Australian Shepherd Club of British Columbia presents ASCA Agility, Obedience, & Rally ASCA Sanctioned. September 5 6, 2015

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Australian Shepherd Club of British Columbia presents ASCA Agility, Obedience, & Rally ASCA Sanctioned NEW ACE Program -any dog 18 months or older can jump one height lower than their standard height -any dog 10 or older can jump 2 heights lower than their Championship height division September 5 6, 2015 www.ascofbc.com At Kennedy Equestrian Park 5575 34B Ave., Delta, BC, Canada NOT just for Aussies!!! All dogs welcome! ALL BREED AGILTY Trial Chair: Linda Clark Limited Entry Agility!! Judge: Sandra Katzen Classes Saturday: Classes Sunday: 2 Regular 2 Regular 2 Jumpers 2 Jumpers 2 Gamblers 2 Gamblers Levels: Novice through Elite Programs: Championship & ACE. ALL BREED OBEDIENCE AND RALLY Trial Chair: Mary Jay Douglas Limited Entry!! OBEDIENCE Saturday: AM and PM Judge: Marion Postgate RALLY Sunday: AM and PM Judge: Jan Wesen * Note, start times are as listed or 60 minutes after completion of Judging of the previous event, whichever is later. Championship Divisions: Standard, Veteran, Junior Handler. ACE Divisions: Standard, Senior Dog. Pre-Entries open July 31, 2015 (Postmark Date) Pre-Entries close September 1, 2015 (or when entries fill) Mail All Entries to trial secretary: Linda Clark, 18039 58A Ave., Surrey BC, V3S 1N7 Cheques payable to ASC of BC Contact ascofbc@gmail.com for more information 1

ALL BREED AGILITY INFORMATION ASCA Agility is open to all breeds of dog, including mixed breeds. Limited Entry Agility! 300 runs Sat & Sun Trial Secretary: Linda Clark (604)-532-3869 ascofbc@gmail.com Pre-Entry Fees: $10/run, Make checks payable to ASC of BC. Entry fees may be paid in US or Canadian Funds. Late Entries: Accepted on a space available basis. Contact the trial secretary for details. Mail completed forms to: Linda Clark, 18039 58A Ave. Surrey BC V3S 1N7 Non-ASCA registered dogs, including mixed breeds, may compete. A tracking number must be applied for if you wish to have your qualifying scores and titles tracked. Please download from (http://www.asca.org/portals/0/trackapp.pdf ). Entries must be submitted on the entry form in this premium. Entries must be signed, complete, and paid in full to be accepted. Entries submitted prior to the Opening Date will not be accepted. Requests for changes or move-ups to your entry must be received in writing or email to the Trial Secretary by September 4, 2015. Day to day move-ups will be accepted. REFUNDS A 100% refund will be given for any request received prior to the closing of entries. Requests for a refund of entry fees after the closing date up to the day before the trial will be given, less any expenses incurred by ASCofBC, and will be issued for the following reasons: bitches in season, dogs ill/injured (with verification from vet on request), or family emergency. MEASURING Dogs entered in any class other than the 20 + or 16 + Veteran division or ACE 16+ Standard or 12+ Senior Dog (ie, classes in which the dog s wither height is 20 and under) and do not have a permanent ASCA, AKC or NADAC height cards must be measured at the time of check in. Copies of height cards may be presented at the trial or mailed in with entry. CHAMPIONSHIP PROGRAM Small Dogs Medium Dogs Larger Dogs ACE PROGRAM Small Dogs Medium Dogs Larger Dogs Standard Division Withers 11 & under Jump 8 Withers >11 & 14 Jump 12 Withers >14 & 18 Jump 16 Withers > 18 & 20 Jump 20 Withers > 20 In the 20 + class, Jump 20 (may enter 24 class) Standard Division Withers 11 & under Jump 4 Withers >11 & 14 Jump 8 Withers >14 & 18 Jump 12 Withers > 18 & 20 In 16 class Jump 16 Withers > 20 In 16 + class Jump 16 Veteran s Division Withers 11 & under Jump 4 Withers >11 & 14 Jump 8 Withers >14 & 18 Jump 12 Withers > 18 & 20 Jump 16 Withers > 20 In the 16 + class Jump 16 Senior Dog Division Withers 11 & under Jump 4 Withers >11 & 14 Jump 4 Withers >14 & 18 Jump 8 Withers > 18 & 20 In 12 division Jump 12 Withers > 20 In the 12 + class Jump 12 2

TRIAL SITE INFORMATION The trial will be one ring, 90 x 110, outdoor on grass. Equipment may include the following: Dog walk (slatless, rubberized), A- frame (slatted, rubberized), teeter-totter (slatless, rubberized), open tunnel, weave poles (24 spacing), tire jump (displaceable), winged and non winged jumps. CLASSES IN RUN ORDER Saturday: Jumpers 1 & 2, Gamblers 1, Regular 1 & 2, Gamblers 2. Sunday: Gamblers 3, Regular 3 & 4, Gamblers 4, Jumpers 3 & 4. All events run Elite, Open, and Novice. Saturday and Sunday Start time will be 8:00AM AWARDS 1st 4th in for each jump height, all classes and levels; qualifying ribbons for each qualifying run. Special Awards: High Scoring Aussie, High Scoring Other Breed, High Scoring Rescue Dog (any breed or mixed breed), High Score ACE Program dog. See form on page 5. Each 10 point Q is worth 1 point and a 5 point Q is worth 1/2 point. In the event of a tie, the following procedures shall be used for breaking the tie. First tie breaker: The dog with the most points in all rounds of the Regular classes. Second tie breaker: The dog with the highest number of gamble points with a qualifying score. Third tie breaker: The dog with the fastest combined YPS in all rounds of the regular classes in which qualifying scores were earned. If you may finish an ATCH during this trial, please inform the Trial Secretary before the trial. FEO (For Exhibition Only) Dogs entered in FEO may jump at a lower height than their regular jump height. No points towards titles will be earned in FEO. NOTICE TO AGILITY COMPETITORS Exhibitors, through submission of entry, acknowledge that they are knowledgeable of ASCA rules and regulations, and agree to abide by all rules in effect at the time of this trial. This trial is sanctioned by the Australian Shepherd Club of America (ASCA ) with the Australian Shepherd Club of British Columbia (ASCofBC) as the sponsor club. Exhibitors through submission of their entry acknowledge that they are knowledgeable of ASCA rules and regulations, including the following rules regarding entry. All healthy, trained dogs over eighteen (18) months of age are eligible to compete in ASCA agility trials. The handlers should always conduct themselves in a sportsmanlike fashion. Bitches in heat, lame or blind dogs are ineligible for entry. Any dog which demonstrates aggression towards any person or any dog, whether inside the ring or outside the ring, must be excused from the agility trial. Any dog which the judge feels is not in enough control to perform all obstacles in a safe manner will be excused from the agility trial. I (we) further agree that when my dog(s) are left unattended, they will be secured in a crate or x-pen. Owners/handlers whose dogs are tethered or improperly secured will not be allowed on the show grounds. No collars, leads, food, toys, clickers, or other aids or devices shall be permitted on the course or within ten feet of the ring entrance at any time. The only exception to this is leading your dog to the start on lead, and then handing the lead to a steward. All dogs should be on leash when not competing. Safety shall always be the foremost consideration in actions and conduct by handlers at all times. No entry shall be accepted from a dog or handler disqualified from the ASCA agility program; a dog or handler disqualified from all ASCA programs; or a member not in good standing with ASCA. The sponsoring clubs will not be responsible for the loss or damage to any dog exhibited, or for the possessions of any exhibitor whether the result be accident or other cause. It is distinctly understood that every dog at this event is in the care and control of his owner or handler during the entire time the dog is on the show premises. Participation is a privilege afforded by the Host club and may be extended or withdrawn by the Host club s trial committee on suitable cause only. Refusal of such entries will be reported to ASCA. There will be no refunds in the event that a dog and or handler are dismissed from competition, regardless of the reason. A 100% refund will be given for any request received prior to the closing date. Requests for a refund of entry fees after the closing date, up to the day before the trial, will be honored less any expenses incurred by ASCofBC, and will be issued for the following reasons: bitches in heat, dogs injured or ill (with verification from vet on request) or family emergency. Checks not honored by the bank do not constitute a valid entry fee. There will be a $20.00 service charge for bank returned checks. The Veterans Division is open to any dog age seven (7) or older, or any handler aged 60 or older, or any handler who has a certificate of disability. Dogs entered in the Veterans Division classes will jump 4 lower than their regular jump height. Current Jump Height Table, Breed Exemption List, description of classes, levels, and divisions are included in the current ASCA Agility Rules and Regulations Handbook. A copy of the current ASCA Agility Rules and Regulations Handbook may be downloaded free from the ASCA website: www.asca.org. 3

VOLUNTEERS NEEDED!!! Volunteers are essential to keeping a trial running smoothly. Any help you can offer will be greatly appreciated. Please indicate jobs you would prefer to do, jobs you can t do, and the days you will be available to help. A volunteer schedule will be sent to you with your confirmation. Lunch will be provided for all volunteers! I am trialing on SATURDAY SUNDAY (circle all that apply) I would love to help out anywhere I can YES NO (circle one) I have experience GATING TIMING SCRIBING (circle all that applies) 4

ALL BREED OBEDIENCE INFORMATION ASCA Obedience is open to all breeds of dog, including mixed breeds. OBEDIENCE FUN RUNS! $5/run! Friday, September 4th 4:00 PM - 6:00 PM Volunteers will be av ailable to call and steward. No scoring provided. Trial Secretary: Mary Jay Douglas, mj-douglas@shaw.ca or 604-274-3318 Show Coordinator: Linda Clark, ascofbc@gmail.com, or 778-809-3869 Saturday: AM trial Entries 8:00AM 8:45AM Trial Starts 9:00AM Judge: Marion Postgte Limited Entry Obedience! PM Trial will begin 60 minutes after the AM trial has completed. Group Exercises will be performed before all individual exercises. The trial will start with Open sits and downs at 9AM. These are limited entry trials. Entries will be limited to three and a half hours of judging per trial. Pre-Entry Fees: All Classes $13/run, Make checks payable to ASC of BC. After September 1, 2015 Entry Fees: All classes $16, Make checks payable to ASC of BC (See note on late entries). Entry fees may be paid in US or Canadian Funds. Late Entries: Accepted on a space available basis. Contact the trial secretary for details. Classes In Run Order: Utility A and B, Open A and B, Novice A and B, Beginner Novice. Mail completed forms to: Linda Clark, 18039 58A Ave, Surrey BC, V3S 1N7 All entries must be on an ASCA official entry forms available at http://www.asca.org/portals/0/obedwtxentry.pdf (or use the forms at the back of this premium). Obedience: Dogs not registered with ASCA must have an ASCA tracking number to compete, a one-time fee applies. Please visit http://www.asca.org/portals/0/trackapp.pdf. Entries must be signed, completed, and paid in full to be accepted. Entries submitted prior to the Opening Date will not be accepted. Non-ASCA registered dogs, including mixed breeds, may compete in obedience, but you must have an ASCA tracking number. Please see the form later in this premium, or download from (http://www.asca.org/portals/0/trackapp.pdf ). Entries must be submitted on the entry form in this premium. Entries must be signed, complete, and paid in full to be accepted. Entries submitted prior to the Opening Date will not be accepted. Requests for changes or move-ups to your entry must be received in writing or email to the Trial Secretary by September 4 th, 2015. REFUNDS A 100% refund will be given for any request received prior to the closing of entries. Requests for a refund of entry fees after the closing date up to the day before the trial will be given, less any expenses incurred by ASCofBC, and will be issued for the following reasons: bitches in heat, dogs ill/injured (with verification from vet on request), or family emergency. TRIAL SITE INFORMATION These events will be held outdoors on grass. Crating space is available outdoors. Very limited shade is available. ROSETTES AND PRIZES HIT, High Score Aussie, High Combined, High Score Junior, Rosettes for 1st (regular classes), flats for 2nd 4th and all nonregular classes. Award for High Scoring Aussie is for ASCA registered Australian Shepherds or for dogs with an ASCA LEP number. Only regular classes count towards the high score awards. CLASS CONFLICTS As much as is possible without causing lengthy delays to the shows and trials, ASC of BC will work to accommodate exhibitors who have conflicts. If you anticipate a conflict, please let the gate and ring stewards know as soon as possible. Run/judging order and entries for each class will be posted outside all agility and obedience trial rings. 5

ALL BREED RALLY INFORMATION Limited Entry Rally! ASCA Rally is open to all breeds of dog, including mixed breeds. Trial Secretary: Mary Jay Douglas, mj-douglas@shaw.ca or 604-274-3318 Show Coordinator: Linda Clark, ascofbc@gmail.com or 778-809-3869 Sunday: AM trial Entries 8:00AM 8:45AM Trial Starts 9:00AM Judge Jan Wesen PM Trial will begin 60 minutes after the AM trial has completed. These are limited entry trials. Entries will be limited to three hours of judging per trial. Pre-Entry Fees: $13/run, Make checks payable to ASC of BC. After September 1, 2015 Entry Fees: All classes$16, Make checks payable to ASC of BC (See note on late entries) Entry fees may be paid in US or Canadian Funds. Late Entries: Accepted on a space available basis. Contact the trial secretary for details. Mail completed forms to: Linda Clark, 18039 58A Ave, Surrey BC, V3S 1N7 Classes Offered in Run Order: Both Trials: Masters C, B & A, Excellent C, B & A, Advanced C, B & A, Novice C, B & A RALLY ENTRIES All entries must be on an ASCA official entry forms available at http://www.asca.org/portals/0/rallyentrywtx.pdf (or use the forms at the back of this premium). Non-ASCA registered dogs, including mixed breeds, may compete in Rally, but you must have an ASCA tracking number. Please see the form later in this premium, or download from (http://www.asca.org/portals/0/trackapp.pdf ). Lame or blind dogs will not be accepted. Bitches in season may not run in the trial. Entries must be submitted on the entry form in this premium. Entries must be signed, complete, and paid in full to be accepted. Entries submitted prior to the Opening Date will not be accepted. Requests for changes or move-ups to your entry must be received in writing or email to the Trial Secretary by September 4th, 2015. Owners/handlers entering Novice Rally, who have previously handled or regularly trained a dog that has earned an Obedience or Rally title from any organization must enter Novice B. Any dog entered in Advanced or Excellent Rally who has earned an RA or RE or an equivalent title in any other registry or any obedience title must enter Advanced B or Excellent Rally B, as appropriate. Any dog entered in Rally Masters who has earned the RM or equivalent or any Obedience title of CDX or above from any registry must enter Masters B. REFUNDS A 100% refund will be given for any request received prior to the closing of entries. Requests for a refund of entry fees after the closing date up to the day before the trial will be given, less any expenses incurred by ASCofBC, and will be issued for the following reasons: bitches in heat, dogs ill/injured (with verification from vet on request), or family emergency. TRIAL SITE INFORMATION These events will be held outdoors on grass. Crating space is available outdoors. Very limited shade is available. ROSETTES AND PRIZES Rosettes will be offered for HIT, High Score Aussie, High Combined (Excellent B and Masters B), High Score Junior. Flats for 1st 4th and all non-regular classes. Award for High Scoring Aussie is for ASCA registered Australian Shepherds or for dogs with an ASCA LEP number. CLASS CONFLICTS As much as is possible without causing lengthy delays to the shows and trials, ASC of BC will work to accommodate exhibitors who have conflicts. If you anticipate a conflict, please let the gate and ring stewards know as soon as possible. Run/judging order and entries for each class will be posted outside all agility and obedience trial rings. 6

SITE INFORMATION New location! Kennedy Equestrian Park 5575 34B Ave., Delta BC Parking: Please drive to the back of the property for general parking. Food: A good selection of stores and restaurants are within a 5 minute drive from the site. Power, Water, Washrooms: There is running water on site and limited power available. Washrooms on site. Tents and Crating: There will be plenty of room for shade tents and crating. As limited shade is available, please provide your own shade for your dogs. DIRECTIONS FROM THE EAST or WEST, VIA HWY 99 Take exit 26 onto Hwy 17 West - Tsawwassen. Take Exit 8 onto Deltaport Way, Turn Right onto 57B St. Turn Left onto 34B Ave. Location will be on your right FROM THE SOUTH VIA I-5 NORTH Stay on I-5 through the Peace Arch Border crossing Head North on Hwy 99 Take exit 26 onto Hwy 17 West - Tsawwassen. Take Exit 8 onto Deltaport Way, Turn Right onto 57B St. Turn Left onto 34B Ave. Location will be on your right BORDER CROSSING INFORMATION Be advised that a passport or enhanced drivers license is required for all humans crossing the border, and all dogs over 3 months require a rabies certificate. For more info: CIFA online. A special prize will be awarded to the high scoring rescue dog of any breed/mix in Agility. Enter your rescue dog here! Dog s name: Handler s name: ASCA Tracking Number (if applicable): Name of Rescue Organization: 7

ACCOMODATIONS On Site: Very limited RV spots will be available with Power and Water. Dry Camping is available as well. Please contact Linda Clark at ascofbc@gmail.com to reserve a spot. HOTELS Coast Tsawwassen Inn 1665 56 th St Delta BC Toll Free 1-800-943-8221 Local 604-943-8221 $15 per pet per night fee Web site: http://www.tsawwasseninn.com Beach Grove Motel 5921 12 th Ave Delta BC 604-943-2632 $15 one time pet fee http://www.beachgrovemotel.com CAMPING Parkcanada 4761 Nulelum Way, Delta BC 1-877-943-0685 No pet fee. All pets must be on leash. Please clean up after your pets. http://www.parkcanada.com BIG AIR PHOTOGRAPHY will be on site as our photographer again this year. bcrescue@shaw.ca or find us on Facebook! 8

Show Dates Host Club Use one entry form per dog. Print or type all of the following information. Dog s ASCA Registration #: Breed: Registered Name: Call Name: Owner(s): Primary Owner Address: DOB: City: ST: Zip: Handler: (If other than owner) Membership #: (Please enter JR # if JR is handling dog) JR DOB: (If JR is handling dog) (LEP/Tracking/Regular) Sex: Male Female Dog s Height @ Withers: Breed Jump Height Exempt? Yes No Standard Jump Height: 8 12 16 20 20+ Class Jump Height: 4 8 12 12+ 16 16+ 20 20+ 24 Program: Championship (CH) ACE Class Entered Regular 1 Regular 2 Jumpers 1 Jumpers 2 Gamblers 1 Gamblers 2 AUSTRALIAN SHEPHERD CLUB OF AMERICA AGILITY TRIAL ENTRY FORM Std Division Level Day(s) Entered Vet (CH) Jr (CH) Sr Dog (ACE) Nov Open Elite Day 1 Day 2 Day 3 A B A B AGREEMENT The person who signs this agreement represents that he/she is authorized to enter into this agreement on behalf of both exhibitor and the owner of entered dog. In consideration of acceptance of this entry: 1.1 As used here, ASCA means the Australian Shepherd Club of America, its affiliate clubs and each of their members, officers, directors, employees, show chairs, show committees, and agents. 1.2 Exhibitor/owner agrees to abide by the rules and regulations of ASCA and any other rules and regulations appearing in the premium for this event. 1.3 Exhibitor/owner certifies that the entered dog is not a hazard to persons, dogs, or property and that the entered dog s rabies vaccination is current in accordance with the requirement of the state in which the dog resides. 1.4 Exhibitor/owner acknowledges all hazards presented by the event and the event premises, including, but not limited to: the condition of the floors, stairways, halls, lighting, security measures (or lack thereof), electrical appliances, fittings, show rings, parking areas, and the presence of unfamiliar animals and people. Exhibitor and owner assume the risk of any harm arising from these. 1.5 Exhibitor/owner releases ASCA, the ASCA affiliate/licensee club (including its officers, directors, members, and event organizing committee), and site owner(s) harmless from all present and future loss, injury, damage, claims, demands and liabilities involving the entered dog, the event, or event premises. Without limiting the generality of the foregoing hold harmless provisions, exhibitor/owner hereby specifically assume sole responsibility for, and agree to indemnify and save aforementioned parties harmless from, any and all loss and expenses (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damages because of bodily injuries, including death, at any time in consequence of my (our) participation in this event; howsoever such injury, or death, may be caused, and whether or not the same may have been caused, or may have been alleged to have been caused, by negligence of the aforementioned parties or any of their employees or agents, or any other persons. I have read, understood, and acknowledge the above Agreement. Signature of Owner/Exhibitor Date: Entry Fee Per Class: $ Package (all classes) Entry Fee: $ TOTAL ENTRY FEE: $ EXHIBITOR/OWNER MUST READ & SIGN REVERSE SIDE OF THIS FORM. PARENT/GUARDIAN OF JUNIOR MUST SIGN AS WELL. Signature of Parent/Legal Guardian of Minor (If Applicable) ( ) Telephone Number Email Address Date:

HOST CLUB AUSTRALIAN SHEPHERD CLUB OF AMERICA Obedience Entry Form PLEASE PRINT OR TYPE ALL INFORMATION Breed Color Registered Name of Dog Entry Number EXHIBITOR/OWNER OR PARENT/LEGAL GUARDIAN (IF JR IS UNDER 18) MUST READ AND SIGN THIS FORM AGREEMENT THE PERSON THAT SIGNS THIS AGREEMENT REPRESENTS THAT SHE/HE IS AUTHORIZED TO ENTER INTO THIS AGREEMENT ON BEHALF OF BOTH EXHIBITOR AND THE OWNER OF THE ENTERED DOG. IN CONSIDERATION OF ACCEPTANCE OF THIS ENTRY: Registration # Date of Birth Sex: Male Female CHECK ALL APPLICABLE IN WHICH THE DOG IS COMPETING DOGS MAY ENTER ONLY ONE OPEN REGULAR CLASS PER TRIAL. Regular Division Height Date Date Date Date Utility A B Open CDX A B Open ODX A B A B Novice *OTCH *OTCH O *Indicate Non Regular Wildcard Team Brace Veterans Other Sub Novice Grad Novice Height Date Date Date Date Nov CDX ODX Util *Dog must have ODX/UD or CDX/UD titles (or both) & be entered in B level. Points apply as indicated. TOTAL $ Junior s Relationship to Owners Junior Member # Jumping Vet Height? Yes No 1. EXHIBITOR AND OWNER, WHETHER OR NOT MEMBERS OF ASCA, WILL ABIDE BY THE RULES AND REGULATIONS OF THE AUSTRALIAN SHEPHERD CLUB OF AMERICA AND ANY OTHER RULES AND REGULATIONS APPEARING IN THE PREMIUM LIST FOR THIS EVENT. 2. EXHIBITORS AND OWNERS CERTIFY THAT THE ENTERED DOG IS NOT A HAZARD TO PERSONS, DOGS, OR PROPERTY. 3. EXHIBITOR AND OWNER ACKNOWLEDGE ALL HAZARDS PRESENTED BY THE EVENT AND THE EVENT PREMISES, INCLUDING, BUT NOT LIMITED TO, THE CONDITION OF THE FLOORS, STAIRWAYS, HALLS, LIGHTING, SECURITY MEASURES (OR LACK THEREOF), ELECTRICAL APPLIANCES, SHOW RINGS, PARKING AREAS AND THE PRESENCE OF UNFAMILIAR ANIMALS AND PEOPLE. EXHIBITOR AND OWNER ASSUME THE RISK OF ANY HARM ARISING FROM THESE. 4. EXHIBITOR AND OWNER RELEASE ASCA AND WILL DEFEND ASCA AND HOLD IT HARMLESS FROM ALL PRESENT AND FUTURE LOSS, INJURY, DAMAGE, CLAIMS, DEMANDS AND LIABILITIES INVOLVING THE ENTERED DOG, THE EVENT, OR THE EVENT PREMISES. a. FOR EXAMPLE, SHOULD THE ENTERED DOG INJURE STOCK, THE OWNER WILL PAY FOR VETERINARIAN SERVICES. IF THE INJURY IS SEVERE, OWNER WILL PAY THE MARKET VALUE OF THE STOCK. Junior s Name Birth Date Sire Dam Breeder Owner(s) Membership ID# s Primary Owner Address City/State/Zip Email Call Name Phone SIGNATURE OF OWNER/EXHIBITOR OR PARENT/LEGAL GUARDIAN (IF JR IS UNDER 18) AS USED HERE, ASCA MEANS THE OWNER AND THE OPERATOR OF THE EVENT PREMISES, THE AUSTRALIAN SHEPHERD CLUB OF AMERICA, ITS AFFILIATE CLUBS, AND EACH OF THEIR MEMBERS, OFFICERS, DIRECTORS, EMPLOYEES, SHOW CHAIRMEN, SHOW COMMITTEES AND AGENTS. Emergency Contact Name & Number Printed Name of Exhibitor Date

HOST CLUB Australian Shepherd Club of America Rally Entry Form PLEASE PRINT OR TYPE ALL INFORMATION Entry Number Rev. 4.26.10 AGREEMENT The person who signs this agreement represents that he/she is authorized to enter into this agreement on behalf of both exhibitor and the owner of entered dog. In consideration of acceptance of this entry: Breed Color Registered Name of Dog ASCA Registration /Tracking No. Sex Birth Date Call Name Sire Circle classes that apply MARK CLASS ENTERED FOR EACH TRIAL Trial 1 Date Trial 2 Date Trial 3 Date Trial 4 Date Novice A B C A B C A B C A B C Advanced A B C A B C A B C A B C Excellent A B C A B C A B C A B C Masters A B C A B C A B C A B C Non-Regular Jump Heights Dam TOTAL ENTRY FEES $ Breeder If the entry is being handled by a junior, please provide the necessary info below Junior s Relationship to all Owners Jr. Membership # Birth Date Junior s Name ASCA Owner Membership # Address Country/City/State/Zip Date Printed Name of Exhibitor EXHIBITOR, OWNER or PARENT/LEGAL GUARDIAN (if Jr. is under 18) MUST READ and SIGN REVERSE SIDE of this FORM 1.1 As used here ASCA means the Australian Shepherd Club of America, its Affiliate clubs and each of their Members, Officers, Directors, Employees, Show Chairs, Show Committees and Agents. 1.2. Exhibitor/owner, agree to abide by the rules and regulations of ASCA and any other rules and regulations appearing in the premium for this event. 1.3. Exhibitor/owner certify that the entered dog is not a hazard to persons, dogs, or property and that the entered dog s rabies vaccination is current in accordance with the requirement of the State in which the dog resides. 1.4. Exhibitor/owner acknowledge all hazards presented by the event and the event premises, including, but not limited to, the condition of the floors, stairways, halls, lighting, security measures or lack of, electrical appliances, fittings, show rings, parking areas and the presence of unfamiliar animals and people; exhibitor and owner assume the risk of any harm arising from these. 1.5. Exhibitor/owner releases ASCA, the ASCA Affiliate club (including its Officers, Directors, Members, and Event Organizing Committee), and site owner(s) (including its Officers, Agents, and Employees) and will defend them and hold them harmless from all present and future loss, injury, damage, claims, demands and liabilities involving the entered dog, the event or event premises. Without limiting the generality of the foregoing hold harmless provisions, exhibitor/owner hereby specifically assume sole responsibility for and agree to indemnify and save aforementioned parties harmless from any and all loss and expenses (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damages because of bodily injuries, including death, at any time in consequence of my (our) participation in this event, howsoever such injury, or death may be caused, and whether or not the same may have been caused or may have been alleged to have been caused by negligence of the aforementioned parties or any of their Employees or Agents or any other persons. I have read, understood, and acknowledge the above agreement. Signature of Owner/ Exhibitor Date Signature of Parent or Legal Guardian of Minor Date ( ) Telephone Number Email Address

In order to have ASCA trial points tracked and to receive ASCA titling certificates, each non ASCA registered dog will be required to have an ASCA Tracking Number. This is a one time fee of $10/dog. At the time of applying for the tracking number, the individual owner must also be an ASCA member (minimum membership type of Service is required). ASCA membership does not need to be maintained in subsequent years. It will be the responsibility of the owner to identify previous ASCA points earned when applying for a Tracking Number. Please type or print clearly. Incomplete or illegible forms will be returned. Membership Application: Owner s Name (1): Owner s Name (2): Owner s Address: City: State: Zip: Phone: Email: Service Membership Fee: $10.00 per person (If you are interested in other membership types, please see our website, www.asca.org) I (We) agree to abide by the ASCA Articles of Incorporation, Bylaws, and all ASCA Rules and Regulations governing the ASCA Registry and all other ASCA programs. Owner s Signature (1): Owner s Signature (2): If Owner/Co Owner is 17 or under, please provide date of birth: Dog Information: Lifetime fee for tracking number is $10.00 per dog for ASCA Members Dog s Full Name: Dog s Call Name: ASCA Service Membership and Tracking Number Application Sex: M F Birth date: Breed: Previous ASCA points earned (If more space is needed, please attach another sheet): FREQUENTLY ASKED QUESTIONS Do I have to have a tracking number to compete? No, you do not need a tracking number in order to compete in Agility or Stock. You will need a tracking number to enter an Obedience trial or Tracking Test. Your dog does not have to be a purebred to receive a tracking number from ASCA. Why would I need or want a tracking number for my dog? If you would like to have your dog s points and titles recorded by ASCA, and if you d like to receive title certificates in the mail for your accomplishments, you might want to obtain a tracking number. How much is the total cost for a tracking number? In order to obtain a tracking number for your dog, you must be at least a Service member. The cost for Service Membership is $10. Your membership is good for one year; however, it does not need to be maintained in subsequent years, unless you want to obtain another tracking number for another dog after your membership has expired. This membership fee is in addition to the tracking fee of $10 per dog. A tracking number is good for the lifetime of the dog. If you only have one dog, the total cost would be $20. For two dogs, the cost would be $30, etc. Mail completed form with check, money order, or credit card information to: ASCA Business Office 6091 E State Hwy 21 Bryan, TX 77801 Phone: (979) 778 1082 You may fax the form to us at: (979) 778 1898 CC# EXP PLEASE THIS SPACE TO PAY WITH A CREDIT CARD CARDHOLDER Revised 5/24/11