Obedience Events # & # # & # Rally Events # & # # & #

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1 Obedience Events # & # # & # Rally Events # & # # & # Entries close at trial secretary s office at 6:00 P.M. October 29, 2014 AKC Licensed (Unbenched) OFFICERS DOBERMAN PINSCHER CLUB OF CHARLOTTE, INC. President John Schoeneman Vice President Tammy Rabold Treasurer / Secretary Lynn Sizemore EVENT COMMITTEE Obedience & Rally Chairperson: Skip Schnibben Trophies / Hospitality: Lori Schoeneman and All Officers & Board of Directors of the Club Thursday November 13, 2014 Friday November 14, 2014 Saturday November 15, 2014 Sunday November 16, 2014 Entries will be accepted for dogs listed in the AKC Canine Partners program Entries for Obedience events are unlimited, Entries for Rally events are limited to 176 These trials are indoors Rings are fully matted. Cabarrus Arena & events Center 4751 Highway 49 North Concord, N.C. AMERICAN KENNEL CLUB CERTIFICATION Permission has been granted by the American Kennel Club for the holding of these events under the American Kennel Club rules and regulations. James P. Crowley, Sec. GREATER MONROE KENNEL CLUB, INC. President John Schoeneman Vice President Martha Milligan Treasurer Gene Hains Secretary Janet Broome BOARD OF DIRECTORS Pat Ginocchio, Bobbe Jackson, Beth Warren TRIAL COMMITTEES Beth Warren, Janet Broome, Debbie Mitchell, Carol Hamblin, John Schoeneman, Pat Ginocchio, Lynn Rowell, Bobbe Jackson, Lori Schomeman and GMKC Members Show Chairperson: John Schoeneman (704) Obedience & Rally Chairperson: Carol Hamblin Vendors: John Schoeneman Grounds: John Schoeneman Trophies Martha Milligan Judges Hospitality Lori Schoeneman Publicity Pat Ginocchio RV Reservations & Parking John Schoeneman

2 OBEDIENCE CLASSES FAYETTEVILLE KENNEL CLUB, INC. President Robert Richardson Vice President Cathy Rubens Treasurer Cindi Rubens Recording Secretary Brooke Burlingame Corresponding Secretary AJ Burlingame BOARD OF DIRECTORS George Gaba, Teresa Vila, Arlene Harris, William Stroud EVENT COMMITTEE Obedience & Rally Chairperson: Ms. Brooke Burlingame Trophies: Bill Stroud Hospitality: Pat Stroud and Grace Allen and All Officers & Board of Directors of the Club TRIAL SECRETARY Ginger Robertson 7 West Back St. Savannah, GA (912) pawsomeresults@gmail.com or pawsomeresults@hotmail.com Check website for maps and updates JUDGES, ASSIGNMENTS & CLASSES OFFERED Ms. Ellen Bealsey (93281) 97 Hoot Owl Lane, Siler City, NC Ms. Marleen C Burford (0342) 460 River Valley Rd. NW,.Atlanta, GA Ms. Shannon Jones (95361) 600 N Harrison Ave., Cary, NC Mr. Ted McCall (19183) 30 Southwinds Dr., Fairview, NC Ms. Jean Nocilly (75179) P.O. Box 315, Cheswold, DE Ms. Jeannie Mary Strong (97403) 777 Pinewood Cir., Mooresville, NC AKC RULES APPLY for class size limits, 8 hours of judging per day. CLASSES THURSDAY FRIDAY Novice A Jean Nocilly Marleen Burford Novice B Jean Nocilly Marleen Burford Open A Jean Nocilly Marllen Burford Open B Jean Nocilly Marleen Burford Utility A Marleen Burford Jean Nocilly Utility B Marleen Burford Jean Nocilly Beginner Novice A&B Marleen Burford Jean Nocilly Graduate Novice Jean Nocilly Marleen Burford Graduate Open Jean Nocilly Marleen Burford Versatility Marleen Burford Jean Nocilly Pre-Novice Marleen Burford Jean Nocilly Pre-Open Jean Nocilly Marleen Burford Pre-Utility Marleen Burford Jean Nocilly CLASSES SATURDAY SUNDAY Novice A Ellen Beasley Ellen Beasley Novice B Ellen Beasley Ellen Beasley Open A Ellen Beasley Ellen Beasley Open B Ellen Beasley Ellen Beasley Utility A Ted McCall Ted McCall Utility B Ted McCall Ted McCall Beginner Novice A Ellen Beasley Ted McCall Beginner Novice B Ellen Beasley Ellen Beasley Graduate Novice Ellen Beasley Ellen Beasley Graduate Open Ellen Beasley Ted McCall Versatility Ted McCall Ted McCall Pre-Novice Ellen Beasley Ellen Bealsey Pre-Open Ellen Beasley Ellen Beasley Pre-Utility Ted McCall Ted McCall RALLY CLASSES All Classes Thursday & Friday Shannon Jones All Classes Saturday & Sunday Jeannie Mary Strong CONSULT JUDGING PROGRAM FOR TIME OF JUDGING. Dogs may arrive any time prior to their scheduled time of judging. Dogs not required for further judging will be excused. Judges are not required to wait for dogs. The owner or handler of each dog is solely responsible for having it ready at ringside when its class is being judged. All dogs present must be held on leash or confined in their crates except when being judged.

