AGILITY TRIAL PREMIUM LIST

AGILITY PRE-TRIAL MOVE-UP FORM Email this form to the Trial Secretary, talewaggin@gmail.com USE THIS FORM TO MOVE UP ONLY BEFORE THE PRE-TRIAL MOVE-UP DATE Day to Day Move-up will be allowed. Exhibitors should refer to a club s premium list to verify the club s policy for moving a dog up. If offered, dogs shall be moved up to a higher class at the request of the owner, as a result of the dog qualifying for an agility title. The request for moving up must be made to the Trial Secretary according to the club s published policy. All move-up entries are subject to availability of the class and payment of any difference in entry fee. Dogs so moved-up will be entered at the end of the running order. Refer to Chapter 1, Sections 20 and 21 of the Regulations for Agility Trials for additional move-up requirements. DFWDC FWKC Name of Club Date Breed Sex Dog s AKC Name Dog s AKC # Move Entry to: Agility Class: (Circle One) Jump Height Division: (Circle One) AKC All-Breed Agility Trials This Event is Accepting Entries for Dogs Listed in the AKC Canine Partners Program SM Licensed by the American Kennel Club AGILITY TRIAL PREMIUM LIST FRIDAY, AUGUST 26, 2016 EVENT NUMBER 2016074411 - DFWDC SATURDAY, AUGUST 27, 2016 EVENT NUMBER 2016041605 - FWKC SUNDAY, AUGUST 28, 2016 EVENT NUMBER 2016041606 - FWKC Regular Standard Open Excellent Master 8 12 16 20 24 26 Watt Arena, 3201 Burnett-Tandy Drive Fort Worth, Texas 76107 Regular JWW Regular FAST Preferred Standard Preferred JWW Preferred FAST Owners Name: Handlers Name: (If applicable) Open Excellent Master 8 12 16 20 24 26 Open Excellent Master 8 12 16 20 24 26 Open Excellent Master 4 8 12 16 20 Open Excellent Master 4 8 12 16 20 Open Excellent Master 4 8 12 16 20 Signature of owner or agent duly authorized to make this entry: Signature of Trial Secretary If Approved: Date: Time Received: ENTRY LIMIT: ENTRY METHOD: ENVELOPE LIMIT: ONLINE ENTRY: TRIAL SECRETARY: OPENING DATE: CLOSING DATE: TRIAL HOURS: MOVE-UPS: CLASSES: JUDGES: Indoor Air-Conditioned Arena - Packed Dirt Surface Watt Arena Is a No Smoking Facility 660 Runs Total First Received 10 entries per envelope Accepted Dianna Barefoot POB 722 Whitewright, TX 75491-0722 Wednesday, June 8, 2016 8 AM Wednesday, August 10, 2016, 8 PM 6:30 AM to 6 PM Pre-trial move-ups accepted no later than 6 PM Monday, August 22, 2016 Standard, JWW, All FAST (Friday & Saturday), T2B (Sunday) Terry D Culley Bosque, NM Sheri Morgan Houston, TX CERTIFICATION Permission is granted by the American Kennel Club for the holding of this event under American Kennel Club rules and regulations. James P. Crowley, Secretary

ENTRY FEES PER DAY First entry of each dog (includes $3.50 AKC recording fee)... $21.50 Additional entry of same dog (includes $3.00 AKC event)...$16 Mail entry forms and fees to: Dianna Barefoot, FWKC, POB 722, Whitewright, TX 75491. Make checks payable to FWKC. No phone, fax, or hand-delivered entries. UPSP Express Mail and/or courier-delivered entries NOT accepted. Only First Class, USPS Priority Mail or Online entries are acceptable. Signature waiver MUST be signed. Inquiries may be directed to Dianna Barefoot at talewaggin@gmail.com. No entry shall be made and no entry shall be accepted which specifies any conditions as to its acceptance. Illegible entries will not be processed and will be returned to the exhibitor. Returned checks do not constitute a valid entry and the Trial Secretary will add a $25 collection fee to the amount of each returned check. DFWDC and FWKC are both accepting online entries through the AKC Online System. During the first 48 hours after opening, the initial limit of entries will be designated as follows: Online entries: 150; Paper