair... Jim Lawrence Phone: (509) Trial Secretary... Rosie Banta 1121 S. Blake Rd. Spokane Valley, WA Phone: (509) sdtcobediencesecretary@gmail.com Chief Ring Steward, Obedience... Carol Douglas Chief Ring Steward, Rally... Terri DeJong and all Officers and Board of Directors of the Club Committees Awards... Karen Winsper Finance... Karen Hagensen Judges... Carol Callahan Hospitality... Linda Barenz Veterinarian (on call) Pet Emergency Clinic, 21 E. Mission (Mission and Division St), Spokane, WA (509) Judge Dr. Hallie A. Ray... Edgewood, NM Video taping is to be used for personal use only. One run per dog until every one has had a turn. Only open to dogs entered in the trial. Toys allowed - NO FOOD INSIDE THE RINGS. Carol Douglas, match secretary, (509) , cjaned88@hotmail.com

4 The Rules Applying to Registration and Dog Shows, Obedience Regulations and Rally Regulations are available on the American Kennel Club web site, AGREEMENT I (we) agree that the club holding this Obedience 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 of the holding of the Obedience Trial and of the opportunity to have the dog judged and to win prize money, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or trial 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 upon the Obedience Trial 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 of this dog by disappearance, theft, death or otherwise, and 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 Obedience Trial, howsoever 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 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 (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 Spaniels (solid color black, ASCOB, parti-color); Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.); Dachshunds (longhaired, smooth, wirehaired); Bull Terriers (colored, white); Manchester Terriers (standard, toy); Chihuahuas (smooth coat, long coat); Poodles (toy, miniature, standard); Collies (rough, smooth); English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles). (Actual owners) 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 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 AKC (for complete rules, refer to Chapter 11, Section 3). JUNIOR HANDLERS If this entry is for a junior handler, please provide the following information: AKC JR. HANDLER # OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM OBEDIENCE TRIAL AND RALLY TRIAL SPOKANE DOG TRAINING CLUB, INC. (AKC Licensed Club) Two All Breed Obedience Trials and Two Rally Trials (A.M. & P.M.) Friday-Saturday-Sunday, February 16-18, 2017 Spokane Dog Training Club, 2620 N. Locust, Spokane, Washington Entries close at 5:00 pm, January 31, Mail entries with fees to: Rosie Banta, Trial Secretary, 1121 S. Blake Rd. Spokane Valley, WA Entry Fees are $24.00 per trial for first entry in Obedience or Rally; additional entries in Obedience and/or Rally classes are $16.00 per entry of same dog in the same trial. Obedience fees include $0.50 recording fee on first entry of each dog and $3.00 Event Service Fee on all entries. Rally fees include $3.00 recording fee on first entry of each dog and $3.00 Event Service Fee on each additional entry. Make checks payable to SDTC. RALLY A.M. FRIDAY, February 16 RALLY P.M. FRIDAY, February 16 OBEDIENCE SATURDAY, February 17 OBEDIENCE SUNDAY, February 18 Total fees $ PRE-ORDERED CATALOGS Please add $3.00 if you wish to order a catalog. BREED VARIETY SEX OBEDIENCE TRIAL CLASS ADDITIONAL CLASSES JUMP HEIGHT RALLY CLASS ADDITIONAL CLASSES JUMP HEIGHT FULL NAME OF DOG (INCLUDE AKC TITLES ONLY) AKC REG. NO. AKC LITTER NO. ILP or PAL. DATE OF BIRTH PLACE OF BIRTH FOREIGN REG. NO. & COUNTRY USA CANADA FOREIGN BREEDER SIRE DAM ACTUAL OWNER(S) OWNER S ADDRESS CITY, STATE, ZIP + 4 HANDLER (Junior Handler fill out back of form) PHONE NO. (INCLUDE AREA CODE) By signing the entry form we certify that the Junior Handler does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in the Junior Showmanship program. The AKC Junior Handler number MUST be included. Should you not have your Junior Handler number, this may be obtained from the AKC by telephoning (919) NAME OF JR HANDLER 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 Jr. handler to the owner? ADDRESS (Please print carefully) 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 rse 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. SIGNATURE OF OWNER OR HIS AGENT DULY PARENT OR GUARDIAN SIGNATURE AUTHORIZED TO MAKE THIS ENTRY IF OWNER IS UNDER 18 X X PLEASE NOTE: PHOTOCOPIES OF ENTRY FORMS AND ON-LINE ENTRY FORMS MUST INCLUDE THE AKC AGREEMENT ON THE BACK OR ON THE ADJACENT PAGE. ENTRIES WITHOUT THE AGREEMENT CANNOT BE ACCEPTED.

5 The Rules Applying to Registration and Dog Shows, Obedience Regulations and Rally Regulations are available on the American Kennel Club web site, AGREEMENT I (we) agree that the club holding this Obedience 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 of the holding of the Obedience Trial and of the opportunity to have the dog judged and to win prize money, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or trial 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 upon the Obedience Trial 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 of this dog by disappearance, theft, death or otherwise, and 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 Obedience Trial, howsoever 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 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 (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 Spaniels (solid color black, ASCOB, parti-color); Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.); Dachshunds (longhaired, smooth, wirehaired); Bull Terriers (colored, white); Manchester Terriers (standard, toy); Chihuahuas (smooth coat, long coat); Poodles (toy, miniature, standard); Collies (rough, smooth); English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles). (Actual owners) 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 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 AKC (for complete rules, refer to Chapter 11, Section 3). JUNIOR HANDLERS If this entry is for a junior handler, please provide the following information: AKC JR. HANDLER # OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM OBEDIENCE TRIAL AND RALLY TRIAL SPOKANE DOG TRAINING CLUB, INC. (AKC Licensed Club) Two All Breed Obedience Trials and Two Rally Trials (A.M & P.M.) Friday-Saturday-Sunday, February 16-18, 2017 Spokane Dog Training Club, 2620 N. Locust, Spokane, Washington Entries close at 5:00 pm, January 31, Mail entries with fees to: Rosie Banta, Trial Secretary, 1121 S. Blake Rd. Spokane Valley, WA Entry Fees are $24.00 per trial for first entry in Obedience or Rally; additional entries in Obedience and/or Rally classes are $16.00 per entry of same dog in the same trial. Obedience fees include $0.50 recording fee on first entry of each dog and $3.00 Event Service Fee on all entries. Rally fees include $3.00 recording fee on first entry of each dog and $3.00 Event Service Fee on each additional entry. Make checks payable to SDTC. RALLY A.M. FRIDAY, February 16 RALLY P.M. FRIDAY, February 16 OBEDIENCE SATURDAY, February 17 OBEDIENCE SUNDAY, February 18 Total fees $ PRE-ORDERED CATALOGS Please add $3.00 if you wish to order a catalog. BREED VARIETY SEX OBEDIENCE TRIAL CLASS ADDITIONAL CLASSES JUMP HEIGHT RALLY CLASS ADDITIONAL CLASSES JUMP HEIGHT FULL NAME OF DOG (INCLUDE AKC TITLES ONLY) AKC REG. NO. AKC LITTER NO. ILP or PAL DATE OF BIRTH PLACE OF BIRTH FOREIGN REG. NO. & COUNTRY USA CANADA FOREIGN BREEDER SIRE DAM ACTUAL OWNER(S) OWNER S ADDRESS CITY, STATE, ZIP + 4 HANDLER (Junior Handler fill out back of form) PHONE NO. (INCLUDE AREA CODE) By signing the entry form we certify that the Junior Handler does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in the Junior Showmanship program. The AKC Junior Handler number MUST be included. Should you not have your Junior Handler number, this may be obtained from the AKC by telephoning (919) NAME OF JR HANDLER 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 Jr. handler to the owner? ADDRESS (Please print carefully) 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 rse 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. SIGNATURE OF OWNER OR HIS AGENT DULY PARENT OR GUARDIAN SIGNATURE AUTHORIZED TO MAKE THIS ENTRY IF OWNER IS UNDER 18 X X PLEASE NOTE: PHOTOCOPIES OF ENTRY FORMS AND ON-LINE ENTRY FORMS MUST INCLUDE THE AKC AGREEMENT ON THE BACK OR ON THE ADJACENT PAGE. ENTRIES WITHOUT THE AGREEMENT CANNOT BE ACCEPTED.

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