1308 Richmond Lane. Bartlett, IL Siberian Husky Club of Greater Chicago

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1 PREMIUM LIST Noel Dagley 1308 Richmond Lane Bartlett, IL Siberian Husky Club of Greater Chicago AKC All Breed Agility Sanctioned A Match This Event is Accepting Entries for Mixed Breed Dogs Enrolled in the AKC Canine Partners Program Sunday, June 19, 2011 Event # Rush N Around Agility Center S. Route 45, Manhattan, Illinois Inside ring 70 x 115 on sand and rubber mulch mix; outdoor ring 100 x 120 Match Hours: 8:00am to 6:00pm Judging starts at 9:00am Limited Entry runs Entry Method First Received Entries Open April 19, 2011 at 9:00am Entries Close June 11, 2011 at 6:00pm or when entry level has been reached after which time entries cannot be accepted, canceled, altered or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Sanctioned by the American Kennel Club Scores Awarded at Sanctioned Matches do not count as credit toward any Agility Title

2 Siberian Husky Club of Greater Chicago Officers President: Carol Preble, Harmony Rd., Marengo, IL Vice President: Danamarie Izzo, 501 Pinewood Dr., North Aurora, IL Treasurer: Carole Burns, 3307 N. Kilbourn, Chicago, IL Secretary: Laurie Meyer, 405 Plum St., Lake In The Hills, IL Match Committee Theresa Przybylski - Noel Dagley Lee Cera Jenn Siegel Carol Preble MOVE-UP REGULATIONS: Dogs may be moved up to a higher class at the request of the owner, as a result of qualifying for an agility title, provided that the request is made in writing via postal mail or to the Match Secretary only. Move-ups must be received no later than 6:00 p.m. on Monday, June 13 th. Move-ups are not allowed from Novice A to Novice B after the closing date of this match. Match Chairperson Theresa Przybylski, S. Kings Rd, Crete, IL (708) dogtrainer@att.net Match Secretary Noel Dagley, 1308 Richmond Lane, Bartlett, IL (630) trialsec@siberpaw.com Move-ups must be made in writing - verbal requests will not be accepted. move-ups are acceptable. Return forms to the Match Secretary only. AKC Registered Name: AKC Registration Number: Make fees payable to: SHCGC Mail entries and fees to: Noel Dagley Match Secretary 1308 Richmond Lane, Bartlett, IL Entry Fees: $ st entry per dog per day $7.00 for each additional entry of the same dog Returned Check Fee - $ acknowledgement of entries received will be made. Final confirmation will be made after match closing date 6/11/2011. Match Judge Kathy Rudolph (#Pending) th Ave. Burlington, WI (All Classes) Breed/Variety: Owner(s) Name: Please circle the appropriate selection(s): PROGRAM: Regular Preferred CLASS: Standard Jumpers DAY: Sunday ENTERED IN: Nov Nov A Nov B Open Exc A MOVE TO: Nov B Open Exc A Exc B JUMP HEIGHT: VETERINARIAN (on call) Animal Emergency Clinic of Mokena S. 88 th Avenue, Mokena, IL (708)