entries: 510. If either form of entry has not filled at the end of the 48 hour time period, the club reserves the right to decrease or increase either the online or paper limits accordingly. DOGS ELIGIBLE TO ENTER This trial is open to all dogs fifteen (15) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number or approved Foundation Stock Service (FSS) breeds are eligible to participate. Dogs with a Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number must be spayed or neutered in order to compete. Wherever the word dog is used it includes both sexes. Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible, and neither are bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect the dog s physical or mental performance. 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 Registration and Discipline Rules for the listing of registerable breeds that may participate. Puppies under four months of age are strictly prohibited from the trial grounds. WAIT LIST INFORMATION DFWDC and FWKC are offering a wait list to fill openings created by withdrawn entries after the trial's closing date/time. A maximum of 25 entries will be placed on the club's wait list. All entries, including wait listed entries, must be received by the Trial Secretary prior to Wednesday, August 10, 2016. Any entries withdrawn that are received by 6 p.m. Sunday, August 21, 2016 will be replaced by a wait listed entry if any are available. If a withdrawn entry is replaced by a wait listed entry, a full refund will be issued for the withdrawn entry. Any wait listed entry that does not move off the wait list into the trial by 6 p.m. Sunday, August 21, 2016 will receive a full refund. MOVE-UP POLICY Move-ups are permitted prior to the trial as long as they are in writing and received no later than 6 p.m. on the Monday preceding the event. Email move-ups are acceptable. Day-to-day moveups are allowed provided the move-up form (available at the trial) is submitted no later than 20 minutes after the last dog has crossed the finish line. Refer to Chapter 1, Section 20 and Section 21 of the Regulations for Agility Trials for additional move-up requirements. HOTEL / RV PARK INFORMATION The club cannot guarantee that the hotels/motels listed below accept dogs. Please check regarding rates and dog acceptance policy when making reservations. American Inn 7301 West Freeway (I-30), Ft. Worth, TX 76116... 817.244.7444 Baymont Inn & Suites 4681 Gemini Place, Ft. Worth, TX 76106... 817.470.1099 Days Inn I-30 & Las Vegas Trail, Ft. Worth, TX 76108... 817.246.4961 Days Inn 1551 S University Drive, Ft. Worth, TX 76107... 817.336.9823 Fairway Suites 3312 Lackland Road, Ft. Worth, TX 76116... 817.377.1151 La Quinta 4700 North Freeway, Ft. Worth, TX 76137... 817.222.2888 Holiday Inn Fort Worth I-35/Western Center 6351 North Freeway, Ft. Worth, TX 76131... 817.234.9033 Holiday Inn Lake Worth 3541 NW Loop 820, Ft. Worth, TX 76106... 817.624.0303 Motel 6 8701 I-30W, Ft. Worth, TX 76116... 817.244.9740 RV PARK Fort Worth Midtown RV Park 2906 W. 6 th Street, Ft. Worth, TX 76107... 817.335.9330 or 800.435.9330 Will Rogers Memorial Center RV Parking 3401 West Lancaster Avenue, Ft. Worth,TX 76107... 817.392.7469 RV spaces are available at the site on a first come basis and cannot be reserved in advance. However, there are over 100 spaces available. Check in and pay at the RV parking lot when you arrive. Information with lot locations and the latest rates can be found at http://www.fortworthgov.org/publicevents/info/default.aspx?id=68204. VETERINARIAN (ON CALL) Fort Worth Animal Medical Center, open 24 hours, 8329 West Freeway, Fort Worth, TX 76116, 817.560.8387. Directions and maps will be posted and available at the trial.

EXHIBITOR INFORMATION Exhibitors should follow their veterinarian s recommendation to assure their dogs are free of internal and external parasites, any communicable diseases and have appropriate vaccinations. The DFW Dachshund Club, Inc. and the Fort Worth Kennel Club, Inc. reserve the right to use additional buildings or space within the Will Rogers Memorial Complex. Smoking is not allowed in any building in the Will Rogers Complex. All children MUST be accompanied by an adult at all times. The trial site will be available to exhibitors the day of the trial at 6:30 a.m. The trial committees reserve the right to alter this time depending on weather conditions and/or the condition of the building. Exhibitors are expected to comply with all Club rules as laid out and enforced by the DFW Dachshund Club and the Fort Worth Kennel Club. Dogs may not be exercised outside the trial building on sidewalks or paved parking lots of Will Rogers Memorial Complex, the Museum or the Art Center. Areas to exercise your dog(s) will be designated. Dogs must not be tied to bushes, shrubs, trees or other permanent fixtures. All dogs present must be on leash or confined in crates when not being judged. No un-entered dogs are allowed on grounds. Exhibitors may wear shirts or insignia of their training group. The safety of the dogs is our primary concern. By entering this trial, 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 the obstacles safely. Exhibitors are responsible for complete, accurate and legible information on their entry forms; illegible or incomplete entries will not be accepted. Bitches in season are not permitted in the trial, and DFWDC and FWKC will refund all but $10 per day of entry fees for bitches in season. The Trial Secretary must receive written veterinary certification no later than 30 minutes prior to the start of the 1 st class of the day. Refunds will be mailed after the close of the event. 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 Trial Committees, be asked to leave the trial site. In such case, no refund of entry fees will be made. Exhibitors are responsible for being at the gate when it is their turn to run. DFWDC, FWKC, and the Trial Secretary have no obligation or responsibility to provide a public address system or stewards to call or locate dogs that are not present at the ring when required. Dogs may not be left in the building overnight. DFWDC, FWKC, and the City of Fort Worth will not be responsible for the loss of or damage to any dog exhibited, or for possessions of any exhibitor, whether the result of an accident or any other cause. It is distinctly understood that every dog at this show is in the care and custody of its owner or handler during the entire time the dog is in the trial buildings or on the grounds at Will Rogers Memorial Complex. 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 on the day(s) of the trial. No gasoline or diesel generators are permitted inside any building. The DFW Dachshund Club, Inc. and the Fort Worth Kennel Club, Inc. are not responsible for the actions or products of the caterers at this trial. Crating areas are on a first come, first served basis. No crating inside any building may be reserved or saved by roping off, placing cones, chairs, tables, equipment or any other means you may think to employ. No mats are allowed except downstairs where the crating is on dirt. Exhibitors and handlers will be held responsible for clean conditions in and around their dogs crates. Absolutely no exercise pens will be allowed on the parking lots. A grass area to exercise dogs will be designated near the Arena. Private pens in the Will Rogers Memorial Complex may be used for the holding of dog(s) but not to exercise them. Dogs must be exercised only in the designated areas. AKC LICENSED CLUB FRIDAY, AUGUST 26, 2016 EVENT NUMBER 2016074411 DFW DACHSHUND CLUB, INC ( DFWDC) OFFICERS President... Ken Hagmueller Vice-President... Karen Mann Treasurer... Cindi Todd Recording Secretary... Karen Henry Corresponding Secretary... 5137 Shell Creek Drive, Fort Worth, TX 76137... Tracy Freeling BOARD MEMBERS The Officers, Larry Innis, Lexa Richmond and Kathleen Fulenwider TRIAL CHAIR Karen Mann 2039 County Road 168 McKinney, TX 75071 972-333-0173 kpmann@earthlink.net EVENT COMMITTEE Karen Mann, Cindi Todd, Kathleen Fulenwider, Ken Hagmueller, Karen Henry and Larry Innis, SPECIAL PRIZE OFFERINGS DFW DACHSHUND CLUB INC. In addition to the rosettes and ribbons being offered by all clubs, DFWDC will offer special trophy to the highest scoring Dachshund in Regular and Preferred Standard and JWW classes. Awards must be claimed at the trial; none will be mailed.

DIRECTIONS TO TRIAL SITE Volunteer Sign-Up Sheet DFW Dachshund Club, Inc. FRIDAY If you are willing to assist, please sign-up when the electronic volunteer sheet is made available to exhibitors. Our link for the volunteer sign- up sheet will be emailed out with the Judging Program seven days prior to the trial date. Volunteer duties will not interfere with running your dog. Experienced timers, scribes and gate stewards, please volunteer. Volunteers will receive job notifications after entries close. Training will be provided for those who are inexperienced at their assigned jobs. Volunteers will receive a free lunch and raffle tickets for a workers raffle to be held each day as thanks for helping at the trial. THANKS FROM THE DFWDC AGILITY TRIAL COMMITTEE!! If you have questions about volunteering for the DFWDC trial, please contact Cindi Todd, email: lacimw@sbcglobal.net, 817.485.1075. From Interstate 30 east or west, exit on University and proceed north to Trail Drive. Turn left on Trail Drive, right on Watt and left on Burnet-Tandy to the Watt Arena. For unloading, turn behind the building and continue to the unloading area at the rear of the building. Maps to the trial site and a map of the Will Rogers Memorial Complex will be sent with the judging program. Please allow for extra time due to potential construction delays. TRIAL HOURS ALL TRIALS The building will be open at 6:30 AM. Self-service check-in will begin at 7 AM each day. Judging will begin no earlier than 7:30 AM on all trial days. Exact running order will be determined after entries close and will be provided in the Judging Program. Two rings will be running simultaneously. This set of trials uses electronic timers. CLASSES & TITLES OFFERED 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 cross-over between classes allowed at the same set of trials. PARKING CHARGE Vehicles that park at WRMC complex will be charged a $10.00 per day parking fee in all of the parking facilities, including the NEW garage providing an additional 1,117 new parking spaces. EVENT CANCELLATION No entry fee will be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, an act of God, public emergency, act of a public enemy, or any other cause beyond the control of the organizing committee. COURSE WALK-THROUGHS AND WARM-UP INFORMATION Handlers in all classes are permitted to walk the course, without a dog, during a walk-through period held prior to the start of the class. The walk-through is restricted to handlers entered in that class only. A warm-up area, consisting of a regulation agility jump, may be provided for exhibitors. The warm-up area is to be used exclusively for warming up the dog and not for training or relieving of the dog. RIBBONS & ROSETTES Both clubs will offer green qualifying strip ribbons for all qualifying scores. Rosettes will be awarded to 1 st through 4 th place dogs in each class/jump height. MACH, PACH and new title winners will receive special rosettes. Dogs must qualify to receive a placement. Awards must be claimed at the trial; none will be mailed. OBSTACLES AND RING CONDITIONS Obstacles meet the specifications for obstacles in the current edition of the Regulations for Agility Trials. Both Standard and JWW rings are 90 x 100 (approximately 9,000 square feet). The surface is packed dirt, and the trial site is an indoor, air-conditioned arena. ARMBAND REQUIREMENT All competitors MUST wear armbands while running. Competitors will not be admitted to the rings without their exhibitor badge(s) visible.

MEASURING & HEIGHT CARD INFORMATION Effective January 1, 2010, exhibitors are no longer required to provide proof to Trial Secretaries that their dog has a valid jump height card as part of the check-in process. Furthermore, this change eliminates the need for a copy of the jump height card to be submitted with an entry form. Dogs without a valid Jump Height Card/Form may still compete; but they must be measured/wicketed by the Judge of Record PRIOR to running in their class and this measurement will be valid for that weekend of trials only. The exception to this requirement is a dog entered in the 24 or 26 height division. However, if a Volunteer Measuring Official (VMO) 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 or cluster of trials. This does not preclude having the dog wicketed by the Judge of Record if the VMO or Rep is not available to measure the dog before its first run of the trial or cluster of trials. It is the exhibitor s responsibility to have their dog measured prior to running and failure to do so will result in the cancellation of any qualifying scores. NEW Simplified Jump Height Card Process When filling out the entry form, there is a new section at the top of the form for exhibitors to designate whether your dog has a valid jump height card or if your dog needs to be measured. Please check the appropriate box so that the Trial Secretary knows whether to include your dog on the Dogs To Be Measured List. It is no longer required that you submit a copy of your dog s jump height card with your entry form or show it during day of show check-in. HEIGHT DIVISIONS REGULAR PREFERRED HEIGHT AT WITHERS Handlers may opt to run their dog in a higher height division. Handlers must run their dog in their proper eligible height. Owners are responsible for entering their dog in the proper height division. 8 4 For dogs 11 inches and under at the withers 12 8 For dogs 14 inches and under at the withers 16 12 For dogs 18 inches and under at the withers 20 16 For dogs 22 inches and under at the withers 24 20 For dogs over 22 inches at the withers 26 Dogs may be entered at this height at their owner s discretion AKC MEMBER CLUB SATURDAY, AUGUST 27, 2016 EVENT NUMBER 2016041605 SUNDAY, AUGUST 28, 2016 EVENT NUMBER 2016041606 FORT WORTH KENNEL CLUB (FWKC) OFFICERS President... Mary Lou Mayer Vice-President... Michael Jameson Treasurer...Karen Black Secretary... P. O. Box 16235, Fort Worth, TX 76162... Mary Bender BOARD MEMBERS The Officers and Lynn Eggers, Denise Tatro, Bill Fernihough, Richard Lantz, Nancy Nellis, FWKC EVENT COMMITTEE Mike Black, Denise Tatro, Mary Lou Meyer, Karen Black and Freda Burks TRIAL CHAIR Mike Black 10121 Tantarra Drive Burleson, TX 76028 817.692.5196 mblack@pdmsdesign.com SPECIAL PRIZE OFFERINGS In addition to the rosettes and ribbons being offered by all clubs, The North Texas Pembroke Welsh Corgi Fanciers will award a breed motif item for each Pembroke Welsh Corgi earning a qualifying score on both Saturday and Sunday.

VOLUNTEER SIGN-UP SHEET - FORT WORTH KENNEL CLUB SATURDAY & SUNDAY JUDGES AND ASSIGNMENTS We want to keep things running smoothly so everyone enjoys the trials. If you are willing to assist, please sign-up when the electronic volunteer sheet is made available to exhibitors. Our link for the volunteer sign- up sheet will be emailed out with the Judging Program seven days prior to the trial date. Volunteer duties will not interfere with running your dog. Experienced timers, scribes and gate stewards, please volunteer. Volunteers will receive job notifications after entries close. Training will be provided for those who are inexperienced at their assigned jobs. Volunteers will receive a free lunch and raffle tickets for a workers raffle to be held each day as thanks for helping at the trial. THANKS FROM THE FWKC AGILITY TRIAL COMMITTEE!! Sheri Morgan #92524 9354 Leto Road Houston, TX 77080 Friday: E/M FAST & All Standard Saturday: Novice & Open FAST, All JWW Sunday: T2B 4-16 & All Standard Terry D Culley #46469 PO Box 327 Bosque, NM 87006 Friday: Novice, & Open FAST, All JWW Saturday: E/M FAST & All Standard Sunday: T2B 20-26 & All JWW If you have questions about volunteering for the FWKC trial, please contact Denise Tatro at jdtatro@gmail.com or phone 817.297.2398. TENTATIVE RUNNING ORDER (SUBJECT TO CHANGE) TRIAL DAY(S) RING 1 RING 2 Friday & Saturday Sunday FAST E/M STD E/M, Open, Novice T2B - 4-16 STD E/M, Open, Novice Judging begins no earlier than 7:30 on all 3 days. FAST Novice, Open JWW Novice, Open, E/M T2B 20-26 JWW Novice, Open, E/M Please consult the AKC Regulations for Agility Trials for a complete description and eligibility for entry into these classes. The exhibitor is fully responsible for entering the dog in the correct class(es)/height divisions. Dogs running in a lower height division than they are eligible for will be eliminated. ENTRY CONFIRMATIONS/JUDGING PROGRAMS An initial and final email confirmation is sent only if the email address is legibly printed on the entry form. If you cannot receive a Word attachment, or if you do not check your email, do NOT include your email address. Printed confirmations are mailed to exhibitors without email addresses. Contact the Trial Secretary by phone or email to report errors. Correct registration number is crucial for crediting qualifying scores. The Judging Program is emailed to the owner s email address. If you want this information sent to the handler (if different from owner), please specify on your entry. Contact the Trial Secretary if you do not receive the Judging Program within seven (7) days of the trial.

OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM DFW Dachshund Club & Fort Worth Kennel Club Opens: 06/8/16 8 a.m. Closes: 08/10/16 8 p.m. Friday STD JWW FAST Saturday STD JWW FAST Sunday STD JWW T2B Daily Entry Fee: 1 st entry $21.50, $16 2 nd & 3 rd entry for same dog, same day Make checks payable to FWKC. Mail to: Dianna Barefoot, FWKC, POB 722, Whitewright, TX 75491. IMPORTANT: Carefully read instructions before filling out! Entry Fee Enclosed Choose Either Regular OR Preferred Classes Circle one jump height, and circle class selections: Only one selection class (STD, JWW, FAST, T2B) REGULAR Classes PREFERRED Classes 8 12 16 20 24 26 4 8 12 16 20 STD Nov A NovB Open Exc Master STD NovP OpenP ExcP MasterP JWW Nov A NovB Open Exc Master JWW NovP OpenP ExcP MasterP FAST Nov A NovB Open Exc Master FAST NovP OpenP ExcP MasterP T2B T2B T2B T2BP This Dog Needs To Be Measured Yes No SEX HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) AKC NO Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) AGREEMENT I (we) agree that the club holding this event has the right to refuse 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 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 negligence of the aforementioned parties or any of their employees or 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, INTREPRETATION 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 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. Dogs listed in the AKC Canine Partners SM program 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? DAM ACTUAL OWNERS OWNERS ADDRESS CITY, STATE, ZIP + 4 HANDLER NEW ADDRESS ENTER JR. HANDLER # if applicable 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 forgoing 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 Exhibitor or owner MUST sign on the signature line beneath the instructions. AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. Telephone Number: Email Address : New Email In Case of Emergency - Name: Phone #: AEAGL2 (06/15)

OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM DFW Dachshund Club & Fort Worth Kennel Club Opens: 06/8/16 8 a.m. Closes: 08/10/16 8 p.m. Friday STD JWW FAST Saturday STD JWW FAST Sunday STD JWW T2B Daily Entry Fee: 1 st entry $21.50, $16 2 nd & 3 rd entry for same dog, same day Make checks payable to FWKC. Mail to: Dianna Barefoot, FWKC, POB 722, Whitewright, TX 75491. IMPORTANT: Carefully read instructions before filling out! Entry Fee Enclosed Choose Either Regular OR Preferred Classes Circle one jump height, and circle class selections: Only one selection class (STD, JWW, FAST, T2B) REGULAR Classes PREFERRED Classes 8 12 16 20 24 26 4 8 12 16 20 STD Nov A NovB Open Exc Master STD NovP OpenP ExcP MasterP JWW Nov A NovB Open Exc Master JWW NovP OpenP ExcP MasterP FAST Nov A NovB Open Exc Master FAST NovP OpenP ExcP MasterP T2B T2B T2B T2BP This Dog Needs To Be Measured Yes No SEX HEIGHT AT WITHERS BREED VARIETY CALL NAME AGREEMENT I (we) agree that the club holding this event has the right to refuse 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 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 negligence of the aforementioned parties or any of their employees or 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, INTREPRETATION 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 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 Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS CITY, STATE, ZIP + 4 DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) NEW ADDRESS Dogs listed in the AKC Canine Partners SM program 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? 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 forgoing 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 HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. Telephone Number: Email Address : New Email In Case of Emergency - Name: Phone #: AEAGL2 (06/15)