PREMIUM LIST Licensed by the American Kennel Club Entries are open to all AKC registered dogs and dogs listed with the AKC Canine Partners program All-Breed Obedience Trials FRIDAY, August 3, 2018 Obedience Trial, AKC Event #2018277207 Rally Trial, AKC Event #2018277230 Rally Entries Limited to 40 SATURDAY, August 4, 2018 Obedience Trial, AKC Event #2018277208 Rally Trial, AKC Event #2018277231 Rally Entries Limited to 40 SUNDAY, August 5, 2018 Obedience Trial, AKC Event #2018277209 Rally Trial, AKC Event #2018277232 Rally Entries Limited to 40 Entry Limits: Each judge limited to no more than 8 hours of judging A wait list will be maintained for events that fill prior to July 18, 2018 TRIAL HOURS: Friday, Saturday & Sunday 8:00 A.M. to 5:00 P.M. Sunshine Obedience School 11092 240th Street Council Bluffs, IA 51503 All judging inside on fully matted cement. ENTRIES CLOSE 6:00PM CST, WEDNESDAY, July 18, 2018, at Secretary s address, after which time entries cannot be accepted, canceled, altered or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Please waive signature requirements on all forms of delivery. Mail requiring signatures will be returned to sender. OFFICERS & BOARD MEMBERS President..........Gerianne Darnell Vice-President........... Erin Embrey Secretary............. Kris Woodke 7620 Woolworth Ave, Omaha NE 68124 kwoodke7618@yahoo.com Treasurer...... Deb Landon Board Members........Dee Nelson.........Alberta Gray..............Linda Puckett Training Director....Devetta Hill TRIAL COMMITTEE Event Chair......... Gerianne Darnell 11092 240th St, Council Bluffs, IA 51503 (712) 526-2252 geriannedarnell@aol.com Chief Ring Steward........... Kris Woodke & Erin Embrey Canteen.......Gerianne Darnell & Erin Embrey Awards....Linda Puckett....Deb Landon All Officers & Members of the Board of Directors TRIAL SECRETARY Polly S. Mumma PO Box 8055 Des Moines, IA 50301 (515) 710-7214 e-mail: springertigger@gmail.com VETERINARIAN ON CALL George Darnell, DVM Animal Emergency Clinic Sunshine Veterinary Clinic 9664 Mockingbird Ln, Omaha 11092 240th Street (402) 339-6232 Council Bluffs, IA 51503 ENTRY FEES (Includes all AKC fees.) First entry each day of each dog...$25.00 Each additional entry of the same dog, unless otherwise specified......$20.00 PLEASE NOTE: Rally and Obedience are separate trials. Entry of a dog in one class in Obedience and one class in Rally on the same day will cost $50.00. (Two First Entries) Make checks payable to BDOC. All entries must be submitted on official AKC entry forms, one dog per entry form. Photocopies of entries without the AKC agreement attached are NOT acceptable. Unsigned, incomplete or illegible entries are NOT acceptable and cannot be entered in the trial. (AKC Rule CH 14, Sec 4) Faxed entries and/or credit cards cannot be accepted. MAIL ENTRIES WITH FEES PAYABLE TO Bellevue Dog Obedience Club (BDOC) c/o Polly S. Mumma PO Box 8055 Des Moines, IA 50301 Judging programs and your official confirmation will be sent via e-mail. It is the exhibitor s responsibility to print a legible e-mail address on the entry form and to configure e-mail software to allow receipt of information from polly@springertigger.com. CERTIFICATION Permission has been granted by the American Kennel Club for the holding of these events under American Kennel Club Rules and Regulations. Gina DiNardo, Secretary
JUDGES Rick Garvin (18834) 4566 HARBOUR HILL DR, MANHATTAN, KS 66503-9020 Dianne Allen (5494) 3213 W 3000S RD, KANKAKEE, IL 60901-7866 Dawn Antoniak-Mitchell, Esq. (39068) 1225 N 53rd St, Omaha, NE 68132-1359 OBEDIENCE TRIAL CLASSES Novice A Novice B Open A Open B Utility A Utility B UDX Preferred Novice Preferred Open Preferred Utility Beginner Novice A Beginner Novice B Graduate Novice Graduate Open Versatility Veterans RALLY TRIAL CLASSES Novice A Novice B Intermediate Advanced A Advanced B Excellent A Excellent B Master RAE JUDGING ASSIGNMENTS OBEDIENCE CLASSES FRIDAY SATURDAY SUNDAY Novice A R Garvin D Allen D Allen Novice B R Garvin D Allen D Allen Open A R Garvin D Allen D Allen Open B R Garvin D Allen D Allen Utility A R Garvin D Allen D Allen Utility B R Garvin D Allen D Allen Preferred Novice R Garvin D Allen D Allen Preferred Open R Garvin D Allen D Allen Preferred Utility R Garvin D Allen D Allen Beginner Novice A R Garvin D Allen D Allen Beginner Novice B R Garvin D Allen D Allen Graduate Novice R Garvin D Allen D Allen Graduate Open R Garvin D Allen D Allen Versatility R Garvin D Allen D Allen Veterans R Garvin D Allen D Allen RALLY CLASSES FRIDAY SATURDAY SUNDAY NOVICE A R Garvin D Allen D Antoniak-Mitchell NOVICE B R Garvin D Allen D Antoniak-Mitchell INTERMEDIATE R Garvin D Allen D Antoniak-Mitchell ADVANCED A R Garvin D Allen D Antoniak-Mitchell ADVANCED B R Garvin D Allen D Antoniak-Mitchell EXCELLENT A R Garvin D Allen D Antoniak-Mitchell EXCELLENT B R Garvin D Allen D Antoniak-Mitchell MASTER R Garvin D Allen D Antoniak-Mitchell Friday: Obedience classes utilizing jumps will run in ascending jump height order. Saturday: Obedience classes utilizing jumps will run in descending jump height order. Sunday: Obedience classes utilizing jumps will run in ascending jump height order. ALL RALLY CLASSES WILL BE RUN SMALL TO TALL. **Entries without jump heights cannot be accepted.** TRANSFERS WILL BE ACCEPTED AT THESE TRIALS, according to the provisions stated in American Kennel Club, Obedience Regulations. Bitches in season are not permitted in the Trial. Exhibitors may request a refund of entries, minus a $10 processing fee, for bitches that come into season after the closing date, as long as the trial secretary is provided documentation from a veterinarian at least 30 minutes prior to the beginning of the day s judging. This show is governed by The American Kennel Club. Exhibitors should read the AKC agreement on the entry blank in the premium list. ALL DOGS MUST be on leash or kenneled unless showing in the ring. Bellevue Dog Obedience CLUB (BDOC) may decline any entries for cause and may refuse to receive or may remove any dog on account of disease, viciousness or other cause, and no one shall have any claim or recourse against BDOC or any official thereof. No entry fees will be refunded if the trials cannot open or be completed by reason of riots, civil disturbance, fire, an act of God, public emergency, an act of a public enemy, or any other cause beyond the control of the organizing committee. BDOC reserves the right to cancel these trials in the event of extreme weather conditions and no entry fee refunds will be made in such case. BDOC policy does allow the trial secretary to enter these events. BDOC offers a special rosette for each dog completing an Obedience title at these trials, as well as a special rosette to any dog earning an OTCH, OGM, UDX, PUDX, POC, RAE or RACH at these trials. BDOC will offer a special ribbon to dogs entered in the Veterans class. One ribbon per dog per weekend. Versatility Graduate Open Utility A Utility B Preferred Utility Open B Open A Matches Thursday Beginning at 5pm Friday Immediately Following the Conclusion of Judging Saturday Immediately Following the Conclusion of Judging Tentative Class Order: Obedience Rally* Preferred Open Graduate Novice Novice A Novice B Beginner Novice A Beginner Novice B Veterans Master Excellent B Excellent A Advanced B Advanced A Intermediate Novice B Novice A *Rally will begin as soon as practical following the conclusion of Obedience.
RIBBON AND ROSETTE PRIZES Bellevue Dog Obedience Club offers the following ribbons and rosettes: OBEDIENCE TRIALS HIGHEST SCORING DOG IN THE REGULAR CLASSES Blue & Gold Rosette HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY Blue & Green Rosette HIGHEST SCORING DOG IN THE PREFERRED CLASSES Blue & Gold Rosette HIGHEST SCORING DOG IN PREFERRED OPEN AND PREFERRED UTILITY Blue & Green Rosette A dark green ribbon will be awarded to all dogs receiving a qualifying score. First Place........Blue Ribbon Second Place.......Red Ribbon Third Place....Yellow Ribbon Fourth Place.....White Ribbon A qualifying score is required for all prizes and awards offered for completion in the Regular classes. Dog means either sex. A qualifying score is not required for class placements or prizes in the Veterans classe. All prizes and trophies must be claimed at the end of the show, none will be mailed. BDOC reserves the right to substitute a prize of equal or greater value. OBEDIENCE TRIAL PRIZES FRIDAY HIGHEST SCORING DOG IN REGULAR CLASSES: $10 HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY: $10 HIGHEST SCORING DOG IN PREFERRED CLASSES: $10 HIGHEST SCORING DOG IN PREFERRED OPEN & PRERRED UTILITY: 10 RALLY TRIALS HIGHEST COMBINED SCORING DOG IN ADVANCED B & EXCELLENT B Blue & Green Rosette HIGH TRIPLE SCORE (ADVANCED B, EXCELLENT B & MASTER) Blue & Red Rosette A dark green ribbon will be awarded to all dogs receiving a qualifying score. First Place........Blue Ribbon Second Place.......Red Ribbon Third Place....Yellow Ribbon Fourth Place.....White Ribbon A qualifying score is required for all prizes and awards. Dog means either sex. All prizes and trophies must be claimed at the end of the show, none will be mailed. BDOC reserves the right to substitute a prize of equal or greater value. RALLY TRIAL PRIZES FRIDAY HIGHEST COMBINED SCORE IN ADVANCED B AND EXCELLENT B: $10 HIGHEST TRIPLE SCORE: $10 SATURDAY HIGHEST COMBINED SCORE IN ADVANCED B AND EXCELLENT B: $10 HIGHEST TRIPLE SCORE: $10 SUNDAY HIGHEST COMBINED SCORE IN ADVANCED B AND EXCELLENT B: $10 HIGHEST TRIPLE SCORE: $10 SATURDAY HIGHEST SCORING DOG IN REGULAR CLASSES: $10 HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY: $10 HIGHEST SCORING DOG IN PREFERRED CLASSES: $10 HIGHEST SCORING DOG IN PREFERRED OPEN & PRERRED UTILITY: 10 SUNDAY HIGHEST SCORING DOG IN REGULAR CLASSES: $10 HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY: $10 HIGHEST SCORING DOG IN PREFERRED: $10 HIGHEST SCORING DOG IN PREFERRED OPEN & PRERRED UTILITY: $10
Attention Exhibitors Please leave the motel and motel grounds clean. Any complaints from proprietors will be handled by the Show Committee. Telephone, email and unsigned entries cannot be accepted. Entries not on an Official AKC Entry Form and photocopies of entry forms without Agreement and Rules on the reverse side of the Official AKC Entry Form are NOT ACCEPTABLE. Make all checks and money orders payable to Bellevue Dog Obedience Club. Canadian exhibitors must make fees payable in US funds. Please mail checks or money orders with entries. Mail all entries to Polly S. Mumma, PO Box 8055, Des Moines, IA 50301. Entries received without fees will not be accepted. Acknowledgement of entries will be made as soon as practical. Unless an exhibitor specifically requests postal communication, submission of an email address on the entry form will serve as authorization to send communication, including entry confirmation via email. It is the exhibitor s responsibility to ensure that their email software will accept messages from polly@springertigger.com Entry fees shall not be refunded in the event that a dog is absent, disqualified, excused by veterinarian or judge, or barred from competition by action of Show Committee or AKC. The well-being of dogs, exhibitors and spectators is of paramount importance, and in the event it is necessary to cancel or stop the show before completion, no refund of entry fee will be made. BDOC does not agree to arbitrate claims as set forth on the Official AKC Entry Form for these events. Owners are responsible for errors on completed entry forms, whoever may make such errors, and no entry fee will be refunded in event of such errors or cancellation of entries after the published closing date. Changes, additions or corrections to entry forms must be received in writing, by telegram or email prior to close of entries. Those received by telephone are not acceptable. Post-dated and returned checks do not constitute a valid entry. A collection fee will be added to the amount of each returned check. No refund for duplicate entries. Care will be taken to find duplicates, however, if an entry has been processed, no refund will be made. No entry shall be made and no entry shall be accepted which specifies any conditions as to its acceptance. It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dog and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee be asked to leave the trial site. There will be no refunds of entry fees if a person is asked to leave the trial site. Dogs may arrive any time prior to their scheduled judging. Dogs not required for further judging may be excused. Judges will not wait for any dog holding up a class. Owners or agents are responsible for the presence of their dogs in the judging ring when their classes are called to be judged. Class prizes will be distributed in the ring to the person showing the dog. Claims must be made in the ring before the judging for that show is over, and the Secretary advised at once. All prizes must be claimed at the show. If not, they become the property of BDOC. No prizes will be mailed. BDOC, the show secretary, members of the show committee, their agents, employees, etc. assume no responsibility for any loss, damage or injury sustained by spectators, exhibitors, handlers, their employees or children, etc. or to any of their dogs or property. Entrants and spectators to this show do so entirely at their own risk. CATALOGS Catalogs may be ordered with your entries for $3.00 per copy. They may be picked up the day of the trial. A limited number of catalogs will be available to purchase at the trial for $5.00 per copy. ROUTES TO THE SHOW SITE: FROM EAST/WEST: I-80 to I-29 South; take Iowa School for the Deaf/Hwy 92 exit and turn east (right); take Hwy 92 to stoplight at intersection of Hwys 92 and Wabash Ave.; turn south (right) on Wabash Ave. for 2.2 miles; turn east (left) onto Pioneer Trail (G-66) for 4 miles; turn south (right) onto 240th Street (gravel road); Sunshine Farm is the fourth driveway on the west (right) side of the street watch for 11092 at the top of the hill after crossing the bike path. FROM NORTH/SOUTH: I-29 to Lake Manawa/Iowa School for the Deaf/Hwy 92 exit and turn east (right); take Hwy 92 to stoplight at intersection of Hwys 92 and Wabash Ave.; turn south (right) on Wabash Ave. for 2.2 miles; turn east (left) onto Pioneer Trail (G-66) for 4 miles; turn south (right) onto 240th Street (gravel road); Sunshine Farm is the fourth driveway on the west (right) side of the street watch for 11092 at the top of the hill after crossing the bike path. MOTELS The following motels have indicated that dogs would be allowed. Please inform them of your dogs when you make your reservation. They reserve the right to change their pet policy and rates at any time. It is your responsibility to verify this information. Some establishments may charge extra for pets in the room. Please pick up after your dog(s) and do not leave them unattended in the room so that we will not be refused cooperation by these establishments in the future. Motel 6 3132 S Expressway, Council Bluffs, IA 51503 (Small Pets; No fee) (712) 366-2405 Red Roof Inn 521 30th Ave, Council Bluffs, IA 51503 (712) 366-5555 Please note: This hotel recently changed brands, please contact the hotel directly for updated pet policies. Days Inn 3208 S 7th Street, Council Bluffs, IA 51503 ($10 per pet per night) (712) 366-9699 Days Inn 3619 9th Ave, Council Bluffs, IA 51503 ($10 per pet per night; dogs in smoking rooms only) (712) 232-2200 Best Western of the Crossroads Mall 2216 27th Ave, Council Bluffs, IA 51503 ($10 per pet per night) (712) 322-3150 LaQuinta Inn 3330 N 104th Ave, Omaha, NE 68134 (No restrictions) 402-493-1900 All owners/exhibitors should be aware that BDOC considers the entire motel and grounds to be within the trial limits. You will be responsible for all damage to your room and may be subject to disciplinary action in accordance with the rules of the AKC. Any abuse of the motel/adjoining grounds will be brought to the attention of the show giving club and its Trial Committee. Any exhibitor s entries may be refused for previous misuse of the motel facilities. This is an AKC supported measure. Crating Space Will Be Limited. Please Stack Crates Whenever Possible. Ex-Pens Will Not Be Allowed.
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM BOTH SIDES OF ENTRY FORM MUST BE SUBMITTED Bellevue Dog Obedience Club Sunshine Obedience School 11092 240th Street Council Bluffs, IA 51503 The above entry fees include AKC Recording Fees and Event Service Fees. All entries must include jump height ENTRIES CLOSE 6:00PM CST, WEDNESDAY, July 18, 2018 Make checks payable to: Bellevue Dog Obedience Club Mail to: Polly S. Mumma, PO Box 8055, Des Moines, IA 50301 Conditional, unsigned or incomplete entries or entries received without fees will not be accepted. Telephone or email entries are not acceptable. All cancellations must be written and received by the Show Secretary before the closing of entries. BREED VARIETY (1) SEX OBEDIENCE TRIAL CLASS NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG ADDITIONAL CLASSES Enter number here AKC REG NO. AKC LITTER NO. ILP NO. FOREIGN REG NO & COUNTRY BREEDER SIRE DAM Rally First Entry (each day) $25.00 Rally Additional Entry $20.00 Obedience First Entry (each day) $25.00 Obedience Additional Entry $20.00 JUMP HEIGHT DATE OF Friday 8/3/2018 OBED Saturday 8/4/2018 JR. HANDLER NUMBER PLACE OF USA CANADA FOREIGN Sunday 8/5/2018 ACTUAL OWNER(S)(4) 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 foregoing representation and agreement. SIGNATURE of owner or his agent Duly authorized to make this entry Telephone # Email By providing your email address, you agree to receive your judging program and confirmation electronically AKC Rules, Regulations, Policies and guidelines are available on the American Kennel Club Website, 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 feeds) 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 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, 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 CONSTUCTION, 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 THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, 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 (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 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.) If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR S DATE OF 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
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM BOTH SIDES OF ENTRY FORM MUST BE SUBMITTED Bellevue Dog Obedience Club Sunshine Obedience School 11092 240th Street Council Bluffs, IA 51503 The above entry fees include AKC Recording Fees and Event Service Fees. All entries must include jump height ENTRIES CLOSE 6:00PM CST, WEDNESDAY, July 18, 2018 Make checks payable to: Bellevue Dog Obedience Club Mail to: Polly S. Mumma, PO Box 8055, Des Moines, IA 50301 Conditional, unsigned or incomplete entries or entries received without fees will not be accepted. Telephone or email entries are not acceptable. All cancellations must be written and received by the Show Secretary before the closing of entries. BREED VARIETY (1) SEX OBEDIENCE TRIAL CLASS NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG ADDITIONAL CLASSES Enter number here AKC REG NO. AKC LITTER NO. ILP NO. FOREIGN REG NO & COUNTRY BREEDER SIRE DAM Rally First Entry (each day) $25.00 Rally Additional Entry $20.00 Obedience First Entry (each day) $25.00 Obedience Additional Entry $20.00 JUMP HEIGHT DATE OF Friday 8/3/2018 OBED Saturday 8/4/2018 JR. HANDLER NUMBER PLACE OF USA CANADA FOREIGN Sunday 8/5/2018 ACTUAL OWNER(S)(4) 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 foregoing representation and agreement. SIGNATURE of owner or his agent Duly authorized to make this entry Telephone # Email By providing your email address, you agree to receive your judging program and confirmation electronically AKC Rules, Regulations, Policies and guidelines are available on the American Kennel Club Website, 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 feeds) 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 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, 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 CONSTUCTION, 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 THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, 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 (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 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.) If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR S DATE OF 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