Push for Points ASC of AZ Working Trial ASCA Sanction Pending

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Push for Points ASC of AZ Working ASCA Sanction Pending May 25 th - May 28 th, 2017 8 s in 4 days 25 Sheep-25 Geese-25 Cattle-All 8 s *3-5 head of stock depending on entries & availability of stock* Thursday: E Course All Stock Friday: A Course All Stock Sat/Sun: B Course All Stock Dates/Times: Handlers meeting every morning at 8:00 am DAY OF TRIAL ENTRIES: 7:30 am 8:00 am Location: Mike and Dawna Sims 12907 E State Route 169 Dewey, AZ 86327 Judges: Thur AM Thur PM Fri AM Fri PM Joan Carrillo: Cattle Sheep Geese Cattle Russ Ford: Geese Cattle Sheep Geese Bob Myrick: Sheep Geese Cattle Sheep Sat AM Sat PM Sun AM Sun PM Joan Carrillo: Sheep Geese Cattle Sheep Russ Ford: Cattle Sheep Geese Cattle Bob Myrick: Geese Cattle Sheep Geese Entries fees per Pre-Entry Geese $30.00 Day of $35.00 Pre-Entry Sheep $40.00 Day of $45.00 Pre-Entry Cattle $50.00 Day of $55.00 Pre-Entry package 1 - all 3 classes of stock (same dog) $110 Pre-Entry package all 8 regular trials- all 3 classes of stock (same dog) $800 Mail Entries to: Make checks payable to: ASC of ARIZONA (Checks deposited weekly) ASC of AZ C/O Lisa Goss 7431 N Alsup Ave Litchfield Park, Az 85340 NO PRE-ENTRIES ACCEPTED PRIOR TO A POSTMARK DATE OF APRIL 18, 2017. PRE-ENTRIES MUST BE POSTMARKED BY MAY 15, 2017. All entries postmarked after closing date will be charged day of trial prices. Entries must have clearly visible USPS postmark. No meter mail allowed. No DHL. UPS, telephone, email, faxed entries will be accepted. Overnight entries accepted only if signature is waived.

PLEASE MAKE SURE ALL ENTRIES ARE LEGIBLE. Incomplete entry forms will NOT be accepted. Please make sure your entry form includes the dog s call name and your e-mail address. Awards: Ribbons and/or awards will be given for 1 st 4 th place, High Score Geese Aussie/OB, High Score Cattle Aussie/OB, High Score Sheep Aussie/OB, High Score Working Junior, High Score Open Working Junior, Most Promising Started Aussie/OB, High Combined Aussie/OB, High in Aussie/OB and High in Champion of Record. The club will mail awards/ribbons at winners expense. Course Directors Dawna Sims Lisa Goss 928-533-1108 623-326-8132 Painted7ranch@aol.com lgossaz@hotmail.com OTHER INFORMATION: Entry fee refunds will be issued after close of pre-entries only if there is a waiting list and somebody takes your run. Substitutions will be allowed only with a dog owned by the same person making the original entry. Entry fee to be made by US Check/Cashiers Check/Money Order in Registered Owners name ONLY! Entries received without proper signatures, fees, information, etc. will be deemed incomplete and will not be accepted. Registered Owner of dog shall be responsible for replacement cost of livestock at the following prices: GEESE - $50.00 per head, SHEEP - $200.00 per head, CATTLE current MARKET Value. Confirmation of entries shall be made via email or self-addressed stamped envelope (if supplied). The Committee will draw run order prior to the trial. Bitches in season will run in order. This trial shall be run under all ASCA Rules and Regulations. A $50 service fee will apply to all returned checks. Returned checks will not constitute an accepted entry. Weather: Food: RV Parking: Hotels: Please be prepared for any type of weather for both you and your dog. Bring shade and foul weather gear. Pre-ordered lunches will be available at $5 per day. Please email Jeri at jeri.wheaton@gmail.com Self Contained RV spaces are available on site for $10 per night, there is limited parking. Reservations required. Please contact Dawna Sims with your information. Arizona Inn 7875 E Hwy 69 Prescott Valley, Az 86314 928-772-8600 This hotel is pet friendly and will give our club a discounted rate on the rooms. Mention the Australian Shepherd Club of AZ and call today for your reservation! I have reserved a block of rooms. Veterinarians: Kachina Animal Hospital 928-772-8225 12226 E Turquoise Circle Dewey, Az 86327

Direction to Facility: From Phoenix/Tucson: Travel North on I-17, exit at Cortes Junction toward Prescott on Highway 69. Turn Right on Highway 169 and right into Mortimer Family Farms parking lot, immediately turn left and go between Hwy 169(on left) and the Mortimer s Store (on right). Follow the dirt road & PSR signs. From California: Take I-10 east toward Phoenix. Take 303 (North) to I-17 (North). Take I-17 north, exit at Cortes Junction toward Prescott on Highway 69. Turn Right on Highway 169 and right into Mortimer Family Farms parking lot, immediately turn left and go between Hwy 169(on left) and the Mortimer s Store(on right). Follow the dirt road & PSR signs. Facility location:

RECAP SHEET (RETURN WITH YOUR ENTRY)- MAKE CHECK PAYABLE TO ASC OF AZ Your Name: Email: Phone: PRE-ENTRY DAY-OF NO. OF DOGS AMOUNT Entering all eight regular StockDog trials (discount fee per dog) $800 One Package price (discount fee per dog) $110 DONATIONS AND/OR SPONSORSHIP OF AWARDS: Special Awards: $10 will co-sponsor any special daily award High Combined Aussie High Combined Other Breed High in Aussie High in Other Breed Most Promising Started Aussie Most Promising Started Other Breed High in Champion of Record Total Remitted:

Australian Shepherd Club of America Stock Entry Form Entry Number Host Club Dates Please Print or Type Clearly Registration/Tracking #: Breed: Registered Name: DOB: Sex: Color: Call Name: Sire: Dam: Breeder: Owner(s): Owner Address: City: State: Zip: Handler: (If other than owner) Membership Number: JR DOB: (Please enter JR # if JR is handling dog) (If JR is handling dog) Date Date Date Date Sheep Cattle Ducks Mixed Sheep Cattle Ducks STD OPN ADV Novice Wrk. Jr. Handler FEO FTD OPN Post Adv. FTD ADV RTD Total Entry Fees: EXHIBITOR/OWNER MUST READ & SIGN REVERSE SIDE OF THIS FORM PARENT/GUARDIAN OF JUNIOR MUST SIGN AS WELL. 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 hosting the event (including its officers, directors, members, and event organizing committee), and all 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: Signature of Parent/Legal Guardian of Minor (If Applicable) Date: E-Mail Address Cell/Phone # Rev. 10/21/16

ASCA Service Membership and Tracking Number Application In order to have ASCA trial points tracked and to receive 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, Service, is required). ASCA membership does not have 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 Service Membership Fee: $10.00 per person Owner s Name (1): Owner s Name (2): Owner s Address: City: State: Zip: Phone: Email: 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 under 18, please provide date of birth: Dog Information Fee for tracking number is $10.00 per dog for ASCA Members Dog s Full Name: Dog s Call Name: Sex: M F Birth date: Breed: Previous ASCA points earned (If more space is needed, please attach another sheet): Mail completed form with check, money order, or credit card information to: ASCA Business Office 6091 E State Hwy 21, Bryan, TX 77808 You may scan/email the form to agility@asca.org or fax to: (979)778 1898 FREQUENTLY ASKED QUESTIONS Do I have to have a tracking number to compete? 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, Rally 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 recorded by ASCA, and to receive title certificates in the mail for your accomplishments, you will need to obtain a tracking number. What 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. PLEASE USE THIS SPACE TO PAY WITH A CREDIT CARD EXP: SEC CODE: Cardholder s Signature Revised 3/20/15