Mt. Nittany Dog Training Club AKC Licensed Agility Trials

PREMIUM LIST Mt. Nittany Dog Training Club C/O Jennifer Eger 948 Bear Wallow Road Duncansville, PA 16635 Mt. Nittany Dog Training Club AKC Licensed Agility Trials February 5, 6, 7-2010 - Random Draw Penn State, Snider Agricultural Arena 400 Porter Road, University Park, PA 16802 Trial will be Indoors on Packed Dirt Trial hours 7:00am to 7:00pm INDOOR /all breeds/ Friday: EXCELLENT CLASSES ONLY Saturday: ALL STD, JWW Sunday: ALL STD, JWW FAST CLASS NOT OFFERED PROOF OF RABIES NEEDED FOR ENTRY NO EXCEPTIONS Limit : 330 Runs Each Day Entries Open: November 21, 2009, 8:00 AM RANDOM DRAW METHOD Draw Period Closes: December 11, 2009, 12:00 PM Draw Date: December 12, 2009, 2:00 PM St. Paul Lutheran Church 277 W. Pine Grove Road, Pine Grove Mills, PA 16868 Entries Close: January 16, 2010, 5:00 PM at the Trial Secretary s home, after which time entries cannot be accepted, cancelled, or submitted except as provided for in Chapter 14, Section 6 of the Dog Show Rules. FRI: 10:45 AM Judges Briefing/Walk thrus Judging Starts 11:00 AM SAT, SUN: 8:15 AM Judges Briefing/Walk thrus - Judging Starts 8:30 AM ENTRY FEES The entry fees are $22 for the first class and $11 second entry same dog same day (includes AKC recording fee - $3 per entry.) All express mail must be marked NO SIGNATURE REQUIRED. Maximum of ten entries per envelope. Event # 2010219101 Event # 2010219102 Event # 2010219104 American Kennel Club Certification Permission is granted by the American Kennel Club for holding this event under American Kennel Club Rules and Regulations. James P. Crowley, Secretary

OFFICERS OF THE MT NITTANY DOG TRAINING CLUB P.O. Box 315, Boalsburg, PA 16827 President: Tracey Dooms: 2411 Park Center Blvd., State College, PA 16827 (814) 867-3507 Vice Pres.: Kim Blyler: P.O. Box 32, Millmont, PA 17845 (570) 922-4114 Secretary: Melanie Eng: Box 94, Pine Grove Mills, PA 16868 (814) 237-7918 Treasurer: Kathy Huey: 145 Huey Lane, Spring Mills, PA 16875, (814) 364-1296 TRIAL SECRETARY TRIAL CHAIR Jennifer Eger Karen Keller 948 Bear Wallow Road P.O. Box 343 Duncansville, PA 16635 Centre Hall, PA 16828 (814) 696-0774 814-364-9467 agilitysecretary@atlanticbb.net karpediemaussies@comcast.net Assistant Secretary Assistant Chair Howard Etzel Trish Alexander BOARD OF DIRECTORS Craig Bohren, Roberta Horner, Richard Olsen, Karen Keller AGILITY TRIAL COMMITTEE Karen Keller, Trish Alexander, Tracey Dooms, Kathy Huey, Elaine Swancer JUDGE Kimberly Reeher: 107 Kenlane Street, Greensburg, PA 15601 JUDGE: Friday Saturday Sunday Kimberly Reeher STD Excellent JWW - Excellent JWW Exc, Open, STD Exc, Open, STD Exc, Open, JWW Exc, Open, NOTE: Judge is a VMO (Volunteer Measuring Official). VETERINARIAN ON CALL Centre Animal Hospital 1518 West College Avenue State College, PA 16801 814-238-5100 Visit our club s website for trial information: www.mndtc.org VOLUNTEER FORM We need your help to continue the success of our trials. If you can volunteer and are experienced in any of the following positions, please fill out the form below and send it in with your entry forms. Name: Phone: E-MAIL: Please list each class you are entered in : CLASS STD JWW LEVEL Ex, Op, Nov DAYS JUMP HEIGHT ENTERED FRI SAT SUN 4 8 12 16 20 24 26 FRI SAT SUN 4 8 12 16 20 24 26 Please check which jobs you have experience in and are willing to help with: Job Description Experienced Willing To Learn SCRIBE ASSISTANT SCRIBE TIMER GATE STEWARD RING CREW COURSE BUILDER LEASH RUNNER SCORE SHEET RUNNER SET-UP CLEAN-UP OTHER (please specify) Thank you to all who have volunteered their time to help our trial run efficiently. Worker questions contact Karen Keller karpediemaussies@comcast.net