3 ENTRY FEES PER DAY First entry of each dog-obedience trial- $28.00 (includes AKC recording fee & event fee) Second entry of same dog -obedience trial- $25.00 (includes AKC event fee) Non-Regular obedience classes-obedience trial- $28.00 (includes AKC recording fee & event fee) First entry of each dog-rally trial $28.00 (includes AKC recording fee & event fee) Second entry of same dog-rally trial- $25.00 (includes AKC event fee) A Recording Fee of.50 cents for each dog and an AKC Event Service Fee of $3 will be required for each recordable single entry class at any Licensed or Member Club Show or Obedience Trial. (AKC rule Ch. 11 Sec.2) A $3 AKC recording Fee will be required for each entry in Rally (AKC Rally Regulation Ch. 1, Sec. 3). These fees, paid to the AKC, are included in the entry fees. *************************************************************** Mail Entries with fees to: Ginger Robertson, 7 West Back St., Savannah, Ga Checks or money orders should be made payable to: Pawsome Results. ******************************************************************** Entries received without fees will not be accepted. Do not staple check to entry. Confirmation of entries and judging schedule will be made after entries close. If confirmation is not received by exhibitor within 5 days, please notify Ginger Robertson at the above address or muttloverx2@gmail.com or pawsomeresults@hotmail.com OVERNIGHT ENTRIES, PLEASE CHECK NO SIGNATURE REQUIRED! Entries not on official AKC entry forms and photocopies of entry forms without the agreement and instructions on the reverse side of the form are NOT ACCEPTABLE. No entry shall be made and no entry shall be accepted which specifies any conditions as to its acceptance. Returned checks do not constitute a valid entry fee. The Trial Secretary will add a collection fee to the amount of each returned check. Subsequent returned checks for the same exhibitor may result in being put on a cash basis. ERRORS ON ENTRY FORMS-Owners are responsible for errors in making out entry forms, and no entry fee will be refunded in event of such errors or cancellations of entries after published closing date. No refund of entry fee will be given in the event that a dog is absent, disqualified or excused by a veterinarian or judge or barred from competition by action of the Trial Committee; or if it is impossible to open or complete the trial because of riots, civil disturbances, or other acts beyond the control of the Trial Committee. BITCHES THAT COME IN SEASON after the closing date of entries may receive a refund, less $5.00, if certification from a Veterinarian is received by the Trial Secretary 30 minutes prior to the start of the Obedience / Rally trial cluster on Thursday November 13, INJURIES - after the closing date of entries may receive a refund( in vouchers for future trials), less $5.00, if certification from a Veterinarian is received by the Trial Secretary 30 minutes prior to the start of the Obedience / Rally trial cluster on Thursday November 13, Transfers will be permitted provided the maximum number of dogs per day for that judge has not been reached. The completed Transfer Form must be presented to the trial secretary at least 30 minutes prior to the start of each trial. VETERINARIANS ON CALL: John C Harroff, DVM, Cabarrus Animal Hospital 3030 S Cannon Blvd. Kannapolis, NC (704) Hours M-F 7:30 a.m. - 6:00 p.m.; Sat 7:30 a.m.-noon AFTER HOURS: Cabarrus Emergency Veterinary Clinic 1317 S Cannon Blvd Kannapolis, NC (704) or 1196 Hours M-T 5:30 p.m. 8:30 a.m.; Fri 5:00 p.m.- Mon 8:00 a.m. HOSPITAL Northeast Medical Center (704) In an Emergency dial 911. Be prepared to be specific regarding your needs and exact location on the grounds. The show site is within the Cabarrus County and City of Concord servicing area. EMT will be on site during the show. Fast Med Urgent Care (704) School House Cmns, Harrisburg, NC Hours: Mon Fri: 8 a.m. -7:45p.m. Sat: 9 a.m. - 4:45 p.m. Sun: 10a.m. - 5:45p.m. OBEDIENCE TRIAL HOURS are from 8:00 A.M. to 6:00 P.M. The show building will be available to exhibitors on Wednesday prior to the trial.