3 Volunteer Sign-up Form We need your help! This match will go smoothly with everyone s help. Please consider volunteering whatever time you have available to working. All effort will be made to make sure you have plenty of time with your dog(s) to prepare for your run(s). L unch will be provided for workers. Please fill in the information below and return it to the Match Secretary with your entry. Name: address: Phone number: Circle all that apply: Days available: Sunday Jump height(s) entered: Standard class(es) entered: Novice Open Excellent Jumpers class(es) entered: Novice Open Excellent Please circle the jobs you would be willing to do and cross out the jobs you do not want to do. Any job without a mark will be listed as Willing to Work. Course Builder Timer Scribe Transcriber Gate Steward Bar Setter Chute Straightener Leash Runner Course Builder Score Sheet Runner Thank you so much for helping us run an efficient and enjoyable match! NOTICE TO EXHIBITORS: No more than 10 entries allowed per envelope. No online entries will be accepted. Express mail entries must waive the signature requirement or they will be refused. Exhibitors are responsible for complete, accurate and legible information on their entry forms. Match Secretary assumes no responsibility for incorrect entry information due to illegibility of the entry. Entries will not be accepted without proper fees and signatures. Entries must be submitted on entry forms with the AKC agreement printed on the reverse side. Any entry not compliant with the above will be returned! It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Match Committee, be asked to leave the show site. In such cases, no refund of any fees paid will be made. Unsportsmanlike conduct, including rough handling or misconduct of any kind, will result in an excusal from the ring. Notification of entry status will be ed to all exhibitors providing an address. Match Secretary is not responsible for s returned due to illegible addresses, full mailboxes, spam blockers or any other event causing to be returned or missed, and no further effort will be made. Any exhibitor requiring to know their entry status before final confirmations are sent should send a SASE or postcard to be returned with that information. No other notification of entry status will be made. Final entry confirmations and judging schedules will be sent to all exhibitors after the final closing date, as per Chapter1, Section18 of the Regulations for Agility Trials. Exhibitors providing an address will be ed their confirmations. Exhibitors with no address, or with addresses that have bounced, their entry status will be sent with their confirmation via the US Postal Service. REFUNDS: No refunds after the closing date will be allowed for bitches in season and injured dogs. Entry fees will not be refunded in the event that a dog is absent, excused, disqualified or barred from the competition by action of the Match Committee. No entry fees will be refunded if the match cannot open or be completed by reason of riots, civil disturbances, fire, act of God, public emergency, act of a public enemy, or any other cause beyond control of the organizing committee. The owner/handler is solely responsible for having the dog ready at ringside when the class is to be judged. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. Exhibitors and spectators are expected to keep the show grounds clean. Please pick up after your dogs and yourselves. CATALOGS: Catalogs will be available by presale. If you would like a catalog, circle Catalog on your entry form and include $10.00 in addition to your entry fees. A limited number of catalogs will be available the weekend of the match. Running orders will be available to all exhibitors at no charge.

4 DOGS ELIGIBLE TO ENTER: This match is open to all dogs 15 months of age or older that are registered with the American Kennel Club or 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 are eligible to participate. Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible and neither are bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect the dog s physical or mental performance. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registerable breeds that may participate. PRIZES AND AWARDS: Ribbons will not be awarded at this match. NEW Simplified Jump Height Card Process: When filling out the entry form, there is a new section at the top of the form for exhibitors to designate whether your dog has a valid jump height card or if your dog needs to be measured. Please check the appropriate box so that the Match Secretary knows whether to include your dog on the Dogs To Be Measured List. It is no longer required that you submit a copy of your dog s jump height card with your entry form or show it during day of show check-in. HEIGHT DIVISIONS: Owners are responsible for entering the proper height divisions. Judges reserve the right to measure all dogs without a valid height card. Handlers may opt to run in a higher height division in the Regular program, but not in a lower division than their proper height division. Handlers must run in their proper height division in the Preferred program. SAFETY: The safety of the dogs is our primary concern. By entering this match, 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 the obstacles safely. SITE INFORMATION: The agility match will be held at Rush N Around Agility Center. Food will not be available on site. Motor homes are allowed on site, but if you plan on staying in your motor home, please send an to Annette Narel at maghistakes@aol.com to let her know. Directions to the site are as follows: From northbound or southbound I-294, exit at I-80 west to I-57 south. Stay on I-57 for 9.5 miles and exit at Manhattan-Monee Road (Rt. 6). Go west on Manhattan-Monee Road for 6.5 miles and turn south (left) at Route 45 (stop sign with flashing light, Gas City on southeast corner). Continue south for 2.5 miles to the match site on the west side of Rt. 45. The following hotels are available. Please double check with the hotel regarding their policy to accept dogs as this is subject to change. PLEASE be a responsible motel guest!! Super 8: 9485 W. 191 st St (191 st & LaGrange Rd.), Mokena (708) Abe Lincoln Motel: W. Lincoln Hwy. (Rt. 30), Frankfort (815) Baymont Inn: 7255 W. 183 rd St. (183 rd & Harlem Ave.), Tinley Park (708) Regular Preferred 8" 4" for dogs 11 inches and under at the withers 12" 8" for dogs 14 inches and under at the withers 16" 12" for dogs 18 inches and under at the withers 20" 16" for dogs 22 inches and under at the withers 24" 20" for dogs over 22 inches at the withers 26" dogs may be entered at this height at owner s discretion CLASSES: All Standard (inside) and Jumpers with Weaves (outdoors) classes will be offered. There will be no FAST, ISC or non-regular classes at this match. Electronic timers will be used at this event. COURSE FAMILIARIZATION: Handlers are permitted to walk the course, without a dog, prior to the start of the class. A walk-through period will be held prior to each class following the judge s briefing. The walk-through may be split at the judge s discretion. A warm-up area consisting of one regulation jump may be provided for exhibitors. The warm-up area is to be used exclusively for warming up the dog and not training or relieving of the dog. COLLARS: At the handler s option the dog may wear a flat or rolled leather collar but there shall be no attachments hanging or otherwise on collars. Choke collars, pinch collars, electric and dummy collars, halties and gentle leaders are prohibited. Food, toys and whistles or other training devices are not allowed in the course area.