ACCOMMODATIONS Hotels: Days Inn Penn State -- 240 S Pugh St., State College, PA 16801 (814) 238-8454 Selgate House Bed & Breakfast -- 176 Armagast Rd., Bellefonte, PA 16823 (814) 353-1102, (877) 313-1102 Super 8 -- 1663 S. Atherton and Branch Rd. (Business Rte. 322), State College, PA 16801 (814) 237-8005. Autoport Motel -- 1405 S. Atherton St. (Business Rte. 322), State College, PA 16801 (814) 237-7666 Quality Inn -- 1274 N. Atherton St. (Business Rte. 322), State College, PA 16801 (814) 234-1600 Nittany Budget Motel -- 2070 Cato Avenue, State College, PA 16801 (814) 238-0015 Ramada Milesburg -- 971 North Eagle Valley Rd., Milesburg, PA 16853 (814) 355-7521 BOOK EARLY AS THERE MAY BE OTHER EVENTS IN AREA DUE TO ACTIVITIES OF PENN STATE UNIVERSITY. No overnight camping on site. All RVs must be moved off site each evening. RANDOM DRAW Entries accepted no sooner than November 21, 2009 at 8 a.m.; finish date for entry into the random draw opening period is December 11, 2009 at 12:00 p.m. Random draw will be held on December 12, 2009 at 2 p.m., at the St. Paul Lutheran Church, 277 W. Pine Grove Road, Pine Grove Mills, PA 16868. Entries close January 16, 2010 at 5 p.m. If entry limits are not reached during the opening period, they will be filled on a first received basis until the closing date. Entries for a maximum of ten (10) dogs are allowed in each envelope submitted to the Trial Secretary for the random draw. Envelopes containing entries for more than 10 dogs shall be treated as an invalid entry and will be returned. In the event an envelope is drawn that contains entries that would exceed the entry limit, there will be a random draw of the individual entries contained therein to fill the specified entry limit. If the entry limit is reached during the draw, all remaining entries shall be drawn for a position on the waitlist. All Random Draw rules and regulations as they appear in Chapter 1, Section 16 of the Regulations for Agility Trials shall apply. VENDORS: Contact Linda Arble 814-364-2254 Email: k9energeticmasq@verizon.net REFUNDS No entry fees will be refunded if the trial cannot open or be completed by reasons of riots, civil disturbance, fire, act of God, public emergency, act of a public enemy, or any other causes beyond the control of the organizing committee. Entry fees shall not be refunded in the event that a dog is absent, disqualified or excused by a judge, or barred from competition by action of the Trial Committee. REFUNDS FOR BITCHES IN SEASON Less $4.25 per run, will be given. REFUNDS FOR INJURED DOGS OR HANDLERS, Less $7.25 per run, will be given. Request must be submitted to trial secretary one half (½) hour or more prior to judging. A written physician excuse or vet excuse on official letterhead will be the only acceptable method. CLASSES AND DIVISIONS CLASS STANDARD JUMPERS WITH WEAVES REGULAR A & B, Open, Exc A & B A & B, Open, Exc A & B PREFERRED, Open, Exc A & B, Open, Exc A & B Please see the AKC Regulations for Agility Trials for current class descriptions. Dogs must be entered only in Regular Classes or Preferred Classes with no crossover between them allowed at the same set of trials. FOR MORE INFORMATION ABOUT CLASSES, RULES ETC.: GO TO: http://www.akc.org/pdfs/rulebooks/reagil.pdf HEIGHT DIVISIONS Owners / Agents are responsible for entering the proper height divisions. All Height divisions will be offered in both the Standard classes and the Jumpers With Weaves classes. Regular Exhibitors may choose to enter their dog in a higher height division than required by AKC, but not in a height division lower than the AKC mandated height. Preferred The following jump heights specified for Preferred must be used in all Preferred Classes. Regular Preferred Dogs 11 inches and under at the withers 8 inches 4 inches Dogs 14 inches and under at the withers 12 inches 8 inches Dogs 18 inches and under at the withers 16 inches 12 inches Dogs 22 inches and under at the withers 20 inches 16 inches Dogs over 22 inches at the withers 24 inches 20 inches Dogs may be entered at owner discretion 26 inches There will be NO contact familiarization for classes RING SIZE 75 X 110

PRIZES We give ribbons for placements, MACH, PAX, new titles, and qualifying runs. Those placing MUST earn qualifying scores. MOVE UP REGULATIONS If a dog earns an agility title before this event, it can be advanced to the next level of competition. However, written notice (Email preferred) MUST be given to the Trial Secretary no later than 6PM, the Monday BEFORE the trial. Move-ups will be added to the end of the running order of the class they move up to and every effort will be made to accommodate handlers running multiple dogs in the same class. Day to Day moveups will be accepted. Mail or E-Mail Move-Ups to: TRIAL SECRETARY: Jennifer Eger, 948 Bear Wallow Road, Duncansville, PA 16635. (814) 696-0774 EMAIL (preferred): agilitysecretary@atlanticbb.net Agility Trial Move-Up Use this form to move up to a higher agility class only CALL NAME: OWNER: PLEASE MOVE-UP TO : STD: Open Excellent A Excellent B Preferred JWW: Open Excellent A Excellent B Preferred Jump Height division: 4 8 12 16 20 24 26 DAYS ENTERED: FRI SAT SUN Dog s AKC Registered Name: AKC / ILP Reg. No. Handler s Name (if different from owner): Signature: Date: Signature of owner or agent duly authorized to make this entry) DOGS ELIGIBLE TO ENTER This trial is open to all dogs age 15 months or older that are registered with the AKC, have AKC Limited Registration, Purebred Alternative Listing (PAL/ILP), or are approved Foundation Stock Service (FSS) breeds. For further information on eligibility, refer to Rules and Regulation for Agility Trials and Rules Applying to Dog Shows. RULES AND REGULATIONS Obstacles used by the Mt. Nittany Dog Training Club meet the specifications in the current edition of Regulations for Agility Trials. NOTE TO EXHIBITORS Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. FOOD AVAILABLE ON SITE SATURDAY AND SUNDAY NOTICE TO DOG OWNERS/EXHIBITORS Exhibitors MUST respect the property of any accommodations listed in this premium or any others used by exhibitors during these trials. Any damage to a Hotel/Motel may result in an Event Committee Hearing. WORKER VOLUNTEERS Thank you to all the people who have sent in volunteer forms to help us run the trials successfully. Without volunteers we would not be able to continue to hold these events. DIRECTIONS TO TRIAL SITE From the South: Use Interstate 83 or 81 to get to Harrisburg. Take Rt. 322 West toward State College. Exit at the Innovation Park/Penn State Univ. Exit. Make a right onto Park Avenue, Ag Arena is located on the right just before the third stop light. Look for sign. From Interstate 80, Exit 161: Take Rt. 26/Rt. 220 South towards Bellefonte/State College. Stay on Rt. 220 South at Exit 81. Take Exit 74 Innovation Park/Penn State Univ. Stay in Left Lane for PSU/Beaver Stadium. This lane becomes Park Avenue. Ag Arena is located on the right just before the fourth stop light. Look for sign.

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY Mt. Nittany Dog Training Club @ PSU Snider Ag Arena, State College, PA Day of Week Actual Date STD JWW Friday Exc Only February 5, 2010 Saturday February 6, 2010 Sunday February 7, 2010 Entry fees (includes AKC recording fee - $3 per entry): $22 first entry / $11.00 each additional entry of same dog/day. Make Checks Payable to: MNDTC Mail to Trial Sec.: Jennifer Eger, 948 Bear Wallow Road, Duncansville, PA 16635 Express Mail must waive signatures. $36 fee for returned checks. BREED VARIETY(1) SEX HT AT WITHERS Regular Standard Class (Circle One) Preferred Standard Class (Circle One) Regular Jumpers w/weaves (Circle One) Preferred Jumpers w/weaves (Circle One) Regular Jump Ht (Circle One) 8 12 16 20 24 26 Preferred Jump Ht (Circle One) 4 8 12 16 20 FAST CLASS: (effective. 01/01/07) NOT OFFERED (circle one) JUMP HEIGHT (circle one) REGULAR: NOV-A NOV-B OPEN EXC-A EXC-B 8 12 16 20 24 26 PREFERRED: NOV-P OPEN-P EXC-AP EXC-BP 4 8 12 16 20 NON-REGULAR AGILITY CLASSES: IF OFFERED INTERNATIONAL SWEEPSTAKES ISC Jump Ht (Circle One if class is offered) CLASS STD JWW 14 18 26 AKC Registered Name (Include AKC title only CALL NAME AKC REG NO. AKC LITTER NO.. ILP NO. FOREIGN REG NO. & COUNTRY Breeder Sire Dam ACTUAL OWNERS OWNERS ADDRESS CITY, STATE & ZIP + 4 HANDLER Enter Number Here DATE OF BIRTH AKC Junior Handler # PLACE OF BIRTH USA CANADA FOREIGN FEE ENCLOSED I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry. I/we agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this agility trial, and by any additional rules and regulations appearing in the premium list for this agility trial, 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 foregoing representation and agreement. SIGNATURE of owner or his agent, Parent or Guardian Signature if duly authorized to make this entry Owner is Under 18 TELEPHONE NUMBER (Include Area Code) E-Mail Single copies of the latest edition of the Rules Applying to Dog Shows/Registration and Discipline, Agility Regulations and Obedience Regulations may be obtained WITHOUT CHARGE from any Superintendent at shows they are superintending or from THE AMERICAN KENNEL CLUB, 5580 CENTERVIEW DRIVE, SUITE 200, RALEIGH, NC 27606-3390. AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org AGREEMENT I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, and Agility Field Representative, or a Volunteer Measuring Official, prior to running. The Judge's 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. JUNIOR HANDLER If this entry is for Junior Showmanship, please give the following: AKC JUNIOR HANDLER NUMBER JR S DATE OF BIRTH / / The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) 816-3776 By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. Name of Jr Handler ADDRESS CITY STATE ZIP If Jr. Handler is not the owner of the dog Identified on the face of this form, what is the Relationship of the Jr. Handler to the Owner? THIS FORM IS VALID FOR ALL AGILITY TRIALS HELD ON OR AFTER JANUARY 1, 2007. AEAGL2 01/01/07 (03/06)

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY Mt. Nittany Dog Training Club @ PSU Snider Ag Arena, State College, PA Day of Week Actual Date STD JWW Friday Exc Only February 5, 2010 Saturday February 6, 2010 Sunday February 7, 2010 Entry fees (includes AKC recording fee - $3 per entry): $22 first entry / $11.00 each additional entry of same dog/day. Make Checks Payable to: MNDTC Mail to Trial Sec.: Jennifer Eger, 948 Bear Wallow Road, Duncansville, PA 16635 Express Mail must waive signatures. $36 fee for returned checks. BREED VARIETY(1) SEX HT AT WITHERS Regular Standard Class (Circle One) Preferred Standard Class (Circle One) Regular Jumpers w/weaves (Circle One) Preferred Jumpers w/weaves (Circle One) Regular Jump Ht (Circle One) 8 12 16 20 24 26 Preferred Jump Ht (Circle One) 4 8 12 16 20 FAST CLASS: (effective. 01/01/07) NOT OFFERED (circle one) JUMP HEIGHT (circle one) REGULAR: NOV-A NOV-B OPEN EXC-A EXC-B 8 12 16 20 24 26 PREFERRED: NOV-P OPEN-P EXC-AP EXC-BP 4 8 12 16 20 NON-REGULAR AGILITY CLASSES: IF OFFERED INTERNATIONAL SWEEPSTAKES ISC Jump Ht (Circle One if class is offered) CLASS STD JWW 14 18 26 AKC Registered Name (Include AKC title only CALL NAME AKC REG NO. AKC LITTER NO.. ILP NO. FOREIGN REG NO. & COUNTRY Breeder Sire Dam ACTUAL OWNERS OWNERS ADDRESS CITY, STATE & ZIP + 4 HANDLER Enter Number Here DATE OF BIRTH AKC Junior Handler # PLACE OF BIRTH USA CANADA FOREIGN FEE ENCLOSED I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry. I/we agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this agility trial, and by any additional rules and regulations appearing in the premium list for this agility trial, 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 foregoing representation and agreement. SIGNATURE of owner or his agent, Parent or Guardian Signature if duly authorized to make this entry Owner is Under 18 TELEPHONE NUMBER (Include Area Code) E-Mail Single copies of the latest edition of the Rules Applying to Dog Shows/Registration and Discipline, Agility Regulations and Obedience Regulations may be obtained WITHOUT CHARGE from any Superintendent at shows they are superintending or from THE AMERICAN KENNEL CLUB, 5580 CENTERVIEW DRIVE, SUITE 200, RALEIGH, NC 27606-3390. AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org AGREEMENT I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, and Agility Field Representative, or a Volunteer Measuring Official, prior to running. The Judge's 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. JUNIOR HANDLER If this entry is for Junior Showmanship, please give the following: AKC JUNIOR HANDLER NUMBER JR S DATE OF BIRTH / / The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) 816-3776 By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. Name of Jr Handler ADDRESS CITY STATE ZIP If Jr. Handler is not the owner of the dog Identified on the face of this form, what is the Relationship of the Jr. Handler to the Owner? This form is valid for all agility trials held on or after January 1, 2007. AEAGL2 01/01/07 (03/06)

Proof of Rabies Vaccination Please submit this form with entry(ies) and Copy of Rabies Certificate Name: Address: Telephone Number: Dog s Name Cert. Exp. Date Dog s Name Cert. Exp. Date Dog s Name Cert. Exp. Date I/We hereby certify that the information provided above is accurate and may be verified by the attached certificate. Signature If the Rabies Certificate expires between the opening date and the date of the trial, you may mail your new certificate as soon as it is received. This will avoid any delays on the morning of the trial. Thank you for your cooperation in this matter.