PREMIUM LIST Logo goes here LICENSED AKC ALL BREED AGILITY TRIALS This Event is Accepting Entries for Dogs Listed in the AKC Canine Partners Program FRIDAY, December 4, 2015 EVENT # 2015238211 LIMIT 550 Runs -Trial Hours 9:00 A.M. to 9:00 P.M. SATURDAY, December 5, 2015 EVENT #2015238212 LIMIT 600 Runs -Trial Hours 7:00 A.M. to 7:00 P.M. SUNDAY, December 6, 2015 EVENT #2015238213 LIMIT 600 Runs -Trial Hours 7:00 A.M. to 7:00 P.M. These shows will be held indoors (climate controlled) on rolled packed dirt. Two 100 x 95 rings, all contacts rubberized. ELECTRONIC TIMING WILL BE USED AT THESE TRIALS. Friday Judging Start Time 10:00 A.M. Saturday & Sunday Judging Start Time 8:00 A.M. Iowa Equestrian Center Kirkwood Community College 6301 Kirkwood Blvd SW Cedar Rapids, Iowa 52406 ENTRIES ACCEPTED ON FIRST RECEIVED BASIS ON OR AFTER 8:00 A.M., October 5, 2015 ENTRIES CLOSE 6 P.M., November 18, 2015 after which time entries cannot be accepted, canceled, altered or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Move-ups for Friday, Dec 4 will be accepted until 6 P.M. on Monday, November 30, 2015. Envelopes/transactions containing entries for more than the ten dog maximum shall be treated as an invalid entry and shall be returned to the sender. NO hand deliveries in the first 24 hours. CERTIFICATION Permission has been granted by the American Kennel Club for the holding of these events under American Kennel Club Rules and Regulations. James P. Crowley, Secretary 1
OFFICERS President... Tracy Kittrell Vice President... Michele Hartzler Treasurer... Kathy Stepp Secretary... Judy Livingston 1315 Oakes Dr, Iowa City, IA 52245 Board Member... Al Carr Board Member... Rebecca Gilchrist Board Member... Jennifer Howard Board Member... Paula Kereszi Board Member... Sue Ann Thompson EVENT COMMITTEE Trial Chairman... Sue Ann Thompson, 1858 Curtis Bridge Rd, North Liberty, IA 52317 Phone 319-626-2622, email: peprhl@southslope.net Equipment Chairman... Jeff Hartzler Chief Ring Steward... Elizabeth Powers Chief Course Builder... Jeff Hartzler & Terry Ryan Judges Hospitality... Michele Hartzler Awards (Ribbons/Trophy)... Kay Lund and Julie Burgin Assistant to the trial secretary...judy Livingston All Officers and Members of the Board of Directors TRIAL SECRETARY VETERINARIAN ON CALL Deb Owens Eastern Iowa Veterinary Specialty Center (24 hour clinic) 508 2 nd Ave Luther, Iowa 50152 55 Capital Drive SW, Cedar Rapids, IA 52404 (515) 230-4989 Email: icdocsec@gmail.com 319-841-5161 JUDGES & THEIR ASSIGNMENTS Rod Ramsell #92527 Kimberley Reeher #18902 3957 Gresham Ct N 107 Kenlane St Oakdale, MN 55128-3216 Greensburg, PA 15601-1940 Friday All Standard Classes, T2B (20, 24, 26) Friday All Jumpers Classes, T2B (8, 12, 16) Saturday All Jumpers Classes, T2B (8, 12, 16) Saturday All Standard Classes, T2B (20, 24, 26) Sunday All Standard Classes Sunday All Jumpers Classes ENTRY FEES $20 First Entry of each dog each day (includes $3 AKC recording fee) $15 Second Entry of each dog each day (includes $3 AKC recording fee) $10 Third Entry of each dog each day (includes $3 AKC recording fee) Entries received without correct fees will be returned to exhibitor. MAIL ENTRIES W/CHECKS PAYABLE TO IOWA CITY DOG OBEDIENCE CLUB (ICDOC) TO: Deb Owens 508 2 nd Ave Luther, IA 50152 ENTRIES CLOSE Entries Close 6 P.M. November 18, 2015, after which time entries cannot be accepted, canceled, altered, or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Email move ups for Friday, December 4 to icdocsec@gmail.com until 6 P.M. on Monday NOVEMBER 30, 2015. DO NOT send any correspondence or call the Trial Secretary after 6 P.M. on Monday, November 30, 2015. An initial confirmation email will be sent immediately upon receipt of your entry. Once entries close, a final confirmation, judging program and run order will be sent out no later than 7 days before the trial. Please contact the trial secretary as soon as possible if you do not receive these emails. Make checks payable to Iowa City Dog Obedience Club (ICDOC) (returned check charge is $25). All entries must be submitted on official AKC Agility entry forms, one dog per entry form. Photocopies of entry forms without the AKC agreement are NOT acceptable. Unsigned, incomplete or illegible entries are NOT acceptable and cannot be entered in the trial. (AKC Rule CH 14, Sec 4) Faxed entries cannot be accepted. Please waive signature on Fed Ex or UPS mail. Mail requiring signatures will be returned to sender. Overpayment of entry fees by $10 or less per day will not be refunded. PRIZES AND AWARDS 1 st Place... Blue 3 rd Place...Yellow 2 nd Place... Red 4 th Place... White Qualifying... Dark Green Rosettes will be awarded to 1 st through 4 th place dogs in each jump height in each titling class. Flat Qualifying Ribbons will be awarded to all dogs receiving a qualifying score in each titling class. A Rosette will be awarded to all dog/handler teams finishing a title. A MACH Rosette & MACH Bar, or a PACH rosette & PACH bar, or a PAX rosette will be awarded to each team earning a MACH, PACH, or PAX title. 2
CLASSES OFFERED AND LIMITS FRIDAY ENTRIES ARE LIMITED TO 500 RUNS TOTAL SATURDAY & SUNDAY ENTRIES ARE LIMITED TO 550 RUNS TOTAL PER DAY CLASSES OFFERED ARE Standard - Regular & Jumpers Preferred - Regular & Jumpers Novice A & B Novice Open Open Excellent Excellent Masters Masters Time 2 Beat Regular & Preferred Friday and Saturday CHECK IN RUN THROUGH RUNNING ORDER Check in Time for Friday will be 9:00 A.M. with Walk-throughs at 9:30 A.M. Judging will start promptly at 10:00 A.M. Check In time for Saturday and Sunday will be at 7:00 A.M. Walk-throughs will be at 7:30 A.M. Judging will start promptly at 8:00 A.M. each day. Run order will be small to tall each day. Tentative running order Friday and Saturday will be Ring 1. T2B (8-16), Novice JWW, Open JWW, EX/M JWW. Ring 2. T2B (20-26), EX/M STD, Open STD, Novice STD. Sunday will be the same except no T2B. Exact Running Order & JWW start time will be determined after entries close. There will be two rings running concurrently. ELECTRONIC TIMING WILL BE USED IN BOTH RINGS. ALL CONTACTS ARE RUBBERIZED. Move Up forms for Saturday and Sunday must be turned in by ½ hour after completion of the last class on the previous day. Move ups from a Novice A class to a Novice B class ONLY will be accepted in writing up to 30 minutes prior to the start of each trial. The request must state the justification and reason for the move from a Novice A class to a Novice B class. WAIT LIST for Withdrawn Entries after the Closing Date/Time ICDOC is offering a Wait List to fill openings created by withdrawn entries after the trial s closing date/time. A maximum of 30 entries will be placed on the club s wait list. All entries, including wait list entries, must be received by the Trial Secretary prior to 6:00 P.M., Wednesday, November 18, 2015. Any entries that are withdrawn by 6:00 P.M., Monday, November 30, 2015 will be replaced by a wait listed entry if any are available. If a withdrawn entry is replaced by a wait listed entry, a full refund will be issued for the withdrawn entry. Any wait listed entry that does not move off the wait list into the trial by 6:00 P.M., November 30, 2015 will receive a full refund. VOLUNTEERS Please contact our Worker Coordinator, Betsy Powers, at hakusams@q.com if you can help. Indicate what classes you are showing in and what jobs you are willing to fill. There will be a self-sign up system available at the show site to fill any available slots. Lunch will be provided. We appreciate your help. DESCRIPTION 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 cross-over between them allowed at the same set of trials. Please consult the Regulations for Agility Trials for a complete description and eligibility for entry into these classes. The exhibitor is fully responsible for entering the dog in the correct class and height division. Dogs running in a height division other than what they are eligible for will be eliminated. HEIGHT DIVISIONS Standard Preferred 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 If the dog is crossing over from the Regular classes to the Preferred classes they may be entered at the level the dog is eligible to compete at in the Regular classes. The following jump Owners are responsible for entering their dog in the proper height division. For Dogs Measuring heights must be used in all Preferred Classes. 8 4 11 & under at the withers 12 8 14 & under at the withers 16 12 18 & under at the withers 20 16 22 & under at the withers 24 20 Over 22 at the withers 26 Dogs may be entered at this height at their owner s discretion. OBSTACLES Please see the AKC Regulations for Agility Trials for current list of Mandatory Obstacles. Obstacles will meet the specifications for obstacles in the current edition of the Regulations for Agility Trials. ALL CONTACTS ARE RUBBERIZED. A Break Away tire will be used. 3
DOGS ELIGIBLE TO ENTER This trial is open to all dogs fifteen (15) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number (if offered by the club), or approved Foundation Stock Service (FSS) breeds are eligible to participate. Dogs with a Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number must be spayed or neutered in order to compete. Wherever the word dog is used it includes both sexes. Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible, and neither are bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect the dog s physical or mental performance. No dog shall compete if it is taped or bandaged in any way or has anything attached to it for medical purposes. Refer to Chapter 2 of the Rules Applying to Registration and Discipline for the listing of registerable breeds that may participate. Puppies under four months of age are strictly prohibited from the trial grounds. There will be NO contact obstacle familiarization for Novice dogs. COURSE FAMILIARIZATION MOTELS MAKE RESERVATIONS EARLY. We do not guarantee that dogs are accepted at any of these hotels. Motels that will accept dogs are convenient to the show site: These are all located at the I-380/33 rd Ave Exit. Some have special requirements (smoking rooms) and deposits/fees. They have all been contacted so be sure that you tell them you are with the dog show. Some are waiving size requirements for us. Super 8 West, 720 33 rd Ave SW, Cedar Rapids, IA 52404... 319-362-6002 Super 8 East, 400 33 rd. Ave SW, Cedar Rapids, IA 52404... 319-363-1755 Motel 6, 3325 Southgate Ct, Cedar Rapids, IA 52404... 319-366-7523 Comfort Inn, 390 33 rd Ave SW, Cedar Rapids, IA 52404... 319-363-7934 Econolodge, 622 33 rd Ave SW, Cedar Rapids, IA 52404... 319-363-8888 Howard Johnson, 616 33 rd Ave SW, Cedar Rapids, IA 52404... 319-366-2475 Red Roof Inn, 3242 Southbridge Dr, Cedar Rapids, IA 52404.319-364-2000 (Red Roof has a special rate for Equestrian Center event participants -- $47.99 per night, no pet fee mention that you are attending an event at the Equestrian Center) RV parking with electric is available. Contact the Equestrian Center at 319-398-1266 All exhibitors must be responsible for cleaning up after their dogs on the hotel/motel and show grounds. Motels/hotels require that dogs be crated when unattended. Any damages to designated motels/hotels or event site can result in disciplinary action by the Show or Trial committee. It is expected that exhibitors will clean up immediately after their own dogs and strongly encourage others to do the same. All owners, exhibitors should be aware that the entire motel grounds are considered within the trial grounds. You are responsible for all damage to your room and may be subject to disciplinary action in accordance with the rules of the AKC. Any abuse of the grounds will be brought to the attention of the trial giving club and its Trial Committee. Any exhibitor s entries may be refused for previous misuse of the motel facilities. This is an AKC supported measure. FOOD Vendor on site managed by facility. NOTICE TO EXHIBITORS Please join ICDOC in supporting Breast Cancer Awareness by wearing Pink on Saturday, Dec 5. A special raffle featuring agility equipment made by Jeff Hartzler will be held with the proceeds going to cancer research. The Iowa Equestrian Center and entire Kirkwood Community College Campus are NO SMOKING areas per Iowa state law. Smoking will be allowed ONLY in personal vehicles. Photography by Ryan Heard http://rheard.zenfolio.com/ email: ryanh93@aol.com 4
These trials will be held indoors in two 100 x 95 rings with rolled packed dirt floor. Building is climate controlled. There is plenty of close parking, crate space and restrooms. Please bring chairs, crates, water for your dogs and clean up tools. Crating space will be available on an unlimited basis. Crates may be left overnight; however, ICDOC and Kirkwood Community College will not be responsible for any lost or damaged items left at the show site. BUILDING WILL BE AVAILABLE FOR SET UP on Friday, December 4, 2015 from 7:00 a.m. Dogs may not be left overnight in the building. The building WILL NOT be available on Thursday evening. The safety of the dogs 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 able to perform all obstacles safely. Entry fees will not be refunded in the event that a dog is absent, disqualified, excused, or barred from competition by action of the Trial Committee. Bitches in season are not permitted in the Trial. Refunds less $5 administrative fee per class entered per day will be made for bitches that come in season after the closing date for the trial. Written Notification to claim refund must be received by the Secretary by Friday, December 4, 2015 Returned checks do not constitute a valid entry. There will be a $25 charge added on returned checks. No refund for duplicate entries. Care will be taken to find duplicates, however, if an entry has been processed, no refund will be made. It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dog 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. There will be no refund of entry fees if a person is asked to leave the trial site. All dogs must be on leash at all times except when in the ring or when in the designated agility warm-up area. Exhibitors alone are responsible for being at the ring gate when it is their turn to run. Failure to be at ring gate could result in the exhibitor being marked absent. Exhibitors may wear shirts or insignia of their training group if they wish. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. Dogs under 4 months of age are not permitted on the show grounds of AKC Agility Trials. Entry fees will not be refunded if the trials cannot be opened or completed by reason of riots, civil disturbance, fire, an act of God, public emergency, an act of a public enemy, or any other cause beyond the control of the organizing committee. The Iowa City Dog Obedience Club does not agree to arbitrate claims as set forth on the Official AKC entry form for this event. Jump Height Cards - New Rules effective 1/1/10 All dogs competing in agility must POSSESS an official AKC Jump Height Card. An official AKC Jump Height Card is defined as either a permanent jump height card, a valid temporary jump height form, copies of two different measuring forms (placing the dog in the same height class) dated on or after the dog s second birthday, or copies of three different measuring forms (two of which place the dog in the same height class)on or after the dog s second birthday. All dogs except those jumping 24 or 26 (unless a VMO or AKC Representative is present) without permanent or temporary height cards must be measured. You are NOT REQUIRED to show your height card or send a copy with your entry. You ARE REQUIRED to mark on your entry form your dog s height card status. It is the EXHIBITOR S RESPONSIBILITY to request measurement. If your dog does not have a valid height card for a trial and is not measured by a VMO (if present), or judge of record, any qualifying runs earned will be disallowed. AKC Registration information is required for completion of the official height card request form. The Regulations for Agility Trials are available from the AKC at 8051 Arco Corporate Dr, Ste 100, Raleigh, NC 27617-3390 or www.akc.org Vendors persons interested in having a booth/space at the trial must contact The Equestrian Center at 1-319-398-1266 to make arrangements. DIRECTIONS TO SHOW SITE From I-380, north or south, exit onto Hwy 30 east (exit #16) toward Mt Vernon. Take the next exit (about 0.2 miles, #253) and turn south onto Kirkwood Blvd SW. Go past the main Kirkwood Community College campus on your left (about 0.7 miles). Turn left onto 76 th Ave Dr.SW. The Equestrian Center is on your right. From the east or west on Hwy 30, take exit #253 and follow directions above. From Hwy 965, turn east on 76 Ave SW; cross over I-380; go to Kirkwood Blvd and the Equestrian Center is straight ahead on your right. 5
AGILITY TRIAL MOVE-UP FORM (Do not send this form to AKC. Send it to the Trial Secretary) USE THIS FORM TO MOVE UP TO A HIGHER AGILITY CLASS ONLY It is the option of the club to allow day-to-day move-ups. Exhibitors should refer to a club s premium list to verify the club s policy for moving a dog up. If offered, dogs shall be moved up to a higher class at the request of the owner, as a result of the dog qualifying for an agility title. The request for moving up must be made to the Trial Secretary according to the club s published policy. All move-up entries are subject to availability of the class and payment of any difference in entry fee. Dogs so moved-up will be entered at the end of the running order. Refer to Chapter 1, Section 20 of the Regulations for Agility Trials for additional move-up requirements. Name of Club Iowa City Dog Obedience Club Date Dec 4, 5, & 6, 2015 Breed: Sex: Dog s AKC Registered Name Dog s AKC # Dog s Call Name Move Entry to Agility Class: (Circle One) Jump Height Division: (Circle One) Regular Standard Open Excellent Master 8 12 16 20 24 26 Regular JWW Open Excellent Master 8 12 16 20 24 26 Regular FAST Open Excellent Master 8 12 16 20 24 26 Preferred Standard Open Excellent Master 4 8 12 16 20 Preferred JWW Open Excellent Master 4 8 12 16 20 Preferred FAST Open Excellent Master 4 8 12 16 20 Owners Name: Handlers Name: (If applicable) Signature of owner or agent duly authorized to make this entry: Signature of Trial Secretary If Approved: Date Time Received: 6
OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM Iowa City Dog Obedience Club, Dec 4, 5, & 6, 2015 Opens: 10/5/15 Closes: 11/18/15 Day 1: 12/4 STD JWW T2B Day 2: 12/5 STD JWW T2B Day 3: 12/6 STD JWW Daily Entry Fee (per dog): 1st run $20; 2 nd entry: $15, $10 each additional run Make checks payable to: ICDOC; Mail to: Deb Owens, Trial Secretary, 508 2 nd Ave, Luther, IA 50152 IMPORTANT: Carefully read instructions before filling out! ENTRY FEE ENCLOSED Choose Either Regular OR Preferred Classes Circle one jump height, and circle class selections :: Only one selection per class (STD, JWW, FAST, T2B) PREFERRED Classes REGULAR Classes 8 12 16 20 24 26 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 T2B 4 8 12 16 20 STD NovP OpenP ExcP MasterP JWW NovP OpenP ExcP FAST NovP OpenP ExcP T2B T2BP MasterP MasterP Non-Regular Classes International Sweepstakes STD JWW Select: 14 18 26 This Dog Needs To Be Measured Yes No SEX HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) AKC NO Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) SIRE DAM ACTUAL OWNERS OWNERS ADDRESS NEW ADDRESS CITY, STATE ZIP + 4 HANDLER JR. HANDLER # if applicable ENTER Exhibitor or owner MUST sign on the signature line beneath the instructions. 7
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 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 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) 233-9767. 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: Email Address: New Email In Case of Emergency - Name: Phone #: AEAGL2 (09/12) 8