5 OFFICIAL ENTRY FORM FOR AGILITY Siberian Husky Club of Greater Chicago, June 19, 2011 SUN: STD ($7) JWW ($7) Both Classes ($14) Catalog ($10) Entry fee: $7 first entry and $7 each additional entry of same dog. Make checks payable to SHCGC and mail completed entry and fees to: Noel Dagley, 1308 Richmond Lane, Bartlett, IL (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) BREED VARIETY SEX [ ] MY DOG NEEDS TO BE MEASURED HEIGHT AT WITHERS CHOOSE EITHER REGULAR OR PREFERRED AND CIRCLE THE JUMP HEIGHT REGULAR CLASSES PREFERRED CLASSES CIRCLE CLASS SELECTIONS ONE PER TYPE (STD, JWW, FAST, T2B) STANDARD AGILITY (INDOORS) JUMPERS WITH WEAVES (OUTDOORS) 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 NOV-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP TIME 2 BEAT NON-REGULAR AGILITY CLASSES if offered SELECT ISC JUMP HEIGHT T2B T2B-P INTERNATIONAL SWEEPSTAKES CLASS STD JWW AKC NAME (Include AKC titles only) (Enter number below) DATE OF BIRTH [ ] AKC NO. [ ] PAL/ILP NO. PLACE OF BIRTH (LIST COUNTRY) [ ] FOREIGN REG. NO. BREEDER SIRE DAM CALL NAME OF DOG 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. Dogs listed in the AKC Canine Partners SM program may be eligible to enter all-breed AKC agility trials at the club s option effective April 1, These dogs should be listed as All American Dog and must include their AKC 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? ACTUAL OWNERS OWNERS ADDRESS CITY, STATE, ZIP + 4 HANDLER NEW ADDRESS IF JUNIOR HANDLER, PLEASE ENTER # BELOW 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 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. SIGNATURE OF OWNER OR HIS AGENT DULY AUTHORIZED TO MAKE THIS ENTRY TELEPHONE : EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. ADDRESS: AEAGL2 - (01/11)

6 OFFICIAL ENTRY FORM FOR AGILITY Siberian Husky Club of Greater Chicago, June 19, 2011 SUN: STD ($7) JWW ($7) Both Classes ($14) Catalog ($10) Entry fee: $7 first entry and $7 each additional entry of same dog. Make checks payable to SHCGC and mail completed entry and fees to: Noel Dagley, 1308 Richmond Lane, Bartlett, IL (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) BREED VARIETY SEX [ ] MY DOG NEEDS TO BE MEASURED HEIGHT AT WITHERS CHOOSE EITHER REGULAR OR PREFERRED AND CIRCLE THE JUMP HEIGHT REGULAR CLASSES PREFERRED CLASSES CIRCLE CLASS SELECTIONS ONE PER TYPE (STD, JWW, FAST, T2B) STANDARD AGILITY (INDOORS) JUMPERS WITH WEAVES (OUTDOORS) 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 NOV-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP TIME 2 BEAT NON-REGULAR AGILITY CLASSES if offered SELECT ISC JUMP HEIGHT T2B T2B-P INTERNATIONAL SWEEPSTAKES CLASS STD JWW AKC NAME (Include AKC titles only) (Enter number below) DATE OF BIRTH [ ] AKC NO. [ ] PAL/ILP NO. PLACE OF BIRTH (LIST COUNTRY) [ ] FOREIGN REG. NO. BREEDER SIRE DAM CALL NAME OF DOG 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. Dogs listed in the AKC Canine Partners SM program may be eligible to enter all-breed AKC agility trials at the club s option effective April 1, These dogs should be listed as All American Dog and must include their AKC 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? ACTUAL OWNERS OWNERS ADDRESS CITY, STATE, ZIP + 4 HANDLER NEW ADDRESS IF JUNIOR HANDLER, PLEASE ENTER # BELOW 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 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. SIGNATURE OF OWNER OR HIS AGENT DULY AUTHORIZED TO MAKE THIS ENTRY TELEPHONE : EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. ADDRESS: AEAGL2 - (01/11)

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