24th Annual National Specialty

UNITED BELGIAN SHEPHERD DOG ASSOCIATION 24th Annual National Specialty October 22-24th 2015 Purina Farms, Grey Summit MO Information and Premium List Entries close Saturday, October 3, 2015 National & Regional Specialty premiums available online at www.ubsda.com https://www.facebook.com/pages/2015-ubsda-national- Specialty/838340952920952?fref=ts In conjunction with UKC Gateway Event

Schedule of Events Thursday, October 22nd 9:00 am 24th Annual UBSDA National Specialty Sweepstakes Youth, Elder & Working Judges: Sandy Deatrick, Males and JoAnna Rizzo, Females, Best in all Sweeps Sandy Deatrick & JoAnna Rizzo Chippewa BSDC Regional Specialty 1/2 Hour after Sweeps No earlier than 12:00 Carole Corbin (Chimeric) All classes, regular and altered. Friday, October 23rd 9:00 am 24th Annual UBSDA National Specialty Judge: Janice Clifford All Regular Dog Classes/Regular Bitch Classes **Lunchtime is at judge s discretion Non-Licensed classes 15 minutes after Regular classes Novice Puppy/Stud Dog/ Brood Bitch/ Veterans/Lot d Elevage Saturday, October 24th 9:00 am 24th Annual UBSDA National Specialty Judge: Janice Clifford Altered Dog Classes, Altered Bitch Classes, Altered BOW/CH/GRCH/BOB Regular BOW/CH/GRCH/BOB Banquet 7:00 pm Spaghetti Factory, 17384 Chesterfield Airport Rd., Chesterfield, MO, We will be ordering from the menu, www.osf.com/menus RSVP with Maureen Gargan, mgargan@tds.net Deadlines Performance events UKC Wednesday, Sept. 30, 4:30 edt (see below) UBSDA National Pre-entry only Saturday, October 3rd Catalog advertisements, well-wisher ads, catalog orders Chippewa Regional Specialty Pre-entry Saturday, October 17th (day-of-show entries accepted 11 am noon) Banquet Reservations October 17th Raffle donations accepted until the show NOTE: There is an error in the information on the UBSDA National on page 9 of the Gateway premium. The DATES are correct, the DAYS are wrong. It s Friday & Saturday, October 23rd & 24th. All performance events will be handled by UKC Download Gateway Nationals premium list and forms at www.ukcdogs.com/web.nsf/webpages/dogevents/gateway 6 Agility Trials 3 Obedience Trials 3 Rally Obedience Trials 4 Drag Races Lure Coursing 6 Multi-Breed Conformation Shows (Intact & Altered) (Belgians not offered) Entries close Wednesday, September 30, 2015, 4:30 pm EDT Day of Show entries will be taken at this event, TL numbers available. 2

United Belgian Shepherd Dog Association Officers President Laura Patton Vice-President Lisa Kingsley Treasurer Travis Woodward Recording Secretary Bonnie Kreider Corresponding Secretary Kim Gauchet Directors Carole Corbin Susan Geers-Meiners Patty Naulty Ann MacKay Show Committee As always, volunteers are an important part of making the show a success. Please contact Becky to fill in some of the important positions. Show Chair: Becky Burgess ewebetcha1@yahoo.com Secretary: Cindy Fellows cmf4dogs@msn.com Raffle Chairs Melissa Raszkowski & Debbie Caudle Wade Chief Ring Steward:??? Chief Scribe:??? Ring Side Hospitality: We have a large cooler, need someone to pick up water/drinks/light snacks Ice: Carol Hein Creger &? Premium List/Catalog: Cindy Fellows Banquet: Maureen Gargan Judges Hospitality:??? Hotel Liaison: Cindy Fellows Trophies/Ribbons: Nikki Swap Website: Nikki Swap Excellent Certificates: Susan Geers-Meiners Fundraising:??? Grounds: Your individual responsibility Show Photographer: UKC Emergency Veterinarian: Provided by UKC RV camping: UKC Entry Fees & Information PRE-ENTRY ONLY National Conformation (Regular & Altered)... $25.00 3 or more licensed class entries, same owner.... $22.00 Sweepstakes... $15.00 Non-licensed (Stud Dog, Brood Bitch, Veteran)...$15.00 Non-licensed Novice Puppy... $5.00 Lot d Elevage (each kennel entry).... $15.00 Entries close with the Show Secretary, Saturday, October 3rd after which entries will no longer be accepted. Make checks payable (in US funds) to UBSDA. Mail with entries to: UBSDA National Show Secretary, 10447 Mountain View Dr., Dexter, MI 48130. Entries may NOT be faxed or e-mailed. Overnight/Express Mail entries must have the signature waived. Entries received without fees will not be accepted. Entry fees shall not be refunded in the event that a dog is absent, disqualified, excused by Vet eri narian or Judge, or barred from competition by action of Show committee. If because of riots, civil disturbances or other acts beyond the control of the management it is impossible to open or to complete the show, no refund of entry fees will be made. Extreme weather conditions, such as, but not limited to snow storms, tornadoes, lightning, extreme heat, must be considered for the health and safety of the dogs, exhibitors and spectators. 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. No substitution of dogs. UKC or UBSDA is not responsible for loss, accidents, or theft. Move-up/Entry Correction Policy A correction to any entry, or in the event that a dog needs to be moved up to the Champion or Grand Champion class due to the completion of title requirements, must be 3

made in writing to the Show Secretary one half hour prior to the scheduled start of any judging at the show. Owners/exhibitors are responsible for correcting any errors following these guidelines. Conformation Licensed Classes (regular & altered) Entries close Oct. 3rd Friday & Saturday, Oct. 23 & 24 Judge: Janice Clifford, Ebontide Belgian Shepherds, England UKC CHAMPIONSHIP/ALTERED CHAMPIONSHIP 100 points; Points won under at least three different judges; Three times awarded Best Male/Female under three different judges. Point Schedule: First in each class 5 points Best Male/Female 12 points Best Male/Female of Variety 8 points Best of Winners 10 points UKC GRAND CHAMPIONSHIP/ALTERED GRAND CHAMPIONSHIP Five Champion class wins (at least three entered in class) won at five different shows under three different judges. CLASSES & JUDGING The following classes are offered for each sex in each of the four varieties for intact dogs and altered dogs: Puppy 6 months to under 1 year of age Junior 1 year to under 2 years of age Intermediate (Senior) 2 years to under 3 years of age Adult 3 years of age and over Breeder/Handler 6 months of age and over; dog is handled by a breeder of record at UKC or by a member of the immediate family (spouse, parent, step-parent, child, step-child, brother, sister) of the breeder of record. Champion class: This class is comprised of Belgian Shepherd Dogs that have earned the UKC Champion title. It includes both sexes and all four varieties. Grand Champion class: This class is comprised of Belgian Shepherd Dogs that have earned the UKC title of Grand Champion. It includes both sexes and all four varieties. Best of Breed Competition is comprised of the Best of Winners and the winners of the Champion and Grand Champion classes. ALTERED LICENSED CLASSES The purpose of these classes is to enable owners of spayed and neutered dogs to get an evaluation of their dog s conformation and to enable breeders to see a wider range of dogs resulting from the breeding programs. When a dog is altered after earning points/legs towards a UKC title of Champion or Grand Champion, the points/legs earned may be transferred from the regular title requirements to the altered title requirements. Altered classes (puppy, junior, intermediate [senior], adult, breeder/handler) are for dogs that have not attained a UKC title of Altered Champion, Altered Grand Champion, Champion (CH) or Grand Champion (GRCH) degree. Belgian Shepherd Dogs will be judged using assisted animation. The judge will write a critique of each dog presented and give each a rating (excellent, very good, acceptable or not rated). See the UBSDA website, www.ubsda.com, for descriptions of assisted animation and ratings. For official rules and regulations and registration information www.ukcdogs.com Conformation Non-Licensed Classes Entries close October 3rd Novice Puppy Classes Friday, October 23rd ENTRY FEE $5.00 The classes will be divided by sex. For intact dogs three months of age and under six months of age that are permanently registered with UKC, or that have a valid Temporary Listing (TL) number by the closing date of the show, or that are not yet permanently registered but that are from litters registered with UKC by the closing date of the show. The judge shall give up to four placements, where possible, in these classes. Best of Breed Novice Puppy class shall consist of the winners of the Novice Male class and Novice Female class. The judge shall select a single winner in this class. Veteran Dog Classes Friday, October 23rd ENTRY FEE $15.00 This class consists of Belgian Shepherd Dogs eight years of age or older and shall be divided by sex. The Judge shall give up to four placements, where possible, in this class. The Best Veteran Male shall 4

compete with the Best Veteran Female for Best Veteran of Breed. Dogs must be permanently registered with the UKC or have a valid TL number by the closing date of the show in order to be eligible for this class. Spayed and neutered dogs are eligible for this class. Stud Dog & Brood Bitch Classes Friday, October 23rd ENTRY FEE $15.00 Classes will be judged separately by sex. These classes shall be judged on the quality of the progeny and not the individual stud dogs and brood bitches. Stud dogs and brood bitches must be permanently registered with UKC by the closing date of the show to be eligible for this class. Progeny may compete if they are permanently registered with UKC, are out of UKC Registered litters, or have a valid TL number by the closing date. Spayed bitches and neutered dogs are eligible to compete in these classes but not as progeny. The Judge shall give up to four placements, where possible, in these classes. Only the exhibitors of the stud dogs and brood bitches are required to wear armbands in these classes. Stud Dog: Each entry in this class shall consist of a stud dog and at least two but not more than four dogs sired by that dog. The progeny must be at least three months of age and may include both sexes. At least two of the progeny must be entered in the licensed classes. Stud dogs entered in this class may not be counted as progeny for their sires in the same class. Entries shall be made in the name of the stud dog. Brood Bitch: Each entry in this class shall consist of a brood bitch and at least two but not more than four dogs produced by that bitch. The progeny must be at least three months of age and may include both sexes. At least two of the progeny must be entered in the licensed classes. Brood bitches entered in this class may not be counted as progeny for their dams in the same class. Entries shall be made in the name of the brood bitch. Lot d Elevage Entries close October 3rd Friday, October 23rd ENTRY FEE $15.00 per kennel group Lot d Elevage is a breeder s group. The purpose of this class is to honor those kennels who are producing consistently high-quality Belgian Shepherds of uniform type. For full class description see entry form on page 15. All dogs must also be entered in a licensed conformation class. The following awards will be presented: Best Groenendael Kennel, Best Laekenois Kennel, Best Malinois Kennel, Best Tervueren Kennel and Best Kennel in Show. Sweepstakes Entries close October 3rd Thursday, October 22nd, 9 am ENTRY FEE $15.00 There will be classes for Youth, Elder and Working Dog Sweepstakes. Dogs will be judged using assisted animation and will receive a written critique from the judge. The varieties will be shown together in each class. Neutered dogs may compete in Elder and Working Sweepstakes only. JUDGING ASSIGNMENTS Sandy Deatrick all males, JoAnna Rizzo all females, both judges Best in all Sweeps Sweepstakes entry fees will be divided among the placing entries. After expenses are deducted club will retain 25% of the fees. The remaining fees will be awarded for each class as follows: 1st place, 40%; 2nd place, 30%; 3rd place, 20%; 4th place, 10%. Youth Sweepstakes All dogs entered in Youth Sweepstakes must also be entered in a regular class and must be UKC registered. Classes for males & females: 6 9 months, 9 12 months, 12 18 months, 18 24 months, Best & Best Opposite in Youth Sweepstakes. Elder Sweepstakes Dogs entered in Elder Sweepstakes do not need to be entered in a regular class and do not need to be UKC registered. Neutered males and spayed females may compete. Classes for males & females: 8 10 years, 10 12 years, 12 14 years, over 14 years, Best & Best Opposite in Elder Sweepstakes.. Working Dog Sweepstakes The purpose of the Working Dog Sweepstakes is to recognize and honor dogs that possess verified working abilities that most closely resemble the UKC standard for the Belgian Shepherd Dog. Best 5

and Best Opposite in Working Sweeps will be chosen from the winners of the male and female classes. Classes are divided by working level and gender. Each dog, regardless of age or variety, is entered in the class appropriate for the level/titles earned. Disciplines: obedience, rally obedience, agility, herding, tracking, weight pull, dock diving, schutzhund, ring sport (Belgian, French or Mondio), KNPV, service work (assistance, police, SAR). Discipline titles earned in multiple venues for the same level count as one title (i.e., an AKC CDX and UKC CDX counts as one CDX title). The highest of progressive titles counts as one title (i.e., FR1 and FR2 equals one FR2). If a discipline or title is not listed that you feel makes a dog eligible for a certain level class, you may submit that title s documentation along with your reasoning and request the sweepstakes chair consider the entry eligibility. The sweepstakes chair will make the sole and final determination of eligibility. Dogs entered in Working Dog Sweepstakes do not need to be entered in a regular class, but must be UKC registered. Neutered males and spayed females may compete. Classes, Working Dog Sweepstakes for males and females : Level One Dogs must have at least one of the following titles: CD, OB1, UCD, FO, AOB, RA, RE, RL2, RL3, URO2, URO3, AG1, AG2, NA, NAJ, NAC, NAP, NJP, USDAA AD, CL2, PT, JHD, TR1, UWP, UNJ, UJJ, UNJCH, UJJCH, GNJCH, GJJCH, USUV, URUV, DVG RH, BH, WH, PA Level Two Dogs must have at least one of the following titles: CDX, OB2, UCDX, RAE, ARCH, ARCHX, ARCHEX, UROC, UACH, OA, OAJ, OAC, OAP, OJP, AAD, CL3, HS, STD, RD, HTDI, HRDI, TD, TR2, FH1, UWPCH, USJ, USJCH, GSJCH, USUVCH, SchHA, SchH1, BTr, Ring 1, KNPV ObH, P1 OR two level one titles in different disciplines. Level Three Dogs must have at least one of the following titles: UD, OB3, UUD, UACHX, AX, AXJ, AXP, AJP, EAC, MAD, CL4, HI, OTD, OFTD, RTD, HTDII, HRDII, TDX, TR3, FH3, UMJ, UMJCH, GMJCH, URUVCH, SpH, K, NPV RH, HI OTD, HTD2, SchH2, Ring 2, KNPV PH1, PD, P2, PD1, Service OR two level two titles in different disciplines. Level Four Dogs must have at least one of the following titles: UDX, OTCH, UUDX, UOTCH, UGRACH, MACH, MX, MXJ, PAX, MXP, MJP, NATCH, ADCH, CATCH, C-ATE, HX, ATD, AFTD, HTDIII, HRDIII, VST, FH3, UWPCHV, UWPCHO, UWPCHS, UUJ, UUJCH, GUJCH, GSUVCH, GRUVCH, SchH3, Ring 3, KNPV PH2, PSD, P3, PD2 or SARN cross trained OR two level three titles in different disciplines. Junior Showmanship Hosted by UKC Six shows offering Junior Showmanship, 2 each day Fri., Sat., Sun. held in the Great Hall. There is no entry fee. See Gateway premium. Agility, Obedience & Rally Hosted by UKC Indoors in the Great Hall 6 agility trials and 3 rally trials, 3 obedience trials TL numbers will be available through UKC. DOS entries will be taken if limit has not been reached. See Gateway premium. Belgian Biathlon/Triathlon There is no charge for the Biathlon/Triathlon. Prizes are donated by Colleen Cashman. Belgian Biathlon To compete the dog must be entered in a conformation class and either Agility, Obedience or Rally Obedience. Eligible conformation classes are any class in which the individual dog gets a written critique. Conformation classes include regular & altered classes, Non-licensed classes such as Veterans, or Sweepstakes. Belgian Triathlon To compete the dog must be entered in a conformation class plus two of the following: Agility, Obedience or Rally Obedience. Eligible conformation classes are any class in which the individual dog gets a written critique. Conformation classes are same as listed above. Score sheets will be available from the Biathlon/Triathlon scorekeeper. Owners/handlers will be responsible for turning in proof of rating, qualifying scores, etc. to the scorekeeper. Points will be awarded for conformation ratings and placements. In the performance events points will be awarded for qualifying scores, placement, HITs, etc. The highest point total will receive the Biathlon/Triathlon award. Colleen Cashman is the scorekeeper. 6

Regional Specialty Pre-entries close October 17th Day of Show entries will be taken Regional specialty entry form on page 13 TL numbers will be available at the show through UKC Hosted by Chippewa United Belgian Shepherd Dog Club Thursday, October 22nd, 1/2 hour after national sweepstakes, no sooner than noon JUDGE: Carole Corbin EVENT CHAIR: Jim Krapf, (608) 655-1868, jkrapf@frontier.com EVENT SECRETARY: Ginnie Pflaume, 14414 E. Washington St., Durand, IL 61024, (815) 520-3412, gpflaume@frontier.com, Premium available on UBSDA specialty website All regional specialty entries mail to the regional event secretary, not the UBSDA National secretary. PRE-ENTRY FEE $20.00 DAY-OF-SHOW ENTRY FEE: $25 Entries accepted 11 am noon Hotel & Camping Information There are more than 600 hotel rooms that accept pets within 15 minutes of Purina Farms. Travelodge Six Flags is the closest to Purina Farms. holiday Inn in Eureka and Wildwood Hotel are some of the largest hotel options near the property. DUE TO CHANGES IN SOME LODGING POLCIES, BE SURE TO CHECK WITH THE HOTEL/MOTEL OF YOUR CHOICE TO SEE IF THEY STILL ACCEPT DOGS AND THE ASSOCIATED FEES. For more information: http://res.ukcdogs.com/pdf/gatewaylodging.pdf For Camping information at Gateway: http://res.ukcdogs.com/pdf/gatewaycamping.pdf Annual Meeting To be determined. Banquet Reservations deadline October 17th Saturday, October 24th 7:00 pm Spaghetti Factory, 17384 Chesterfield Airport Rd., Chesterfield, MO. We will be ordering off the menu, www.osf.com/menus. RSVP with Maureen Gargan at mgargan@tds.net Catalog Advertising Deadline October 3rd Picture advertisings need to be done to size to be considered camera-ready, 300 dpi resolution. This is an official UBSDA publication so ad guidelines must be followed. Ads that feature breeding or litter announcements, dogs for sale or dogs at stud must include hip clearances of pertinent dogs (GDC, OFA, PENNhip or foreign registry only) and current eye clearances of pertinent dogs (GDC, CERF, and foreign registry only, no more than two calendar years old). No such advertisements are accepted for dogs who are under two years of age. Send a SASE for the return of photos. RATES Full page (ad size 4 1 /2 x 7 1 /2 ) $25 Half page (ad size 4 1 /2 x 3 3 /4 ) $18 Well wisher ads Do you have a friend, breeder or puppy person who you would like to cheer on? Crate an ad about a special dog past or present or brag your kennel accomplishments! Post a Well Wisher ad to be listed in the catalog. 50 words $5.00, 50 75 words $7.00. NO PHOTOS! Catalog Sales Prepaid discount deadline October 3rd To order pre-paid or marked catalogs, complete the order form on page 10. Marked catalogs will be mailed following the specialty. Pre-paid, pick up at the show $8 Purchased at the show $10 Marked (including postage) $15 Support the National Specialty Entry fees alone aren t enough to cover the expenses of a national. And it takes more people than just those on the committee to run it. You can help by donating to the raffle, buying raffle tickets, making a trophy donation, giving to the Winners Circle, advertising in the show catalog. And volunteering! Thank you for your support! 7

Trophy Donations Deadline to be listed in the catalog is October 3rd National Specialities cannot happen without the generosity of time and money from the Club Members. The UBSDA 2015 National Specialty Trophy Donation fund is ready for you. Trophy donations are needed for specific awards and the general trophy fund. Please look at the trophy list below. Your name/ kennel will be listed in the catalog. Area club sponsored trophy donations are welcome. The number in parentheses indicates the number of donations needed. Thank you for your support! Conformation, regular & altered Best of Breed (2) $80 Grand Champion (2) $45 Champion(2) $45 Reserve (2) $25 Best of Winners (2) $45 Best Male & Best Female (4) $25 Reserve Male & Reserve Female (4) $10 Best Male and Best Female of Variety G-L-M-T (4 of each) $25 Reserve Male and Female of Variety G-L-M-T (4 of each) $10 1st in each class (64) $15 2nd 4th in each class (200) $10 Sweepstakes Best in Youth Sweeps (1) $45 Best Opposite in Youth Sweeps (1) $35 Best in Elder Sweeps (1) $45 Best Opposite in Elder Sweeps (1) $35 Best in Working Sweeps (1) $45 Best Opposite in Working Sweeps (1) $35 Non-Licensed Conformation Stud Dog/Brood Bitch (2) $10 Best Veteran (1) $10 Best Novice Puppy (1) $10 Lot d Elevage Best Kennel of Variety (4) $25 Best Kennel in Show (1) $35 Directions To Purina Farms: From I-44 take Exit 253 Gray Summit and turn north on Highway 100. Travel almost a ½ mile (2 blocks) to County Road MM. Turn left onto Hwy MM for 1 mile to Four Square Drive entry gate on left.. Belgian Ring 8

Trophy Donations Deadline to be listed in the catalog is October 3rd Name Specific class listed below General Fund Specific class/award Amount Specific class/award Amount Catalog acknowledgement should read: Make checks in US funds payable to UBSDA Mail to: Nikki Swap, 10447 Mountain View Dr., Dexter, MI 48130 Winners Circle Deadline to be listed in the catalog is October 3rd Step into the Winner s Circle with a donation to the 2015 UBSDA National Specialty. Each contributor to the Winners Circle will be recognized at the appropriate level in the show catalog. Thank you for your generosity and support! The levels of the Winners Circle are: Grand Champion $100 or more Champion $75 $99 Best of Winners $50 $74 Class Winners up to $49 Name Catalog acknowledgement should read: Make checks in US funds payable to UBSDA Mail to: Nikki Swap, 10447 Mountain View Dr., Dexter, MI 48130 Raffle Donations I/we will donate a basket. It will be delivered to the national by Thursday, October 22nd. I m sending it with who will deliver it/them to the national. I am enclosing $ to be used towards the raffle. Name Make checks in US funds payable to UBSDA Mail to: Nikki Swap, 10447 Mountain View Dr., Dexter, MI 48130 Volunteer Sign Up Name Address Phone e-mail: I'll be arriving I ll help with Scribing Stewarding Hospitality Anywhere Please schedule me around the following classes: Mail to: Nikki Swap, 10447 Mountain View Dr., Dexter, MI 48130, nikkiswap@charter.net 9

Support the 2015 National Specialty Specialty shirts The pictured design is printed in color on the upper left chest. Women s short sleeve tee-shirts Sizes S XL $20 Colors available: black, lime, turquoise (3X black only) Sizes 2X & 3X $22 Men s short sleeve tee-shirts Sizes S XL $20 Colors available: black & lime Sizes 2X & 3X $22 PRE-ORDERS ARE DUE OCTOBER 3RD If you wish to pick your shirt up at the show check the box on the order form below. Name Address Phone e-mail: Qty. Item Color Size Price Make checks in US funds payable to: UBSDA Mail to: Nikki Swap 10447 Mountain View Dr., Dexter, MI 48130 h I would like to pick my order up at the show no shipping charge Subtotal Shipping $3 per shirt TOTAL Order Form Deadline for orders is October 3rd ITEM QTY. PRICE TOTAL Pre-paid Catalog $ 8.00 Marked Catalog $15.00 Pre-paid Raffle Tickets (pick up at show) Make checks in US funds payable to UBSDA Mail to: Nikki Swap, 10447 Mountain View Dr., Dexter, MI 48130 1/$1, 6/$5 13/$10, 30/$20 GRAND TOTAL Name e-mail: Address Phone 10

United Kennel Club, Inc. Entry Form Please print or type all information. United Belgian Shepherd Dog Association National Specialty October 23 & 24, 2015 FOR CLUB USE ONLY Armband # Entry Fees: Entries close October 3, 2015 All licensed conformation classes $25.00 Pre-entry only 3 or more entries licensed classes, same owner $22.00 Make checks payable to: UBSDA Sweepstakes $15.00 Mail to: UBSDA National Show Secretary Non-licensed classes $15.00 10447 Mountain View Dr., Dexter, MI 48130 Novice Puppy $ 5.00 Breed of Dog Belgian Shepherd Variety Full Name of Dog (UKC titles only) Sex Dog must not be entered without a permanent UKC registration number, a UKC Temporary Listing number or a UKC Limited Privilege number. Check one of the three boxes below and enter your dog s number. If your dog s permanent registration is pending at UKC, and you do not have a valid TL number, your entry will be invalid. U.K.C. No. Permanent Reg. UKC LP UKC TL Date of Birth (Mo. Day Yr.) Sire Dam Breeder Owners name(s) Address City State Zip Code Telephone: Days ( ) Evenings ( ) E-mail: CONFORMATION Regular Class Altered Class Non-Licensed Class Puppy Puppy Veteran Junior Junior Stud Dog Intermediate (Senior) Intermediate (Senior) Brood Bitch Adult Adult Novice Puppy Breeder/Handler Breeder/Handler Champion Champion Grand Champion Grand Champion SWEEPSTAKES Youth Elder Working* 6 9 months 8 10 years Level 1 9 12 months 10 12 years Level 2 12 18 months 12 14 years Level 3 18 24 months Over 14 years Level 4 *Working Sweeps: *List name with all titles I have read and agree to the waiver on the back of this form. I swear that this dog is not being handled by a professional handler in Conformation. Signature of Owner/Handler Date Total entry fee $ 11

HOW TO USE THIS ENTRY FORM: 1. Licensed Conformation classes consist of: A. Regular Classes. Classes for intact dogs: Puppy (6 mos., under 1 yr.); Junior (1 yr., under 2 yrs.); Intermediate (Senior) (2 yrs., under 3 yrs.) Adult (3 yrs. and up); Breeder/ Handler (6 mos. and up, handled by breeder or member of breeder s family); Champion; and Grand Champion B. Altered Classes. Classes for altered dogs: Altered Puppy (6 mos., under 1 yr.); Altered Junior (1 yr., under 2 yrs.); Altered Intermediate (Senior) (2 yrs., under 3 yrs.) Altered Adult (3 yrs. and up); Altered Breeder/Handler (6 mos. and up, handled by breeder or member of breeder s family); Altered Champion; and Altered Grand Champion C. Junior Showmanship classes consist of: Pee Wee (over 2 yrs., under 4 yrs.); Sub- Junior (4 yrs., under 8 yrs.); Novice Junior, Open Junior (8 yrs., under 13 yrs.); Novice Senior, Open Senior (13 yrs; under 18 yrs.) 2. All entries must be submitted on the current Official UKC Entry Form. You may use one entry form to enter the same dog in more than one activity on the same weekend. 3. Use a separate entry form for each dog entered in a club s event. 4. Mail all complete entry forms to the Event Secretary listed under the event, unless otherwise specified. Make checks payable to host club. 5. Obedience Trials, Agility Trials, Rally Obedience Trials, and Weight Pull events are open to all UKC recognized breeds and mixed-breed dogs with a valid Limited Privilege number. The Coursing Aptitude Test is open to all UKC registered and Mixed-breed dogs with a valid Limited Privilege number. 6. We want you to keep the points earned at UKC Licensed events. Important things to remember. Dog not UKC registered? Apply for a Temporary Listing Number (TL) online at www.ukcdogs. com or call the Dog Events Department at (269) 343-9020. (TL fees are non-refundable, nontransferable and do not apply to the cost of permanent registration.) All dogs entering UKC events must be permanently registered, have a valid Temporary Listing Number, or a Limited Privilege number. All entry forms must be completed and signed. Incorrect information submitted on the entry form may invalidate your wins. To be eligible to enter into the Breeder/Handler class, you must be one of the breeders of record, or a member of the immediate family of one of the breeders of record. Immediate family includes: spouse, parent, step-parent, child, step-child, brother or sister, so long as the handler is not a professional handler as defined by UKC Rules and Regulations. WAIVER All events are held under the Official Rules and Regulations of the United Kennel Club, Inc. Absolutely no alcoholic beverages, illegal drugs or firearms will be allowed on the grounds or in the buildings on the day of a UKC Licensed event. UKC, its agents and employees, and the host club assume no responsibility for any loss, damage, or injury sustained by spectators or by exhibitors and handlers, or to any of their dogs or property, and further assume no responsibility for injury to children not under the control of their parents or guardians. UKC and the host club are not responsible for loss, accidents or theft. By signing this form, I hereby agree to waive any claim, action, or lawsuit and further agree to indemnify and hold UKC, the host club and any approved UKC Judge harmless from any claims, actions or lawsuits resulting from my participation in this event, and any action, decision or judgment made by any UKC or host club representative or approved Judge under the Official UKC Rules and Regulations governing this event. I acknowledge that the current Official UKC Rules and Regulations (Agility, Conformation, Junior Showmanship, Lure Coursing, Obedience, Rally Obedience, Terrier Race, Weight Pull) have been made available to me, and that I am familiar with their contents. My signature indicates that I understand and agree to the above and to abide by all of the current Official UKC Rules and Regulations. 12

United Kennel Club, Inc. Entry Form Please print or type all information. FOR CLUB USE ONLY Chippewa United Belgian Shepherd Dog Club Regional Specialty October 22, 2015 Entry Fees: Pre-entries close October 17, 2015 $20.00 Day-of-show entry (accepted 11 noon) $25.00 Armband # Make checks payable to: Chippewa United Belgian Shepherd Dog Club Mail to: Regional Show Secretary, Ginnie Pflaume, 14414 E. Washington St., Durand, IL 61024 Breed of Dog Belgian Shepherd Variety Full Name of Dog (UKC titles only) Sex Dog must not be entered without a permanent UKC registration number, a UKC Temporary Listing number or a UKC Limited Privilege number. Check one of the three boxes below and enter your dog s number. If your dog s permanent registration is pending at UKC, and you do not have a valid TL number, your entry will be invalid. U.K.C. No. Permanent Reg. UKC LP UKC TL Date of Birth (Mo. Day Yr.) Sire Dam Breeder Owners name(s) Address City State Zip Code Telephone: Days ( ) Evenings ( ) E-mail: CLASSES Regular Class Puppy Junior Intermediate (Senior) Adult Breeder/Handler Champion Grand Champion Altered Class Puppy Junior Intermediate (Senior) Adult Breeder/Handler Champion Grand Champion I have read and agree to the waiver on the back of this form. I swear that this dog is not being handled by a professional handler in Conformation. Signature of Owner/Handler Date Total entry fee $ 13

Lot d Elevage/Kennel Group Entry Form Please print or type all information. Entries close October 3, 2015 Entry fee $15.00 Make checks payable to: UBSDA Mail to : UBSDA National Specialty Show Secretary Cindy Fellows 10447 Mountainview Dr, Dexter, MI 48130 An entry will consist of a grouping of 3 5 dogs produced by the same breeder to be judged on quality and consistency of type. The dogs to be presented may be determined the day of the show. All dogs entered must be UKC registered/listed and must also be exhibited in a licensed conformation class. If a kennel breeds more than one variety it may enter more than one group, for example, a Groenendael group and a Tervueren group. Class: Groenendael Laekenois Malinois Tervueren Breeder Kennel Name Address City State Zip Code Telephone (Days): e-mail: Signature Date 15

24th Annual UBSDA National Specialty Cindy Fellows/Nikki Swap 10447 Mountainview Dr Dexter, MI 48130