Two Days 4 FAST CATs May 27 & 28, 2017 Misty Rivers Plantation 117 Cross Dike Road, Puget Island, Cathlamet, WA 98612

Transcription

1 PRE-ENTRIES CLOSE 9:00 P.M., WEDNESDAY, MAY 27, Palm Creek Road, Clatskanie, OR DAY OF TRIAL ENTRIES CLOSE: Last entries for FAST CAT (#1) close at 8:30 AM Last entries for FAST CAT (#2) close at 9:00 AM At the Secretary s Table: Misty Rivers Plantation, Cathlamet, WA Licensed by the American Kennel Club Two Days 4 FAST CATs May 27 & 28, 2017 Misty Rivers Plantation 117 Cross Dike Road, Puget Island, Cathlamet, WA Saturday, May 27: Event (AM) Event: (PM) Sunday, May 28: Event (AM) Event (PM) PLEASE NOTE THERE IS A LIMIT OF 50 DOGS PER TEST PRE-ENTRY IS STRONGLY RECOMMENDED Entry fees: Pre-Entry: $15.00 each hound Day-of-trial: $20.00 each hound LICENSED BY THE AMERICAN KENNEL CLUB Permission has been granted by The American Kennel Club for the holding of this event under American Kennel Club Rules and Regulations. James Crowley, Secretary

2 WILLAMETTE VALLEY BASENJI CLUB OFFICERS President... Terry Jones Vice-President... Dana Macdonald Secretary/Treasurer... Jackie Jones Board Members... Teri Cuzzetto, Kathy Britton, Bob Newton Event Secretary Jackie Jones, Palm Creek Road, Clatskanie, Or or phone: Emergency Contact on the field, FIELD COMMITTEE: Field Chairman Kathy Britton Asst. Field Chairman Donna Lubbe Field Secretary... Jackie Jones Asst. Field Secretary... Donna Lubbe Lure Operator...Kathy Britton, Terry Jones, Julie Leicht Hunt Master... Julie Leicht, Lynna Campbell, Kathy Britton, Gretchen Howell Paddock... Donna Lubbe, Cindi Gross, Lynna Campbell, Julie Leicht Inspection Committee... Cindi Gross, Donna Lubbe... Kathy Britton, Lynna Campbell, Julie Leicht Event Saturday & Sunday FAST CAT #1 AM FAST CAT #2 PM Hours 8:00 am to 10:00 AM 8:30 AM to 12:00 PM Day of Test Entries Accepted Until 8:00 AM Until 9:00 AM Rolling Inspection Rolling inspection begins at 8:15 AM Rolling inspection begins at 9:15 AM Start 8:30 AM 9:45 AM ** Early inspection may not begin prior to published trial hours ** Entries accepted until closing on day of trial. Late, incomplete, unsigned, or conditional entries will not be accepted. Those wishing confirmation must include their address on their entry forms. Entries WILL NOT be acknowledged by mail or telephone. NOTE: Running order will be random selection

3 Fast CAT is open to all dogs 12 months of age or older that are individually registered/listed with the AKC registration as purebreds, Foundation Stock Service (FSS) dogs, Purebred Alternative Listing (PAL) dogs and AKC Canine. Coursing is an athletic activity that can tax a dog s physical strength. Dogs that are overweight and/or out of condition may be at greater risk for injury and exhaustion. The Inspection Committee has the authority to disallow a dog s entry into a test, and in such instances, applicable entry fees will be refunded. FAST CAT The FAST CAT is a timed straight race of 100 yards where a dog chases a lure. Dogs are run singularly and earn points based on their handicapped speed. There are no placements. Titles are issued at designated benchmarks. The dog s time to complete the 100 yard dash is converted into MPH. Dogs earn points based on their handicapped speed. A handicap system is applied to a dog s MPH to determine the number of points earned. The handicap system is based on the height of the dog at its withers: 18 or greater = handicap is up to less than 18 = handicap is 1.5 Below 12 = handicap is 2.0 Points = MPH multiplied by the dog s handicap Titles are earned by accumulating points. The following titles will be awarded: BCAT = 150 points DCAT = 500 points FCAT = 1,000 points FCAT# = every addl. 500 pts. Top 20 by Breed by Year: The AKC Fast CAT website will feature the Top 20 Fastest Dogs by Breed by Year national standings. The standings will be updated as event results are processed. RIBBONS: Qualifying Course = Orange Ribbon A New Title Rosette will be given for each Coursing Ability Title earned.

4 ALL DOGS RUN AT OWNERS SOLE RISK All entries must be 12 months of age or older on the day of the test. Each dog requires an individual entry form for each event in which it is entered Entries will not be accepted without fees, signatures, or the Agreement found on the Official AKC Entry Form Bitches in season and lame dogs will be excused. Entries will be refunded Mixed breeds must be spayed or neutered to be eligible to run. AKC registered dogs with breed disqualifications may be entered. Coursing is an athletic activity that can tax a dog s physical strength. Dogs that are overweight and/or out of condition may be at greater risk for injury and exhaustion. The Inspection Committee has the authority to disallow a dog s entry into a test, and in such instances, applicable entry fees will be refunded A $5.00 fine will be assessed for any loose dog on the field that is not competing in the course in progress Battery powered, continuous loop equipment will be used. Lures consist of white plastic Exhibitors should follow their veterinarian s recommendation to assure their dogs are fee of parasites, any communicable diseases and have appropriate vaccinations. The Huntmaster is responsible for field safety and therefore he/she is in complete charge of all dogs and handlers on the field. In service to this responsibility, he/she has the authority to stop the lure in any potentially dangerous situation and signal the handler to retrieve a testing dog. The field committee reserves the right to bar known aggressive dogs from the trial site. Persons exhibit conduct detrimental to the AKC/WVBC/any dog(s)/other person(s) will be asked to leave the trial site. Bring your own shade and water No entry fees will be refunded if the event cannot be started or completed by reason of riots, civil disturbances, fire, extreme and/or dangerous weather conditions, an act of God, public emergency, act of a public enemy, strikes or any other cause beyond the control of the Club or its members and representatives. The event-hosting club, its agents, members, representatives, volunteers, etc, assume no liability or responsibility for any loss, damage or injury sustained by exhibitors, handlers, or to any of their dogs or property and further assumes no responsibility for injury to children or spectators before, during, or after this event.

5 Enroll your AKC Canine Partner Mixed-breed dogs, or dogs that are otherwise ineligible for AKC registration, can be enrolled with the AKC Canine Partners listing. Payment for this listing is in addition to the CAT entry fee. WVBC Event Secretary will have forms available at the event or they can be found on the AKC website at: ACCOMMODATIONS THAT ACCEPT WELL BEHAVED DOGS : Full service RV park: Marv s RV Park & Mobile Home Court, 266 State Route 4, Cathlamet, WA. (360) o Along Hwy. 4 just East of Cathlamet Aladdin Motor Inn (Best Western), 310 Long Avenue, Kelso, WA. (360) Rob s Retreat, Cathlamet (360) o Two quaint little cabins just up the road! Budget Inn, 1808 Hemlock Street, Longview, (360) Motel 6, 106 N Minor Rd, Kelso, (360) Westport Motel, Hwy 30, Westport, OR (503) o o Take a short ferry ride across the river into Oregon HIGHLY RECOMMENDED BY THE BRAWNS and dogfriendly! EMERGENCY VETERINARY SERVICES: Valley Vet Ocean Beach Veterinary Clinic Hwy Ocean Beach Hwy., Rainier, WA Longview, WA (503) (360)

6 HOME OF MISTY RIVERS PLANTATION The lure coursing field at Misty Rivers Plantation is flat and mown. It is surrounded on two sides by a slough and fenced on the other two sides. Non-potable water is available at the site. Local food services are limited to small grocery stores and a few local restaurants. Come prepared with SHADE and WATER. DIRECTIONS TO MISTY RIVERS PLANTATION By Way of I-5 North and South Off of I-5 take Exit 39 West toward Kelso/Longview 0.2 miles. Turn LEFT onto Allen St/WA-4. Continue on Allen St 0.9 miles. Allen St. becomes W Main St. 0.2 miles. Turn Left onto W. Cowlitz Way / Wa 4 less than 0.1 mile. Turn Slightly Right onto Ocean Beach Hwy / Wa 4 go.25.2 miles. Turn Left onto Main St / WA 409. Continue to follow WA 409 for 2.0 miles. Turn Right onto W. BERNIE SLOUGH RD 0.8 miles. Turn Left onto Cross Dike Rd after 0.7 miles. End at 117 Cross Dike Rd. Off of Highway 30 West from Portland Wahkiakum Ferry In Westport Turn SLIGHT RIGHT onto WESTPORT FERRY RD. 0.3 miles. WESTPORT FERRY RD becomes WAHKIAKUM FERRY (Check ferry schedule/fares) 1.3 miles. WAHKIAKUM FERRY becomes WA miles. Turn Left onto W. BERNIE SLOUGH RD. 0.8 miles. Turn Left onto CROSS DIKE RD. 0.7 miles. Left at 117 Cross Dike Rd. Times for taking the ferry to/from the field: Westport Puget Island = 15mins AFTER THE HOUR Puget Island Westport = ON THE HOUR

7 THERE WILL BE LIMITED CAMPING ON SITE. All persons with onsite overnight parking MUST park in designated parking area. Stop at the gate for instructions. ANYONE DRIVING OR PARKING IN A NON-DESIGNATED AREA WILL BE FINED. THERE WILL NOT BE ELECTRICAL HOOK-UPS ON-SITE. The overnight and day parking is a privilege extended by the WVBC, Inc. and Howard & Judy Brawn. They reserve the right to withdraw this privilege from any person(s) who feel they cannot abide by the rules or resort to abusive language and/or other tactics. Any vehicle whose driver or occupant uses abusive language, argues with parking personnel or attempts to circumvent the rules and regulations will be asked to leave and is subject to an Events Committee hearing. All parking is at your own risk. If you park in a no parking area you will be towed at the owner s expense. The Willamette Valley Basenji Club, Inc., Howard & Judy Brawn, and the Parking agents assume no responsibility for theft, fire and/or damage to any vehicle or its cargo. NAME: ADDRESS: THIS IS NOT A GUARANTEE OF A PARKING SPACE. CITY: STATE: ZIP: HOME PHONE: [ ] CELL PHONE: [ ] VEHICLE TYPE [ ] CAR [ ] VAN/TRUCK & TRAILER [ ] MH [ ] THURS. NIGHT [ ] FRI. NIGHT [ ] SAT. NIGHT BREEDS:

8 TIPS FOR HANDLERS 1. The field is fenced. However, it is strongly recommended that prior to running your dog, you have good recall control over your dog, as the dogs will be off leash. 2. Handlers should wear comfortable, sturdy shoes (no sandals or flip flops, please!) and be physically able to hold and release their dogs, as well as catch them. 3. Handlers may carry toys or treats on their persons to assist with retrieving their dog at the completion of their run. 4. Dogs will be brought to the start line on leash and released only upon a verbal signal ( Tally-Ho! ) from the Huntmaster. Dogs may be released by hand, folded leash or using a traditional lure coursing slip lead, 5. The Huntmaster will instruct the handler to Retrieve your dog upon completion of the run. The handler is expected to promptly secure the dog and leave the field with the dog on leash. 6. Handlers are advised to warm up their dogs prior to their run and walk them for about 10 minutes afterwards. 7. Lure coursing is a physically demanding sport so please make sure your dog is in good shape. If you are not sure, make an appointment with a veterinarian to get an opinion. 8. Any person, upon reasonable complaint, may be asked to leave the grounds of the test by the Field Committee and may be disciplined by the AKC. Children must be under control of their parents or guardian(s) at all times Neither Willamette Valley Basenji Club (WVBC) nor its members, will be responsible for any accidents at these coursing ability tests.

9 Saturday/Sunday Course Diagram The FAST CAT course is a 100-yard straight race. NOTE NOT DRAWN TO EXACT SCALE WVBC reserves the right to alter the course as required by weather and/or field conditions on the day of the trial. Any changes would be posted at the Trial Secretary table.

10 OFFICIAL AMERICAN KENNEL CLUB LURE COURSING ENTRY FORM Club: WILLAMETTE VALLEY BASENJI CLUB Date: / / Location: MISTY RIVERS, CATHLAMET, WA Event type: SUN tests SAT tests I Enclose Entry fees in the amount of: $ Class: FAST CAT #1 FAST CAT #2 Breed: Size/Type Dog: Under 12 Over 12 & less than 18 Over 18 Breeder: Reg. No: Sex: D.O.B.: AKC No. AKC Canine Partner PAL/ILP No Foreign # (list country) Full Name of Dog: Call Name: Sire: Dam: Actual Owner(s): Owner s Address: City: State: Zip: Name of Owner s Agent/Handler (if any at Trial: AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: AGREEMENT I CERTIFY that I am the actual owner of this 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 trial, and by any additional rules and regulations appearing in the premium list for this trial, and entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. The entry is submitted for acceptance on the foregoing representation and 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 prize money, 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 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 form 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 there from, 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 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 the entry: Telephone: Address:

11 E (for club use only) Owner Name: Enrollment Application Address: City: State: ZIP: Phone: Alternate Phone: Dogs must be Spayed or Neutered Dog Name: Sex: Male Female Dog Date of Birth (Month/Day/Year): Breed 1: Date Dog Joined Your Family: Breed 2 (if applicable): Color: Black Orange Gray Blue Red White Brown Tan Tri Color Yellow Markings: Brindle Speckled Parti-Color Merle Spotted Solid Three ways to pay! Submit this completed enrollment form, along with your $19.00 payment (made payable to AKC), to your Event Organizer. Payment for Canine Partners enrollment must be separate from event fees for competition. Credit Card (be sure to complete the Credit Card authorization below) Cash Check (make checks payable to American Kennel Club) Visa MasterCard American Express Discover Account Number (no dashes) Exp. Date / Signature: Printed Name of Cardholder:

12 **ONE ENTRY** REQUIRED FOR EACH TEST EACH DAY!! ~ ~ ~ Make checks payable to WVBC ~ ~ ~ We are now able to take credit cards for D.O.T. entries. ENTRY FEE: All pre-entries in which a dog is entered is $ All Day-of-Trial entries are $ CLOSING DATE for pre-entries is 6:00 p.m., Wednesday, May 24, PAYPAL WVBC is now able to accept completed and signed entries via with a PAYPAL entry fee conformation. Please include a $1.00 fee for EACH ENTRY. Send entry via PRIOR to closing along with PAYPAL confirmation number. entries will not be accepted without PAYPAL confirmation. For all PAYPAL entries fees, use the address: WVBASENJICLUB@GMAIL.COM ENTRY FORMS WITH PAYPAL CONFORMATION NUMBER TO: WVBASENJICLUB@GMAIL.COM MAIL ALL ENTRIES WITH FEES to: WVBC, Field Secretary; Palm Creek Road, Clatskanie, OR questions: wvbasenjiclub@gmail.com Telephone: [503] HAND DELIVERIES ONLY WILL BE ACCEPTED ON CLOSING DATE, AT: Palm Creek Road, Clatskanie, OR Overnight or Priority delivery MUST have the signature waiver signed, so they can be left without a signature. NO SPECIAL TRIPS TO THE POST OFFICE WILL BE MADE TO PICK UP MAIL THAT REQUIRES A SIGNATURE. Acknowledgements of entries will be made as soon as possible after entries have closed. Should such acknowledgement not be received by the exhibitor within a reasonable time please notify the Show Secretary at the address noted above, or telephone [503] , wvbasenjiclub@gmail.com. MAKE ALL CHECKS payable, in US Funds, to the WVBC. WVBC INSUFFICIENT FUNDS POLICY - Any checks to the WVBC and/or Show Secretary returned for Insufficient Funds, must be paid in cash or money order for the NSF amount plus bank fees. If the debt is not paid in full within 60 days of bank processing, the check writer will be unable to enter any WVBC events until the debt is cleared. Entries will NOT be accepted from any exhibitor that owes any amount of monies to the Club.

13 OFFICIAL AMERICAN KENNEL CLUB LURE COURSING ENTRY FORM Club: WILLAMETTE VALLEY BASENJI CLUB Date: / / Location: MISTY RIVERS, CATHLAMET, WA Event type: SUN tests SAT tests I Enclose Entry fees in the amount of: $ Class: FAST CAT #1 FAST CAT #2 Breed: Size/Type Dog: Under 12 Over 12 & less than 18 Over 18 Breeder: Reg. No: Sex: D.O.B.: AKC No. AKC Canine Partner PAL/ILP No Foreign # (list country) Full Name of Dog: Call Name: Sire: Dam: Actual Owner(s): Owner s Address: City: State: Zip: Name of Owner s Agent/Handler (if any at Trial: AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: AGREEMENT I CERTIFY that I am the actual owner of this 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 trial, and by any additional rules and regulations appearing in the premium list for this trial, and entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. The entry is submitted for acceptance on the foregoing representation and 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 prize money, 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 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 form 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 there from, 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 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 the entry: Telephone: Address:

14 PLAN TO ATTEND IN 2017 Spring All-Breed AKC CATs & FAST CATs TWO CATs and Fast CATs EACH DAY!! Puget Island, Cathlamet, WA DATE: May 27-28, 2017 All-Breed AKC JC/QC TESTS & LURE TRIALS Puget Island, Cathlamet, WA SATURDAY/SUNDAY, June 10-11, 2017 Pre-Entries close: Weds., 06/07/17 WVBC Summer Specialty Show* Red Sunset Park; Gresham, OR FRIDAY, July 21, 2017 Entries close: Wednesday, 07/05/17 Fall All-Breed AKC CATs & FAST CATs* TWO CATs and Fast CATs EACH DAY!! Puget Island, Cathlamet, WA DATE: SAT-SUN 9/30/17-10/01/17 Entries close: Wednesday, 09/27/17 All-Breed AKC JC/QC TESTS & LURE TRIALS* Puget Island, Cathlamet, WA SATURDAY/SUNDAY, Oct. 7-8, 2017 Pre-Entries close: Weds., 10/04/17 See for more details. *Pending AKC approval.

15 OFFICIAL AMERICAN KENNEL CLUB LURE COURSING ENTRY FORM Club: WILLAMETTE VALLEY BASENJI CLUB Date: / / Location: MISTY RIVERS, CATHLAMET, WA Event type: SUN tests SAT tests I Enclose Entry fees in the amount of: $ Class: FAST CAT #1 FAST CAT #2 Breed: Size/Type Dog: Under 12 Over 12 & less than 18 Over 18 Breeder: Reg. No: Sex: D.O.B.: AKC No. AKC Canine Partner PAL/ILP No Foreign # (list country) Full Name of Dog: Call Name: Sire: Dam: Actual Owner(s): Owner s Address: City: State: Zip: Name of Owner s Agent/Handler (if any at Trial: AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: AGREEMENT I CERTIFY that I am the actual owner of this 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 trial, and by any additional rules and regulations appearing in the premium list for this trial, and entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. The entry is submitted for acceptance on the foregoing representation and 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 prize money, 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 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 form 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 there from, 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 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 the entry: Telephone: Address:

16 WVBC FIELD SECRETARY Jackie Jones Palm Creek Road Clatskanie, OR DATED MATERIAL PLEASE RUSH! Pre-Entries ENTRIES CLOSE MAY 24, 2017!