4 VENDORS Vendor Chairman: John Schoeneman 5361 Bedfordshire Ave Harrisburg, NC Phone: The basic Vendor Spaces are 100 square ft. The cost is $ per day for the first 100 square feet. The cost of additional square footage is $7.50 per day for each additional 10 square ft. This will include one electrical outlet per booth. Additional outlets are available for $25.00 per day. Service Vendors are half price. Please let us know if you plan to place a 10 x10 teen in your space. We will do our best to give you the usual linear footage, but cannot guarantee this. BUFFET LUNCH AVAILABLE Thursday Saturday Includes: 2 Entrees ~ Sides ~ Desserts ~ Drinks Price: $12.00 ~ Time: 11:00 A.M. 2:00 P.M. Location : Arena Atrium Prior reservations not required DON T MISS All-Breed Agility Trials Thursday Sunday. Thursday & Friday. Saturday & Sunday Contact Event Secretary Laurene Galgano, P.O. Box 3070 Virginia Beach, VA Phone: (757) GoneDoggin@cox.net All dogs present must be held on leash or confined to their crates except when being judged. Indoor space for crating of entered dogs is available. Exhibitors and handlers will be responsible for clean conditions in and around their dogs crates. Exercise areas will be plainly marked Please clean up after your dogs This show giving club, the Show Superintendent, their agents, employees, etc. assume no responsibility for any loss, damage, or injury sustained by exhibitors, handlers, their dogs, or property and further assume no responsibility for injury to children. Hotels/Motels Accepting Dogs These hotels/motels have graciously agreed to accept our well mannered dogs. A pet deposit may be required. Please check with hotels/motels for current policies and restrictions. Accommodations. Sleep Inn, I85, Exit Copperfield Blvd, Concord, NC. Ask for Concord block. No pet fee. $89 (704) ) Newly renovated 100% Non Smoking Microwave and Fridge in all rooms America's Best Value,Exit 58, 2451 Kannapolis Hwy.Concord, NC.(704) Comfort Suites, Exit 49, 7800 Gateway Ln.,Concord, NC... (704) Days Inn, Exit 55, 5125 Davidson Hwy., Concord, NC... (704) Econo Lodge, Exit 58, 3100 Cloverleaf Pkwy., Concord, NC..... (704) Embassy Suites, Exit 49, 5400 John Q Harmons Dr. NW, Concord, NC. (704) Hampton Inn, Exit 60, 612 Dickens Pl. NE, Concord, NC......(704) Residence Inn by Marriott, Exit 49, 7601 Scott Padgett Pkwy.Concord, NC. Room Block until $99. $50 pet fee per room (704) Suburban Extended Stay Hotel, 7725 Sossaman Ln., Conc. NC. (704) Wingate by Wyndham I 85 Exit Gateway Lane, Concord, NC. Room Block held until. $89. $25 pet fee. ( ) Cabarrus County Convention and Vistors Bureau Weddington Rd. Ext., Suite # 102, Concord, NC. (704) IMPORTANT ANNOUNCEMENT: All hotels/motels listed in this premium list as accepting dogs are considered to be part of the show/trial site. An event committee hearing will be held for individuals reported by any of the above hotels/motels for not respecting motel property. Unattended dogs must be crated. Do not let your dog(s) destroy or foul the rooms. No grooming or bathing dogs in rooms. Clean up after your dog outside too! Limit barking and other noise. Please respect others. Plastic will be available at motel desk for use under all crates. For your protection, thoroughly check your room for previous damage before moving in. Report any previous damage to hotel before occupying room. Hotel quiet time: 10 p.m. 6 a.m. You are required to clean up after your dog at all of these motels and at the show site. Please crate your dogs while in the motel rooms. The future for using these motels for all dog sports is in your hands DPCC, GMKC and FKC do not guarantee availability at these motels. This club does not agree to arbitrate claims as set forth on the Official AKC entry form for this event.

5 Qualifying Scores Required for All Prizes Prizes for Doberman Pinscher Club of Charlotte, Inc. All Dogs with a Qualifying Score will receive a Dark Green Ribbon. Obedience / Rally Ribbon Prizes - Regular Classes First Prize Blue Rosette Second Prize Red Rosette Third Prize Yellow Rosette Fourth Prize White Rosette Highest Scoring Dog in Regular Classes Blue and Gold Rosette Highest Combined Score in Open and Utility Blue and Green Rosette Highest Combined Score in Rally Advanced B and Excellent B Blue and Green Rosette High Scoring Doberman Pinscher Official, 2 ½ Silvertone DPCA Medallion, featuring a Doberman Head on the Obverse and a Full Doberman Figure on the Reverse offered by the Doberman Pinscher Club of America, Inc. Prizes for Greater Monroe Kennel Club Greater Monroe Kennel Club offers a New Title Rosettes for each dog completing an Obedience/Rally Title at this trial. First Prize Blue Rosette Second Prize Red Rosette Third Prize Yellow Rosette Fourth Prize White Rosette Highest Scoring Dog in Regular Classes Blue and Gold Rosette Highest Combined Score in Open and Utility Blue and Green Rosette Highest Combined Score in Rally Advanced B and Excellent B Blue and Green Rosette Highest Scoring Dog in Regular Classes. Blue and Gold Rosette and GMKC rosette framed in shadow box frame offered by Greater Monroe Kennel Club Highest Scoring Dog in Open B and Utility Combined. Blue and Green Rosette and GMKC pewter place framed in shadow box frame offered by Greater Monroe Kennel Club. First in Each Obedience and Rally Class. Rosette and leash offered by Greater Monroe Kennel Club Second in Each Obedience and Rally Class. Rosette and dog toy offered by Greater Monroe Kennel Club. Prizes for Fayetteville Kennel Club All Dogs with a Qualifying Score will receive a Dark Green Ribbon. Obedience / Rally Ribbon Prizes - Regular Classes Highest Scoring Dog in Regular Classes offered by Dan Triece,potter, Dirt Works Pottery Hand Crafted Glazed stoneware Bowl Highest Combined Score in Open and Utility offered by Cathy Rubens Blue and Green Rosette Highest Combined Score in Rally Advanced B and Excellent B Blue and Green Rosette (HS - High Scoring Dog means either sex) PEMBROKE WELSH CORGIS The Palmetto PEMBROKE WELSH CORGI CLUB will support the entry of PEMBROKE WELSH CORGIS AT THIS SHOW. Trophies offered by members of Palmetto PWCC, Pat Barton; Melissa Ericksen; Miriam Mitchell; Phil Moore; Teresa Mulhausen; Dr. Felie Noeller, DVM; Cheryl Owens; Jim Rathbun; Janet Robinson; Rev. Dr. Cindy Taylor FRIDAY Highest Scoring Pembroke Welsh Corgi in Obedience Beginner Novice A or B Crate Pad offered by the Palmetto Pembroke Welsh Corgi Club. Highest Scoring Pembroke Welsh Corgi in Advanced Rally A or B Crate Pad offered by the Palmetto Pembroke Welsh Corgi Club. SATURDAY Highest Scoring Pembroke Welsh Corgi in Obedience Novice A or B Small Purina Towel & Treats offered by the Palmetto Pembroke Welsh Corgi Club Highest Scoring Pembroke Welsh Corgi in Rally Novice A or B Small Purina Towel & Treats offered by the Palmetto Pembroke Welsh Corgi Club SUNDAY Highest Scoring Pembroke Welsh Corgi Open A or B PWCCA Ornament offered by the Palmetto Pembroke Welsh Corgi Club. Highest Scoring Pembroke Welsh Corgi in Rally Excellent A or B PWCCA Ornament offered by the Palmetto Pembroke Welsh Corgi Club. This is a condensed form of the premium list as allowed by Chapter 6, Section 2a of The Rules Applying to Dog Shows. A list of obedience and rally prizes offered can be obtained by writing to the trial secretary. Direction to Trial Site If you are using GPS, use 4551 Old Airport Road, Concord, NC FROM THE SOUTH I-85 North to Exit 48 (I-485). Turn right on I-485 East continue to Exit 33 (Hwy. 49 N. Harrisburg) Take Hwy. 49 for approximately 13.5 miles; area will be on your left. FROM THE SOUTH I-77 North Take I-485 East continue to Exit 33 (Hwy. 49 N Harrisburg) Take Hwy. 49 for approximately 13.5 miles; area will be on your left. FROM THE NORTH I-85 South to Exit 60. Turn left on Dale Earnhardt/Copperfield Blvd go for approximately 1.5 miles. Take left at light and continue on NC 3 to US 601, Turn left on US 601 go approximately.05 mile and go left on NC 49 North. Go 3.2 miles; area will be on your left. FROM THE NORTH & WEST I-77 to Exit 25 (Hwy.73) East to US 29/Hwy 601. Turn right, go 2.2 miles, stay left and follow US601 to NC49 North. Turn left on NC 49 North. Go 3.2 miles; area will be on your left.

6 CAMPING RULES & REGULATONS Parking is solely at the applicant s own risk. The applicant by submitting this application waives any and all claims and cause of action against the, Doberman Pinscher Club of Charlotte, Inc., Greater Monroe Kennel Club, Inc., Fayetteville Kennel Club, Inc. and the Cabarrus Arena & Events Center and their employees, agents and volunteers related to loss of, or damage to the vehicle or its contents, including all claims and causes of action arising out of the negligence of such parties. The applicant agrees to indemnify the Doberman Pinscher Club of Charlotte, Inc., Greater Monroe Kennel Club, Inc., Fayetteville Kennel Club, Inc. and the Cabarrus Arena & Events Center, their employees, agents and volunteers for any and all loss by fire, theft or damage, or loss of personal property, or the loss or injury to the animals in the applicant s charge while on the event grounds or parking area. 1. NO REFUNDS NO EXCEPTIONS after October 29, Camping sites are at the discretion of the RV Committee. 3. All payments must be received with reservations. 4. Assignments of space will be at the discretion of RV Parking Committee. 5. With full hookups, center will provide electric, water hookup and dumps where/when available. Dump station will be available. You must bring appropriate power cable, adaptors and water hose, 100 feet suggested. 6. Vehicle and camping equipment must not extend beyond assigned space. 7. No reserving//saving of spots for other campers. 8. All motorized vehicles must have a valid state license plate. 9. No charge for tow vehicle. 10. No unauthorized golf carts, motorized bikes, skateboards, rollerblades, bicycles, scooters, etc., are permitted onsite. 11. Camping is permitted in designated campgrounds only. 12. Excessive drunkenness or lewd behavior will not be tolerated 13. No grounds fires, fire rings or open flame grills. 14. No firearms, dangerous weapons or fireworks permitted. 15. No soliciting or commercial sales permitted. 16. Parking pass must be affixed to the front right side/windshield and be visible at all times. 17. Pets are welcome at our camping facilities if they are leashed, cleaned up after and do not disturb the other guests. Pets are not allowed inside the arena restrooms (no exceptions). 18. No loud or boisterous activity after 11:00 P.M. until 6:00 A.M. 19. Please be aware of all carbon monoxide dangers that can be harmful to you or other guests. 20. Vehicle and generator exhaust MUST be expelled safely into roadways and not into adjacent campsites. 21. Please place trash in receptacles or dumpster provided by Cabarrus Arena & Events Center. 22. All exhibitors and guests will be responsible for maintaining the cleanliness of their spaces, or will be asked to vacate their space immediately. 23. No tent camping allowed. 24. No shower or restroom facilities. 25. No outside catering 26. No alcoholic beverages allowed outside RV/Camper. I have read and understand the above rules and regulation 2014 Speedway Classic of the Carolinas Fall Cluster RV RESERVATIONS Agility Obedience Conformation Please fill out and return it with you payment, as spaces are limited and strictly available on a first-come, first served basis. RV Parking is at the discretion of the RV Chairman/Committee. Name: Address: City: State: Zip: Phone: Vehicle Lic.# State: RV Unit Lic. # State: Total Length: #Slides: Driver Side Passenger Side: Date in: Date Out: Total# Nights RATE PER DAY: Full Hookups-Power Available 50 amps 30 amps 20 amps Advance reservations only taken for three nights and longer: Advance Reservations: Hookups: Water, electricity, 3 night Minimum $ Additional nights $ No Hookups: Your generator, No Water No Sewer, per unit/per night. $ (Full Hookups may be paid for at check in if available) No Advance Reservations (Cash Only) Hookups: Water, electricity, per unit/per night $ No Hookups: Your generator, No Water No Sewer, per unit/per night. $ Sewer is available in some places. Bring 100 feet of appropriate power cables, adaptors, water and sewer hoses. Dump station available. Payment must accompany order and must be received by October 29, 2014 Please make checks payable to GMKC Thank you for your interest in camping at Cabarrus Arena & Events Center. While camping at the Arena we would like for you to have a safe and enjoyable time. By signing below, you agree to the camping rules and regulations. Overnight Parking is available on the following dates: Wednesday November 12, 2014 through Monday November 17, Additional days will need to be communicated with RV Chairman. RV s coming in prior to 12:00 Noon on Wednesday, November 13, 2014 must make arrangements with RV Chairman. Please check-in upon arrival for your parking pass and assistance with RV parking. Your parking pass MUST be visible at all times. Check in without prior arrangements is from 12:00 Noon Wednesday to 10:00 P.M. Thursday thru Saturday 7:00 A.M. to 10:00 P.M. If you arrive after 10pm, no parking attendant will be available to park you. You must spend the night at the gate. Send payment payable to GMKC & reservation form to: John Schoeneman, RV Chairman 5361 Bedfordshire Ave Harrisburg, NC Phone: Schohaus1@aol.com NO REFUNDS NO EXCEPTIONS after October 29, Please sign and dated below and return to the RV chairman with the appropriate fee. The signature below constitutes agreement and affirmation by the applicant to the terms and conditions in the 2014 Camping Rules & regulations. Camper Signature: Date:

7 Breed 4 Variety 1 Obedience Class 2,3 OFFICIAL OBEDIENCE ENTRY FORM Thurs 11/13/2014 [ ] Rally [ ] Obedience Fri 11/14/2014 [ ] Rally [ ] Obedience Sat 11/15/2014 [ ] Rally [ ] Obedience Sun 11/16/2014 [ ] Rally [ ] Obedience Trial closes Oct 29, 2014 at 6:00 P.M. Entry fees $28.00 / $25.00; (includes $3.50 AKC recording fee for first entry & $3.00 for second entry same dog same day). Make checks payable to "Pawsome Results" and mail to: Ginger Robertson, 7 West Back St., Savannah, Ga IMPORTANT Read Instructions instructions relevant to the information needed in that box (PLEASE PRINT). Next, be sure to read the Agreement and sign on the reverse. No form will be processed without your signature! Additional Obedience Class 2,3 Jump Height Sex Additional Obedience Class 2,3 Additional Obedience Class 2,3 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). 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, A or B division. 3. A dog must be entered in the name of the person who actually owned it at the time entries for the dog is recorded in his/her name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.) 4. Dogs listed in the AKC Canine Partners SM Program may be eligible to enter all-breed AKC Obedience trials at the club s option. 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. Sire and Dam information shall remain blank for mixed breed entrants. Name of Junior Handler (If Any) Junior Handler Number AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: Full Name of Dog 4 AKC No. Enter number here Breeder Sire Dam Actual Owner(s) (Please Print) Owner s Address Foreign Reg No. Address (An acknowledgement or receipt of entry may be sent to this address) Name of Agent/Handler at the Show Place of Birth (Enter Country below) Do not print the country in catalog Date of Birth City State/Prov Zip/Postal Code Country (if not USA) Telephone # Are you a new exhibitor? Yes No AGREEMENT 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 any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the 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 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 person. I (we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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 THIS 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. Signature of owner or his agent duly authorized to make this entry: Telephone *** Be sure to read the Agreement and sign on the reverse. No form will be processed without your signature! *** AO9999 (01/14) v1.45p Edit