United States Australian Shepherd Association Member of the American Kennel Club

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PREMIUM LIST United States Australian Shepherd Association Member of the American Kennel Club Three All Breed AKC Agility Trials Friday - Sunday, March 28-30, 2014 #2014471904, #2014471907, #2014471908 Accepting entries for All American Dogs listed in the AKC Canine Partners program Friday - M/Ex Standard & JWW, Time 2 Beat Saturday - All Standard, JWW & FAST classes Sunday - All Standard & JWW classes, Time 2 Beat Trials will be held indoors on soccer turf Ring size: 90 x 100 ENTRIES OPEN at 8:00 am CST, Monday, January 6, 2014 Entries accepted on a FIRST RECEIVED basis With preference for Australian Shepherds (see page 3) ENTRIES CLOSE at 12:00 pm CST, Friday, March 7, 2014 After which time entries cannot be accepted, canceled, altered, or substituted except as provided for in Chapter 11, Section 6 of the Rules Applying to Dog Shows and Chapter 1, Section 20-21 of the Regulations for Agility Trials Certification Limited to 660 runs per trial 22nd Annual National Specialty Agility Trial Monday, March 31, 2014 #2014471923 All Standard, JWW & FAST classes Limited to 330 runs Australian Shepherds only Purina Farms Event Center 300 Checkerboard Loop, Gray Summit, MO 63039 Permission has been granted by the American Kennel Club for holding this event under American Kennel Club Rules and Regulations. James P. Crowley, Secretary United States Australian Shepherd Association Officers President... Terri Morgan Vice-President... Flo McDaniel Treasurer...Jeffrey Margeson Secretary...Linda Grant 20140 Woodchuck Rd, Sonora, CA 95370 tyedyed@comcast.net Board of Directors Amy Garrison, Sue Holtz, Leida Jones, Lisa Leipold, Kimber Shields AKC Delegate Leon Goetz Trial Chair Greg Jones 6126 State Road H, DeSoto, MO 63020 636-337-8001 mariannj1@earthlink.net Event Committee Greg Jones, Chair Lynn Kraut, Co-Chair Diane Bettis, Wendy Cerilli, Debi Cocciola-Wofford, Vicki Hacker, Linda Harvey, Peggy Timm Trial Secretary Carolyn Johnson Lab Tested Secretary Services AKC Annually Licensed Agility Trial Secretary 632 N Forest Ave 314-395-9950 (Tel) Webster Groves, MO 63119 314-222-9212 (FAX) http://www.labtestedsecretary.com carolyn.johnson@labtestedsecretary.com Veterinarian On Call Washington Veterinary Clinic, Dr John Stoltz 5585 Highway 100, Washington, MO 63090 636-239-5445 Pacifi c Animal Hospital - 24 Hour Emergency Clinic 450 Flier Dr, Pacific, MO 63069 636-257-2100 Please call ahead Directions to Washington Veterinary Clinic: At main gate, turn right onto Hwy MM. Turn right on Hwy 100. Take I-44 west to Exit #252. Take Hwy 100 west for 8.5 mi. Turn right on Brookview, the immediate right into clinic driveway. Directions to Pacific Animal Hospital: At main gate, turn right onto Hwy MM. Turn right on Hwy 100. Cross I-44 and turn left of W Osage St. Turn right on W Flier Dr. Turn left on Flier Dr.

