Poodle Club of Central Indiana, Inc.

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AKC Event # 2017217602 Entries close at Show Secretary s Office at 6:00 pm, Eastern Standard Time, Wednesday, May 3, 2017 After which time entries cannot be accepted, cancelled, altered or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules. PREMIUM LIST Specialty Show & Sweepstakes Poodle Club of Central Indiana, Inc. (Licensed by the American Kennel Club) Friday- May 19, 2017 (Unbenched & Indoors) Howard County 4-H Fairgrounds US Hwy 35 & IN Hwy 22 610 E. Payton St. Greentown, Indiana 46936 Show Hours 1:00 P.M. to 9:00 P.M. Mail all entries with fees to: Dan Kaufman, Show Secretary, 1491 Glenn Avenue, Wabash, IN 46992-3620 AMERICAN KENNEL CLUB CERTIFICATION Permission is granted by The American Kennel Club for the holding of this event under American Kennel Club rules and regulations. James P. Crowley, Secretary

Poodle Club of Central Indiana, Inc. Officers President... Krista Fields Vice President... Dan Kaufman Treasurer... David Anderson Secretary... Handi Skorich 4345 Sharon Lane, Indianapolis, IN 46226-3166 317-650-9463 poodlepalz@sbcglobal.net Board Of Directors Mary Ann Olvey Stella Meranda Chuck Metzger Show Committee Dan Kaufman Chairman 1491 Glenn Avenue, Wabash, IN 46992-3620 260-568-1559 dkaufman1491@comcast.net (and all officers of the club) Committees Ring Steward... Dan Kaufman Hospitality... Krista Fields Catalog Advertising... Dan Kaufman Trophies... Handi Skorich Veterinarian On Call Kokomo Animal Hospital 409 Arnold Court, Kokomo, IN 46902 765-453-1207 Photographer Skibinski Photography Robert J. Skibinski 10766 Hanley Street, Crown Point, IN 46307 (219) 662-7725 skibinski2@aol.com (Only the Official Photographer may take win pictures.) There will be a get together for all exhibitors following the completion of the Best In Specialty show judging. Please plan to join us! The Poodle Club of Central Indiana will support entries for the Kokomo Kennel Club shows the next two days, Saturday May 20, 2017 & Sunday May 21, 2017. For more information go to their web site, http://royjonesdogshows.com/premiumlists/kokomo Kennel Club 2017 WEB.pdf

Poodle Club of Central Indiana, Inc. (Toy, Miniature & Standard) Regular Conformation Classes Puppy Dogs 6 mos. & under 9 mos. Puppy Dogs 9 mos. & under 12 mos. Young Adult Dogs 12 mos. & under 18 mos. Amateur-Owner-Handler Dogs Bred By Exhibitor Dogs American Bred Dogs Open Dogs Winners, Dogs (Same classes for Bitches) Best Of Variety Competition In all 3 Varieties Best Puppy in Puppy Classes Best Bred By Exhibitor in Bred By Exhibitor Classes Best of Breed Intervariety Competition Best of Opposite Sex to Best of Breed Intervariety Competition Best Puppy in Show Best Bred By Exhibitor in Show Note: BBE Class eligibility All dogs entered in Bred-By Class must be individually registered with the AKC. The person handling the dog must be a breeder of record of the dog and an owner of record of the dog. To exhibit in this class, family members must be a breeder and owner of record. Judge Mr. Mark Lucas...425 Shepherds Way, Osceola, IN 46561-8889 Breed Classes & Intervariety Competition ENTRY FEES (Including AKC recording fee of $.50 and AKC service fee of $3.00) First entry of each dog... $27.00 Bred By Exhibitor Class... $25.00 Puppy Class... $23.00 ACCOMODATIONS (Check with Motels to See If Dogs Are Allowed) HOST MOTEL HAMPTON INN & SUITES...765-455-2900 2920 S Reed Road (US 31), Kokomo, Rate of $119.00 (Accepting Dogs) COMFORT INN, KOKOMO...765-452-5050 522 Essex Drive (US 31 By-Pass North), Kokomo

DAYS INN & SUITES (Pets allowed, $10 one time pet fee per stay).765-453-7100 3980 S Reed Road (US 31 By-Pass South), Kokomo HOLIDAY INN EXPRESS & SUITES (NO Pets) 765-453-2222 511 Albany Drive, Kokomo **MOTEL 6 (Accepts dogs). 765-457-8211 2808 S Reed Road (US 31 By-Pass North & Lincoln), Kokomo **AMERICAN KENNEL CLUB AND MOTEL 6 OFFER COST-SAVING DISCOUNTS TO AKC REGISTERED DOG OWNERS SUPER 8, (Pets allowed, $10.00 pet fee per night).765-455-3288 5110 Clinton Avenue (Off US 31 By-Pass South), Kokomo Any complaints logged with the show committee from motels may result in a bench show hearing, so please do not damage motel rooms or grounds. Breed Prizes Offered by the Poodle Club of Central Indiana (PCCI) unless stated otherwise Best Of Breed Sterling Silver Medallion offered by the Poodle Club Of America, Inc. Best Of Breed The EX Fat Cat Flopability Dog Toy & 400 Size Crate Pad Best Of Opposite Sex To Best Of Breed AKC Select Stuffed Rat Toy Best Bred By Exhibitor In Show American Classic Wiggle Sticks Bunny Best Puppy In Show Pet Luv Donkey Toy

Variety Prizes offered by Poodle Club of Central Indiana Toys: Best Of Variety Lamaze Puppy Blankie Best of Winners Stuffing Free Skunk Toy Best Of Opposite Sex To Best Of Variety Stuffing Free Skunk Toy Winners Dog & Winners Bitch Pet Luv Fox Toy Reserve Winners Dog Pet Luv Lepord Toy Reserve Winners Bitch Pet Luv Girrafe Toy Miniatures: Best Of Variety AKC Select Stuffed Rat Toy Best of Winners AKC Select Stuffed Bunny Toy Best Of Opposite Sex To Best Of Variety AKC Select Stuffed Bunny Toy Winners Dog & Winners Bitch Multipet Bear Dog Toy Reserve Winners Dog & Reserve Winners Bitch Fetch Tennis Balls 4 pack Standard: Best Of Variety Kong Ballistic Disc Toy Best of Winners American Classic Wiggle Sticks Squirrel Best Of Opposite Sex To Best Of Variety The Nosy Neighbor Flopability Dog Toy Winners Dog & Winners Bitch Master Paws Stuffing Free Lion Reserve Winners Dog & Reserve Winners Bitch Master Paws Stuffing Free Monkey Ribbon Prizes (Toy, Miniature & Standard) Regular Classes First prize... Blue Second... Red Third... Yellow Fourth... White Winners... Purple Reserve... Purple & White Best Of Winners... Blue & White Best Of Variety... Purple & Gold Best Of Opp Sex to Best of Variety... Red & White Select.....Light Blue & White Non-Regular Classes Best Puppy In Classes (Each Variety)... Dark Green Best Bred By Exhibitor (Each Variety)... Dark Green Best Of Breed... Purple & Gold 3-Streamer Rosette Best Of Opposite Sex to Best of Breed... Red & White 3-Streamer Rosette Best Puppy In Show... Dark Green 3-Streamer Rosette Best Bred By Exhibitor In Show... Dark Green 3-Streamer Rosette RV & CAMPING RESERVATIONS For reservation form and information, please go to this web site: http://royjonesdogshows.com/premiumlists/kokomo Kennel Club 2017 WEB.pdf Sanctioned B Match Kokomo Kennel Club will hold a Sanctioned B Match on Saturday evening for AKC registered dogs 3 months or older. The match will have registration from 3 4:30 PM. Match will be held in 4-H Pavilion and will begin 1/2 hour after Best In Show.

CERF Clinic Kokomo Kennel Club will sponsor a CERF Clinic on show grounds on Saturday, May 20 from 9 AM to 4 PM. The cost of the exam is $30.00 for pre-register and $35.00 the day of the Clinic. Also offering Gonioscopy Eye Examination fee for $85.00. Pre-registration form, go to this web site: http://royjonesdogshows.com/premiumlists/kokomo Kennel Club 2017 WEB.pdf Notice To Exhibitors Telegraph, Telephone and Unsigned Entries cannot be accepted. Entries on official AKC entry forms and photocopies of entry form without agreement on the reverse side of the official AKC entry form are NOT ACCEPTABLE. Mail all entries with fee to the Show Secretary, Dan Kaufman, 1491 Glenn Avenue, Wabash, IN 46992-3620 Entries received without fee will not be accepted. Acknowledgment of entries will be made as soon as practicable should such acknowledgment not be received within a reasonable time, please contact the show Secretary. Make all checks payable to Poodle Club Of Central Indiana. Canadian exhibitors must make fees payable in US funds. Please mail check or money orders with entries. The Show Secretary assumes no responsibility for cash sent through the mail. Closing date for entries is 6:00 P.M. May 3, 2017 after which time entries cannot be accepted, cancelled or changed. Except as provided for in Chapter 11, Section 6 of the Dog Show Rules. AKC Event Service Fees and recording fees will be required for the first and additional entry of each dog entered at any Licensed or Member Club Show, Obedience Trial or Tracking test. The fees are to be collected by the trial-giving Club and paid to the American Kennel Club. (American Kennel Club Rule, Chapter 14, Section 2). The event service fees and recording fees are included in the entry fee. No Entry shall be made and no entry shall be accepted which specifies any conditions as to its acceptance. Entry Fees shall not be refunded in the event that a dog is absent, disqualified, excused by Veterinarian or Judged or barred from competition by action of the show committee. If because of riots, civil disturbance or other acts beyond the control of the management it is impossible to complete the show, no refund of entry fee will be made. Post Dated and Returned Checks do not constitute a valid entry fee. The show-giving Club will add a collection fee to the amount of each returned check. Subsequent returned checks from the same exhibitors may result in their being put on a CASH ONLY basis. No Refund for duplicate entries. Every effort to find all duplicate entries will be made, however if an entry has been processed no refund will be made. Errors on entry blanks. Owners are responsible for errors in making out entry forms, whoever may make such errors and no entry fee will be refunded in event of such errors or cancellations of entries after the published closing date. Dogs may arrive any time prior to their scheduled time of judging. Dogs not required for further judging will be excused. Judges will not wait for any dogs holding up a class. Owners and agents alone are responsible for the presence of their dogs in the judging rind when their classes are called to be judged. All dogs present must be held on leash or confined to their crates except when being judged or when in the exercise ring. Class cash prizes will be paid in the ring to the person showing the dog. Claims for prize money must be must in the ring before judging of that breed is over and the Superintendent office is advised at once. The show-giving club disclaims any liability for cash prizes after the judging of the breed is over. Note Foreign dogs are eligible for puppy classes and open classes effective Jan. 1, 1985.

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Poodle Club Of Central Indiana - Friday, May 19, 2017 Howard County 4-H Fairgrounds, US 35 & IN 22, Greentown, IN 46938 Entry Fees (Includes AKC fees): Regular Classes $27.00 first entry, Bred By Exhibitor Classes: $25.00. Puppy Classes: $23.00. Closing Date: Entries close at 6:00 P.M., WEDNESDAY, May 3, 2017, at the Show Secretary s Office, after which time entries cannot be accepted, canceled, or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Mail Entries with Fees to: Dan Kaufman, Show Secretary,1491 Glenn Ave., Wabash, IN 46992-3620 Make checks payable in US funds to: Poodle Club Of Central Indiana Total entry fees: IMPORTANT - Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. (PLEASE PRINT) BREED POODLE VARIETY SEX DOG SHOW CLASS CLASS DIVISION Weight, color, etc. ADDITIONAL CLASSES OBEDIENCE CLASS RALLY CLASS (Jump Height) JR SHOWMANSHIP Not Offered Not Offered Not Offered CLASS NAME OF (See Back) JUNIOR HANDLER (if any) JR. HANDLER NUMBER FULL NAME OF DOG. AKC REG NO.. BREEDER Enter number here DATE OF BIRTH PAL/ILP NO. PLACE OF U.S.A. Canada Foreign FOREIGN REG. NO. & COUNTRY BIRTH Do not print the above in catalog SIRE DAM ACTUAL OWNER(S) (Please Print) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNER S AGENT (IF ANY) AT THE SHOW 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 TELEPHONE # EMAIL:

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org AGREEMENT I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim, and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any if 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, an whether or not the same may have been caused or may have been alleged to have been caused by the negligence of the aforementioned parties or any of their employees agents, or any other persons. I (WE) AGREE THAT ANY CAUSE IF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THIS 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 CON-STRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN TH AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS 1. (Variety) if you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard). 2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and fogs which, according to their owners records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship. 3. (Event Class) Consult the classification in this premium list. If the dog show class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e., age division, color division, weight division. 4. A dog must be entered in the name of the person who actually owned it at the time the entries for an event closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event of the show for which entries closed after the date of the acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to AKC. (For complete rule refer to Chapter 11, Section 3). 5. Mixed Breed dogs entering classes for Agility, Obedience, and Rally trials should mark Breed as All-American Dog/Mixed Breed. Sire and Dam information shall remain blank for mixed breed entrants. If this entry is for Jr. Showmanship please give the following information: JUNIOR SHOWMANSHIP JR S. DATE OF BIRTH AKC JUNIOR HANDLER NUMBER The above number MUST be included. It may be obtained from the American Kennel Club, (919) 854-0195. By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, acts an agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Jr. Handler to the owner?

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Poodle Club Of Central Indiana - Friday, May 19, 2017 Howard County 4-H Fairgrounds, US 35 & IN 22, Greentown, IN 46938 Entry Fees (Includes AKC fees): Regular Classes $27.00 first entry, Bred By Exhibitor Classes: $25.00. Puppy Classes: $23.00. Closing Date: Entries close at 6:00 P.M., WEDNESDAY, May 3, 2017, at the Show Secretary s Office, after which time entries cannot be accepted, canceled, or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Mail Entries with Fees to: Dan Kaufman, Show Secretary,1491 Glenn Ave., Wabash, IN 46992-3620 Make checks payable in US funds to: Poodle Club Of Central Indiana Total entry fees: IMPORTANT - Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. (PLEASE PRINT) BREED POODLE VARIETY SEX DOG SHOW CLASS CLASS DIVISION Weight, color, etc. ADDITIONAL CLASSES OBEDIENCE CLASS RALLY CLASS (Jump Height) JR SHOWMANSHIP Not Offered Not Offered Not Offered CLASS NAME OF (See Back) JUNIOR HANDLER (if any) JR. HANDLER NUMBER FULL NAME OF DOG. AKC REG NO.. BREEDER Enter number here DATE OF BIRTH PAL/ILP NO. PLACE OF U.S.A. Canada Foreign FOREIGN REG. NO. & COUNTRY BIRTH Do not print the above in catalog SIRE DAM ACTUAL OWNER(S) (Please Print) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNER S AGENT (IF ANY) AT THE SHOW 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 TELEPHONE # EMAIL:

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org AGREEMENT I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim, and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any if 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, an whether or not the same may have been caused or may have been alleged to have been caused by the negligence of the aforementioned parties or any of their employees agents, or any other persons. I (WE) AGREE THAT ANY CAUSE IF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THIS 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 CON-STRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN TH AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS 1. (Variety) if you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard). 2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and fogs which, according to their owners records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship. 3. (Event Class) Consult the classification in this premium list. If the dog show class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e., age division, color division, weight division. 4. A dog must be entered in the name of the person who actually owned it at the time the entries for an event closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event of the show for which entries closed after the date of the acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to AKC. (For complete rule refer to Chapter 11, Section 3). 5. Mixed Breed dogs entering classes for Agility, Obedience, and Rally trials should mark Breed as All-American Dog/Mixed Breed. Sire and Dam information shall remain blank for mixed breed entrants. If this entry is for Jr. Showmanship please give the following information: JUNIOR SHOWMANSHIP JR S. DATE OF BIRTH AKC JUNIOR HANDLER NUMBER The above number MUST be included. It may be obtained from the American Kennel Club, (919) 854-0195. By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, acts an agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Jr. Handler to the owner?