Two Days Four Specialties PLEASE NOTE EARLY CLOSING DATE 3/28/18

Transcription

1 Two Days Four Specialties PLEASE NOTE EARLY CLOSING DATE 3/28/18 TRI COUNTY COLLIE BREEDERS ASSOCIATION OF SOUTHEASTERN NEW YORK [Type text] April 21 & 22, 2018

2 DIRECTIONS : I-684 N and I-84 E to US-6 E/Newtown Rd in Danbury. Take exit 8 from I-84 E Continue onto US-6 E/Newtown Rd Continue to follow US-6 E Destination will be on the right 67 Stony Hill Road From North and East: Take 1-84 W Take exit 9 for CT-25 toward Brookfield Turn left onto CT-25 S Turn right onto US-6 W 67 Stony Hill Rd, will be on the Left Accomodations: All these hotels allow dogs. La Quinta 116 Newtown Rd., Danbury, CT No Charge for dogs Free Breakfast Mention Collie Club for $ rate Microtel Inn and Suites 80 Benedict Rd., Bethel CT Mention Collie Club of CT for special rate of $70 Dogs Allowed $15 per dog. Howard Johnson 21 Stony Hill Rd, Bethel, CT $20 dog charge Days Inn 18 Stony Hill Rd., Bethel, CT $15 per dog This hotel does not allow dogs: Best Western Plus 11 Stony Hill Road, Bethel, CT (203) Complimentary Coffee and Pastries in the Morning. Lunch will be available for sale at the show site. There are also Food establishments within walking distance of the show site and also within a short drive from the show site. There are indoor restrooms.

3 Entries close 3PM on Wednesday, March 28, 2018 after which time entries cannot be accepted, cancelled or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. EVENT # , rd ANNUAL INDEPENDENT SPECIALTY (UNBENCHED) TRI-COUNTY COLLIE BREEDERS ASSOCIATION OF SOUTH EASTERN NEW YORK (Licensed by the American Kennel Club) Saturday April 21, Conformation Shows in 1 day! Entry Limit 100 each show Fairfield Extension Center 67 Stony Hill Rd Bethel, CT Show Hours: 8:00 AM to 5:00 PM All Judging will be Outdoors 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. Gina M DiNardo, Secretary

4 OFFICERS OF THE TR-COUNTY COLLIE BREEDERS ASSOCIATION OF SOUTH EASTERN NEW YORK President... Terrie Jositas Vice-President... Mary Valentine Treasurer..... Ron Caruso Secretary......Jacqueline Caruso 42 Barrack Hill Rd, Ridgefield, CT Board of Directors Patricia Losure, Jeff Tallackson, Carol Schaper, Gretchen Jositas Show Committee Mary Valentine Show Chairman 212 Springfield St., Wilbraham,MA Lori Carver Show Secretary 91 Michael Sears Rd, Belchertown, MA (802) and the Officers and Directors Veterinarian (on call) Mt. Pleasant Hospital for Animals 119 Mt. Pleasant Road, Newtown, CT Official Photographer TBD Tri-County Collie Breeders Association of South Eastern New York will host a dog show tour on Saturday for anyone interested in learning how a dog show works. AKC RULES APPLYING TO DOG SHOWS CHAPTER 11 SECTION 11 - ONLY DOGS THAT ARE ELIGIBLE TO BE SHOWN UNDER AKC RULES SHALL BE ALLOWED WITHIN THE SHOW PRECINTS. ANY PERSON WITH UNDERAGE PUPPIES ON THE SHOW GROUNDS WILL BE SUBJECT TO A BENCH SHOW HEARING AND DISCIPLINARY ACTION. WILL BE STRICTLY ENFORCED!!!!!!!!!!! ALL EXHIBITORS MUST CLEAN UP THEIR AREAS, BAG THEIR TRASH AND PLACE IN THE DUMPSTER AVAILABLE AT THE END OF THE DRIVEWAY. THIS WILL BE STRICTLY ENFORCED!!!

5 JUDGING ASSIGNMENTS AM Show # Conformation Classes Ms. Ann Cross. 637 Morrison Springs Rd, Chattanooga, TN Sweepstakes AM only Ms. Janine Walker-Keith.3664 Budd St., San Diego, CA PM Show # Junior Showmanship Conformation Classes - Best Puppy PM only Ms Candace Ardizzone.. 18 Salt Rd., Constantia, NY PRIZES All trophies must be picked up on the day of the show, except where otherwise stated. Owners and/or agents are responsible for picking up trophies. TCCBA reserves the right to substitute trophies of equal or greater value for any trophy listed. The following prizes are offered by The Tri-County Collie Breeders Association of South Eastern New York unless otherwise specified. This is a condensed form of Premium List as provided for in Chapter 9, Section 2A of the AKC Rules Applying to Registration and Dog Shows. A list of breed trophies offered can be obtained by writing to: Jacqueline Caruso 42 Barrack Hill Rd, Ridgefield, CT Tri County Collie Breeders Association offers Breeder Referral Service, If you have any questions or would like more information, please contact: Jackie Caruso rjcar@prodigy.net Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. It is always advisable to have rabies certificates available

6 Entries close 3PM on Wednesday, March 28, 2018 after which time entries cannot be accepted, cancelled or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. EVENT # INDEPENDENT SPECIALTY (UNBENCHED) Collie Club of Connecticut, Inc (Licensed by the American Kennel Club) Sunday, AM April 22, 2018 Entry Limit 100 Fairfield Extension Center 67 Stony Hill Rd Bethel, CT Show Hours: 8:00 AM to 5:00 PM All Judging will be Outdoors 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. Gina M DiNardo, Secretary

7 OFFICERS OF THE COLLIE CLUB OF CONNECTICUT, INC President....Robert Futh 1 st Vice-President... Judy Hayward Treasurer.... Ronald Caruso Secretary....Jackie Caruso 42 Barrack Hill Rd, Ridgefield, CT Board of Directors Sara Futh Mary Simpson Show Committee Judith Heyward Show Chairman 95 Fountain St. # 2942 New Haven, CT jehayward@juno.com Lori Carver Show Secretary 91 Michael Sears Rd, Belchertown, MA (802) seabreez13@hotmail.com & the Officers and Board Members of the Collie Club of Connecticut, Inc. Veterinarian (on call) Newtown Veterinary Specialists 52 Church Hill Rd Newtown, CT (203) info@newtownvets.com Official Photographer TBD The Collie Club of Connecticut, Inc will host a dog show tour on Sunday for anyone interested in learning how a dog show works. The Collie Club of Connecticut offers a Breeder Referral Service. If you have questions or would like more information, please contact: Jackie Caruso rjcar@prodigy.net Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. It is always advisable to have rabies certificates available

8 JUDGING ASSIGNMENTS Regular Classes Mr Ron McGee Grassy Pine, Estero, FL PRIZES All trophies must be picked up on the day of the show, except where otherwise stated. Owners and/or agents are responsible for picking up trophies. CCCT reserves the right to substitute trophies of equal or greater value for any trophy listed. The following prizes are offered by The Collie Club of Connecticut, Inc. unless otherwise specified. This is a condensed form of Premium List as provided for in Chapter 9, Section 2A of the AKC Rules Applying to Registration and Dog Shows. A list of breed trophies offered can be obtained by writing to: Jacqueline Caruso 42 Barrack Hill Rd., Ridgefield, CT NO SWEEPSTAKES AT THIS SHOW A BEST PUPPY WILL BE AWARDED INSTEAD

9 Entries close 3PM on Wednesday, March 28, 2018, after which time entries cannot be accepted, cancelled or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. EVENT # INDEPENDENT SPECIALTY (UNBENCHED) Hartford-Springfield Collie, Inc (Licensed by the American Kennel Club) Sunday, PM April 22, 2017 Entry Limit 100 Fairfield Extension Center 67 Stony Hill Rd Bethel, CT Show Hours: 8:00 AM to 5:00 PM All Judging will be Outdoors 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. Gina M DiNardo, Secretary

10 OFFICERS OF THE HARTFORD-SPRINGFIELD COLLIE CLUB, INC. President Mary Lange Vice-President Ginny Cuneo Treasurer.. Ann-Marie Ely Secretary...Helen Campbell 70 Hatch Hill Rd, Vernon, CT (860) Board of Directors Kathleen Pirro Allison Harvey Dianne Burke Ken Virchow Jackie DeCinque Show Committee Mary Lange Show Chairman 9 East Lakeview Dr Granby, CT (860) gemstonedanes@gmail.com Lori Carver Show Secretary 91 Michael Sears Rd, Belchertown, MA (802) seabreez13@hotmail.com & the Board of Directors Veterinarian (on call) Newtown Veterinary Specialists 52 Church Hill Rd Newtown, CT (203) info@newtownvets.com Official Photographer TBD The Hartford-Springfield Collie Club offers Breeder Referral Service, If you have any questions or would like more information, please contact: Judy Virchow kvirchow@snet.net The Hartford Springfield Collie Club will host a dog show tour on Sunday for anyone interested in learning how a dog show works. Please ask for Allison Harvey kerbearmom@aol.com Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. It is always advisable to have rabies certificates available

11 JUDGING ASSIGNMENTS Regular Classes & Junior Showmanship Mrs. Barbara Dempsey Alderman. 114 Spring Run Rd EXT Moon Township, PA PRIZES All trophies must be picked up on the day of the show, except where otherwise stated. Owners and/or agents are responsible for picking up trophies. HSCC reserves the right to substitute trophies of equal or greater value for any trophy listed. The following prizes are offered by The Hartford Springfield Collie Clubt, Inc. unless otherwise specified. This is a condensed form of Premium List as provided for in Chapter 9, Section 2A of the AKC Rules Applying to Registration and Dog Shows. A list of breed trophies offered can be obtained by writing to: Helen Campbell, 70 Hatch Hill Rd, Vernon, CT Breed Trophies Rollins & Elinor McClenaghan Memorial Trophy Silver Plated Punch Bowl & Ladle offered by the Hartford Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same owner(s), not necessarily with the same dog, or at consecutive shows. Until that time, the trophy will remain in the possession of the Hartford Springfield Collie Club, Inc. Donald & Pat Jimatis Memorial Trophy Five Piece Silver Plated Coffee & Tea Service offered by Donna Jimatis-Gorton, Jaye Collies through the Hartford Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same owner(s), not necessarily with the same dog, or at consecutive shows,. Until that time, the trophy will remain in the possession of the Hartford Springfield Collie Club, Inc. Best of Variety, Smooth Ch Provenhill s Milestone Memorial Trophy Memory Box Handpainted by Martha Roeder offered by Judy Virchow, Helen Campbell and Kris Provenzano through the Hartford Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same owner(s), not necessarily with the same dog, or at consecutive shows. Until that time, the trophy will remain in the possession of the Hartford Springfield Collie Club, Inc Best of Opposite Sex To Best Of Variety, Smooth Ch Signet s All In The Family Memorial Trophy Hand Painted Box offered by Mike & Tess Esch through the Hartford Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same owner(s), not necessarily with the same dog, or at consecutive shows. Until that time, the trophy will remain in the possession of the Hartford Springfield Collie Club, Inc.

12 Best of Winners, Smooth Ch Marchello s On Angel s Wings Challenge Trophy Oval Silver Plated Tray offered by Kathy DeChello & Karen Martin, Marchello Collies through the Hartford Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same owner(s), not necessarily with the same dog, or at consecutive shows. Until that time, the trophy will remain in the possession of the Hartford Springfield Collie Club, Inc. Best of Winners, Rough Ch Teraness Ebb Tide Memorial Trophy Silver Plated Quaich Bowl offered by Joanne Bodzon through the Hartford Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same owner(s), not necessarily with the same dog, or at consecutive shows. Until that time, the trophy will remain in the possession of the Hartford Springfield Collie Club, Inc. Winners Dog, Rough Lorraine Labonte Memorial Trophy Silver Plated Wine Cooler offered by the Hartford Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same owner(s), not necessarily with the same dog, or at consecutive shows. Until that time, the trophy will remain in the possession of the Hartford Springfield Collie Club, Inc. Winners Bitch, Rough Elmer A. Havens Memorial Trophy Silver Plated Wine Cooler on Cherry Base offered by Charles & June Aitken through the Hartford Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same owner(s), not necessarily with the same dog, or at consecutive shows. Until that time, the trophy will remain in the possession of the Hartford Springfield Collie Club, Inc. Bred By Exhibitor Dog, Rough--First Place Gemstone The Artful Dodger Memorial Trophy--Silver Plated Punch Bowl with Serving Tray, Eight Cups and Ladle, offered by Mary Lange through the Hartford-Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same owner(s), not necessarily with the same dog, or at consecutive shows. Until that time, the trophy will remain in the possession of the Hartford-Springfield Collie Club, Inc. Junior Showmanship Best Junior Handler Ch Signet s Generations Memorial Trophy Silver Plated Coffee Service offered by Michelle Esch in honor of Michelle s first Juniors Dog through the Hartford Springfield Collie Club, Inc. for competition at its specialty show. For permanent possession to be won three times by the same Junior Handler, not necessarily with the same dog, or at consecutive shows. Until that time, the trophy will remain in the possession of the Hartford Springfield Collie Club, Inc.

13 All Shows Ribbon Prizes- Regular Classes First Place.... Blue Ribbon Second Place.....Red Ribbon Third Place Yellow Ribbon Fourth Place..... White Ribbon Winners Dog / Bitch Purple Rosette Reserve Winners Dog / Bitch......Purple & White Rosette Best of Winners.... Blue & White Rosette Best of Variety Purple & Gold Rosette Best of Opposite Sex to Best of Variety......Red & White Rosette Select Dog/Bitch...Light Blue & White Rosette Best of Breed. Purple & Gold Rosette Best of Opposite Sex to Best of Breed.Red & White Rosette Ribbon Prizes- Non-Regular Classes First Place.... Rose Ribbon Second Place.... Brown Ribbon Third Place.. Light Green Ribbon Fourth Place Gray Ribbon Best Puppy...Dark Green Rosette Ribbon Prizes- Jr Showmanship First Place.... Rose Ribbon Second Place.... Brown Ribbon Third Place.. Light Green Ribbon Fourth Place Gray Ribbon Best Jr Handler Pink & Green Rosette Breed Classification All Shows ROUGH SMOOTH Puppy, 6 to 9 Months Puppy 6-9 Puppy, 9-12 Months Puppy to 18 Months Bred By Bred By Exhibitor American Bred American Bred Open Open, Blue Merle Open, Sable & White Open, Tri Color Open, White All Regular Classes are divided by sex. Best of Variety Competition Non-Regular Classes Rough & Smooth Involving Single Dog entries (divided by sex spayed & neutered eligible to compete) Veteran - For any dog or bitch 7 years old or over.

14 Junior Showmanship Competition AKC Junior Handler Numbers are now required for entry in Junior Showmanship Competition. Numbers may be obtained from the AKC. Phone (919) Entry Blank MUST be filled out with the necessary information, otherwise the entry in Jr Showmanship will not be accepted Novice Junior Class: For Boys and Girls who are at least 9 years old and under 12 years old on the day of the show and who have not won three First Places in a Novice Class. Novice Intermediate Class: For Boys and Girls who are at least 12 years old and under 15 years old on the day of the show and who have not won three First Places in a Novice Class. Novice Senior Class: For Boys and Girls who are at least 15 years old and under 18 years old on the day of the show who have not won three First Places in a Novice Class with competition present. Open Junior Class: For Boys and Girls who are at least 9 years old and under 12 years old on the day of the show and have won three First Places in a Novice Class with competition present. Open Intermediate Class: For Boys and Girls who are at least 12 years old and under 15 years old on the day of the show and who have won three First Places in a Novice Class with competition present. Open Senior Class: For Boys and Girls who are at least 15 years old and under 18 years old on the day of the show and have won three First Places in a Novice Class with competition present. Master Class: This class will be for boys and girls who are at least 9 years old and under 18 years on the day of the show, and who have won the 10 first place wins in an Open class with Competition to be eligible to enter the Limited Class Competition. The calendar for this class will be November 1 October 31 of the following year. ******PLEASE NOTE THAT JUNIOR SHOWMANSHIP WILL ONLY BE HELD AT THE TCCBA SATURDAY AFTERNOON SHOW AND AT HARTFORD-SPRINGFIELD COLLIE CLUB ON SUNDAY******

15 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Tri County Collie Breeders Association AM April 21, 2018 Tri County Collie Breeders Association PM April 21, 2018 Collie Club of Connecticut, AM - April 22, 2018 Hartford Springfield Collie Club, PM - April 22, 2018 Entry fee: $32.00 for Regular & Non-Regular Classes (includes AKC event service fee & recording fee), $10.00 Junior Showmanship. $20.00 for second entry of same dog. Entries close at the Secretary's office at 3 PM, Wednesday, March 28, 2018, after which time entries cannot be accepted, cancelled, or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Mail Entries With Fees To: Lori Carver, Secretary, 91 Michael Sears Rd, Belchertown, MA I enclose $ for entry fees IMPORTANT - Read carefully instructions on reverse side before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. (PLEASE PRINT) BREED COLLIE VARIETY1 SEX DOG SHOW CLASS 2 3 CLASS 3 DIVISION Weight, color, etc. ADDITIONAL CLASSES OBEDIENCE CLASS (Jump Height) RALLY CLASS (Jump Height) JR. SHWMNSHP CLASS NAME OF JR. HANDLER (See Back) (if any) FULL NAME OF DOG Enter number here AKC REG NO. PAL NO. FOREIGN REG NO & COUNTRY BREEDER DATE OF BIRTH JUNIOR HANDLER NUMBER PLACE OF BIRTH (list country) SIRE DAM ACTUAL OWNER(S) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNER S AGENT (IF ANY) AT THE SHOW 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 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 his agent duly authorized to make this entry TELEPHONE# Address (An acknowledgment or receipt of entry may be sent to this address):

16 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 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 Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e, 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.) If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR. S DATE OF BIRTH AKC JUNIOR HANDLER NUMBER: The above number MUST be included. 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 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?

17 AEN999 (11/08) OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Tri County Collie Breeders Association AM April 21, 2018 Tri County Collie Breeders Association PM April 21, 2018 Collie Club of Connecticut, AM - April 22, 2018 Hartford Springfield Collie Club, PM - April 22, 2018 Entry fee: $32.00 for Regular & Non-Regular Classes (includes AKC event service fee & recording fee), $10.00 Jr Showmanship. $20.00 for second entry of same dog. Entries close at the Secretary's office at 3 PM, Wednesday, March 28, 2018, after which time entries cannot be accepted, cancelled, or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Mail Entries With Fees To: Lori Carver, Secretary, 91 Michael Sears Rd, Belchertown, MA I enclose $ for entry fees IMPORTANT - Read carefully instructions on reverse side before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. (PLEASE PRINT) BREED Collie VARIETY1 SEX DOG SHOW CLASS 2 3 CLASS 3 DIVISION Weight, color, etc. ADDITIONAL CLASSES OBEDIENCE CLASS (Jump Height) RALLY CLASS (Jump Height) JR. SHWMNSHP CLASS NAME OF JR. HANDLER (See Back) (if any) FULL NAME OF DOG Enter number here AKC REG NO. PAL NO. FOREIGN REG NO & COUNTRY BREEDER DATE OF BIRTH JUNIOR HANDLER NUMBER PLACE OF BIRTH (list country) SIRE DAM ACTUAL OWNER(S) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNER S AGENT (IF ANY) AT THE SHOW 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 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 his agent duly authorized to make this entry TELEPHONE# Address (An acknowledgment or receipt of entry may be sent to this address):

18 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 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 Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e, 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.) If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR. S DATE OF BIRTH AKC JUNIOR HANDLER NUMBER: The above number MUST be included. 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 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?

19 NOTE EARLY CLOSING DATE 3/28/18 Entry Fees - Regular Classes - $32.00 Second Entry of Same Dog $20.00 Sweepstakes TCCBA Saturday AM Show only-no FEE* *** Must be entered in Regular Classes at Saturday AM Show Puppy Classes and month entries will automatically be entered in Sweepstakes at the AM Show. Jr Showmanship - $10.00 (Saturday and Sunday Afternoon shows only) Non-Regular Classes $30.00 HOW TO USE THE ENTRY BLANK Use one entry blank per dog only if information is exactly the SAME for both shows. Carefully check the block (blocks) for each show in which you wish to enter your dog. You MUST use a SEPARATE entry blank if you are entering your dog in a different class on different show (e.g. Open Class in show 1 and American-bred Class in show 2). Make Checks Payable to: Each Club individually Mail all entries with fees to: Lori Carver 91 Michael Sears Rd, Belchertown, MA (All overnight entries should be sent "No Signature Required") Per AKC Rules Applying to Dog Shows: Chapter 11, Section 4: To be acceptable, an entry must be submitted with the required entry fee. CREDIT CARD AND FAX ENTRIES: For credit card entries call Showtime Entry Service or you may fax entries with credit card information to ** Note that there will be a charge added to your credit card of $7.00 for each dog and each show entered*