SATURDAY OCTOBER 24, 2009 SUNDAY OCTOBER 25, 2009 At SUPERDOG SPORTS CENTER 148 CITIZENS BLVD, SIMPSONVILLE, KY

GLTC c/o Luann Vuckson 2425 Merriwood Dr. Louisville, KY 40299 Event # 2009023015 Event # 2009023016 PREMIUM LIST 100th ANNUAL ALL-BREED OBEDIENCE TRIAL 101th ANNUAL ALL-BREED OBEDIENCE TRIAL Event # 2009023017 Event # 2009023018 19th ANNUAL ALL-BREED RALLY TRIAL 20th ANNUAL ALL-BREED RALLY TRIAL (Unbenched - Licensed by the American Kennel Club) PROUDLY ANNOUNCES ITS EXTRAVAGANZA WEEKEND OBEDIENCE & RALLY TRIALS This trial has Limited Entries as follows Pre-Novice-24, Novice A 24, Novice B-36, Grad. Novice-24, Open A-16, Open B-40, Grad. Open-8, Utility A-16, Utility B-36, Versatility-7, Rally-176 SATURDAY OCTOBER 24, 2009 SUNDAY OCTOBER 25, 2009 At SUPERDOG SPORTS CENTER 148 CITIZENS BLVD, SIMPSONVILLE, KY AMERICAN KENNEL CLUB CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under the American Kennel Club rules and regulations. James Crowley, Secretary

RENT-A-RING held at show site Friday rent-a-ring: 6:30pm - 9:00pm Saturday rent-a-ring: to begin 30 minutes after presentation of High in Trial Fee 10 minutes for $10.00. No food in the rings. WATCH FOR NEXT YEAR S UPCOMING AGILITY TRIALS MARCH 2010 4-DAY SPRING AGILITY TRIAL Contact Kathie Attwood for a premium at KJAttwood@yahoo.com

PRE-NOVICE CLASS NON-REGULAR CLASS DESIGNATIONS The Pre-Novice Class shall be for dogs that have not received a third qualifying score in a Novice Class prior to the closing of the trial. The owner or any other person may handle dogs in this class. Owners may enter more than one dog in this class. However if a person has handled more than one dog in the first four exercises, that person must provide a handler for the additional dog in the same Group Exercise. All exercises will be scored as in the Novice Class, except the dogs will perform all exercises on leash, which should be 6 feet in length. VETERANS CLASS The Veterans Class will be for dogs that have an obedience title and are at least 7 years old on the date of the trial. The exercises will be performed and judged as in the Novice Class. Dogs may be entered in another class or classes. ******************************************************* AVMA Statement: 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. SHOW SITE SUPERDOG SPORTS CENTER 148 CITIZENS BLVD, SIMPSONVILLE, KY SHOW HOURS: 7:00 A.M. TO 6:00 P.M. EST Show grounds will be available at 7:00 am Join us Saturday to celebrate GLTC s 100th Trial!! ************************************************ OFFICERS OF THE GREATER LOUISVILLE TRAINING CLUB, INC 2009 President Luann Vuckson Vice-President (Obedience) Kathy Knuckles Vice-President (Agility) Sara Jenkins Secretary Nancy Keller Treasurer Janice Scherzer BOARD OF DIRECTORS Dorothy Hofner Nancy Cheski Hilda Ellis Caryn Westmeier David Lukenbill ************************************************ OBEDIENCE TRIAL COMMITTEES Chairperson: Kathy Knuckles 9209 Walhampton Court Louisville, KY 40242 502-553-0944 Trial Secretary Luann Vuckson Trophy Chairperson Diana Cagney Tabulator Luann Vuckson Chief Ring Steward Dwayne Engle

JUDGES AND THEIR ASSIGNMENTS GREATER LOUISVILLE TRAINING CLUB, INC SATURDAY, OCTOBER 24, 2009 Novice A Novice B Graduate Novice Open A Open B Graduate Open Utility A Utility B Versatility Non-Regular Pre-Novice Rally Trials Novice A Novice B Advanced A Advanced B Excellent A Excellent B ************************************************ JUDGES AND THEIR ASSIGNMENTS GREATER LOUISVILLE TRAINING CLUB, INC SUNDAY, OCTOBER 25, 2009 Novice A Novice B Graduate Novice Open A Open B Graduate Open Utility A Utility B Versatility Non-Regular Pre-Novice Non-Regular Veterans Johnson Vet Clinic Offices Hours Sat. 8am 1pm VETERINARIANS: LVSES 24 Hour Emergency Clinic 89 Buck Creek Road, 13160 Magisterial Drive Simpsonville, KY Louisville, KY 40223 502-722-5718 502-244-3036 ********************************************************* LIMITED CRATING SPACE EXERCISE PENS ALLOWED ONLY IN PLACE OF CRATING MULTIPLE DOGS OR LARGE DOGS WHERE IT TAKES LESS OR EQUAL SPACE TO THE USE OF THEIR CRATE OR CRATES NO FOOD VENDORS AVAILABLE ON SITE DUE TO LIMITED SPACE NO HOOK-UPS AT THE SHOW SITE OVERNIGHT PARKING AVAILABLE PLEASE EXERCISE DOGS IN DESIGNATED AREAS ONLY. POOPER SCOOPERS AND PLASTIC BAGS WILL BE AVAILABLE PLEASE CLEAN UP AFTER YOUR DOGS AT THE SHOW SITE AND AT THE MOTELS THANK-YOU ******************************************************* HOTELS: Red Roof East.502-426-7621 Interstate I-64 at Hurstbourne Exit 15 Drury Inn & Suites.502-326-4170 Interstate I-64 at Hurstbourne Exit 15 Microtel Inn. 502-266-6590 Interstate I-64 at Blankenbaker Exit 17. $20 per dog non-refundable Rally Trials Novice A Novice B Advanced A Advanced B Excellent A Excellent B DIRECTIONS TO SITE. Interstate I-64, Exit #28 Simpsonville ( 8 miles East of the Gene Snyder Freeway ) Go North on Hwy 2848 for 1 mile SuperDog Sports Center is behind Citizens Union Bank

********************************************************* NOTICE TO EXHIBITORS A $.50 AKC recording fee will be required for each dog entered at every show held under the rules of the AKC. If a dog is entered in more than one class at a show, the recording fee applies only to the first entry. A $3.00 AKC event service fee will be required for the first entry of a dog and a $3.00 service fee for each additional entry of the same dog in regular and non-regular single entry classes will be required in all AKC licensed and member club events. At every licensed or member club rally trial a recording fee of $3.00 shall be required for each entry of each dog. Entries received without fees will not be accepted. UNSIGNED CHECKS AND RETURNED CHECKS DO NOT CONSTITUTE A VALID ENTRY FEE. Entry fees will not be refunded in the event that a dog is absent, disqualified, excused by a judge or veterinarian, or barred from competition by the action of the Trial Committee. Any exhibitor whose bitch has come in season after the closing date may obtain a refund of their entry, less $10.00 for administration expenses, upon presentation of a Veterinarian s certificate to the Show Secretary prior to the start of any class the morning of the show. No entry will be refunded if the Trial cannot be open or completed by reason of riots, civil disturbances, fire, as Act of God, public emergency, act of public enemy, strikes or any other cause beyond the control of the Club. The show-giving Club assumes no responsibility for any loss, damages or injury sustained by exhibitors, handlers, or to any of their dogs or property and further assumes no responsibility for injury to children. The owner or handler of each dog is solely responsible for the presence of their dogs at ringside when it is judged. Judges are not obligated to wait for any dog. OBEDIENCE ENTRY FEES PER DAY (This fee includes $.50 AKC Recording Fee & $3.00 AKC Event Service Fee) First Entry of a Dog $23.00 Second Entry of the Same Dog $15.00 Non-Regular Classes $15.00 RALLY ENTRY FEES PER DAY (This fee includes $3.00 AKC Recording Fee) First Entry of a Dog $23.00 Second Entry of the Same Dog $15.00 Pre-Paid Catalogs at time of entry $2.00 Limited number of catalogs day of trial $3.00 ENTRIES CLOSE 6:00 PM WEDNESDAY, OCTOBER 7, 2009 MAKE CHECKS PAYABLE TO: GREATER LOUISVILLE TRAINING CLUB (GLTC) MAIL ENTRIES TO: MS. LUANN VUCKSON 2425 MERRIWOOD DR., LOUISVILLE, KY 40299 (502) 724-8004 luannvuckson@att.net PLEASE NOTE: Rally is a separate event and is NOT considered an additional obedience entry. MOVE-UPS Move-ups will be allowed for this trial, provided the class has not reached its limit. Please submit your move-up by Oct. 19th. All move-ups will run at the end of their class. Move-ups may be submitted via email or snail mail to the trial secretary, Luann Vuckson (contact information listed above). You may download move-up forms from the AKC website (www.akc.org) 7305 Shadowood Lane Crestwood, KY 40014 3751 Appian Way #185 Lexington, KY 40517 223 Williamsburg, Ct. Montgomery, IL 60538 JUDGES 3642 Stonecreek Drive Spring Hill, TN 37174 7065 Woodcroft Drive

OBEDIENCE TRIAL PRIZES SATURDAY OCTOBER 24, 2009 HIGHEST SCORING DOG IN REGULAR CLASSES BLUE AND GOLD ROSETTE $25.00 CASH Donated by Hilda Ellis HIGHEST COMBINED SCORE IN OPEN B AND UTILITY CLASSES BLUE AND GREEN ROSETTE $25.00 CASH Donated Hilda Ellis 1st Place All Regular Classes $10 donated by Hilda Ellis Dog Toys will be offered for 1st thru 4th place in each class STRIP RIBBONS OFFERED FOR FIRST THRU FOURTH PLACE A DARK GREEN QUALIFYING RIBBON WILL BE GIVEN TO EACH DOG OBTAINING A QUALIFYING SCORE ************************************************************* OBEDIENCE TRIAL PRIZES SUNDAY OCTOBER 25, 2009 HIGHEST SCORING DOG IN REGULAR CLASSES BLUE AND GOLD ROSETTE $25.00 CASH Donated by Jeanne Ohmann HIGHEST COMBINED SCORE IN OPEN B AND UTILITY CLASSES BLUE AND GREEN ROSETTE $25.00 CASH Donated by Jeanne Ohmann OBEDIENCE TRIAL PRIZES cont d SUNDAY OCTOBER 25, 2009 1st Place All Regular Classes $10 donated by Luann Vuckson Dog Toys will be offered for 1st thru 4th place in each class STRIP RIBBONS OFFERED FOR FIRST THRU FOURTH PLACE A DARK GREEN QUALIFYING RIBBON WILL BE GIVEN TO EACH DOG OBTAINING A QUALIFYING SCORE ************************************************************* RALLY TRIAL PRIZES SATURDAY OCTOBER 24, 2009 Dog Toys will be offered for 1st thru 4th place in each class STRIP RIBBONS OFFERED FOR FIRST THRU FOURTH PLACE A DARK GREEN QUALIFYING RIBBON WILL BE GIVEN TO EACH DOG OBTAINING A QUALIFYING SCORE ************************************************************* RALLY TRIAL PRIZES SUNDAY OCTOBER 25, 2009 Dog Toys will be offered for 1st thru 4th place in each class STRIP RIBBONS OFFERED FOR FIRST THRU FOURTH PLACE A DARK GREEN QUALIFYING RIBBON WILL BE GIVEN TO EACH DOG OBTAINING A QUALIFYING SCORE

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Greater Louisville Training Club, Inc. Superdog Sports Center, 148 Citizens Blvd, Simpsonville, KY OBEDIENCE ENTRIES ONLY Saturday, October 24, 2009 Sunday, October 25, 2009 ENTRY FEES: $23.00 per day for the first entry of a dog and $15.00 for each additional entry of the same dog. $15.00 for non-regular classes. ENTRIES CLOSE Wednesday 6:00 pm CDT, October 7, 2009 at home of trial secretary Mail entries with fees payable to Greater Louisville Training Club to Luann Vuckson, 2425 Merriwood Drive, Louisville, KY 40299 Phoned or faxed entries not accepted. Enclosed fees for this entry _ 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 VARIETY (1) SEX DOG (2) ( 3) CLASS (3) SHOW DIVISION CLASS Weight, color, etc. ADDITIONAL OBEDIENCE (JUMP HEIGHT) RALLY (JUMP HEIGHT) JR. SHOWMANSHIP CLASS CLASSES CLASS CLASS NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG JR. HANDLER NUMBER Enter number here Date of Birth OBED JUMP AKC REG NO. HEIGHT AKC LITTER NO. ILP NO. RALLY JUMP FOREIGN REG NO & COUNTRY Place of Birth HEIGHT USA Canada Foreign BREEDER SIRE DAM ACTUAL OWNER(S) (4) OWNER S ADDRESS PLEASE PRINT 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 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# E-MAIL: 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, and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury, or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF AC- TION, 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 OTHER- WISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSU- ANT TO THE APPLICABLE RULES OF THE AMERIACN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULA- TIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS 1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (sold color black, ASCOB, parti-color), Beagles (not exceeding 13in., over 13. but not exceeding 15.), 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 dogs 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 event 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 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 for which entries closed after the date of 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 the AKC. (For complete rules, refer to Chapter 11, Section 3.) 5. Dogs entering mixed breed classes (eligible only in standalone Agility, Obedience, and Rally trials) should mark Breed as MIXED BREED. Variety, Breed, Sire, Dam information shall remain blank for mixed breed entrants. If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR. S DATE OF BIRTH AKC JUNIOR HANDLER NUMBER The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) 816-3776. By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP If 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? AEN999 (8/09)

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, and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury, or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF AC- TION, 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 OTHER- WISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSU- ANT TO THE APPLICABLE RULES OF THE AMERIACN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULA- TIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS 1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (sold color black, ASCOB, parti-color), Beagles (not exceeding 13in., over 13. but not exceeding 15.), 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 dogs 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 event 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 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 for which entries closed after the date of 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 the AKC. (For complete rules, refer to Chapter 11, Section 3.) 5. Dogs entering mixed breed classes (eligible only in standalone Agility, Obedience, and Rally trials) should mark Breed as MIXED BREED. Variety, Breed, Sire, Dam information shall remain blank for mixed breed entrants. If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR. S DATE OF BIRTH AKC JUNIOR HANDLER NUMBER The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) 816-3776. By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP If 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? OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Greater Louisville Training Club, Inc. Superdog Sports Center, 148 Citizens Blvd, Simpsonville, KY RALLY ENTRIES ONLY Saturday, October 24, 2009 Sunday, October 25, 2009 ENTRY FEES: $23.00 per day for the first entry of a dog and $15.00 for each additional entry of the same dog. ENTRIES CLOSE Wednesday 6:00 pm CDT, October 7, 2009 at home of trial secretary Mail entries with fees payable to Greater Louisville Training Club to Luann Vuckson, 2425 Merriwood Drive, Louisville, KY 40299 Phoned or faxed entries not accepted. Enclosed fees for this entry _ 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 VARIETY (1) SEX DOG (2) ( 3) CLASS (3) SHOW DIVISION CLASS Weight, color, etc. ADDITIONAL OBEDIENCE (JUMP HEIGHT) RALLY (JUMP HEIGHT) JR. SHOWMANSHIP CLASS CLASSES CLASS CLASS NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG JR. HANDLER NUMBER Enter number here Date of Birth OBED JUMP AKC REG NO. HEIGHT AKC LITTER NO. ILP NO. RALLY JUMP FOREIGN REG NO & COUNTRY Place of Birth HEIGHT USA Canada Foreign BREEDER SIRE DAM ACTUAL OWNER(S) (4) OWNER S ADDRESS PLEASE PRINT 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 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# E-MAIL: AEN999 (8/09)