Premium List AKC Agility Trial Schipperke Club Of America National Specialty (Member of the American Kennel Club) Event #

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1 For Additional Event Information Contact: Kevin Rogers Dog Shows ( ANNUALLY LICENSED AKC SUPERINTENDENT Kevin Rogers Paige Rogers PHONE: (601) FAX: (601) Dee Scott 2009 SCA Agility Trial Secretary S-5622 Walden Drive Lake View, NY Event # Premium List AKC Agility Trial Schipperke Club Of America National Specialty (Member of the American Kennel Club) Wednesday April 15th, 2009 All Standard, JWW, and FAST classes Play Dog Excellent (PDX) 4113 Dayton Boulevard Chattanooga, TN Trial hours 6:00PM to 12:00PM Judging will begin Wednesday at 7PM NO RV Parking is available at this site! Trial hours: 6PM to 12PM Judging will begin at 7PM Wednesday Judge: Carla Boudrot Entries are UNLIMITED Ring will be indoors on ¾ permanent rubber flooring 80 X 100 Electronic timers will be used Entry Method will be First Received No more than 10 entries per envelope allowed Closing Date: 3/25/09 at 6PM AMERICAN KENNEL CLUB CERTIFICATION Permission is 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 per dog per day: (includes AKC $3.00 per run recording fees) $20 First entry; $15 Second entry, $10 Third Entry (same dog) Entry confirmations will be sent via . If you prefer your confirmation via regular mail, please include a SASE with your entry form. Entries close on 3/25/09 at 6 PM. Entry form changes, additions, corrections, and cancellations MUST be received in writing by closing. Move ups will be accepted until Wednesday, April 8 th at 6 PM. No verbal changes accepted Schipperke Club Of America OFFICERS President: Donna Kenly 2 nd Vice President: Melissa Chonos 1 st Vice President: Olga Joanow Treasurer: Chris Paven Secretary: Lee Ann Stusnick, 1 Cedar Creek Drive, Shawnee, OK, Board Of Directors (term ending 2/28/09): Amy Halterman, Frances Keyes, Beverly Henry, Melody Mischel Stockton Board Of Directors (term ending 2/28/10): Mark Antonucci, Amy Gossman, Ursula Hutton, Maryann Simanek 2009 Trial Committee Chairperson: Lori Hobbs, 424 Poplar Grove Road, Kingsport, TN, Phone: (423) dlhllah@aol.com Trial Secretary: Dee Scott, S-5622 Walden Drive, Lake View, NY, Phone: (716) schipriot@hotmail.com **(All calls to either of the above will be returned Collect)** Fran Lindstrom, Hope Johnson, April Lessig and the Officers and Board of Directors of the Club TRIAL JUDGE: All classes: Carla Boudrot, 4010 Eveningside Drive NE, Cleveland, TN ON CALL VETERINARIAN: RIVER Vet Emergency Clinic, 2132 Amicola Hwy, Chattanooga, TN. PHONE: (423) Directions will be available on site in the Trial Secretary s area. Volunteer to Work! We can t do it without you! If you are able to help out at the show, please volunteer to work. Workers and helpers are always appreciated. If you are able to help, please fill out the form below and include it with your entry! Name: I can do the following: Bar Setting Asst Scribe Scribing Timing Gate Keeper Leash /Scribe Runner Course Build Chute Class my dog is running in: Dog Class Height: Phone Schipperke Club Of America April 15 th 2009 Agility Trial Move-Up Use this form to move up to a higher agility class only Breed: SCHIPPERKE Sex: Move Entry to: (Please circle) Std Class: Open Excellent A Excellent B JWW: Open Excellent A Excellent B FAST: Open Excellent A Excellent B Jump height Division: Dogs AKC Registered Name: AKC Reg. No.: ILP/PALNo: Foreign Reg. No.: Dogs Call Name: Owners Name: Handlers Name: Signature of owner or agent duly authorized to make this entry: Signature of Trial Secretary: Approved: YES NO Date:

3 Prizes and Awards Each exhibitor will receive an Embroidered Towel offered by Friends of the SCA. A Rosette and a crate Pad (offered by friends of SCA) will be awarded to the First through Fourth place dogs in each class and height division. A flat Qualifying Ribbon and a stuffed dog toy will be awarded to each dog earning a Qualifying Score. High in Trial Agility Award (Rosette, embroidered chair, dog bed (generously offered by friends of SCA) is given to the Schipperke that has the highest qualifying score of all dogs competing in the regular agility classes as defined by AKC Agility rules and regulations. The SCA rule states, when two Schipperkes competing in the trial have the same score, regardless of the class or division in which it was earned, the winner of the High In Trial Award shall be the Schipperke running under the SCT with the greatest difference between its running time and the Standard Course Time (SCT minus running time). If the two Schipperkes remain tied, the tie shall stand. A MACH Bar and Rosette will be awarded to the Team earning this Title. *** New Title Ribbons will be awarded to those earning a Title at this event! *** Host Hotel Chattanooga Choo - Choo 1400 Market Street Chattanooga, TN Quality Suites: 7324 Shallowford Rd, Chattanooga, TN, Ph: (423) Directions to Show Site from Host Hotel Ph: (423) Toll Free: (800) Fax: (423) Distance miles Estimated Time - 13 minutes 11. Head NORTH on MARKET STREET toward W 14th STREET (drive for. 0.5 miles) 2. Turn LEFT onto W MARTIN LUTHER KING BOULEVARD (drive for 0.2 miles) 3. Turn slight RIGHT to get on US-27 N (drive for 5.3 miles) 4. Take exit toward MORRISON SPRINGS ROAD/RED BANK (drive for 0.5 miles) 5. Turn RIGHT onto MORRISON SPRINGS ROAD (drive for 0.4 miles) 6. Turn LEFT to get on DAYTON BOULEVARD heading NORTHEAST (drive for 0.2 miles) 7. You have arrived at Play Dogs Excellent 4113 DAYTON BOULEVARD. Height Divisions Owners are responsible for entering the proper height divisions. Dogs without a valid height card will be measured by the judge of record, except those jumping 24, unless an AKC Rep or VMO is present, and then all dogs without a valid height card MUST be measured including those jumping 24. Regular class Preferred class 8 inches... For dogs 11 inches and under at the withers inches...for dogs 14 inches and under at the withers inches...for dogs 18 inches and under at the withers inches...for dogs 22 inches and under at the withers inches... For dogs over 22 inches at the withers inches at owner s discretion Not Offered See complete rules in the Regulations for Agility Trials available at Move Up Regulations If a dog earns an agility title before this event, it can be advanced to the next level of competition. However, written or notice MUST be given to the Trial Secretary no later than 6 PM on Wednesday April 8 th No verbal changes will be accepted. Refunds No entry fees will be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, an act of God, public emergency, act of a public enemy, or any other causes beyond the control of the organizing committee. Entry fees shall not be refunded in the event that a dog is absent, disqualified, excused by a veterinarian or judge, or barred from competition by action of the Trial Committee. Bitches in season will be awarded a refund (with a Veterinary Certificate), minus a $10 processing fee. Dogs Eligible to Enter This trial is open to all Schipperkes over the age of 15 months that are registered with the American Kennel Club, or have AKC Limited Registration, or that have obtained an AKC ILP/PAL number. Spayed bitches and neutered males are eligible to participate. Bitches in season, aggressive dogs, dogs that are blind or deaf or suffering from any deformity, injury, or illness which may affect its physical or mental performance, are not eligible to participate Camping: CAMPING AT HOST HOTEL: RV Parking only. NO hook-ups. There is no parking fee for the week, but you MUST park in specific areas. Please send reservation requests to Troy Boling (bolteroy@aol.com) using the RV Parking Reservation application. RV s may not arrive at the Host Hotel before 3PM on Sunday, 4/7/09. For RV Application see under Show Information. RACCOON MTN. CAVERNS/RV PARK & CAMPGROUNDS: 319 W. Hills Rd, Chattanooga, TN Phone: (423) or (800) Liability It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dog and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial committee, 0. 5 be asked to leave the show site. In such cases, no refund of any fees paid will be made. Play Dog Excellent and the Schipperke Club Of America and its agents, employees, etc. will not assume any responsibilities 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 Snack Food and beverages will be available on site for this trial. m i Exhibitors should follow their vet s recommendations to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations."

4 Wednesday April 15, 2009 OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM SCHIPPERKE CLUB OF AMERICA NATIONALL SPECIALTY WEDNESDAY - APRIL 15 TH 2009 FAST STANDARD JWW Entry Fees: $20.00 first regular entry $15.00 same dog second run, $ rd run, same dog, same day. (including AKC recording fees of $3 per run), Entries open 2/4/09 at 8:00 AM on a first received basis, and close 3/25/09 at 6:00 PM. Make checks payable in US funds to SCA and mail to Dee Scott, 2009 SCA Agility Trial Secretary, S-5622 Walden Drive, Lake View, NY, Express mail entries must include signature waiver. BREED SCHIPPERKE VARIETY SEX: HEIGHT AT WITHERS: STANDARD AGILITY CLASS (circle one) JUMPERS WITH weaves (circle one) JUMP HEIGHT (circle one) NOV A NOV B OPEN EX A EX B NOV A NOV B OPEN EX A EX B PREFERRED AGILITY CLASS (circle one) PREFERRED JWW (circle one) JUMP HEIGHT (circle one) NOVICE OPEN EX A EX B NOVICE OPEN EX A EX B FAST CLASS ( CIRCLE ONE ) JUMP HEIGHT (circle one) REGULAR: - NOV A NOV B OPEN EX. A EX. B PREFERRED - NOV P OPEN P EX.-AP EX. -BP NON-REGULAR AGILITY CLASSES: INTERNATIONAL SWEEPSTAKES CLASS JUMP height (circle one) (if offered Std JWW (circle one) AKC REGISTERED NAME ( Include AKC titles only) CALL NAME OF DOG AKC REG. NO. (Enter number here) AKC LITTER NO. ILP/PAL NO. DATE OF BIRTH / JR HANDLER NO:: PLACE OF BIRTH FOREIGN REG. NO. & COUNTRY USA CANADA FOREIGN BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS NEW ADDRESS CITY, STATE, ZIP + 4 HANDLER (Junior Handler see back) FEE ENCLOSED: 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 of his agent duly authorized to make this entry Phone: Copy of Jump Height Card enclosed? YES N0 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 thereof, 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. The Judge's 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 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?

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