Saturday and Sunday October 8 & 9, 2011

ENTRIES OPEN: Tuesday, August 23, 2011 at 8:00 a.m. At 294 Neptune Ave., W. Babylon, NY 11704-5815 Entries Received prior to the above date and time will not be accepted ENTRIES CLOSE: Tuesday, September 20, 2011 at 6:00 p.m. Method of Entry is First Received Envelopes cannot have entries for more than (10) dogs No hand deliveries within the 1 st 24 hours of opening PREMIUM LIST AKC ALL BREED AGILITY TRIALS Event #'s Sat 2011161907, Sun 2011161908 Ladies Kennel Association of America (AKC MEMBER CLUB) Old Westbury Gardens 71 Old Westbury Road, Old Westbury NY 11568 Saturday and Sunday October 8 & 9, 2011 Cindy Medina 294 Neptune Ave W. Babylon, NY 11704-5815 ENTRIES ARE LIMITED TO 330 RUNS PER DAY Dogs listed with AKC Canine Partners are not eligible to compete at this trial Show Hours: 7 a.m. to 7 p.m. All Judging will be OUTDOORS on GRASS, RAIN OR SHINE Ring Size: 100 x 100 Judging starts at 8:00 a.m. Trial Secretary Services by: Long Island Trial Services www.longislandtrialservices.com CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under AKC Rules and Regulations. James P. Crowley, Secretary

Officers of Ladies Kennel Association of America President... Evelyn Rechler, 105 Horseshoe Rd., Mill Neck, NY 11765 Vice President... Marge Silverthorn, 163 Academy Street, Bayport, NY 11705 Secretary... Patricia Cruz, 15 Siloh Court, Coram, NY 11727 Treasurer... Viola Burgos, 150 Minrol St., Port Jefferson Station, NY 11776 Board of Directors Patricia Weiss, Catherine Farrell Event Committee Teri Nolan, Evelyn Rechler, Patricia Weiss, Ylisa Kunz, Kathy O'Connor, Mary Nigro, Joan Behrend Other Trial Positions Chairman... Teri Nolan, 503 Sylvan Ave., Bayport, NY 11705... 631-472-0031 tnol@aol.com Secretary... Cindy Medina, 294 Neptune Ave., West Babylon, NY 11704... 631-422-6379 LITrialsec@optonline.net Hospitality... Evelyn Rechler Volunteer Coordinator... Teri Nolan...503 Sylvan Ave., Bayport, NY 11705 tnol@aol.com VETERINARIAN (On Call) Long Island Animal Hospital, 793 Old Country Rd, Westbury, NY 11590-5441 Phone: (516)333-0400 Nassau Animal Emergency Group, 740 Old Country Rd, Westbury, NY 11590-4504 Phone: (516)333-6262 EQUIPMENT Obstacles will conform to current requirements of the Regulations for Agility Trials. The equipment for this event is being provided by MAX200 Dog Obedience Equipment, Inc. and will be available for sale at the end of this event. If you are interested in a specific item, it is strongly suggested that you reserve it in advance, as most equipment is sold before it arrives at our trial. FMI you may call MAX200 @ 800-446-2920 or email them at info@max200.com Judge & Assignments Susan Bankauf (#16956) 160 Squankum Yellowbrook Rd., Farmingdale, NJ 07727-3736 Judging All Classes in the following order: Exc Std, Nov JWW, Open Std, Exc JWW, Nov Std, Open JWW Saturday 26 4, Sunday 4 26 A, B, & P classes will run together & ELECTRONIC TIMING WILL BE USED PRIZES ALL PRIZES, AWARDS, AND RIBBONS MUST BE CLAIMED THE DAY OF THE TRIAL NO PRIZES WILL BE MAILED First Place...... Blue Rosette Second Place........ Red Rosette Third Place......... Yellow Rosette Fourth Place......... White Rosette Qualifying...... Dark Green Ribbon A Dog Related item not to exceed $3 will be given to all placements NEW TITLE RIBBONS and MACH BARS provided MX, MXJ, MACH, PACH and PAX Title ribbons will also be provided by Long Island Trial Services CLASSES OFFERED Class Standard Jumpers With Weaves Regular Nov A, Nov B, Open, Exc A, Exc B Nov A, Nov B, Open, Exc A, Exc B Preferred Novice, Open, Exc A, Exc B Novice, Open, Exc A & Exc 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. FOOD & BEVERAGES Food, beverages and water will be available. There is water available at the site SHOW PHOTOGRAPHER M. Nicole Fischer Photography www.mnicolefischer.com Exhibitor Set-Up Exhibitors can setup on Friday between 3:30 and 4:45pm.

**TRIAL REGULATIONS NOTICE TO EXHIBITORS ** THE TRIAL will be open from 7:00 a.m. to 7:00 p.m. RETURNED CHECKS do not constitute a valid entry fee. A charge of $25.00 will be made for each returned check. FAX, TELEPHONE AND UNSIGNED ENTRIES cannot be accepted. ENTRIES NOT ON OFFICIAL AKC ENTRY FORMS OR PHOTOCOPIES OF ENTRY FORMS without the Agreement and Rules attached to the Official AKC Entry Form are NOT ACCEPTABLE. ENTRIES RECEIVED WITHOUT FEES will not be accepted. NO ENTRY SHALL BE MADE AND NO ENTRY SHALL BE ACCEPTED, WHICH SPECIFIES ANY CONDITIONS AS TO ITS ACCEPTANCE. ACKNOWLEDGEMENT OF ENTRIES will be made as soon as trial closes or limits are reached. Acknowledgment of entries will include confirmation notices. ENTRY FEES shall not be refunded in the event that a dog is absent, disqualified, excused by Veterinarian or Judge, or barred from competition by action of Trial Committee. If because of riots, civil disturbances or other acts beyond the control of the management, it is impossible to open or to complete the trial, no refund of entry fees will be made. ERRORS ON ENTRY BLANKS-Owners are responsible for errors in making out entry forms, and no entry fee will be refunded in event of such errors or cancellation of entries after trial has closed. CONSULT FINAL CONFIRMATION FOR TIME OF JUDGING. WALKTHRUS. No umbrellas allowed during walkthrus. JUDGES ARE NOT REQUIRED TO WAIT FOR DOGS. The Owner of each dog is solely responsible for having it ready at ringside when it is to be judged. The Club has no responsibility for providing service through a public address system or stewards or runners for the purpose of calling or locating dogs that are not brought into the ring when required. EVENT COMMITTEE will use due care and diligence for the welfare of dogs and exhibitors, but will not be responsible for, nor assume any liability in the event of an accident or misfortune to either dogs or exhibitors participating in this show. DOGS ELIGIBLE TO PARTICIPATE. This trial is open to all dogs 15 months of age or older that are registered with the American Kennel Club, or are registrable breeds that have obtained an AKC, ILP or PAL number. Bitches in season, aggressive, blind or deaf dogs or dogs suffering from any deformity, injury or illness which may affect the dog s physical or mental performance are ineligible to participate. MIXED BREED DOGS that have been listed with AKC Canine Partners may participate provided their listing number has been recorded on the entry form and the trial-giving club is offering the optional mixed breed classes. DOGS MAY ARRIVE any time prior to Judging, if the dog does not need to be measured. Otherwise, they must be available for measuring before their class begins. 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 the obstacles safely. Exhibitors should follow their veterinarian's recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. According to New York State Law, Rabies vaccination and dog license are mandatory. ALL EXHIBITORS MUST PICK UP AFTER THEIR DOGS!! *** IMPORTANT NOTICE TO EXHIBITORS *** PLEASE MAKE CHECKS OR MONEY ORDERS PAYABLE TO LONG ISLAND TRIAL SERVICES ENTRY FEE $24.00 for the first entry of a dog; $14.00 for each additional entry of the same dog. (Includes $3.50 AKC recording fee for the first entry of each dog plus $3.00 fee for each additional entry of the same dog) OPENING DATE 8:00 a.m. Tuesday, August 23, 2011 at 294 Neptune Ave., W. Babylon, NY 11704. Each trial is LIMITED to 330 runs. CLOSING DATE for entries 6:00 p.m., Tuesday, September 20, 2011 after which entries cannot be accepted, cancelled or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules and in Chapter 1, Section 13 of the AKC Agility Trial Rules and Regulations. MAIL ALL ENTRIES to Ladies KAA c/o Cindy Medina, 294 Neptune Ave., W. Babylon, NY 11704 If you send overnight delivery, please remember to sign the signature waiver. Envelopes/transactions cannot have entries for more than (10) dogs maximum. REFUNDS: There shall be no refunds for entries withdrawn in the event a dog and/or handler are absent or dismissed from competition, regardless of the reason for such dismissal. If because of riots, civil disturbances or other acts beyond the control of management it is impossible to open or complete the show, no refund of entry fee will be made. Refunds are allowed if requested before the closing date. Refunds after closing date for bitches in season and judge changes only. See new Wait List Policy for further refund information. BITCHES IN SEASON are not eligible to participate. Entry fees will be refunded subject to a $5.00 processing fee. Written verification from a veterinarian is required. Notification for refund of bitches in season must be RECEIVED no later than 48 hrs after end of the trial. A Veterinarian's note AND Final Trial Confirmation for dog must accompany any such refund. Refunds requests for bitches in season received after the trial date will incur all AKC fees paid. ABOUT CONFIRMATIONS Preliminary confirmations will be via email either as an attachment or in the body of an email to all exhibitors who provide their email address. If you do not have an email address and want a preliminary confirmation, please send a stamped self-addressed envelope. FINAL CONFIRMATIONS WILL BE EMAILED OUT ALSO and ARMBANDS PICKED UP AT THE TRIAL. DATA ENTRY AND CHANGES TO YOUR INFORMATION Data entry mistakes happen. That is why we ask everyone to READ their preliminary confirmation and final confirmation. For the majority of entries, dog and owner/handler information remains the same. However, if you have a: New email address, New Titles, New Handler, New address and phone, New jump height (including jump height changes from trial to trial. For example, dog jumps 24" at one trial, then 26" in the next trial.) Highlighting ANY of these changes on entry forms would be especially helpful so that these changes can be updated in our database. Then, please review your confirmations carefully to ensure that your requested changes have been made. Move Up Deadline - Remember that the Move-up Deadline for your first day of a weekend trial is ALWAYS Monday at 6:00 pm. Please send those move-ups in right away. Novice Exhibitors please read the section on the move-up form or under Move-ups about when you need to change from Novice A to Novice B.

