Page 12 Page 1 DATED MAIL FIRST Show Secretary South Texas & San Antonio Collie Clubs 7910 Picador Drive Houston TX 77083-4918 Entries Close Wednesday, January 16, 2019 at 11:00 PM at the home of the Show Secretary after which time entries cannot be accepted, cancelled, altered or submitted except as provided for in Chapter 11, Section 6 of the Dog Show Rules Premium List SOUTH TEXAS COLLIE CLUB (Licensed by the American Kennel Club) Independent Specialty Shows - Event #s 2019007401 & 2019007402 Sat. February 2, 2019 AM and PM COLLIE CLUB OF SAN ANTONIO (Licensed by the American Kennel Club) Independent Specialty Shows Event #s 201912201& 201912202 Sun. February 3, 2019 AM & PM 4-6 Mos. Puppy Class Event # 201912203 Sun. February 3, 2019 AM Bull Sallas Park Show Barn, 21675C McCleskey Rd, New Caney, TX Show Hours - Saturday: 7:00am to 8:00pm Sunday: 7:00am to 6:00pm CERTIFICATION Permission is granted by the American Kennel Club to hold these events under American Kennel Club Rules and Regulations. Gina N. DiNardo, Secretary
Page 2 Page 11 SOUTH TEXAS COLLIE CLUB OF OFFICERS President Jeanne R Stancliff Vice-President Steve Spaulding Treasurer Kaitlyn Moore Secretary Anna Kutchka 525 Trails End, Houston, TX 770224 anniek12@swbell.net SHOW COMMITTEE Show Chairman Jeanne R Stancliff Trophy Chairman Kaitlyn Moore Judge Hospitality All Members of the Club Building & Grounds All Members of the Club Ring Steward Vikki Youngmeyer Show Secretary Youngmeyer, 7910 Picador Dr., Houston, TX 77083. vikkiy@windstream.net JUDGES Sat AM: Mrs. Yvonne Samuelson #93102 P.O. Box 1024, Tracy, CA 95378-1924 Sat PM Mrs. Robette G. Johns #7134 8976 Coyote Trl, Oak Hills, CA 92344 ENTRY FEES Fees are to be made payable to the SOUTH TEXAS COLLIE CLUB First Entry of Each Dog $27.00 Bred-By-Exhibitor $22.00 Puppy (6-9 mos) &(9-12 mos) $22.00 Veteran (7 + years) $22.00 CONCESSIONS Tom Stancliff will be cooking and running the concessions again for our shows. Saturday Lunch Saturday Dinner His famous Bar-B-Q Sunday Breakfast Sunday Lunch NOTES: During the Saturday dinner, Robette Johns will give a short presentation on the Collie Health Foundation. On Sunday February 3, 2019 A Dog Show Tour and Meet the Breed will be offered by the Collie Club of San Antonio and will take place between the AM and PM specialty shows held. Dogs CAN be left at the site, since someone will be there all night (Entry fee listed includes AKC Recording fee of $3.50 1 st entry and $3.00 additional entry same dog)
Page 10 Page 3 RV PARKING There is a RV park next to the site and another one about 2 blocks from the site for those that need hookups. For those not needing hookups, they may park anywhere on the show site. - COLLIE CLUB OF SAN ANTONIO OFFICERS President Myriah Orrick Vice-President Lea Bertsch Secretary/Treasurer Frank Trevino 929 Rodalyn Dr. Boerne, TX 78006 topsyturvyft@yahoo.com SHOW COMMITTEE Show Chairman April Hain Trevino 929 Rodalyn Dr. Boerne, TX 78006 topsyturvyft@yahoo.com Trophy Chairman April Hain Trevino Ribbons/Rosettes Lea Berstch Hospitality Club Members Building & Grounds Club Members Ring Steward Isabel Trevino Show Secretary Youngmeyer, 7910 Picador Dr., Houston, TX 77083. vikkiy@windstream.net La Quinta Inn and Suites 22025 US 59 (just south of 99 on 59) New Caney, TX 77357-8257 JUDGES Sun AM: 4-6 mos Puppy: Ms. Michelle Struble #7134 9515 NE 94 th St., Bondurant, IA 50035-1086 Sun AM: Ms. Michelle Struble #7134 Sun PM: Mrs. Gayle R. Kaye #38469 P.O. Box 2750 Valley Center, CA 92082-2601 ENTRY FEES Fees are to be made payable to the COLLIE CLUB OF AUSTIN. First Entry of Each Dog $27.00 Bred-By-Exhibitor $22.00 Puppy (6-9 mos) &(9-12 mos) $22.00 Veteran (7 + years) $22.00 4-6 Month Puppy $15.00 (Entry fee listed includes AKC Recording fee of $3.50 1 st entry and $3.00 additional entry same dog)
Page 4 Page 9 DOGS CONFORMATION Regular Classes offered by both clubs BITCHES Puppy 6 mos & under 9 mos Puppy 6 mos & under 9 mos Puppy 9 mos & under 12 mos Puppy 9 mos & under 12mos 12 months to 18 months 12 months to 18 months Novice Novice Bred-By-Exhibitor Bred-By-Exhibitor American Bred American Bred Open (Rough) Open (Rough) Blue Merle Blue Merle Sable & White Sable & White Tri Tri White White Open (Smooth) no color distinction Open (Smooth) no color distinction WINNERS DOG WINNERS BITCH BEST OF BREED COMPETITION, SELECT DOG, SELECT BITCH The Judge may, at his/her discretion, recall into the ring up to 10% of the total entry, dogs/bitches, to receive Judges Select Rosettes. These Rosettes are reserved for those quality animals the Judge feels are worthy of final consideration for Best of Breed. CONFORMATION Non-Regular Classes offered by both clubs DOGS BITCHES VETERANS 7yrs and older VETERANS 7yrs and older Classes open to both Rough and Smooth Varieties by exhibitors, handlers, or to any of their dogs or property and further assume no responsibility for injury to children. Puppies under the age of six months are strictly prohibited from entry into the show site (Except those entered in the 4-6 month puppy event). The welfare of an exhibitor s child is assumed to be the responsibility of the exhibitor. It is distinctly understood that exhibitors will exercise control and restraint over their children while attending these shows. The Club reserves the right to substitute a prize of equal or greater value. All trophies must be claimed the day of the show - None will be mailed. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. Returned checks do not constitute a valid entry fee. The Show Secretary 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. Entry Fee will not be refunded in the event that a dog is absent, disqualified, excused by Veterinarian or barred from competition by action of the Show Committee. No entry fees will be refunded if the show cannot open or be completed by reason of riots, civil disturbances, fire, extreme and/or dangerous weather conditions, an Act of God, public emergency, act of a public enemy, strikes or any other cause beyond the control of the Club or the Show Secretary. No entry shall be made and no entry shall be accepted which specifies any condition as to its acceptance. Entries will not be accepted without fees or signatures. Changes, additions or corrections to entry forms must be received in writing or by email prior to close of entries. Any received by telephone are not acceptable. If an entry is sent by any express mail carrier, please check the NO SIGNATURE REQUIRED BOX. EXHIBITORS WILL BE ABLE TO USE BLOWERS AND CHALK IN THE BUILDING. THERE IS COVERED LOADING AND UNLOADING
Page 8 Page 5 ATTENTION EXHIBITORS For all emergencies, call 911. The show site will be available to exhibitors at 8:00 a.m., Saturday, February 4, 2017. Dogs and equipment must be removed from the show site immediately following judging on Sunday, February 5, 2017 PAYPAL is now available. To use PayPal you may fax your entry information to 281-277-0553 or attach it to an email and send to: mardi2003@gmail.com. The fax will kick in after the telephone message. Both sides of the SIGNED entry form MUST be received; To make your payment through PayPal if you already have an account with PayPal, go to https://www.paypal.com/, sign in and click on Send Money, recipient is mardi2003@gmail.com. IMPORTANT: Please include a $2.00 processing fee per entry. If you do not have a PayPal account, go to https://www.paypal.com/ to set one up. Click on Sign Up and follow the directions. There are no sign-up fees. You may mail, email or fax your entries to the show secretary. Fax: 281-277-0553. Email to: vikkiy@windstream.net. Please make checks payable to the show-giving clubs. If a fax does not go through, call the number for assistance. Canadian exhibitors must submit entries with checks drawn on U.S. accounts or with international money order in U.S. funds. There will be no refund for duplicate entries. Dogs need be present only for scheduled judging and will be released if not needed for further judging. Dogs must be ready for judging. Neither the Club nor their Show Secretary will be responsible or obligated to furnish any service for notifying exhibitors or their agents of Breed or Class judging. Judges need not wait for any dog holding up a class. Owners or agents alone are responsible for the presence of their dogs in the judging rings Dogs which, according to their owner s records, have completed the requirements for a Championship after the closing of entries, but whose Championships are unconfirmed, may be transferred to the Best of Breed competition provided this transfer is made by the Show Secretary at least one-half hour prior to the start of any regular judging. The show-giving Club, the Show Secretary, their agents, employees, etc., assume no responsibility for any loss, dam age or injury sustained VETERINARIAN - ON CALL Animal Emergency Clinic NE 10205 Birchridge Dr., Humble, TX 77338, 281-446-4900 PHOTOGRAPHER Jozef with Ted s Photo Reflex, Houston TX Website: www.tedsphotoreflex.com
Page 6 Page 7 RIBBON AND ROSETTE PRIZES BOTH CLUBS Regular Classes First Prize Blue Ribbon Second Prize Red Ribbon Third Prize Yellow Ribbon Fourth Prize White Ribbon Winners Dog Purple Rosette Winners Bitch Purple Rosette Reserve Winners Dog Purple and White Rosette Reserve Winners Bitch Purple & White Rosette Best of Winners Blue and White Rosette Best of Variety Purple and Gold Rosette Select Dog and Select Bitch Blue and White Rosette Best of Breed Purple & Gold Rosette Best of Opp. Sex to Best of Breed Red and White Rosette Best of Opp. Sex to Best of Variety Red and White Rosette Collie Club of San Antonio only 4-6 Month Beginner Puppy Competition Best of Variety Orange Ribbon Best of Opp. Sex to Variety Lavender Ribbon Best of Breed Orange Ribbon Best of Opp. Sex to Breed Lavender Ribbon TROPHIES AND PRIZES This is a condensed Premium List as authorized by the American Kennel Club Rules Applying to Registration and Dog Shows, Chapter 9, Section 2A. A complete list of Trophies and Prizes for all shows are available upon request from: ROUTES TO THE SHOW From Houston: North on I-69/US-59N Take FM 1485 Exit (First exit pass 99) Make U Turn at 1485 Go 1.13 miles to McCleskey Rd turn right Go 0.92 miles to 21675-C on right (0.2 miles pass Penny St.) If you reach end of road, you have gone about 0.1 mile pass show site. From Dallas and points north: Take I-45 South to Exit 89 FM 3083/Teas Nursery Rd. Follow FM 3083 to I-69N/US-59N (3083 becomes FM 1485 Turn right on feeder road Go 1.13 miles to McCleskey Rd turn right Go 0.92 miles to 21675-C on right (0.2 miles pass Penny St.) If you reach end of road, you have gone about 0.1 mile pass show site. From Austin: Take 290 East to 99 (Toll Road) Take 99 East to I-69 N/US 59 N Take 59 North to First exit FM 1485 Make U Turn at 1485 Go 1.13 miles to McCleskey Rd turn right Go 0.92 miles to 21675-C on right (0.2 miles pass Penny St.) If you reach end of road, you have gone about 0.1 mile pass show site. From San Antonio: Take I-10 East to 99 Take 99 East to I-69 N/US 59 N Take 59 North to First exit FM 1485 Make U Turn at 1485 Go 1.13 miles to McCleskey Rd turn right Go 0.92 miles to 21675-C on right (0.2 miles pass Penny St.) If you reach end of road, you have gone about 0.1 mile pass show site. STCC - Jeanne R. Stancliff, P.O. Box 39, Manvel, TX 77578 jeanne@tstancliff1.com CCSA - April Hain Trevino, topsyturvyft@yahoo.com
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 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, its members, directors, governors, officers, agents, superintendents or show secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and 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 such 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 show or obedience trial, howsoever such injuries, death or damage to property May be caused, and whether or not the same May have been caused or May be alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCATION. 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, 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 dogs which, according to their owner s 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. (Dog Show 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 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 a show 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 show 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 A.K.C. (For complete rule refer to Chapter 11, Section 3.) If this entry is for Jr. Showmanship please give the following information: AKC JUNIOR HANDLER # JR. S DATE OF BIRTH 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 Jr. Handler is not the owner of the dog identified on the face of the form, what is the relationship of the Jr. Handler to the owner? OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM SOUTH TEXAS COLLIE CLUB (STCC) Appropriate Box(s) must be checked See Pages 2-3 for entry fees Conformation Saturday, Feb 2, 2019 AM Conformation Saturday, Feb 2, 2019 PM Bull Sallas Park Show Barn 21675C McCleskey Rd, New Caney, TX Entries Close Wednesday, Jan 16, 2019 at 11:00 PM Mail entries with fees payable to CCSA Vikki Youngmeyer, Trial Secretary, 7910 Picador Drive, Houston, TX 77083-4918 I ENCLOSE $ for entry fees IMPORTANT Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicates sections of the instructions relevant to the information in that box (PLEASE PRINT) BREED COLLIE DOG [2] [3] SHOW VARIETY [1] SEX DIVISION Weight color etc. ADDITIONAL ES OBEDIENCE Jump Height RALLY Jump Height NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG A.K.C. REG NO A.K.C. LITTER NO ILP NO FOREIGN REG NO & COUNTRY BREEDER SIRE DAM Enter number here DATE OF BIRTH JR. SHOWMANSHIP JR. S ID NUMBER PLACE OF USA Canada Foreign BIRTH Do not print the above in catalog ACTUAL OWNER(s) [4] (Please Print) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNERS 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 show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, 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. 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 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, its members, directors, governors, officers, agents, superintendents or show secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and 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 such 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 show or obedience trial, howsoever such injuries, death or damage to property May be caused, and whether or not the same May have been caused or May be alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCATION. 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, 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 dogs which, according to their owner s 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. (Dog Show 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 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 a show 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 show 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 A.K.C. (For complete rule refer to Chapter 11, Section 3.) If this entry is for Jr. Showmanship please give the following information: AKC JUNIOR HANDLER # JR. S DATE OF BIRTH 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 Jr. Handler is not the owner of the dog identified on the face of the form, what is the relationship of the Jr. Handler to the owner? OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM COLLIE CLUB OF SAN ANTONIO (CCSA) Appropriate Box(s) must be checked See Pages 2-3 for entry fees Conformation Saturday, Feb 2, 2019 AM Conformation Sunday, Feb 3, 2019 PM 4-6 Mos. Puppy Class Sat., Feb 3, 2019 AM Bull Sallas Park Show Barn, 21675C McCleskey Rd, New Caney, TX Entries Close Wednesday, Jan 16, 2019 at 11:00 PM Mail entries with fees payable to CCSA Vikki Youngmeyer, Trial Secretary, 7910 Picador Drive, Houston, TX 77083-4918 I ENCLOSE $ for entry fees IMPORTANT Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicates sections of the instructions relevant to the information in that box (PLEASE PRINT) BREED COLLIE DOG [2] [3] SHOW VARIETY [1] SEX DIVISION Weight color etc. ADDITIONAL ES OBEDIENCE Jump Height RALLY Jump Height NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG A.K.C. REG NO A.K.C. LITTER NO ILP NO FOREIGN REG NO & COUNTRY BREEDER SIRE DAM Enter number here DATE OF BIRTH JR. SHOWMANSHIP JR. S ID NUMBER PLACE OF USA Canada Foreign BIRTH Do not print the above in catalog ACTUAL OWNER(s) [4] (Please Print) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNERS 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 show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, 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. SIGNATURE of owner or his agent duly authorized to make this entry TELEPHONE # EMAIL: