FLORIDA STATE FAIR YOUTH DOG SHOW

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1 Ethics Certification Number (See page 11 of Show Rules for details) Mail Entry Form and Fees To: Florida State Fair Youth Dog Show P.O. Box Tampa, FL FLORIDA STATE FAIR YOUTH DOG SHOW ENTRY FORM ENTRY DUE DATE - HAND DELIVERED OR POSTMARKED BY DECEMBER 3, 2018 OFFICIAL USE ONLY: Ex. Number: Payment: 1 ST Late Entry Period December 4 - December 10, 2018 (Double Entry Fees) Final Late Entry Period December 11, January 11, 2019 (Double Entry Fees plus $100.00) Exhibitor s Name Address City State Zip County Phone Number ( ) (for confirmation) Club/Chapter 4-H Exhibitor: FFA Exhibitor *Social Security # (Mandatory) *Mandatory Disclosure of Social Security Number or Federal ID Number - Federal Tax regulation requires the Florida State Fair Authority (FSFA) to obtain Social Security Numbers (SSN) or Taxpayer Identification Number (TIN) from every person to whom compensation is paid. SSN or TIN are maintained and used by FSFA for the processing of payments due, and are reported to Federal and State agencies on forms required by law. FSFA will not disclose any SSN or TIN without your consent to anyone outside FSFA except as mandated by law. Failure to provide a SSN or TIN will result in denial of compensation. Exhibitor s Date of Birth Age (as of Sept. 1, 2018) First Year Exhibitor at the Florida State Fair Yes No Junior (8-10) Intermediate (11-13) Senior (14 and over) Do you plan to participate in Achievement Premium/Champion Youth Program? Yes No Does this exhibitor have any learning or physical needs in regards to any activity related to his/her project or the Champion Youth Program? No Yes If yes, a copy of the Accommodations Needed for Testing, from your Transition Individual Educational Plan (TIEP) and grade level ability (if appropriate) is required. This information will be kept discrete - this will aid us in assisting your child. For child to receive assistance THIS INFORMATION IS MANDATORY. I hereby agree to enter this event in accordance with the rules and regulations as posted for the Youth Dog Show and verify that my dog is up-to-date on all inoculations. I also agree to abide by the General Disputes Policy as stated in the rules. I agree and consent to the use of pictures, including but not limited to photographs and video, of me and/or animal in any all publications, TV, publicity brochure, internet site, or other publicity associated with the Florida State Fair. SIGNATURE OF EXHIBITOR MANDATORY!! DATE SIGNATURE OF PARENT/GUARDIAN MANDATORY!! DATE I hereby certify that entrant is a bona-fide member of the aforementioned organization. FOR 4-H MEMBERS - SIGNATURE OF 4-H COUNTY EXTENSION AGENT MANDATORY!! FOR FFA MEMBERS SIGNATURE OF VO-AG TEACHER - MANADATORY ENTRY FEES: Please make check payable to Florida State Fair and enclose with entry. Total Entry Fees: $15.00 per exhibitor for 2 dogs, includes all classes for both days $ T-Shirt Size Circle Appropriate Size Child Large Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large

2 FLORIDA STATE FAIR - YOUTH DOG SHOW Exhibitor s Name Owner s Name Dog s Registered Name Dog s Call Name AKC # UKC # Microchip # Please check appropriate box A copy of proof of ownership included with my entry is: AKC/UKC Registration County Rabies Tag Certificate MANDATORY!!!! Copy of Lease Agreement Other: Dog s Date of Birth Breed Any Recognized Titles of Dog LEASED ANIMAL: Yes No PLEASE NOTE: A COPY OF THE LEASE AGREEMENT MUST BE SENT IN WITH THE ENTRY FORM Please check the class you would like to enter. Showmanship Division: Basic Showmanship Novice Showmanship Advanced Showmanship Excellent Showmanship Phyllis White Best Showmanship Award: Winners from all Classes will compete. Obedience Division: Basic Obedience Sub Novice Obedience Beginner Novice A Obedience Beginner Novice B Obedience Novice A Obedience Novice B Obedience Open Obedience REQUIRED - All Youth must have attended a Youth Livestock Show Ethics and Animal Care Workshop by January 21, 2019 to show an animal at the 2019 Florida State Fair PLEASE NOTE: Time allowances will be made for schedule conflicts. Be sure to inform the ring stewards- at each ring- if you have a conflict. Rally Division: Basic Rally Novice A Rally Novice B Rally Intermediate Rally Advanced Rally Excellent Rally (All Ages) Agility Division: Heights will be verified at check in Please check your dog s jump height: Basic Agility Sub-Novice A Agility Sub-Novice B Agility Novice Agility Advanced Agility PLEASE NOTE: Prizes for Agility will be awarded by class name & age group only not by jump height. ** EACH CHILD IS LIMITED TO ONE DOG PER DIVISION. ** For Families, a dog is limited to one entry per division. I hereby certify that I have reviewed the entry form and the entrant is entered in the appropriate class(es). Signature of 4- H Leader or FFA Vo-AG Teacher Must be legible! * NOTE: A SEPARATE ENTRY FORM IS REQUIRED FOR EACH DOG ENTERED ALL BASIC AND JUNIOR EXHIBITORS MAY ONLY ENTER ONE DOG. ALL OTHER EXHIBITORS WILL BE LIMITED TO A MAXIMUM 2 DOGS ENTERED IN DIFFERENT DIVISION. CLASS ENTRIES ARE FINAL. CLASS CHANGES WILL NOT BE ALLOWED ON SHOW DAY.

3 2018 FLORIDA STATE FAIR MARKETING QUESTIONAIRE In order to qualify for marketing grants to promote the Fair in locations outside a 50 mile radius of Tampa, we need to track the economic impact of the Florida State Fair by determining how many Vendors are staying in Hotels or RV parks and the length of the stay. Please complete the information below using your best estimate. We appreciate this and all of your efforts to make the Fair as successful as possible. Zip Code: Length of stay in Tampa? Nights RV Park: Y N Hotel: Y N How many rooms? Number of guests? Please return this questionnaire with Show Entry Form!!

4 Showmanship Handlers are judged on teamwork and presentation of their dog- grooming- stacking- gaiting. Appropriate showmanship attire and show lead required. The use of products is discouraged. Basic Novice Advanced Excellent For FIRST year handlers with FIRST time dogs. All second year participants MUST move to Novice. For experienced handler who has shown one or more years,, or basic handler with experienced dog. Any exhibitor who has won the Novice class twice at a State Level Dog Show MUST move to Advanced No handler that is showing in outside venues may enter this class. For handlers/dogs that have won the novice class twice at a state level dog show Experienced handlers showing in Novice classes in outside venues (AKC, UKC, etc.) Handlers that have shown in open or masters classes may not show in this class For experienced handlers showing in the eopen or masters classes in outside venues. Handlers that have won Best Junior three (3) or more times in any outside venue

5 Obedience Classes will be judged according to the AKC rules as modified by the Florida State Fair Youth Dog Show Committee. Basic Sub-Novice Beginner s Novice Novice Open For beginning handler and beginning dog in their first year of showing. All second year exhibitors MUST move to a different class. For second year handlers; experienced handler with beginning dog, or beginning handler with experienced dog. No dog with AKC or UKC rally or obedience titles may compete in this class. A~ For handlers and dogs who are training for novice off-lead exercises, This is an AKC class for preparing for off-lead work. B~ Any dog or handler that has placed first in A at a state level show; Any dog or handler that has a BN title. A~ For handlers and dogs that are ready to compete in novice off-lead exercises. B~ Handlers and dogs with a Novice obedience title; And handler or dog that has won the Novice A class at a state level show. A~ For dogs and handlers ready to compete in open exercises B~ Dogs and handlers with an Open title must compete here.

6 Rally Basic Novice Intermediate Advanced Excellent. For beginning handler and beginning dog in their first year of showing. NO dogs or handlers that have a qualifying score in rally or obedience may enter Basic For second year or greater handlers; Handlers or dogs with qualifying scores in rally or obedience in an outside venue (AKC, UKC, etc.) A~ Those that DO NOT have a title in Novice Rally or Obedience in an outside venue For handlers or dogs that are not ready to compete off lead. To be eligible for this class dogs MUST have a Rally Novice title (RN) but may not have their Rally Advanced (RA) title prior to the close of entries. For handlers and dogs ready to perform off lead. Dogs that have a qualifying score in Advanced Rally in an outside venue. For dogs and handlers ready to perform off lead at a more advanced level. Dogs with a qualifying score in Excellent or a similar level from any outside venue. B~ Those that DO have a title in Novice Rally or obedience in an outside venue OR those that have placed in the top 4 of Novice A Rally (with a score above 170) at a state level event.

7 Agility Basic Sub-Novice Novice Advanced *On lead* For FIRST year handlers with FIRST time dogs. All second year participants MUST move to Novice. *On lead*. A~ For experienced handler with beginning dog; or beginning handler and experienced dog. B~ For experienced handler (2 or more years of showing) who has won first place in the Sub-Novice A class in the previous year OR who has achieved a score of 200 at a previous state level show *Off Lead* Dogs and handlers that are ready for to do off lead agility *Off Lead* For Dogs and handlers that are showing in ANY outside venues MUST show in advanced.