MEASURING and HEIGHT CARDS If a measurement is necessary, it is the exhibitor s responsibility to have their dog(s) measured prior to running. If your dog does not have a Permanent height card, or if your dog has turned 2 years of age, since getting your temporary height card, your dog NEEDS to be measured. If your dog needs to be measured, remember to check the box on the entry form. Exhibitors are NO longer required to send their height cards in with their entries, Jump Height cards are NO longer required to be shown during check-in. All dogs competing in agility must possess an official AKC Jump Height Card. Dogs that do not have a valid Jump Height Card must be measured by a judge of record for that trial and will only be effective for that set of trials, excluding the dogs jumping in the 24-inch or 26-inch height division. If an official measurer is present, all dogs that have not been issued a permanent Jump Height Card or temporary jump height (yellow) form must be measured for a Jump Height Card regardless of the jump height entered. If there is not an AKC Field Rep or VMO in attendance, all dogs that have not been issued a permanent Jump Height Card or temporary jump height (yellow) form may still compete; however, they must be measured by a judge of record for the trial, prior to running at each trial. The judge s measurement will be valid for this trial or back-toback trials only. If a dog is measured by an AKC Field Rep or VMO and is now eligible to jump in a lower height class, the measurement is effective immediately for any future runs. This does not apply to a challenge measurement for a permanent jump height card. Effective January 1, 2010, exhibitors are no longer required to provide proof to Trial Secretaries that their dog has a valid jump height card as part of the check-in process. See Simplified Jump Card Process Section for a complete AKC Explanation. 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 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 24 inches 20 inches Dogs may be entered at 26 height at their owner s discretion. NOTES FROM TRIAL SECRETARY Please READ AKC has changed the Entry Form, PLEASE USE NEW ENTRY FORMS! Any entry received before the opening date is an INVALID entry. Double and triple check your entry form, and your payment. Any entry received with the improper funds constitutes an invalid entry. Do not make checks out to me, Please make checks out to Long Island Trial Services. Checks not made out to Long Island Trial Services will constitute an invalid entry. This trial does not offer the Fast or the T2B classes, so please do NOT enter them. Remember to check off the box if your dog needs to be measured. Please make sure you enter your dog in the proper height class, I hate getting notices from the AKC of Qs that are removed for dogs running in the wrong height division. Reminder, you are not need to send me your height card, it will make more work for me to just throw it out. If you send overnight delivery, please remember to sign the signature waiver. Signature Waiver - Please remember to check the No Signature Required box AND sign that spot where you authorize them to deliver on any overnight package. My Post Office will not even attempt to deliver packages that require a signature. AND I don't make trips to the post office to claim entries that require a signature. NEW WAIT LIST POLICY: Wait List for Withdrawn Entries after the Closing Date/Time: A wait list is being offered to fill openings created by withdrawn entries, either before or after the trial's closing date/time. A maximum of 30 entries per day, will be accepted for the wait list. All entries, including wait listed entries must be received by the Trial Secretary prior to the closing date. Any entries withdrawn that are received by the Monday preceding the trial, 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. If the withdrawn entry after closing cannot be replaced, no refund will be due. Any wait listed entry that does not move off the wait list into the trial, checks will be shredded. I ALWAYS acknowledge all entries with an email. You will either get a preliminary confirmation or waitlist email. If you do NOT receive an email from me DO NOT assume you didn't get into the trial. You NEED to assume I didn't get your entry.

MOVEUP INFORMATION As per Chapter 1 Section 20. Move-ups. Move-ups prior to a set of trials: 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 that the request is made in writing to the Trial Secretary not later than 6:00 p.m. on the Monday preceding the set of trials for trials starting on a Thursday-Sunday. Day-to-Day Move-ups: Move-ups from day-to-day at a set of back-to-back agility trials shall be at the discretion of the club. The request for moving up must be made in writing at the trial site to the Trial Secretary not later than the day preceding the event. Novice Information: Dogs having attained their first AKC Agility title (Std, JWW, T2B, or FAST) must be moved to the Novice B class (Std, JWW, or FAST) for all trials for which entries have not closed. If entries have already closed on the date the dog obtained its title, the dog shall remain in the class in which it was originally entered or be moved up in level (i.e., Novice to Open) at the request of the owner; subject to the move-up criteria, except as stated in Chapter 1, Section 21 regarding Novice A entries. Section 21. Entry of Ineligible Dog. A dog which has been entered in a Novice A class for which it is not eligible to be entered in due to class restrictions on the dog or handler may be moved to the Novice B class under the following conditions: The request for the move must be in writing and presented to the superintendent or trial secretary at least 30 minutes prior to the start of each trial. The request must state the reason and justification for the move from a Novice A class to the Novice B class. Day-To-Day Move-Ups: Ladies KAA is accepting Day-to Day Move-ups for this Trial. The request for moving up must be made in writing at the trial site to the Trial Secretary not later than the day preceding the event. MOVE-UP FORM Before the trial, Move ups may be made prior to the move-up deadline via email to LItrialsec@optonline.net, or in writing to Cindy Medina, 294 Neptune Ave., W. Babylon, NY 11704-5815. Verbal move ups will not be accepted. PRE TRIAL MOVE-UPS: are due in writing by 6:00 pm the Monday before the Thursday Sunday set of trials. Move-Up Deadline is Monday, October 3rd, 2011. Day-To-Day Move-Ups: Ladies KAA is accepting Day-to Day Move-ups for this Trial. The request for moving up must be made in writing at the trial site to the Trial Secretary not later than the day preceding the event. Trial Name: Owner s Name Reg #: Call Name: Breed: Jump Height: Arm Band #: (If Available) SATURDAY Move Up: Standard Class Jumpers w/weaves SUNDAY Move Up: Standard Class STD: Move from: to: JWW: Move from: to: STD: Move from: to: Jumpers w/weaves JWW: Move from: to: EMAILED MOVE-UPS: When emailing a move-up, please provide the following information. TRIAL NAME, Owner Name. Dog Call Name, Move up for what days (from to etc.), Move up for what classes, (from- to) (PLEASE include STD, JWW)

Ladies Kennel Association of America WOULD LIKE YOU TO HELP It takes a lot of people to run an agility trial. The club would appreciate your help in making this an efficient and successful trial. If you have never before worked at a trial, we will gladly train you. The Club is offering snacks, beverages, and Worker Raffle tickets to workers. For more information contact: Teri Nolan 503 Sylvan Ave., Bayport, NY 11706 email: tnol@aol.com 1. I will work on: Sat Sun Name: Phone: Email: I am running dogs Other Notes regarding my availability: 2. Enter CALL NAME, JUMP HEIGHT, CLASSES, & Days Entered for each dog. CALL NAME Jump HT STD Class Level SAT SUN JWW Class Level 3. Check the jobs you are willing to help with. Gate Steward Scribe Asst. Course Builder Scribe Score Runner Leash Runner Timer Ring Crew Sunday Tear Down Friday Setup 4. Please enclose this form with your entry. SAT Thank You for Volunteering! SUN ROUTES TO SHOW From The West or New York City: From the Long Island Expressway: Take the LIE (I-495) to Exit 39 (Glen Cove Road). Follow the service road east for approximately 1.1 miles, turn right onto Old Westbury Road and continue 0.4 miles. The Gardens' gate is on the left. From the Northern State Parkway: (No RVs or Campers Allowed) Take the Northern State to Exit 32 (Post Avenue). Bear left at end of exit ramp and turn left onto Post Avenue heading north. Turn left onto Jericho Turnpike (Route 25) and turn right at the first light onto Old Westbury Road. The Gardens' gate is on the right. Directions from Eastern Long Island From the Long Island Expressway: Take the LIE (I-495) to Exit 39. Turn left onto Glen Cove Road (Garden City) at end of exit ramp, cross over expressway, and immediately turn left onto the service road. Follow the service road east for approximately 1.1 miles, turn right onto Old Westbury Road and continue 0.4 miles. The Gardens' gate is on the left. From the Northern State Parkway: (No RVs or Campers Allowed) Take the Northern State to Exit 32 (Post Avenue). Turn right at the end of the exit ramp onto Post Avenue heading north. Turn left onto Jericho Turnpike (Route 25) and turn right at the first light onto Old Westbury Road. The Gardens' gate is on the right. Campers/RVs: please enter at 60 Post Road, east of the main entrance. Look for sign reading Service or Bus Entrance HOTELS Holiday Inn Rockville Centre*, 173 Sunrise Highway, Rockville Centre, NY 11570 (516) 678-1300 Red Roof Inn Westbury*, 699 Dibblee Drive, Westbury, NY 11590 (516) 794-2555 Residence Inn Plainview*, 9 Gerhard Road, Plainview, NY 11803 (516) 433-6200 Other hotels in the area (Please check with the management if you wish to have dogs in the room) Hicksville Econo Lodge, 429 Duffy Avenue, Hicksville, NY 11801 (516) 433-3900 Holiday Inn Westbury, 369 Old Country Road, Carle Place, NY 11514 (516) 997-5000 *Dogs usually allowed; however, please check when making reservations. Deposits may be required. It is expected of each Exhibitor that all rules of the hotels and motels are followed. CAMPGROUNDS / RV INFORMATION No Overnight RV or Camping allowed at the site. Campground in the area is: Battle Row Campground, Claremont Road, Old Bethpage, NY 11804 Call for reservations and information: 516-572-8690

NEW Simplified Jump Height Card Process When filling out the entry form, there is a new section at the top of the form for exhibitors 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 that 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. How do I know if I have a valid jump height card? If your dog is under the age of two years as of the trial s date: One (1) temporary measurement is required. Once measured, be sure to retain the Agility Measurement Form yellow copy and check My dog has a Temporary Jump Height Form box, otherwise your dog needs to be measured. If your dog turns two years of age or is older as of the trial s date, your temporary measurement expires on their 2nd birthday and your dog needs to be measured. If your dog is the age of two years or older as of the trial s date: A minimum of two (2) permanent measurements are required. If both permanent measurements place your dog into the same jump height class, the AKC office will issue you a permanent card. If not, then a third measurement is required to determine the dog s jump height class. Until such time that you have received all required measurements for a permanent jump height card, check the My dog needs to be measured box. Upon arrival at the trial, you must check to see if there is a Volunteer Measuring Official and/or an Agility Field Rep. present to perform official measurements. If not, and you posses a yellow copy of the Agility Measurement Form from a previous measurement, then your armband may be picked up during Check- In in lieu of being measured by the judge of record. Once you have received your permanent card from the AKC office, check the My dog has a Permanent Jump Height Card box on all future entry forms. Exception to the 2 permanent measurement requirement: If your dog measures over 22 inches at the withers, you have the option of selecting the Over 22 Reqst Perm box at the top left corner of the Agility Measurement Form to receive a permanent jump height card from AKC after a single measurement. If you do so, please also sign below the checkbox. By doing so, you are giving up your right to have a 2nd measurement performed on your dog in the future; however, you are not giving up your right to have the challenge measurement process performed in the future. Once you have received your permanent card from the AKC office, check the My dog has a Permanent Jump Height Card box on all future entry forms. What if my dog measures into a different jump height then what he is entered? If your dog has been measured by an AKC Field Representative or Volunteer Measuring Official (VMO) and is now eligible to jump in a lower height class, the measurement is effective immediately including any runs (regular or preferred class) which have not yet occurred on the same day that the measurement is recorded. This immediate action does not apply to measurements taken as part of completing the challenge measurement process. Dogs who measure into a higher jump height have always been required to be moved immediately. May I challenge my dog s jump height card measurement? Yes, each dog may go through the challenge process once after the age of two (2) years, if requested by the owner. (Any dogs under the age of two (2) years are also eligible for a challenge measurement.) What is the jump height card challenge process? The jump height card challenge process replicates the original measurement steps. A minimum of two (2) challenge measurements are required. If both challenge measurements place your dog into the same jump height class, then you will be issued a new permanent card from the AKC office. If the two challenge measurements place the dog in different jump height classes, then a third challenge measurement is required to determine the dog s jump height class. Until such time that you have received all required challenge measurements, you must continue to compete at the original jump height stated on the permanent jump height card that is in your possession. It is the sole responsibility of the exhibitor to have their original, official jump height card or temporary jump height form at each trial to present upon request. Additionally, if a measurement is necessary, it is the exhibitor s responsibility to have their dog measured prior to running. Regulations for Agility Trials, Chapter 2, Section 4. Questions regarding either the Simplified Jump Height Card Process or Mixed Breed Optional Classes should be sent to agility@akc.org.

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY Ladies Kennel Association of America Sat 10/8/11 [ ] STD [ ] JWW [ ] BOTH 1 only $24 2 nd class $14 BOTH classes $38 Sun 10/9/11[ ] STD [ ] JWW [ ] BOTH 1 only $24 2 nd class $14 BOTH classes $38 Dogs listed with AKC Canine Partners are NOT eligible to compete at this trial Trial Opens TUES. 8/23/11 8 am Trial Closes TUES.9/20/11 6:00 p.m. Entry Fees: $24 for first class each day, $14 for additional class each day (Includes $3.50 AKC recording fee per for the first entry of the dog plus $3.00 fee for each additional entry of the same dog) Trial is limited to 330 runs/day CHECKS ARE PAYABLE TO Long Island Trial Services Mail to: Ladies KAA, c/o Cindy Medina, 294 Neptune Ave., West Babylon, NY 11704-5815 BREED SEX Make sure you Check the box if your dog NEEDS to be MEASURED VARIETY [ ] MY DOG NEEDS TO BE 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 JUMPERS WITH WEAVES NON-REGULAR AGILITY CLASSES: IF OFFERED FAST ISC Jump Ht TIME 2 BEAT INTERNATIONAL SWEEPSTAKES CLASS STD JWW 14 18 26 T2B T2B P AKC Registered Name (Include AKC titles only CALL NAME AKC REG NO. [ ] ILP. [ ] PAL [ ] FOREIGN REG NO. & COUNTRY Breeder Sire Dam ACTUAL OWNERS Enter Number Here DATE OF BIRTH PLACE OF BIRTH USA CANADA FOREIGN 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 lesser 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 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 person. 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 ARBIRATION 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 above on this 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 OWNERS ADDRESS NEW ADDRESS? [ ] CITY, STATE & ZIP + 4 HANDLER (if junior handler please enter # below) FEE ENCLOSED $ EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. TELEPHONE NUMBER (Include Area Code) E-Mail AEAGL2 (01/11) V8.3P Edit

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY Ladies Kennel Association of America Sat 10/8/11 [ ] STD [ ] JWW [ ] BOTH 1 only $24 2 nd class $14 BOTH classes $38 Sun 10/9/11[ ] STD [ ] JWW [ ] BOTH 1 only $24 2 nd class $14 BOTH classes $38 BREED SEX Dogs listed with AKC Canine Partners are NOT eligible to compete at this trial Trial Opens TUES. 8/23/11 8 am Trial Closes TUES.9/20/11 6:00 p.m. Entry Fees: $24 for first class each day, $14 for additional class each day (Includes $3.50 AKC recording fee per for the first entry of the dog plus $3.00 fee for each additional entry of the same dog) Trial is limited to 330 runs/day CHECKS ARE PAYABLE TO Long Island Trial Services Mail to: Ladies KAA, c/o Cindy Medina, 294 Neptune Ave., West Babylon, NY 11704-5815 Make sure you Check the box if your dog NEEDS to be MEASURED VARIETY [ ] MY DOG NEEDS TO BE 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 JUMPERS WITH WEAVES NON-REGULAR AGILITY CLASSES: IF OFFERED FAST ISC Jump Ht TIME 2 BEAT INTERNATIONAL SWEEPSTAKES CLASS STD JWW 14 18 26 T2B T2B P AKC Registered Name (Include AKC titles only CALL NAME AKC REG NO. [ ] ILP. [ ] PAL [ ] FOREIGN REG NO. & COUNTRY Breeder Sire Dam ACTUAL OWNERS Enter Number Here DATE OF BIRTH PLACE OF BIRTH USA CANADA FOREIGN OWNERS ADDRESS NEW ADDRESS? [ ] CITY, STATE & ZIP + 4 HANDLER (if junior handler please enter # below) FEE ENCLOSED $ EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. 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 lesser 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 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 person. 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 ARBIRATION 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 above on this 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 TELEPHONE NUMBER (Include Area Code) E-Mail AEAGL2 (01/11) V8.3P Edit