Judges & Assignments Nancy Davis #28983 Terry Elger #19262 Karen Winter # 18739 720 Woodbine Rd, Waynesville, NC 3439 N 79th St, Milwaukee, WI 56 Lynx Ln, Troy, MO Friday Saturday Sunday Monday Standard Nancy Davis Nancy Davis Terry Elger Terry Elger JWW Karen Winter Terry Elger Nancy Davis Terry Elger FAST N/O --- Terry Elger --- Terry Elger FAST E/M --- Nancy Davis --- Terry Elger T2B 4-16 Karen Winter --- Terry Elger --- T2B 20-26 Nancy Davis --- Nancy Davis --- Entry Method First Received with preference for Australian Shepherds. All entries will be accepted on the opening date, but only entries for Australian Shepherds will be entered into the trial for the fi rst 2 weeks. All other entries will be put on a waiting list. On January 20, those entries will be entered in the trial in the order received until the trial limits are reached. Entries received on or after January 20 will be entered in the trial in order of receipt regardless of breed until the trial limits are reached. Entry Fees First entry per dog per day...$25.00 Each additional entry per dog per day...$13.00 Includes AKC Recording Fee of $3.50 for first entry and $3.00 for each additional entry per dog per day. Online Entries This trial is accepting online entries through LabTestedOnline.com. During the fi rst 48 hours after opening, the initial limit of entries designated as either online or paper will be as follows. 20% online and 80% paper each day. If either form of entry has not fi lled at the end of the 48 hour time period, the club reserves the right to decrease or increase either one accordingly. Paper Entries Make checks payable to USASA 2014. Mail entries and fees to: Lab Tested Secretary Services 632 N Forest Ave Webster Groves, MO 63119 Paper entries received within the fi rst 24 hours must include postage or be metered. Entries must be delivered by multi-state or multi-national postal or carrier service, including but not limited to USPS, FedEx, UPS, and DHL. You must waive the signature requirement for delivery services, if applicable. All entries must be submitted on offi cial AKC Agility entry forms, one dog per entry form. Photocopies of entry forms without the AKC Agreement are not acceptable. Unsigned, incomplete, or illegible entries are not acceptable. Limit of 10 dogs per envelope. If you would like confi rmation that your entry was received before the trial has closed, please include your email address or enclose a self-addressed stamped postcard. Entries cannot be changed once the trial has closed. Please check your entries! After Closing Waiting List A waiting list (30 run maximum each day) will be maintained for these trials once they have closed on March 7. The waiting list will be active until its deadline Monday, March 24, 6:00 pm CDT. Any dogs that are entered in these trials at closing and pulled before the waiting list deadline will be replaced, if possible, by dogs in order on the waiting list, and the exhibitor will be reimbursed in full. If a dog is pulled but cannot be replaced, the exhibitor will not receive a refund and the dog will be considered absent for the trials. Entry fees for dogs on the waiting list that do not get into the trial by the waiting list closing date will be refunded in full. Class Description Please see the AKC Regulations for Agility Trials for current class descriptions. Dogs must be entered only in Regular Classes or Preferred Classes with no crossover between them allowed at the same set of trials. Obstacles Obstacles will conform to the requirements in the current edition of the AKC Regulations for Agility Trials. Contacts are rubberized. Classes Offered Regular Agility STANDARD: Novice A & B, Open, Excellent, and Master JUMPERS WITH WEAVES: Novice A & B, Open, Excellent, and Master FAST: Novice A & B, Open, Excellent, and Master TIME 2 BEAT Preferred Agility STANDARD: Novice, Open, Excellent, and Master JUMPERS WITH WEAVES: Novice, Open, Excellent, and Master FAST: Novice, Open, Excellent, and Master TIME 2 BEAT Dogs Eligible to Enter The March 28, 29 and 30 trials are open to all dogs fi fteen (15) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, Purebred Alternative Listing/Indefi nite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number, or are approved Foundation Stock Service (FSS) breeds. The March 31 trial is open to Australian Shepherds fi fteen (15) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, or Purebred Alternative Listing/Indefi nite Listing Privileges (PAL/ILP). Dogs with a PAL/ILP number or an AKC Canine Partners listing number must be spayed or neutered in order to compete. Dogs should be physically sound. Dogs that are blind or deaf, bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect a dog s physical or mental performance are not eligible to compete. No dog shall compete if it is taped or bandaged in any way or has anything attached to it for medical purposes. Refer to Chapter 2 of the Rules Applying to Registration and Discipline for the listing of registerable breeds that may participate. Wherever the word dog is used in these regulations, it includes both sexes. Running Order Class Order - Regular and Preferred will be run together at each height. Friday Ring 1 M/Ex Standard Ring 2 Time 2 Beat, M/Ex JWW Saturday Ring 1: M/Ex FAST, M/Ex Standard, Open Standard, Novice Standard Ring 2: Novice FAST, Open FAST, Novice JWW, Open JWW, M/Ex JWW Sunday Ring 1: M/Ex Standard, Open Standard, Novice Standard Ring 2: Time 2 Beat, Novice JWW, Open JWW, M/Ex JWW Monday Ring 1: M/Ex FAST, Open FAST, Novice FAST M/Ex Standard, Open Standard, Novice Standard M/Ex JWW, Open JWW, Novice JWW Start Times Walkthrough/judge s briefi ng Judging starts Friday 12:30 pm 1:00 pm Saturday - Monday 7:30 am 8:00 am

Height Divisions Owners are responsible for entering their dogs in the proper height divisions. Height divisions are: Dogs Measuring Regular Agility Preferred Agility at the withers May enter in a higher jump MUST enter the AKC height than required but not mandated jump height in a lower jump height 11 and under 8 4 14 and under 12 8 18 and under 16 12 22 and under 20 16 over 22 24 20 at owner s discretion 26 ---- AKC Jump Height Cards All dogs competing in agility must possess an offi cial AKC Jump Height Card. An offi cial AKC Jump Height Card is defined as either a permanent jump height card, a valid temporary jump height form, copies of two different measuring forms (placing the dog in the same height class) dated on or after the dog s second birthday, or copies of three different measuring forms (two of which place the dog in the same height class) on or after the dog s second birthday. All dogs (except those jumping 24 or 26 ) without jump height cards/forms must be measured/wicketed by the Judge of Record PRIOR to running in their class; this measurement will be valid for the weekend of trials only. If a Volunteer Measuring Offi cial or an Agility Field Rep is present, all dogs without a valid jump height card/form must be measured at some time during the trial. If the dog cannot be measured by the VMO prior to running, it must be measured by the judge before its fi rst run. You are not required to show your height card or send a copy with your entry. You are required to mark on your entry form your dog s height card status. It is the exhibitor s responsibility to request measurement. If your dog does not have a valid height card for a trial and is not measured by a VMO, if present, any qualifying runs earned will be disallowed. THERE WILL BE VMO s AT THIS TRIAL. Move-ups For the Friday, March 28, trial: MOVE-UPS close at 6:00 pm CST, Monday, March 24. Move-ups may be sent by regular mail or email to the Trial Secretary. If an email address is provided with your entry, an email confi rmation of the move-up will be sent. For the Saturday, March 29, Sunday, March 30 and Monday, March 31 trials: MOVE-UPS close 30 minutes after the end of the trials on Friday, March 28, Saturday, March 29 and Sunday, March 30 respectively and must be submitted at the trial. Change of Entry As described in Chapter 1, Section 21 of the Regulations for Agility Trials, a dog which is entered in a Novice A class for which it is not eligible may be moved to Novice B. In addition, if notifi cation has been received in writing from the AKC after closing that a dog is not eligible for a class entered, the dog may be moved to the correct class. The request for the move must be made at least 30 minutes prior to the start of the trial. Trial Information The building is available for set up on Friday, March 28 at 8 am. Trial hours are 7:00 am to 30 minutes after the completion of judging. Ring size: 90 x 100. There will be 2 rings on Friday-Sunday and 1 ring on Monday. The building is air-conditioned. Please bring crates and chairs. All crates must be on mats, carpet or some other material that will protect the fl oor. Notice to Exhibitors The safety of the dogs is our primary concern. By entering these trials, exhibitors acknowledge that they are familiar with the rules and regulations of this sport and that their dogs are familiar with and able to perform all obstacles safely. Entry fees will not be refunded in the event that a dog is absent, disqualifi ed, excused, or barred from competition by action of the Event Committee. The United States Australian Shepherd Association may cancel this event in extreme weather conditions. Entry fees will not be refunded if the trials cannot be opened or completed by reason of riots, civil disturbance, fi re, an act of God, public emergency, an act of a public enemy, or any other cause beyond the control of the organizing committee. Since bitches in season are not allowed to compete in AKC Agility Trials, the club will refund all but $10.00 of the entry fee per day for bitches unable to compete for that reason. The Trial Secretary must receive written notification of such a claim for refund by letter handdelivered, emailed, or postmarked before the trial commences. It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Event Committee, be asked to leave the trial site. In such case, no refund of any fees paid will be made. All dogs must be on leash or crated at all times except when in the ring or when in the designated agility warm-up area. Exhibitors are responsible for being at the ring gate when it is their turn to run. The judge need not wait for any dog holding up a class. The United States Australian Shepherd Association has no obligation or responsibility for providing service through a public address system or steward for the purpose of calling or locating dogs that are not brought to the ring when required. Entries must be made on Offi cial AKC entry forms or copies and must include the signed Agreement and Rules. Junior Handlers must enter their JH# and complete back of form. Include only AKC titles on entries. Owners are responsible for errors in making out entry forms, whoever may have made such errors. No entry will be refunded in the event of such errors or cancellation of entries after the published closing date. Errors in entries made by the exhibitor cannot be corrected after the closing date. No refunds for duplicate entries. Returned checks do not constitute a valid entry fee. There is a $25 returned check fee. No refunds will be issued for overpayment of less than $10. Dogs under 4 months of age are not permitted on the show grounds of AKC Agility Trials. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites and any communicable diseases and have appropriate vaccinations. The United States Australian Shepherd Association does not agree to arbitrate claims as set forth on the Offi cial AKC entry form for this event. Exhibitors are responsible for cleaning up after their dog(s). Any exhibitor failing to do so may be excused without benefi t of refund if the Event Committee deems the exhibitor to be in violation of this requirement. The United States Australian Shepherd Association, their Board, Members, and Nestlé Purina Farms and its employees will not be liable for any loss or injury which may be sustained through disappearance, loss, theft, communicable disease, parasites, injury and/or death of dogs entered in this event. Electronic timing will be used at these trials. No smoking is allowed in the Event Center. No outside food or beverage is allowed on Purina Farms property. Violators will be reported to the AKC.

Ribbons All days Rosettes will be awarded to First Place through Fourth Place in each jump height in each class. Qualifying ribbons will be awarded to all dogs receiving a qualifying score at the March 28-30 trials; qualifying rosettes will be awarded to all dogs receiving a qualifying score at the March 31 trial. Dogs must qualify to receive placement ribbons. 1st place... Blue 3rd place...yellow 2nd place...red 4th place... White Qualifying... Green MACH title...blue Rosette PACH title... Gray Rosette New title... Green & Blue Rosette Double Q (Masters Standard/JWW)...Green Rosette Monday, March 31 High in Trial Regular Standard classes... Purple & Silver Rosette High in Trial Preferred Standard classes... Purple & Silver Rosette High in Trial Regular JWW classes... Purple & Silver Rosette High in Trial Preferred JWW classes... Purple & Silver Rosette High in Trial Regular FAST classes... Purple & Silver Rosette High in Trial Preferred FAST classes... Purple & Silver Rosette Motel Information Dogs may NOT be left in rooms unattended. HOST HOTEL: Holiday Inn at Six Flags, 4901 Six Flags Rd, Eureka, MO 63025 (I-44, Exit 261) 800-782-8108 Ask for Crystal Smith Make reservations early, as this is a resort area. When making reservations, indicate you are with the Australian Shepherd National Specialty at Purina Farms. There are many other hotels/motels/campgrounds in the area. For a listing of other hotels/ motels/campgrounds as well as restaurants, refer to the Purina Farms website at http://www. purinafarms.com RV Parking A limited number of RV sites available at Purina Farms. RV Parking Reservation information and Form are available on the USASA website at http://www.australianshepherd.org Reservations open February 15th and close March 31st. Contact Linda Grant at tyedyed@ comcast.net for info. Prizes All days All exhibitors will receive a large toy (value $5-8) for each dog entered over the weekend. Exhibitors entered in the Monday, March 31 trial will receive a USASA logo item ($3). MACH title...bar PACH title...bar Monday, March 31 1st place in each class/jump...national Logo Dog Bowl 2nd - 4th place in each class/jump...custom Lead High in Trial Regular Standard classes... Custom Chair High in Trial Preferred Standard classes... Custom Chair High in Trial Regular JWW classes... Custom Chair High in Trial Preferred JWW classes... Custom Chair High in Trial Regular FAST classes... Custom Chair High in Trial Preferred FAST classes... Custom Chair High in Trial prizes for Standard and JWW will be awarded to the Australian Shepherds with the highest scores. In the case of more than one dog with the same score, the highest yards per second will be used to determine HIT for each prize. High in Trial prizes for FAST will be awarded to the Australian Shepherds with the highest weighted scores, adding points to the dog s score: 4 points for dogs in Excellent/Master, 2 points for dogs in Open and 0 points for dogs in Novice classes. All exhibitors should be aware that the entire motel grounds and RV sites are considered within the trial grounds. All exhibitors are responsible for cleaning up after their dogs on the motel, RV and trial grounds. Motels require that dogs be crated when unattended. Any damages to motels, RV sites or the trial site or abuse of the grounds can result in disciplinary action by the Event Committee. Any exhibitor s entries may be refused for previous misuse of the motel or RV facilities. This is an AKC supported measure. Directions From North/East/South: Take I-44 to Gray Summit/Hwy 100 Exit 253. Turn east on Hwy 100. After approximately ½ mile, turn left on MM. Entrance to Purina Farms is approximately 1 mile on left. From West: Take I-70 to Hwy 47, Exit 193. Take Hwy 47 south to Hwy 100. Continue on 100 to I-44 east. Take I-44 east one exit to Gray Summit. Follow directions above. Purina is pleased to be the official sponsor. Purina. Chosen by Champions. Monday, March 31 1st place in each class/jump... Small thermal cooler All prizes, if not awarded in the ring, must be picked up during the event at the Purina booth. Presentation of the winning ribbon is required. Purina reserves the right to make prize substitutions of equal or greater value in the event a specifi c listed prize is not available.

OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM United States Australian Shepherd Association March 28-31, 2014 Friday Standard (M/Ex) JWW (M/Ex) (not offered) Time 2 Beat Saturday Standard JWW FAST (not offered) Sunday Standard JWW (not offered) Time 2 Beat Monday Standard JWW FAST (not offered) Entry fee: $25.00 for the fi rst entry, $13.00 for each additional entry of the same dog each day. Entries open 8:00 am, January 6, 2014. Entries close at 12:00 pm, March 7, 2014, at the Agility Trial Secretary s offi ce. Make checks payable to USASA 2014. Mail entries with fees to Lab Tested Secretary Services, Trial Secretary, 632 N Forest Ave, Webster Groves, MO 63119. Express mail entries must include signature permitting them to be left at the Trial Secretary s address without recipient signature. Checks must be payable in US funds. PLEASE PRINT CLEARLY. IMPORTANT: Carefully read instructions before filling out! ENTRY FEE ENCLOSED for this dog $ Choose Either Regular or Preferred Classes Check one jump height, and check class selections Only one selection per class (STD, JWW, FAST, T2B) Non-Regular Classes International Sweepstakes STD JWW Select: 14 18 26 This dog needs to be measured: Yes No BREED REGULAR Classes SEX VARIETY PREFERRED Classes 8 12 16 20 24 26 4 8 12 16 20 STD Nov A Nov B Open Exc Master STD Nov P Open P Exc P Master P JWW Nov A Nov B Open Exc Master JWW Nov P Open P Exc P Master P FAST Nov A Nov B Open Exc Master FAST Nov P Open P Exc P Master P T2B T2B T2B T2BP HEIGHT AT WITHERS CALL NAME 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 suffi cient. 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, offi cers, 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 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 ACTION, 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 OTHERWISE STATED IN ITS PREMIUM LIST) 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 ASSOCIA- TION. 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 Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor s responsibility to have their dog(s) measured prior to running. AKC NAME (Include AKC titles only) AKC NO. ILP NO. PAL NO. FOREIGN REG. NO. BREEDER (Enter Complete Registration # below) DATE OF BIRTH PLACE OF BIRTH (List Country) Dogs listed in the AKC Canine Partners Program SM may be eligible to enter all-breed AKC agility trials at the club s option. These dogs should be listed as All American Dog and must include their AKC number on the entry form and check the AKC No. box. Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the 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? SIRE DAM ACTUAL OWNERS OWNERS ADDRESS NEW ADDRESS CITY HANDLER STATE ZIP + 4 ENTER JR HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. 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 above on 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. SIGN HERE X Telephone Number: Email: In Case of Emergency - Name: Phone #: New Email AEAGL2 - (09/12)

USASA VOLUNTEER WORKER FORM Volunteers will be needed for the smooth running of this trial. To volunteer to help, please fi ll out the form below and return with your entry to the Trial Secretary. Volunteer workers will receive food vouchers for the Checkerboard Cafe and be eligible for the daily worker raffl e. Name: Phone: Email: I can help with the following jobs during the following classes / jump divisions. Job Fri Sat Sun Mon Class 4-12 16 20 24-26 Course builder Nov Std Gate steward Open Std Scribe M/Ex Std Timer Nov JWW Combiner Open JWW Ring crew M/Ex JWW Other Nov FAST Open FAST NOTE: M/Ex FAST Time 2 Beat Lab Tested Secretary Services Carolyn Johnson 632 N Forest Ave Webster Groves, MO, 63119 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM AGILITY TRIAL -- MOVE-UP USASA - Mar 28-31, 2014 Mail form to Carolyn Johnson, 632 N Forest Ave, Webster Groves, MO 63119 AKC REGISTERED NAME (INCLUDE AKC TITLES ONLY) DATE OF BIRTH AKC REG NO Friday Saturday Sunday Monday CALL NAME MOVE STANDARD ENTRY TO: NOVICE B OPEN EXCELLENT MASTER MOVE JWW ENTRY TO: NOVICE B OPEN EXCELLENT MASTER MOVE FAST ENTRY TO: NOVICE B OPEN EXCELLENT MASTER ACTUAL OWNER(S) SIGNATURE OF OWNER OR HIS AGENT DULY AUTHORIZED TO MAKE THIS ENTRY X For Trial Secretary Use Only: APPROVED: PARENT OR GUARDIAN SIGNATURE IF OWNER IS UNDER 18 X DATE: