NEW SITE. Premium List AKC All Breed Licensed Agility Trials This Event is Accepting Entries for Dogs Enrolled in the AKC Canine Partners Program

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Premium List AKC All Breed Licensed Agility Trials This Event is Accepting Entries for Dogs Enrolled in the AKC Canine Partners Program AKC Licensed Agility Trials Event # 2011014001 & 2011014002 Offered by PEORIA OBEDIENCE TRAINING CLUB Two Agility Trials Saturday & Sunday June 4 & 5, 2011 NEW SITE Two Rings - Two Judges Limited Entry: 330 runs per day, per judge [ Rawlings 4R Arena www.rawlings4r.com 24865 IL State Route 122 Delavan, IL 61734 Exit 15, just off I-155 Indoors on packed dirt Trial Hours: 7:00 a.m. to 7:00 p.m. Central Daylight Time Judging begins: 8:30 a.m. Saturday 8:00 a.m. Sunday Method of accepting entries is by First Received Entries Open: Monday March 14, 2011, 8:00 a.m. At the Trial Secretary s address. Entries received prior to this date/time will be returned. Entries Close Saturday May 14, 2011 6:00 p.m. After which time entries cannot be accepted, cancelled, altered, or substituted AMERICAN KENNEL CLUB CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under American Kennel Club Rules and Regulations James C. Crowley, Secretary

Peoria Obedience Training Club www.potcdogs.com Officers: President... Le Hayes, 10800 W Brimfield-Jubilee Rd, Princeville, IL 61559 Vice-President... Sande Wilkie, 1741 Knox Rd 1950 East, Victoria, IL 61485 Treasurer... Jane Clark, 6814 N. Camelot Road, Peoria, IL 61615 Secretary... Peggy Zweber, 2429 W. Carriage Lane, Peoria, IL 61614 AGILITY TRIAL CHAIRMAN TRIAL SECRETARY Sande Wilkie Le Hayes 1741 Knox Rd 1950 E 10800 W Brimfield Jubilee Road Victoria IL 61485 Princeville, IL 61559 (309) 639-4477 (309) 243-8652 s.wilkie09@gmail.com lehayes3@hughes.net EVENT COMMITTEE MEMBERS Diane Bader, Linda Doerfler, Le Hayes, Carol Kluka, Paul Mooney, Jack Wilkie, Sande Wilkie For vendor information contact Diane Bader (309) 222-2442 or agilelabradork@comcast.net Entry Fees $23.00 for first entry each dog per day $13.00 for second entry of same dog (Includes $3.00 recording fee for each entry) Make checks payable to Peoria Obedience Training Club (POTC) Mail entries to the Trial Secretary. Maximum of ten entries per envelope. ONLINE ENTRIES AT www.akc.org Express Mail entries must include signature permitting them to be left at Trial Secretary s address or they will be refused. Exhibitors are responsible for complete, accurate and legible information on entry forms. No phone or fax entries will be accepted. Entry forms with no signature or no agreement attached will be considered invalid and will be returned DID YOU REMEMBER TO PRE-ORDER YOUR AGILITY CATALOG? Just indicate on the entry form and include $4.00 per catalog with your entries. A limited number of catalogs will be available the day of the trials for $6.00. Running Order Sheets are provided free of charge to exhibitors. Move-Up Regulations Before the Trial: Dogs shall be moved up to a higher class, at the request of the owner, as a result of qualifying for an Agility Title, provided the request is made, in writing, to the Trial Secretary no later than 6:00 PM on the Monday preceding the trial. If you make your request via e-mail or provide an e-mail address with your mailed move up request a response is sent back to you when the Trial Secretary has received your request. If you do not receive a confirming e-mail regarding your move up request please call the Trial Secretary. It is the exhibitor s responsibility to verify that the trial secretary has received their move up request. Day-to-Day: (On Saturday for Sunday) Dogs may be moved up to a higher class at the request of the owner as a result of qualifying for an Agility Title, provided the request is made to the Trial Secretary at the trial site in writing prior to the closing of the trial on Saturday June. The close of the trial will be such time that the last class ribbons have been awarded. Dogs so moved up will be entered at the end of the running order. Move-up forms will be available at the Trial. For more details regarding move ups please see the Regulations for Agility Trials, Chapter 1, Section 12, Move-ups. NOTE: Move ups from Nov A to Nov B are not allowed after the closing date. You cannot change jump heights after the trial has closed. MOVE-UP FORMS Move-up forms must reach the Trial Secretary by 06:00 PM Monday, May 30 for before trial move-up Close of trial Saturday, June 4 for day-to-day move-up (at the trial site) AKC Agility Move-Up Form This form must be filled out completely. No verbal changes will be accepted. Fill out one form for each dog and give to the Trial Secretary. No one else is authorized to accept Move-Ups. AKC Registered Name: AKC Registration No.: Breed/Variety: Arm Bands # Owner(s) Name: (Circle Appropriate Choices) Saturday Sunday Both Days STD/Preferred Currently entered STD/Preferred Move up to JWW/Preferred Currently entered JWW/Preferred Move up to Novice Open Novice Open Open Excellent A Open Excellent A Excellent A Excellent B Excellent A Excellent B FAST/Preferred Currently entered Novice Open Excellent A FAST/Preferred Move up to Open Excellent A Excellent B

Confirmation of Entry If you would like to receive advance confirmation of your entry, please include your email address or enclose a self addressed stamped postcard with your entry. No individual phone calls will be made before the confirmation emails/letters are sent. TRIAL JUDGE Kele McGlohon, Judge #19216 Peter C Liu, VMO, Judge #15833 P.O. Box 14192, Savannah, GA 31416 12771 SW 147 th St, Miami, FL 33186 6302 Kele McGlohon Peter Liu Saturday All Standard, FAST Excellent All JWW, FAST Nov & Open Sunday All JWW, FAST Nov & Open All Standard, FAST Excellent Tentative running order: Ring #1 FAST Excellent, All of Standard Ring #2 FAST Novice & Open, JWW both days Saturday small to tall Sunday tall to small DIRECTIONS TO TRIAL SITE From the South, St. Louis, MO/Springfield, IL: Merge onto I 55 N toward CHICAGO., Keep LEFT to take I 155 N via EXIT 127 toward PEORIA/HARTSBURG, Take the IL 122 W exit, EXIT 15, toward DELAVAN., Turn LEFT onto IL 122/MARKET RD. Continue over overpass. Site is just west of I 155. Follow Agility signs. From the North: Take I 55 south. At exit 163 merge onto I 74 W toward Peoria. Take exit 101 to merge onto I 155 S toward Lincoln. Take the exit toward ILL 122 W/ County Road 400 N. Turn right at IL 122 W/Co Rd 400 N EXIT 15. Arena is located on the south side of Il 122 just off exit 15. Follow Agility signs. PLEASE CHECK WITH MOTELS WHILE MAKING RESERVATIONS. TELL THEM YOU ARE WITH THE ABILITY TRIAL AT RAWLINGS ARENA Hampton Inn Lincoln 1019 N. Heitmann Drive Lincoln, IL 62656 217 732 6729 Exit 126 off I 55 $82 Baymont Inn, Morton 210 E. Ashland Street Morton, IL 61550 309 266 8888 Exit 102 off I 74 $64.99 w/pet charge $10 Lincoln Area Motels (South)I 155 to I 55 South Approximately 16.9 miles Holiday Inn Express 130 Olson Road Lincoln, IL 217 735 5800 Exit 126 off I 55 $81 Morton Area Motels (North) I 155 to I 74 East Approximately 19 miles Quality Inn 115 E. Ashland Street Morton, IL 61550 309 266 8310 Exit 102 off I 74 $71.99 no pet charge Comfort Inn 2811 Woodlawn Road Lincoln, IL 62656 217 735 3960 Exit 126 off I 55 $69 w/pet charge Travelodge Morton, Illinois 101 E. Ashland Street Morton, IL 61550 309 266 1600 Exit 102 off I 74 $64.99 w/ refundable $50 pet charge SITE INFORMATION Site is indoors on packed dirt. Two rings, both 104x87 ½, TWO JUDGES 15,000 sq. ft. crating space available in 97 10x10 stalls with dirt floors, plus crating is available outside under 70x120 lean to on south side of main building on dirt/rock 60 30 amp hook ups for RV s $35/weekend first come/first served Showers available on site Stocked, fenced in lake also on site for fishing or dog swiming Food and vendors will be available at the site The Photo Guy is official show photographer Electronic Timing Electronic timing will be used at these trials. OBSTACLES Obstacles shall meet the specifications for obstacles in the current edition of Regulations for Agility Trials. Rosettes Ribbons will be awarded to the 1 st through 4 th place teams in each jump height, in each titling class. Qualifying Ribbons will be awarded to all teams receiving a qualifying score in each jump height. MACH & PAX Bars, New Title Ribbons will be awarded to teams receiving those titles Stuffed toys & other items for 1 4 placements (Valued between $3 and $6) are awarded. All awards and prizes must be claimed the day of the trial none will be shipped. Map to Emergency Veterinary are available at the secretary s table. VETERINARIAN ON CALL Greenhaven Animal Clinic 30 Rt. 136 San Jose, IL 62682 24 Hour pager 888 448 0609 www.greenhavenanimalclinic.com

NOTICE TO EXHIBITORS The safety of the dog is our primary concern. By entering this Trial, exhibitors acknowledge that they are familiar with the rules and regulations of this sport and that their dogs are familiar with and are able to perform all obstacles safely. All handlers must pick up after their dogs. Anyone not cleaning up after their dogs will be requested to leave. It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee, be asked to leave the Trial site. In such cases, no refund of any fees paid will be made. Mixed Breeds: Check AKC No. on your breed entry form and provide your dog s AKC Canine Partners listing number. For Breed enter Canine Partner ; no other breed description may be used. Entries will not be accepted without proper fees and signatures. Entries must be submitted on approved entry forms with the agreement attached to the entry form or printed on the reverse side. Photocopies of front and back will be accepted if legible. Please fill in all the blanks. You must designate a Height at Withers. Exhibitors are advised to legibly print all unusual words when filling in entry forms. No dog wrongly entered in a class may be transferred to another class after the closing entries, except as provided for in Chapter 11, section 6 of the AKC Rules and Regulations. No entry may be changed or cancelled unless notice of the change or cancellation is received in writing by the Trial Secretary named in the premium list to receive entries, prior to the closing date and hour for entries, except correction may be made in the sex of a dog. No dog may otherwise be transferred to another class. Owners are responsible for errors in the entry forms, regardless of who may make such error. Dogs are not required to be at the Trial until schedule time of judging. All dogs not needed for further judging will be excused. Exhibitors are responsible for being at ringside when it is their turn to run. Judges need not wait for any dog holding up the class. Please check in with the Gate Steward. All dogs must be on leash at all times except when in the designated Agility warm up area or in the ring. In accordance with AKC Rules Applying to Dog Shows, no dogs under 6 months of age are allowed on the show site. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. Statement of dog eligibility to compete, effective Feb 1, 2008: All dogs 15 months of age or older that are registered with AKC or that have limited Registration (PAL/ILP) are eligible to participate. There will be no equipment familiarization. EXHIBITOR INFORMATION All exhibitors should obtain a copy of the Regulations for Agility Trials by contacting the American Kennel Club, 8051 Arco Corporate Drive, Suite 100, Raleigh, NC 27617 3390, by phone (919) 233 9767, by email at info@akc.org, or on their website at www.akc.org. Entry fees will not be refunded in the event that a dog is absent, disqualified, excused, or barred from the competition by action of the Trial Committee or judge. No entry fee will be refunded if the Trial cannot open or be completed by reason of riots, civil disturbances, fire, an act of God, public emergence, act of a public enemy, or any other cause beyond the control of the organizing committee. Entry fees will not be returned after the closing date for any reason except for the following: injured dogs, death of dog, or bitches in season. In these cases, a written statement from a veterinarian on the veterinarian letterhead must be send to the Trial Secretary by 8:00 AM the day of the trial. You must use new entry form When filling out the entry form, there is a new section at the top of the form to designate whether your dog has a valid jump height card or if your dog needs to be measured. Please check the appropriate box so the Trial Secretary knows whether to include your dog on the Dogs To Be Measured List. It is no longer required that you submit a copy of your dog s jump height card with your entry form or show it during day of show check in. It is solely the sole responsibility of the exhibitor to check the correct measurement box, enter your dog(s) in the correct jump height, have your dog(s) measured before running (if necessary), and to have your dog(s) jump height card(s) available to present, if requested. HEIGHT DIVISIONS Owners are responsible for entering the proper height divisions. Handlers may opt to run their dog in a higher division for the regular classes, but not in a division lower than the dog s proper height division. Dogs that run in a height division lower than their proper division will be eliminated. Dogs entered in the preferred classes must jump their measured division. Regular [Preferred] 8 [4 ] For dogs 11 inches and under at the withers 12 [8 ] For dogs 14 inches and under at the withers 16 [12 ] For dogs 18 inches and under at the withers 20 [16 ] For dogs 22 inches and under at the withers 24 [20 ] For dogs over 22 inches at the withers 26 Dogs may be entered at their owner s discretion

Please help our trial run smoothly Workers Sign-Up Form It takes a lot of people to run a trial. We would appreciate your help in making this an efficient and successful trial. If you have never worked at a trial, we will gladly train you. Lunch, snacks and beverages are provided for all workers.! For more information please contact: Sande Wilkie dogart@winco.net 1. I can work on: Sat Sun Name: Phone: Email: I am running dogs Other Notes regarding my availability 2. Enter CALL NAME, JUMP HEIGHT, CLASSES, and Days Entered for each dog. CALL NAME J HT STD Level Sat Sun JWW Level Sat Sun FAST Level Sat Sun (Time 2 beat) Demonstration & Run Hey, have you heard the news? There s a new game in town and it s called Time 2 Beat. POTC will be holding a demo/run of the exciting new game from AKC on Friday evening, June 3, 2011 at 6:30. This is being held the night before our trial at Rawlings 4R Arena in Delavan, Illinois. Come take this opportunity to learn the new ins and outs of this new and exciting game. Just think one course for everyone to play on novice, open and excellent alike. The fastest and most accurate team sets the time. No refusals or run outs it s just a matter of time, but keep the bars up or your team will lose. Competition is between jump heights not classes and everyone has an equal chance to win. After June 30 th it will become a titling class at the trials. So get up to speed on Time 2 Beat and join us June 3 rd at 6:30 at Rawlings 4R Arena in Delavan! Here s how it works. First we will explain the game. Then you get to play, in the arena and on the equipment. Then you ll really see how it s done! To let us know please fill in the form below. There will be a $10 charge per person, per dog. Look forward to seeing you there. 3. Check the jobs you area willing to help with Gate Steward Scribe Asst Course Builder Scribe Score Runner Leash Runner Timer Ring Crew Sunday Tear Down Friday Set Up 4. Please enclose this form with your entry and write WORKER on lower left side of envelope. Thank You so much for Volunteering! Name Dog s call name Email address for confirmation Come join us for T2B Jump Height

Odds and ends Plus some Such & nonsense Since Le & Nancy Hayes and Jack & I are camping, we are going to have a picnic after the trial at 6:30 p.m. on Saturday. We want to invite everyone that is camping with us and anyone else that wants to come. You need to bring your own (cooked) meat (sorry guys there was absolutely NO ROOM for a big grill) and bring a dish to pass, and your chairs too. This will be held either under the lean-to or on the grass whichever the weather will permit. Oh, I forgot, the weather will be absolutely gorgeous for this trial! We re hoping you all have a wonderful trial, get plenty of Q s and have a good safe time with your dog. And when you do, please go tell your friends that POTC is the place to be!! See you at the trial! Sande

OFFICIAL ENTRY FORM FOR AGILITY TRIALS PEORIA OBEDIENCE TRIANING CLUB SATURDAY JUNE 4, 2011 AND SUNDAY JUNE 5, 2011 MAIL TO: LE HAYES, 10800 W BRIMFIELD-JUBILEE ROAD, PRINCEVILLE, IL 61559 (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) BREED VARIETY SEX [ ] MY DOG NEEDS TO BE OFFICIALLY MEASURED HEIGHT AT WITHERS CHOOSE EITHER REGULAR OR PREFERRED AND CIRCLE THE JUMP HEIGHT REGULAR CLASSES 8 12 16 20 24 26 PREFERRED CLASSES 4 8 12 16 20 CIRCLE CLASS SELECTIONS ONE PER TYPE (STD, JWW, FAST, T2B) STANDARD AGILITY JUMPERS WITH WEAVES FAST NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B NOV-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP NOT OFFERED TIME 2 BEAT NON-REGULAR AGILITY CLASSES if offered SELECT ISC JUMP HEIGHT T2B T2B-P INTERNATIONAL SWEEPSTAKES CLASS STD JWW 14 18 26 AKC NAME (Include AKC titles only) (Enter number below) DATE OF BIRTH [ ] AKC NO. [ ] PAL/ILP NO. PLACE OF BIRTH (LIST COUNTRY) [ ] FOREIGN REG. NO. BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS NEW ADDRESS CITY, STATE, ZIP + 4 STD JWW FAST STD & STD & JWW & All only only only JWW FAST FAST Saturday $23 $23 $23 $36 $36 $36 $49 Sunday $23 $23 $23 $36 $36 $36 $49 Catalog $4 Check # CALL NAME OF DOG 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, 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 effective April 1, 2010. 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) 816-3776. 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 above on 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. 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 HANDLER IF JUNIOR HANDLER, PLEASE ENTER # BELOW FEE ENCLOSED EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. TELEPHONE : E-MAIL ADDRESS: AEAGL2 - (01/11)

OFFICIAL ENTRY FORM FOR AGILITY TRIALS PEORIA OBEDIENCE TRIANING CLUB SATURDAY JUNE 4, 2011 AND SUNDAY JUNE 5, 2011 MAIL TO: LE HAYES, 10800 W BRIMFIELD-JUBILEE ROAD, PRINCEVILLE, IL 61559 (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) BREED VARIETY SEX [ ] MY DOG NEEDS TO BE OFFICIALLY MEASURED HEIGHT AT WITHERS CHOOSE EITHER REGULAR OR PREFERRED AND CIRCLE THE JUMP HEIGHT REGULAR CLASSES 8 12 16 20 24 26 PREFERRED CLASSES 4 8 12 16 20 CIRCLE CLASS SELECTIONS ONE PER TYPE (STD, JWW, FAST, T2B) STANDARD AGILITY JUMPERS WITH WEAVES FAST NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B NOV-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP NOT OFFERED TIME 2 BEAT NON-REGULAR AGILITY CLASSES if offered SELECT ISC JUMP HEIGHT T2B T2B-P INTERNATIONAL SWEEPSTAKES CLASS STD JWW 14 18 26 AKC NAME (Include AKC titles only) (Enter number below) DATE OF BIRTH [ ] AKC NO. [ ] PAL/ILP NO. PLACE OF BIRTH (LIST COUNTRY) [ ] FOREIGN REG. NO. BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS NEW ADDRESS CITY, STATE, ZIP + 4 STD JWW FAST STD & STD & JWW & All only only only JWW FAST FAST Saturday $23 $23 $23 $36 $36 $36 $49 Sunday $23 $23 $23 $36 $36 $36 $49 Catalog $4 Check # CALL NAME OF DOG 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, 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 effective April 1, 2010. 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) 816-3776. 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 above on 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. 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 HANDLER IF JUNIOR HANDLER, PLEASE ENTER # BELOW FEE ENCLOSED TELEPHONE : EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. E-MAIL ADDRESS: AEAGL2 - (01/11)