Need to register your dog, Register ON-LINE - it s quick it s easy? You no longer need to wait for a number, On-Line Registration NOW AVAILABLE at www.usdaa.com. DOG REGISTRATION APPLICATION - $20.00 JUNIOR HANDLER REGISTRATION APPLICATION - $20.00 Dogs must be registered with USDAA in order to compete in USDAA sanctioned events. A registration card and number with a "U" prefix will be issued to facilitate entry at USDAA events and tracking of show results in the regular classes. Junior handlers (those 18 years of age and younger) and their dogs must be separately registered for participation in the USDAA's Junior Handler Program (UJHP). A registration number with a "J" prefix will be assigned for use in entering UJHP events. A dog competing in both programs (regular classes and UJHP) must be registered separately for each program, for which the total fee is $40.00. You must complete ALL information for a valid registration: OWNER/HANDLER INFORMATION: Primary Owner: Co-Owner: Handler: (If different from primary owner) Junior Handler: Telephone: ( ) (Day telephone, if possible) Address: City / State: Postal Code: Country: Email Address: DOG INFORMATION: Formal Name: (Name to appear on certificates; please print clearly or type) Call Name: Breed: (Specify breed or state "All American to denote mix-breed) Height Birthdate: @ Withers: (Estimate if unknown) (To nearest 1/4") FOR USDAA USE ONLY: REG # UJHP # Sanctioned Tournament Events & Agility Test August 7 & 8, 2010 Regional Sports Center 1310 Ridgefield Road Crystal Lake, IL This Event will be Held Indoors on Soccer Turf Electronic Timing Will be Used ENTRIES CLOSE: Midnight, Monday, July 19 th Secondary Closing Date for Advancement in Level Only: 6 PM, Monday, July 26th JUDGES: Harry Guticz Lincoln, NE Tom Henning Delavan, WI (Tammy Stone Supervising) AGILITY TEST SCHEDULE USDAA Grand Prix of Dog Agility & Performance Grand Prix sm and Dog Agility Steeplechase & Performance Speed Jumping sm, PLUS Standard Classes Championship & Performance Non-Standard Classes Championship & Performance Snooker, Gamblers, Pairs Relay and Jumpers Hosted by: USDAA, Grand Prix of Dog Agility, Agility Dog, Advanced Agility Dog, Master Agility Dog, Dog Agility Steeplechase, Agility Dog Champion and Dog Agility Masters are registered trademarks and Jumpers Master sm, Gamblers Master sm, Relay Master sm, Snooker Master sm, Performance Dog I sm, Performance Dog II sm, Performance Dog III sm, Accomplished Performance Dog sm, Performance Grand Prix sm and Performance Speed Jumping sm are service marks of United States Dog Agility Association, Inc.
TRIAL COMMITTEE Trial Chairperson Les Sanders (SandersL@aol.com) 815-337-1510 Trial Secretary Diane Sanders ( Sandersl@aol.com) 815-337-1510 Chief Ring Steward James Bahr Chief Scorekeeper Les Sanders, Loretta Vojtech, Diane Sanders, Beth Diehl Equipment Manager Tim Vojtech Trophies and Awards Beth Diehl Displinairy Committee Chair Diane Sanders Advertising and Promotion Pam Kristoff Hospitality Pam Kristoff HOTEL INFORMATION The following hotels are available. Please double check with the hotel regarding their policy to accept dogs as this is subject to change. HOST HOTEL Holiday Inn Hwy 31 & Three Oaks Rd. Crystal Lake, IL (815) 477-7000 Block of Rooms Reserved Contact Sports Agility Special Rate -- $89.00 plus $20 Pet Fee Super 8 577 Crystal Point Dr. Crystal Lake, IL (815) 788-8888 Comfort Inn 595 Tracy Trail Crystal Lake, IL (815) 444-0040 Days Inn 1585 Dundee Ave. Elgin, IL (847) 695-2100 CAMPING (No On site Camping) KOA Chicago Northwest, 8404 S. Union Road, Union, IL (815) 923-4206 Check for breed restrictions when making reservations. Tent and RV camping available. Lehman s Lakeside RV Resort, 19609 Harmony Hill, Marengo, IL (815) 923-4533 Well behaved dogs and people only. No Breed Restrictions. Dogs must be on leash. Full hookups, some pull through sites available. R.V.'s and pop-ups only, no tent camping. 10% discount for KOA or AARP, if paying cash. DIRECTIONS TO SHOW SITE Off of ILLINOIS HWY 14 in Crystal Lake: GO NORTH on RIDGEFIELD RD. Regional Sports Center is on the west side of the road. Look for the large building with the Soccer Ball on it. From the North: HWY 14 can be accessed from I-43 between Milwaukee and Rockford. Take HWY 14 EAST. You will pass though Darien, Harvard and Woodstock. Continue on HWY 14 to RIDGEFIELD RD. NORTH (turn Left), Regional Sports Center will be on the left side of the road. From the South/Chicago: HWY 14 can be accessed from the South by taking I-90 WEST to RT 31 NORTH. Take RT 31 NORTH through Carpentersville and Algonquin to RT 176 WEST (turn Left) to RT 14 WEST (turn Right) and go 2.2 miles to RIDGEFIELD RD NORTH (turn Right), Regional Sports Center