runs per day. Entries OPEN 8:00 AM 02/16/2015

Transcription

1 Premium List For The AKC All Breed Agility Trials Offering the FAST class Held by the Valle Del Sol Golden Retriever Club (Friday ( Friday) and Jumping Chollas Agility Club of Greater Phoenix (Saturday ( and Sunday) (Licensed by the American Kennel Club) This trial is open to dogs listed in the AKC Canine Partners Program Friday, April 3, AKC Event # Saturday, April 4, 2015 AKC Event # Sunday, April 5, 2015 AKC Event # Top Notch Canines 107 N. 57 th Dr. Phoenix, AZ CLASSES OFFERED All Standard, JWW, FAST and T2B Titling Classes (Regular and Preferred) will be offered Trial hours: 7 AM to 7 PM - This show will be held indoors 1 ring 80 x 100 Entries OPEN 8:00 AM 02/16/ LIMITED Entry: E 330 runs per day. CLOSE 6:00PM 03/18/2015 After which time entries cannot be accepted, canceled, altered or substituted except as provided for in Chapter 14, Section 6 of the Dog Show Rules Hand delivered entries will not be accepted until 02/18 18/ All entries received prior to 02/25/2015 will be returned. Entries accepted on a first received basis. A maximum of 10 entries per envelope will be accepted. Certification Permission is granted by American Kennel Club for the holding of this event under American Kennel Club rules and regulations. Mr. James P Crowley, Secretary All entries are to be received by the Trial Secretary Maida Liljedahl W. Denton Lane Phoenix, AZ mliljedahl@cox.net

2 Jumping Chollas Agility Club of Greater Phoenix President Billie A. Rosen 5830 W Thunderbird Rd #88 PMB Vice-President. Linda Jacobs 3120 N Carefree Hwy Phoenix, AZ Secretary. Yvette Cook 5202 S 39th St. Phoenix, AZ Treasurer Julie Grant POB Phoenix, AZ Trial Committee: Billie Rosen, Linda Jacobs, Yvette Cook, Maida Liljedahl Valle Del Sol Golden Retriever Club Officers President.. Sharon Rattler N 97th Ave. Sun City, AZ Vice-President. Bobbi Eller 1110 E Rosemonte Dr. Phoenix, AZ Secretary. Ruth Demar 1017 E Rockwood Dr. Phoenix, AZ Treasurer Charlie Gibson 7020 W Bloomfield Rd Peoria, AZ Trial Committee: Myra Judd, Bobbi Eller, Rona Love, Ruth Demar, Wendy Brishke, Sharon Rattler, Jetti Angelone, Charlie Gibson Judge Cynthia Blanton, (90980) PO BOX 546, 16 NIGHTHAWK HIGH ROLLS MOUNTAIN PARK, NM Friday: All Standard, JWW and Time to Beat Classes Saturday: All Standard, JWW and Time to Beat Classes Sunday: All Standard, JWW, Time to Beat and FAST Classes Entry Fees Please make checks payable to Maida Liljedahl, Each entry of each dog per day*...$19.00 a run Two days for same dog*.. 3 runs/day $100 Three day package for same dog*..3 runs/day $150 Junior handlers $12.00 a day or $5.00 a run *includes $3.50 AKC recording fee for first class, $3.00 for all other classes PLEASE BE ADVISED I CAN TAKE ONE CHECK MADE OUT TO Maida Liljedahl 24 HOUR CLINIC Emergency Animal Clinic, W. Rancho Santa Fe Blvd. Suite #101 Avondale, AZ 85392, , take 59 th AVE North to I-10 get off at Dysart Rod turn right on to Dysart turn right on to W Rancho Santa Fe Blvd. ABOUT THE FACILITY Top Notch Canines has indoor restrooms and excellent evaporative cooling throughout the warehouse. Additional fans will be placed to maintain optimal airflow in the crating area. If you wish to bring additional fans please plan on battery power. Practice area and rings feature Comfort King matting. The site is located in an industrial area. Outside areas are concrete or asphalt. If your dog has tender feet, boots to protect the feet from the hot summer surface may be warranted. Giving your dog a chance to get comfortable with boots prior to the show will make your first indoor show in Phoenix easier. There are two small areas to relieve your dogs; one is dirt and the other is on artificial turf. There is no place to throw a ball or other toy. You may wish to devise other games or tricks to warm up your dog prior to your runs. WARM UP AREA. A warm up area with a single practice jump will be provided outside on matting with canopies. If space permits a practice jump may be moved inside. 2

3 SPECIAL REQUEST To help protect the matting on the floor from the granite, grit and grime of Arizona we request that everyone clean and inspect the shoes they will be wearing and remove pebbles and pieces of granite since these may damage the flooring. It helps to wear another pair of shoes to the event and enter the building by walking on the all-wea weather mat to the kennel area. Once there you can sit down to change your shoes. IMPORTANT: : no dollies/carts inside the building. CRATING AREA: There will be adequate crating space for everyone as long as everyone plans ahead and doesn't use an excessive amount of space. Personal chairs will not be allowed in the crating area. Chairs are welcome in the spectator area. We have allowed for approximately 6 foot wide aisles in the crating area so dogs will not be in each other's faces when moving to and from the kennel area. Please keep an eye on your dog at all times. Please plan to stack crates if needed. Only soft sided kennels may be placed directly on the matting; all wire/metal kennels and X-Pens must be placed in the concrete section or on some type of rug, towel etc that will protect the mat from damage. Limited X-pens will be allowed but please only for 3 or more dogs. Some crating will be on the concrete, we cannot avoid it. Please plan to bring extra thick bedding in case your dog is crated in that area. NOTICE TO EXHIBITORS Exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create an unnecessary disturbance or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the trial committee, be asked to leave the show site. In such case, no refund of any fees paid will be made. Top Notch Canines, LLC and Valle Del Sol Golden Retriever Club and its agents, employees, etc., will assume no responsibilities for any loss, damage or injury sustained by exhibitors or handlers, or to any of their dogs or property and further assumes no responsibility for injury to children. Exhibitors are responsible for cleaning up after their dog(s): d Exhibitors are prohibited from relieving their dog on the property of neighboring businesses. Any exhibitor failing to do so may be excused without benefit of refund if the Trial Committee deems the exhibitor to be in violation of this requirement. Cleaning supplies and disposal sites will be available at various locations around the show grounds. Canine Health: Exhibitors should follow their veterinarian s recommendations to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. Arizona law requires rabies vaccine every 3 years. All dogs must be on leash at all times when on trial grounds except when in the designated warm-up area or competing on the course. We are in an industrial area and large semi-trucks frequent the area. Please watch your dogs! The judging will start promptly. During the hours of judging owners are to be on call and have their dogs ready to bring into the judging ring promptly in order that the judging will not be delayed. Dogs need only be present for the judging of their class. Dogs not needed for further judging may be excused. Please see your ed confirmation for judging start times. Do not leave dogs in closed vehicles!!! All persons attending this dog show hereby waive any claim for damages against Top Notch Canines LLC or anyone associated with Top Notch Canines LLC, in the event a motor vehicle must be entered to rescue a dog from overheating or suffocation due to improper ventilation. CONFIRMATIONS will be sent by only! Please include an address. Final confirmations will not go out until the show closes. PLEASE unblock my , mliljedahl@cox.net from your SPAM folder. I will be sending updates and other information thru . I will answer all s after 6pm Monday Friday. I do not have access to before that time. 3

4 OBSTACLES Obstacles will conform to current requirements of the Agility Rules and Regulations. Some of the contact equipment has a rubberized-coated surface in accordance with AKC specifications. Weave poles will have 24 spacing. Electronic timing will be used. Handlers in all classes are permitted to walk their course, without a dog, prior to the start of the class. The walk-through allows handlers to plan their strategy for running the course. A walk-through period will be held prior to each class. There will be no course familiarization for Novice handlers at this trial A warm-up area, consisting of one regulation agility jump, shall be provided for all exhibitors. Exhibitors may NOT use the warm-up area to relieve their dogs. ELIGIBILITY OF DOGS This trial is open to all dogs over the age of 15 months that are registered with the American Kennel Club, or are registerable breeds that have obtained an AKC or PAL/ILP number Dogs of a registerable breed with an acceptable foreign registration number are eligible to participate subject to Chapter 11, Section 1 of the Dog Show Rules. Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible. Bitches in season shall not be eligible to participate. EXHIBITOR INFORMATION The trial will be conducted under American Kennel Club Regulations for Agility Trials. For copies of the Regulations, write to The American Kennel Club, 8051 Arco Corporate Drive, Suite 100, Raleigh, NC or call (919) For a printed copy go to the following website Entries must reach the Trial Secretary by 6 PM MT, 03/18/ Fees must accompany entries. Exhibitors are responsible for complete, accurate and legible information on their entry forms. Entry fees are non-refundable except for bitches coming into season after the closing date will be eligible for a refund up to 75% of total entry fee paid. Waitlist: Valle Del Sol Golden retriever Club and Jumping Chollas Agility Club of Greater Phoenix is offering a wait list to fill openings created by withdrawn entries after the trial's closing date/time. A maximum of 15 entries will be placed on the club's wait list. All entries, including wait listed entries, must be received by the Trial Secretary on or before March 18, 2015 at 6:00 p.m. Any entries withdrawn by Sunday, March 29, 2015 at 6:00 p.m. will be replaced by a wait listed entry if any are available. Any wait listed entry that does not move off the wait list into the trial will receive a full refund. Returned checks and incomplete checks do not constitute a valid entry fee. The Trial Secretary will assess a collection fee of $30 in addition to the amount of each returned check. Subsequent entries from the same exhibitor may result in their being put on a cash-only basis It is the responsibility of the owner or his/her agent to enter the appropriate class. The trial secretary will not automatically change entries to conform to AKC rules. Dogs may not move between regular and preferred classes once the trial has closed. Move ups to a higher class will occur from Friday to Saturday and Saturday to Sunday. A move-up book will be at the show site on Friday at the ribbon table. The request must be made to the Trial Secretary no later than 4:00 PM each day. No pre-show move-ups after 6PM March 31, The judging will start at 8:30 am on Friday and 8 am other days: During the hours of judging owners are to be on call and have their dogs ready to bring into the judging ring promptly in order that the judging will not be delayed. Dogs need only be present for the judging of their class. Dogs not needed for further judging 4

5 may be excused. The safety of the dog is our primary concern: Any exhibitor entering this trial acknowledges that they are familiar with the rules and regulations of this sport and that their dogs are familiar with and a able to perform all of the obstacles safely. Height Cards: All exhibitors with permanent (regular and preferred) measurements for their dog must indicate they have a permanent card on their entry or show it at check in. Dogs without permanent height cards will be measured at the show. This includes those jumping 24 and 26. Your confirmation will tell you whether or not there will be a permanent measuring judge at the show. No glass containers are allowed on the property. No entry fee will be refunded if the trial 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 the control of the organizing committee. Awards First through Fourth place rosettes will be awarded in each class for each height division for qualifying scores. Qualifying ribbons will also be awarded to all dogs receiving qualifying scores. Double Q ribbons, beautiful MACH poles and MACH ribbons will also be awarded to those who earn them. We will use NCR sheets. We will also be awarding rosettes for new titles. All awards must be collected during the show. None will be held over or mailed. Awards will not be available until judges have reviewed the appropriate scribe sheets. Classes & Titles Offered Exhibitors have the option of entering EITHER the Regular classes OR the Preferred classes, but may not mix classes at any set of trials. Standard Novice Standard (NA), Open standard (OA), Excellent Standard (AX), MASTERs Standard (MX) Jumpers with Weaves Novice JWW (NAJ), Open JWW (OAJ), Excellent JWW (AXJ), MASTERs JWW (MXJ) FAST Novice FAST (NF), Open FAST (OF), Excellent FAST (AXF), MASTERs FAST (MXF) The regular Novice classes are divided into Divisions A and B. Division A if for dogs that have never acquired any AKC Agility title. Additionally, a dog entered in Novice A must be handled by a person that has never put an AKC Agility title on any dog, and the handler must be the Owner, Co- Owner, or a member of the Owner s household. Handlers that co-own a dog and have never put an AKC Agility title on a dog may enter the Novice A class regardless of the other co-owner s AKC Agility accomplishments. Dogs eligible for Novice A may be entered in the Novice B class at the discretion of the Owner. Division B for dogs that have acquired the Novice Agility title or the Novice Jumpers with Weaves (NAJ) title or for persons who have handled a dog to any AKC Agility title, and for dogs being handled by someone other than the Owner, Co-Owner, or household member subject to the restrictions listed above. A dog may continue to be shown in the Novice B Class until they have acquired a qualifying score towards their Open Agility (OA) title. Section 21. Entry of Ineligible Dog: A dog which has been entered in a Novice A class for which it is not eligible to be entered in due to class restrictions on the dog or handler may be moved to the Novice B class under the following conditions: The request for the move must be in writing and presented to the superintendent or trial secretary at least 30 minutes prior to the start of each trial. The request must state the reason and justification for the move from a Novice A class to the Novice B class. 5

6 Cross-Over from Regular to Preferred: Effective January 1st handlers have the option of showing their dogs in Preferred at the same equivalent level to where their dog is eligible to compete in Regular. For Example: -A MACH dog is currently showing in Novice Preferred Standard, having earned 2 qualifying legs. Anytime on/after 1/1/13, that dog may start competing directly in MASTER Preferred Standard. Upon having earned a qualifying leg in the MASTER Preferred Standard class, their cross-over shall be invoked and the previous, lower titles do not have to be completed. Preferred Standard Novice Preferred Standard (NAP), Open Preferred Standard (OAP), Excellent Preferred Standard (AXP), MASTER Preferred Standard (MXP) Preferred JWW: Novice Preferred JWW (NJP), Open Preferred JWW (OJP), Excellent Preferred JWW (AJP), MASTER JWW (MJP) Preferred FAST Novice Preferred FAST (NFP), Open Preferred FAST (OFP), Excellent Preferred FAST (AFP), MASTER Preferred FAST (MFP) Exhibitors have the option of entering EITHER the Preferred classes OR the Regular classes. Exhibitors may not mix Preferred and Regular classes at any set of trials. HEIGHT DIVISIONS The following jump height divisions shall be used in all Regular Titling trial classes: 8 inches...for dogs 11 inches and under at the withers 12 inches...for dogs 14 inches and under at the withers 16 inches...for dogs 18 inches and under at the withers 20 inches...for dogs 22 inches and under at the withers 24, 26 inches...for dogs over 22 inches at the withers The following jump height divisions shall be used in all Preferred Titling trial classes: 4 inches...for dogs 11 inches and under at the withers 8 inches...for dogs 14 inches and under at the withers 12 inches...for dogs 18 inches and under at the withers 16 inches...for dogs 22 inches and under at the withers 20 inches For dogs over 22 inches at the withers JUDGING SCHEDULE Tentative Running order Friday (4/3/ ): EXC/MASTER JWW, EXC/MASTER STD, EXC/MASTER T2B, OPEN T2B, NOV T2B, OPEN STD, NOV STD, OPEN JWW, NOV JWW Tentative Running order Saturday (4/4/ ): EXC/MASTER JWW, EXC/MASTER STD, EXC/MASTER T2B, OPEN T2B, NOV T2B, OPEN STD, NOV STD, OPEN JWW, NOV JWW Tentative Running order Sunday (4/5/ ): EXC/MASTER JWW, EXC/MASTER STD, EXC/MASTER FAST, OPEN STD, NOV STD, OPEN JWW, NOV JWW OPEN FAST, NOV FAST, EXC/MASTER T2B, OPEN T2B, NOV T2B Note that the class order is tentative and given as a courtesy to handlers, the Trial Chairman has the right to change the running order until Final Confirmations have been sent. WORKERS OUR CHIEF RING STEWARDS NEED LOTS OF HELP: FOR EVERY CLASS WE NEED 7 PEOPLE. SO PLEASE HELP. The Chief Ring Stewards will have a volunteer table set up. You can sign up to work at 6

7 the show. DIRECTIONS TO THE TRIAL SITE Top Notch Canines 107 N 57 Drive, Phoenix AZ Take I-10 to 59th Ave. exit. Take 59th Ave. South to Van Buren (2nd light) (0.6 mi). Take Van Buren East, not quite 0.2 miles to the first right which is 57 Dr. A little ways down (0.1 mi) on the left is the facility. If you go too far you will wind up at 107 S 57th Drive. Just turn around and come back to 107 NORTH. Do not pass Washington Street or the Parts MASTER Building. If you see either one - turn around For turn by turn from your location please use MapQuest or Google maps Motel Accommodations Make Your Reservations Early, this is tourist season. Owners are responsible for any damage and cleaning up after their dogs. Dogs must not be left unattended in motel rooms. Non-compliance may result in a bench show hearing. HOTEL ACCOMMODATIONS La Quinta Inn & Suites Phoenix I-10 West La Quinta Inn - Phoenix Arcadia La Quinta Inn Phoenix Thomas Road 4929 W. McDowell Rd Phoenix, AZ E Thomas Rd Phoenix, AZ N. Black Canyon Hwy. Phoenix, AZ (800) (602) (800) (602) (800) (602) Official American Kennel Club Entry Form for Agility Trial AKC Event No

8 Valle Del Sol Golden Retriever Club Kennel Club --Phoenix, AZ ENTRIES OPEN Monday 02/03/ AM, CLOSE Wednesday 03/19/2015 6:00 PM at Trial Secretary's address. Maida Liljedahl, Trial Sec. Fri, April 3, 2015 STD Class JWW Time 2 BEAT W. Denton Lane Phoenix AZ Make checks payable to Maida Liljedahl and mail to: 1914 W. Denton Lane Phoenix, AZ One check for all three days is acceptable. Do not send entries by any method that requires a signature for delivery. No faxed or ed entries will be accepted. Fees: $19.00 each class (same dog, same day). Package fees (same dog) 3 runs/2 days $100; 3 days/3 runs $150. You must sign the next page for this to be a valid entry. PLEASE PRINT CLEARLY I enclose $ for entry fees. PLEASE PRINT CLEARLY by checking this box I confirm I have a permanent jump height card with AKC Choose Either Regular OR Preferred Classes Circle one jump height, and circle class selections: Only one selection per class (STD, JWW, T2B) REGULAR Classes STD NOV A NOV B OPEN EXC MASTER JWW NOV A NOV B OPEN EXC MASTER T2B PREFERRED Classes STD NOV-P OPEN-P EXC-P MASTER-P JWW NOV-P OPEN-P EXC-P MASTER-P T2BP (IMPORTANT IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BERORE FILLING OUT) BREED or if MIXED BREED, YOU MUST LIST ONLY AS MIXED BREED VARIETY SEX HEIGHT AT WITHERS AKC REGISTER NAME (include AKC Titles only) AKC REG NO Enter number here AKC LITTER NO ILP OR PAL NO FOREIGN REG NO & COUNTRY BREEDER DATE OF BIRTH AKC Junior Handler # PLACE OF BIRTH USA Canada Foreign SIRE DAM ACTUAL OWNER(S) OWNER'S ADDRESS CITY STATE ZIP HANDLER (Junior Handler see back) CALL NAME NEW ADDRESS 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 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 8

9 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 negligence of the aforementioned parties or any of their employees or 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, INTREPRETATION 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. 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? 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 forgoing 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. SIGN HERE X Telephone Number: Address: New In Case of Emergency - Name: Phone #: AEAGL2 (09/12) 9

10 Official American Kennel Club Entry Form for Agility Trial AKC Event and Jumping Chollas Agility Club of Greater Phoenix ENTRIES OPEN Monday 02/16 16/ AM, CLOSE Wednesday 03/18/2015 6:00 PM at Trial Secretary's address Maida Liljedahl, Trial Sec. Sat, April 4, 2015 STD Class JWW 1914 W. Denton D Lane Sun, April 5, 2015 STD Class JWW FAST Time 2 BEAT Phoenix AZ Make checks payable to Maida Liljedahl and mail to: 1914 W. Denton Lane Phoenix, AZ Do not send entries by any method that requires a signature for delivery. No faxed or ed entries will be accepted. Fees: $19.00 each class (same dog, same day). Package fees (same dog) 3 runs/2 days $100; 3 days/3 runs $150. You must sign the next page for this to be a valid entry. PLEASE PRINT CLEARLY I enclose $ for entry fees. PLEASE PRINT CLEARLY by checking this box I confirm I have a permanent jump height card with AKC Choose Either Regular OR Preferred Classes Circle one jump height, and circle class selections: Only one selection per class (STD, JWW, FAST T2B) REGULAR Classes STD NOV A NOV B OPEN EXC MASTER JWW NOV A NOV B OPEN EXC MASTER FAST NOV A NOV B OPEN EXC MASTER T2B PREFERRED Classes STD NOV-P OPEN-P EXC-P MASTER-P JWW NOV-P OPEN-P EXC-P MASTER-P FAST NOV-P OPEN-P EXC-P MASTER-P T2BP (IMPORTANT IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BERORE FILLING OUT) BREED or if MIXED BREED, YOU MUST LIST ONLY AS MIXED BREED VARIETY SEX HEIGHT AT WITHERS AKC REGISTER NAME (include AKC Titles only) AKC REG NO Enter number here AKC LITTER NO ILP OR PAL NO FOREIGN REG NO & COUNTRY BREEDER DATE OF BIRTH AKC Junior Handler # PLACE OF BIRTH USA Canada Foreign SIRE DAM ACTUAL OWNER(S) OWNER'S ADDRESS CITY STATE ZIP HANDLER (Junior Handler see back) CALL NAME NEW ADDRESS AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, 10

11 AGREEMENT I (we) agree that the club holding this event has the right to refuse 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 negligence of the aforementioned parties or any of their employees or 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 I ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTREPRETATION 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 PLICABLE 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. 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? 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 forgoing 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. SIGN HERE X Telephone Number: Address: New In Case of Emergency - Name: Phone #: AEAGL2 (09/12) 11