will be on the left side of the road. From I-94: Take the exit for 176 WEST. Follow 176 through Mundelein and Wauconda and past Route 31 to HWY 14 WEST (turn Right). Take HWY 14 approximately 2.2 miles to RIDGEFIELD RD NORTH (turn Right), Regional Sports Center will be on the left side of the road. *** NOTICE TO COMPETITORS *** Competitors though submission of entry, acknowledge that they are knowledgeable of USDAA rules and regulations, including but not limited to the following rules regarding entry: ** This test is open to all dogs being at least 18 months of age, including purebred and non-purebred, except bitches in season, dogs suffering from any deformity, injury or illness which may affect the dog's physical or mental performance, or dogs exhibiting signs of aggression. ** All dogs must be registered with USDAA in order to compete in USDAA sanctioned events. Register online at www.usdaa.com, General information, to receive a registration number immediately and measurement card prior to the show, or registration may be included with entry to this show. ** YOU MAY INCLUDE A COPY OF YOUR DOG S PERMANENT (YELLOW) HEIGHT CARD WITH YOUR ENTRY FOR EXPEDITED CHECK-IN. ** No leads, collars, toys, food or other training aids will be permitted on the course. Safety shall always be of foremost consideration in actions and conduct by handlers at all times. ** The Organizing Committee of an event may refuse the entry of any competitor or dog for just cause should the committee view that participation by competitor or dog would be prejudicial to the sport. However, any committee so doing must notify the competitor in writing (with a copy to the USDAA office) in anticipation of or upon receipt of entry. The notice must include the reason for refusing the entry and a brief explanation of the basis for their decision. The burden of responsibility for appropriateness of such action rests solely with the host group and its Organizing Committee. ** Fault limits may be imposed by the Organizing Committee/Judge and announced during judge's briefing. ** This test will be held indoors on soccer turf. There will be no equipment familiarization on either day. Electronic timing will be used. ** No entries may be accepted, changed, altered or withdrawn for any reason after the closing date of July 19th, except for advancements as described: Changes to competitor entries for purposes of advancing to the next higher class level for those dogs finishing titles after the closing date will be accepted in writing until 6 p.m Monday, July 26, 2010. ** No refunds will be made after the closing date, or in the event that a dog is absent, disqualified, excused by the judge or the club, or barred from competition by action of the Organizing Committee. In addition, no entry fees will be refunded if the test cannot open or be completed by reason of riots, civil disturbances, fire, an act of God, public emergency, act of a public enemy, strike, or any other cause beyond the control of the club. ** Returned checks do not constitute a valid entry. There will be a $20.00 service charge for returned checks. Payment of entry fees and service charges shall be made in cash or money order within 30 days of postmark of notice of returned check where notification is received after event date. Any fees not received within 30 days of notice result in cancellation of event results for all classes for the registration number(s) of delinquent entry/entries. No reinstatement of results is possible, and all awards must be returned within 10 days of notification, or the dog's registration may be suspended pending restitution. Any unpaid fees or shortfalls must be paid prior to the start of the event or entry is canceled without recourse by owner/handler. ** A copy of the USDAA rulebook may be viewed online at www.usdaa.com. ** PLEASE CHECK FINAL CONFIRMATION FOR START TIMES. THESE ARE SUBJECT TO CHANGE! Food will be available at the test site. ** All competitors through entry at this event waive any and all rights relative to video broadcast of this event. Competitors shall have the right to videotape portions of this event for their personal use only. No portion of this event may be videotaped for commercial or other purposes. All video, broadcast and telecast rights for this event are the exclusive property of United States Dog Agility Association, Inc. Portions of this event may be taped for television. Through entry at this event, ALL COMPETITORS and HANDLERS HEREBY GRANT to USDAA and its representatives, agents and assigns, all rights and permission to use or appropriate his/her and their dog s name, biography, likeness, photograph, voice, performing persona, or other indica of identity for broadcast, telecast, cable cast, transmission or distribution in any format or media now known. All competitors and handlers hereby release USDAA and its representative, agents and assigns from any claims or cause of action for invasion of the rights of privacy, right of publicity, right of personality, or any similar right. Entries and Closing Date All entries must be received no later than Midnight, Mon. July 19; however, those entered may change the class level of their entry until 6:00 p.m., Monday, July 26, by email (sandersl@aol.com). To be accepted, entries MUST be complete, signed (for minors, signed by parent or legal guardian) received by the closing date, and accompanied by the correct fees.
JUMP HEIGHTS Following are the jump heights: (Performance in parenthesis) Dog Height Jump Height Long Jump* Table Over 21 26 (22 ) 60 (48 ) 24 (16 ) 21 or less 22 (16 ) 48 (36 ) 24 (16 ) 16 or less 16 (12 ) 36 (20 ) 16 (12 ) 12 or less 12 (8 ) 20 (6 ) 12 (12 ) The A-frame height in the Championship Program for large dogs at no less than 5'9" and no more than 5'11", and for small dogs and all dogs in the Performance Program, no less than 5'3" and no more than 5'5" (height may vary due to angle calculated at the apex). Re-designed long jump; P8 dogs jump 2 nd board only. CLASS DESCRIPTIONS Two certification programs will be offered at this event Championship & Performance. Competitors may enter both Championship and Performance Program classes for which they are eligible; however, under NO circumstance may a dog be entered in the same Championship and Performance class at this agility test (i.e. standard at any level in both programs). Classes include standard agility, gamblers, jumpers, pairs relay and snooker agility as set forth in Chapters 3 7 of USDAA Rules and Regulations, each of which are conducted at three competitive levels. CHAMPIONSHIP PROGRAM CLASSES The Starters Standard classes shall be for dogs that have not earned the Agility Dog title or a Starters Standard title. Starters Non-standard classes shall be for dogs that have not earned a title in the class being entered (Starters Gamblers, Starters Jumpers, Starters Relay-3 different partners required-or Starters Snooker) or a qualifying score in the equivalent non-standard class at the Advanced or Masters level. When offered separately as Starters and Novice classes, the Starters level classes are for dogs handled by a person who has not previously earned the Agility Dog title or a title in the Performance or Veterans Program with any dog. Three qualifying scores in the standard class from two different judges along with one qualifying score in each of the nonstandard classes is required to earn the Agility Dog title. The Advanced Standard classes shall be for dogs that have earned the Agility Dog title or a Starters Standard title. Advanced non-standard classes shall be for dogs that have earned the Agility Dog title or that have earned a title in the equivalent non-standard class at the Starters level, but have not earned the equivalent Advanced non-standard title or a qualifying score in the equivalent non-standard class at the Masters level. Three qualifying scores in the standard class from two different judges along with one qualifying score in each of the nonstandard classes is required to earn the Advanced Agility Dog title. The Masters Standard classes shall be for dogs that have earned the Advanced Agility Dog title or the Advanced Standard title. Masters non-standard classes shall be for dogs that have earned the Advanced Agility Dog title, the equivalent non-standard title at the Advanced level, or that had previously qualified for entry into the equivalent Masters non-standard class prior to January 1, 2004. PERFORMANCE PROGRAM CLASSES Generally, Performance Level I, Level II and Level III are run on courses used for Starters, Advanced and Masters classes in the Championship Program, with the following exceptions: the A-frame is set at 5 6, jump heights are one height class lower as set forth in Notes to Competitors, no spread hurdles are utilized and time standards in the standard, jumpers classes are extended by 3 seconds beyond that utilized in the Championship Program and the pairs relay class is non-qualifying. Eligibility is determined as follows: The Performance I Standard classes shall be for any dog that has not earned the Performance Dog I title, or a qualifying score in the Performance II or Performance III standard classes. Performance I non-standard classes shall be for any dog that has not earned a title in the class being entered (Performance I Gamblers, Performance I Jumpers, or Performance I Snooker) or a qualifying score in the equivalent non-standard class at the Performance II or Performance III level. Three qualifying scores in the standard class from two different judges along with one qualifying score in each of the non-standard classes is required to earn the Performance Dog I SM title. The Performance III Standard classes shall be for any dog that has earned the Performance Dog II title, the Performance Standard II title, the Advanced Agility Do tile, or the Veterans Advanced Agility Dog title. Performance III non-standard classes shall be for dogs having earned the Performance Dog II title or Advanced Agility Dog title, the equivalent non-standard title at the Advanced or Performance II level, or that had previously qualified for entry into the Performance non-standard class prior to January 1, 2004. Gamblers Class: This class consists of a course with no pre-determined route and each obstacle is assigned a point value. In the 'opening' period, the handler seeks to accumulate points by performing the obstacles of his/her choice in the time allotted. At the conclusion of the 'opening' the handler attempts the 'gamble,' a sequence designated by the judge to be handled from a distance, for additional points. This non-standard class is pursuant to the provisions of Chapters 6 and 7 of USDAA Rules and Regulations. Jumpers Class: This class consists of a course of jumps and may include a tire and tunnels. This non-standard class is scored pursuant to the provisions of Chapters 6 and 7 of USDAA Rules and Regulations. Snooker Class: This class has an 'opening' sequence of point collection similar to the Gamblers followed by a closing sequence of a set pattern. Roughly parallels the billiards game of 'Snooker' requiring the dog to successfully complete a 'red' jump prior to attempting an obstacle designed as any other color. This non-standard class is scored pursuant to the provisions of Chapters 6 and 7 of USDAA Rules and Regulations. Pairs Relay: This class consists of a standard course with one dog and handler running a portion of the course, followed by a baton exchange to second handler and dog who run the second portion of the course. In the event only one dog is entered in a program/level, un-entered dog or dogs from another program/level may NOT be recruited to form a qualifying pair. Dogs must be paired within their same level and same height division, mini (Ch12/16, Perf 8/12) or open (Ch22/26, Perf 16/22). Performance level eligibility is determined by the highest Performance Versatility or Relay title earned, a dog with a PDI title is eligible for PII Pairs. Crossing over from the Championship program works the same as for other classes, a dog with a Starters Relay title is eligible for PII Pairs and a dog with an AAD is eligible for PIII pairs. A handler may opt to enter Level 1 provided that a qualifying score in a higher level Performance Relay class has not been earned. This non-standard class is scored pursuant to the provisions of Chapters 6 and 7 of USDAA Rules and Regulations. Tournament Classes The following 2010 Tournament qualifiers are being offered at this event. Brief descriptions are included; full tournament rules are available at the USDAA website at usdaa.com. Please note that if you have purchased access to the Subscriber Services area on the USDAA Web site, you may print a complete copy of the regulations as included in the Subscriber Services Forms & Documents Library at no charge. Grand Prix of Dog Agility & Performance Grand Prix SM Local Qualifiers These single-round tournament classes are open to all dogs regardless of title or skill level and are judged under Masters rules. Dogs that finish the course with zero (0) faults shall earn a qualifying score and are eligible for entry into a Regional Championship; two local qualifiers are required to be eligible for entry into the quarterfinals of the World Championship. Additionally, the first place qualifying handler/dog team in each height class shall earn a bye voucher, permitting them to advance directly to Round 2 of a Regional Championship. Steeplechase /Performance Speed Jumping SM Qualifiers These two-round tournaments open to all dogs regardless of title or skill level and are judged under modified Starters rules. Qualifying scores are earned in Round 1. For Steeplechase, one qualifying score at a local qualifier is needed to be eligible to enter Round 1 at a Regional Championship. Entry into the World Championship quarterfinals requires two qualifying scores, one of which may be from the first round of a Regional Championship. A bye may be earned in Round 2 of a Regional Championship. For Performance Speed Jumping, two qualifying scores are required for entry into the semifinals of the World Championships. The Performance II Standard classes shall be for any dog that has earned the Performance Dog I SM title, the Performance Standard I title, the Agility Dog title or the Veteran Agility Dog SM title, but has not earned the Performance Dog II SM title or Performance Standard II title, or a qualifying score in the Performance III standard class. Performance II non-standard classes shall be for dogs having earned the Performance Dog I SM title, the Agility Dog title or a title in the equivalent Starters or Performance I non-standard class, but not having earned a title in the equivalent nonstandard Performance II class or a qualifying score in the equivalent non-standard Performance III class. Three qualifying scores in the standard class from two different judges along with one qualifying score in each of the nonstandard classes is required to earn the Performance Dog II title.
*** PRIZES AND AWARDS *** Test Classes: Ribbons will be awarded for 1 st through 3 rd places in all test classes for each jump height. Pairs will be awarded to mini and open divisions. Maroon qualifying ribbons will be awarded to those dogs earning qualifying scores. Grand Prix / Performance Grand Prix: First place qualifying winner in each height class shall be awarded a bye voucher, permitting them to advance to the final round of a regional championship. A double overlay ribbon shall be awarded to all qualifiers. Ribbons will be awarded for 1st through 6th places for each jump height. Steeplechase / Performance Speed Jumping: In addition to the prize money awarded; ribbons will be awarded for 1st through 3rd places in for each jump height in Round 2. All competitors must check in their first day of competition. Dogs requiring measurement must be measured prior to being checked in. All dogs must be measured unless they are jumping 26" (P22"), the handler sent a copy of the yellow, plastic permanent card with entry or presents a permanent card, temporary blue card with 3 signatures awaiting a CMJ, checkin letter issued by USDAA printout of subscriber page indicating the dog is permanently carded. Should the dog measure up at this event, it must jump the higher height in order to earn qualifying scores. Should the dog be unprepared for the higher height, it may be run FEO at the lower jump height, but no awards or placements may be earned, and the dog may not be moved to Performance at check-in. Worker Sign-Up Form Please fill out and return with your entry form if you would like to help. All workers will receive lunch and snacks. Name E-Mail Address Phone Please circle the jump height relating to the classes you have entered with each dog Saturday Masters/PIII Standard 12 16 22 26 Perf. Advanced/PII Standard 12 16 22 26 Perf. Starters/PI Standard 12 16 22 26 Perf. Masters/PII Snooker 12 16 22 26 Perf. Advanced/PII Snooker 12 16 22 26 Perf. Starters/PI Snooker 12 16 22 26 Perf. Masters/PII Pairs Relay 12 16 22 26 Perf. Advanced/PII Pairs Relay 12 16 22 26 Perf. Starter/PI Pairs Relay 12 16 22 26 Perf. Sunday Masters/PIII Standard 12 16 22 26 Perf. Advanced/PII Standard 12 16 22 26 Perf. Starters/PI Standard 12 16 22 26 Perf. Masters/PII Gamblers 12 16 22 26 Perf. Advanced/PII Gamblers 12 16 22 26 Perf. Starters/PI Gamblers 12 16 22 26 Perf. Masters/PII Snooker 12 16 22 26 Perf. Advanced/PII Snooker 12 16 22 26 Perf. TENATIVE RUNNING ORDER SATURDAY Ring 1 Harry Ring 2 - Tom Jumpers Advanced/PII Jumpers Starters/PI Jumpers Masters/PIII Steeplechase Round 1 Snooker Advanced/PII Performance Speed Jumping Round 1 Snooker Masters/PIII Snooker Starter/PI Standard Masters/PIII Pairs Relay Starters/PI Grand Prix/Perf. Grand Prix Pairs Relay Advanced/PII Pairs Relay Masters/PIII Gamblers Starters/PI Standard Advanced/PII Standard Starters/PI SUNDAY Ring 1 - Harry Ring 2 - Tom Gamblers Masters/PIII Gamblers Starters/PI Standard Masters/PIII Gamblers Advanced/PII Pairs Relay Masters/PIII Standard Starters/PI Snooker Advanced/PII Standard Advanced/PII Snooker Masters/PIII Jumpers Starters/PI Steeplechase Round 2 Jumpers Advanced/PII Performance Speed Jumping Round 2 Jumpers Masters/PIII Masters/PIII Jumpers 12 16 22 26 Perf. Advanced/PII Jumpers 12 16 22 26 Perf. Starters/PI Jumpers 12 16 22 26 Perf. Starters/PI Gamblers 12 16 22 26 Perf. Steeplechase/Perf. Spd. 12 16 22 26 Perf. Grand Prix/ Perf. Grand Prix 12 16 22 26 Perf. Please X the jobs you are willing to do Saturday Course Builder Gate Steward Transcribe Bar Setter Timer Chute Fluffer Leash Runner Floater Masters/PIII Jumpers 12 16 22 26 Perf. Advanced/PII Jumpers 12 16 22 26 Per Starters/PI Jumpers 12 16 22 26 Perf. Masters/PIII Pairs Relay 12 16 22 26 Perf. Sunday Course Builder Gate Steward Transcribe Bar Setter Timer Chute Fluffer Leash Runner Floater
Official Entry Form Contact Sports Agility August 7 & 8, 2010 Return this completed form to: Test Secretary, Diane Sanders, 13805 Sunset Ridge Rd., Woodstock, IL 60098 For Information Call: 815-337-1510 or sandersl@aol.com Entries Close July 19, (Secondary closing date for advancement in level ONLY July 26) Owner/Handler Information: Owner s Name: Handler: _ Address: City: State: Zip: Phone: For confirmation by e-mail, please fill in e-mail address: Dog s Identification: Call Name: USDAA REGISTRATION# _ Breed: Birth Date: _ Ht @ Withers: _ Select Jump Height Championship: 12 16 22 26 Performance: 8 12 16 22 SATURDAY Standard $13 Masters Advanced Starters Perf III Perf II Perf I Gamblers $13 Starters Perf I Jumpers $13 Masters Advanced Starters Perf III Perf II Perf I Snooker $13 Masters Advanced Starters Perf III Perf II Perf I Pairs Relay $13 Masters Advanced Starters Perf III Perf II Perf I * Tournament $22 EACH Class Steeplechase Qualifier Performance Speed Jumping Qualifier * Tournament $22 EACH Class Grand Prix Qualifier Performance Grand Prix Qualifier SUNDAY Standard $13 Masters Advanced Starters Perf III Perf II Perf I Snooker $13 Masters Advanced Perf III Perf II Gamblers $13 Masters Advanced Starters Perf III Perf II Perf I Jumpers $13 Masters Advanced Starters Perf III Perf II Perf I Pairs Relay $13 Masters Perf III If any information below is left blank, entry will be for a draw. Saturday s Partner: U # Jump Ht: Sunday s Partner: U # Jump Ht: Please do not pair me with: *This dog may not be entered in both G P & PGP OR STP & PSJ qualifiers. If entering tournaments or tournament and test classes at DIFFERENT HEIGHTS in the SAME PROGRAM, you must submit separate entry forms. One jump height per program per entry form. GENERAL AGREEMENT I (we) agree that Contact Sports Agility has the right to refuse this entry for cause, which the organizing committee alone shall deem to be sufficient. In consideration of the acceptance of this entry, of the holding of the event and of the opportunity to have the dog participate and/or to be judged, I (we) agree to hold the organizing committee, Contact Sports Agility, United States Dog Agility Association, Inc., including their members, officers, directors, agents and employees, sponsors of the event, and owners of the premises upon which the event is held and their employees harmless from any claim for loss or injury that may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or upon the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim. I (we) further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, appearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I (we) hereby assume the sole responsibility for and agree to indemnify 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 person, including myself (ourselves) or on account of damage to property arising out of or in consequence of my (our) participation in this event, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or have been alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents of any other persons. I further acknowledge that I have read, understand and will abide by the Official Rules and Regulations of the United States Dog Agility Association, Inc. and the provisions for entry as set forth in the Agility Test Schedule of which this entry form is a part. I acknowledge and represent that the information supplied by me herein is correct to the best of my knowledge; if any portion of this information is found to be invalid or insufficient to establish the validity of my entry, such finding shall render my entry invalid in its entirety, for which there shall be no refund of fees paid. Further, I represent that I am the owner of the dog listed hereon, or that I have full authority as agent for dog's owner and shall hold Contact Sports Agility, USDAA, including their officers, directors, employees and agents and their sponsors harmless from any liability or claims made by dog's owner. Further, I hereby grant to United States Dog Agility Association, Inc., its representatives, agents and assigns, all rights and permission to use or appropriate my and the dog's name, biography, likeness, photograph, voice, performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media now known or hereafter to become known. I hereby release USDAA, its representatives, agents, and assigns from any claim or cause of action for invasion of the rights or privacy, right of personality of any similar right. MAKE CHECKS PAYABLE TO CONTACT SPORTS AGILITY **Please read & sign General Agreement for valid Entry** Individual Test Classes $13 each Tournaments: GP/PGP, STP/PSJ $22 each Total Fees for Classes: Registration Fee: ($20.00) Total Fees Enclosed: Signature: Date Day Telephone: PARENT OR LEGAL GUARDIAN SIGNATURE FOR /MINORS: Signature: Date: