Fox Valley Dog Training Club, Inc.

PREMIUM LIST Fox Valley Dog Training Club, Inc. 69 th and 70 th Annual Obedience Trials (Events # 2017029507 and # 2017029508) and 14 th and 15 th Rally Trials (Events # 2017029509 and # 2017029510) Saturday and Sunday, November 18-19, 2017 These trials are dedicated, in fond memory, to the following club members: Dean Rodeback and Lynn Weis. Kane County Fairgrounds 525 S. Randall Rd, St. Charles, IL 60174 between Illinois Routes 38 and 64 Show Hours: 8:00 a.m. to 4:00 p.m. CST Entries Close at 8:00 p.m. on Wednesday, November 1, 2017 at 22W462 Sycamore Dr. Glen Ellyn, IL 60137 or when limits are reached, if this occurs prior to specified closing date, after which entries cannot be accepted, cancelled, or substituted. THIS EVENT IS OPEN TO MIXED BREED DOGS Classes to be offered: Beginners Novice A & B, Novice A & B, Graduate Novice Preferred Novice, Preferred Open, Preferred Utility Open A & B, Graduate Open, Utility A & B, UDX, Versatility Rally classes are limited to 150 entries. All judging will be indoors. Non-Regular Classes to be offered: Saturday only: Novice Rally Team Sunday only: Veterans Rally Novice Class Certification: Permission has been granted by the American Kennel Club for holding this event under American Kennel Club Rules and Regulations. James Crowley, Secretary Fox Valley Dog Training Club Robert Olson, Trial Secretary 22W462 Sycamore Dr. Glen Ellyn, IL 60137-7406

OFFICERS President... Wendy Waddick Vice President... Ed Herdes Second Vice President... Peggy Sue Seehafer Treasurer... Phil Nuger Public Education Coordinator... Barb Runkle Director of Training... Will Short Secretary... Carolyn Pearson 3N161 Timberline Drive, West Chicago, IL 60185 TRIAL COMMITTEE Trial Chairperson... Pat Senne Chief Ring Steward... Cathy Fleury & Loretta Lazzara Equipment & Tear Down... Ed Herdes Grounds... tbd Publicity... Nancy Pederson Raffle.....Kathy Bianchetti & Sharon Shimko Hospitality... Carolyn Pearson & Holly Szpara Awards... Holly Cass & Wendy Waddick Kitchen... Sue MacPherson TRIAL SECRETARY Robert Olson 22W462 Sycamore Dr., Glen Ellyn, IL 60137 (630) 790-8426 secretary@livetrial.net ENTRY FEES: First Obedience class in which a dog is entered (per trial)*:... $27.00 Each additional Obedience entry of the same dog (per trial)*:.. $20.00 * includes AKC Recording and Event Service Fee First Rally class in which a dog is entered (per trial)*:... $27.00 Each additional Rally entry of the same dog (per trial)*:... $20.00 * includes Rally Event Recording and Event Service Fee Veterans Rally Novice Non-Regular Class as a First Entry or Additional Class:... $20.00 Team Rally Novice Class (per team):... $28.00 RALLY IS A SEPARATE EVENT. It is a separate event and does not apply as an Additional Entry to your Obedience Trial entry. Make checks payable to: FVDTC Mail entries with fees to: Robert Olson, FVDTC 22W462 Sycamore Dr. Glen Ellyn, IL 60137-7406 MOTELS ACCEPTING DOGS (please confirm pet policy and fees when making reservations): Country Inn & Suites. 155 38th Ave., St. Charles, IL 60174. (630) 587-6564. $10.00 per pet, per night. Courtyard by Marriott Hotel. 700 Courtyard Dr., St. Charles, IL 60174 (630) 377-6370. $75.00 per pet, per stay. Quality Inn & Suites, 1600 E. Main St., St. Charles, IL 60174 (630) 584-5300. 2 pets per room, $15.00 per pet, per night. Best Western, 1635 E. Main Street, St. Charles, IL 60174 (630) 584-4550. $10.00 per pet, per night. Super 8 Motel: 1520 E. Main Street, St. Charles, IL 60174 (630) 377-8388. $10.00 per pet, per night. POLISH YOUR PERFORMANCE At the close of Saturday s trial, exhibitors may practice in one ring of their choice for 8 minutes for $10.00. Beginning at 10:00 a.m. at the front table, exhibitors may sign up for a novice, open, or utility ring. Exhibitors must sign up in person and pay at that time. Each exhibitor may use the ring of their choice once for each dog, entered in the trial. Entries will close when the number of dogs entered in each ring reaches 18. SELFIES! On Saturday and Sunday there will be a backdrop and decor which exhibitors may use to take photos of their dogs.

TRIAL LOCATION - The Kane County Fairgrounds (#1 on map) is located at 525 S. Randall Road, 40 miles west of Chicago and midway between IL Routes 64 (North Avenue) and 38 (Roosevelt Road). Randall Road has exits from I-90 (north of the fairgrounds). From I-88 (south of the fairgrounds), exit at Orchard Road and head North. Follow Orchard for 2.4 miles and turn left (North on Randall). There is no charge for parking. No overnight parking will be allowed. No dogs except those properly entered at this trial will be allowed within the trial precincts. All dogs must be on lead or crated at all times. Warm-up must be done on lead. It is understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Event Committee, be asked to leave the trial site. In such case, no refund of any fees paid will be made. Exhibitors and spectators are expected to keep the show grounds clean. Please pick up after your dogs. JUDGING ASSIGNMENTS Each judge will be limited to 8 hours of judging. Joe Caputa #69729 581 Holiday Ln., Hainesville, IL 60073-4700 Fred Buroff #5277 PO Box 1294, Plainfield, IL 60544-1294 Dianne Allen #5494 3213 W 3000S Rd., Kankakee, IL 60901-7866 Diane Propst #1791 2674 Wilson Bend Rd., Gravois Mills, MO 65037-6728 Kathleen Sweet #92976 6659 Jennings Rd., Ann Arbor, MI 48105-9695 Obedience and Rally judging will be in jump height order, as follows: Saturday and Sunday: low to high, starting with 4 Saturday Trial Novice A & B... Joe Caputa Beginner Novice A & B... Joe Caputa Preferred Novice... Joe Caputa Graduate Novice... Fred Buroff Open A... Dianne Allen Open B... Fred Buroff Graduate Open... Dianne Allen Preferred Open... Fred Buroff Utility A... Dianne Allen Utility B... Diane Propst Preferred Utility... Diane Propst Versatility... Dianne Allen All Rally Classes... Kathy Sweet Sunday Trial Novice A & B... Joe Caputa Beginner Novice A & B... Joe Caputa Preferred Novice... Joe Caputa Graduate Novice... Diane Propst Open A... Fred Buroff Open B... Diane Propst Graduate Open... Fred Buroff Preferred Open... Diane Propst Utility A... Fred Buroff Utility B... Dianne Allen Preferred Utility... Dianne Allen Versatility... Fred Buroff All Rally Classes... Kathy Sweet

Fox Valley Dog Training Club, Inc. 2017 Obedience Trial Awards Ribbon Prizes Highest Scoring Dog in Regular Classes Blue & Gold Rosette Highest Combined Score in Open B and Utility Blue & Green Rosette Placement Ribbon Prizes Regular & Non-Regular Classes First Prize Blue Ribbon Second Prize Red Ribbon Third Prize Yellow Ribbon Fourth Prize White Ribbon All dogs receiving a qualifying score will receive a green Qualifying Ribbon. A qualifying score is required for all prizes. New Title rosettes are available for any dog earning a new title at this trial. FVDTC is excited to offer an OTCH Rosette, in the club s colors, to any exhibitor who earns their Obedience Trial Champion title. Obedience Prizes Highest Scoring Dog in Regular Classes - $50.00 Highest Combined Score in Open B and Utility - $50.00 A gift will be given to all exhibitors in the Novice A and Beginner Novice A classes. 2017 Rally Trial Awards Ribbon Prizes Highest Combined Score in Advanced B and Excellent B Blue & Green Rosette Highest Combined Triple Qualifying (HTQ) score in Advanced B, Excellent B and Master Blue & Red Rosette Placement Ribbons Regular Non-Regular First Prize Blue Ribbon Rose Ribbon Second Prize Red Ribbon Brown Ribbon Third Prize Yellow Ribbon Light Green Ribbon Fourth Prize White Ribbon Gray Ribbon All dogs receiving a qualifying score will receive a green Qualifying Ribbon. A qualifying score is required for all prizes. New Title rosettes are available for any dog earning a new title at this trial. Rally Prizes Highest Combined Score in Advanced B and Excellent B - $50.00 Highest Combined Score in Advanced B, Excellent B and Master - $50.00 A gift will be given to all exhibitors in the Rally Novice A class. VETERINARIAN (on call, Saturday until 2:00 pm) (on call, Saturday after 2:00 pm and Sunday all day) St. Charles Veterinary Clinic Emergency Pet Care Center 530 Dunham Road, 530 Dunham Road, St. Charles, IL 60174 St. Charles, IL 60174 (630) 584-7404 (630) 584-7447 Veterinarian location is #2 on map below. Directions to veterinarian facility from show site: Leave show site, go left (north) on Randall Road, drive 0.6 miles. Turn right (east) on IL Route 64 (W Main Street), drive 2.9 miles. Turn left (north) on Dunham Rd. 530 Dunham Rd. is on the right, 0.2 miles. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations.

NOTICE TO EXHIBITORS Transfers (move-ups) in Obedience and Rally will be accepted provided the next level class and judge is available, and the class has not reached its limit. The request for a transfer must be made in writing and presented to the trial secretary at least 30 minutes prior to the start of the trial. All owners of mixed breed dogs must first obtain an AKC Canine Partners listing number before they may enter an AKC event. The dog s breed name should be entered as All American Dog. The dog s listing number must be entered on the entry form and the AKC number checked. Conditional, unsigned, incomplete, telephoned, faxed, or telegraphed entries cannot be accepted. Entries without fees cannot be accepted. Changes, additions, or corrections to entry forms must be received in writing prior to the close of entries. Changes which are received on the telephone are unacceptable. Entries mailed overnight must waive recipient signature, or they will be returned. Entries will not be accepted without fees. Returned checks do not constitute valid entry fees and are subject to an additional service charge. All entries must be on a signed AKC form with the AKC agreement on the back. Entries on an invalid form will be returned. Refunds of $3.00 or less will not be issued, due to the cost of processing. Entry fees will not be refunded after the closing date or when classes close, whichever comes first, for any reason but the following: Bitches who come into season, after the closing date or when classes close; may receive a refund of entry fees less a $5.00 administrative fee by sending a signed statement from a veterinarian, to the Trial Secretary by 8:30 a.m. the day of the Trial. There will be a limited number of catalogs available at the trial. If you would like a catalog, please pre-order a catalog by checking the box on your entry form and including an additional $4.00 with your entry and fee. Please be respectful to others and turn cell phones off or put them on vibrate. No use of a flash is permitted, if taking photos during the judging of any dog. NOTICE TO EXHIBITORS Entries will not be refunded in the event a dog is absent, disqualified, excused by a veterinarian or judge, barred from competition by action of the Trial Committee or, if because of riots, civil disturbances, or other acts beyond the control of the management, it is impossible to open or complete this trial. The Fox Valley Dog Training Club and their Trial Secretary assume no responsibility for a wrong entry. Exhibitors are advised to print or type all unusual words when filling in entry forms. No dog wrongly entered in a class may be transferred to another class after the closing date, except as provided for in Chapter 11, Section 6 of the AKC Rules and Regulations. No entry may be cancelled unless notice of the change or cancellation is received in writing by the Trial Secretary named in the premium list to receive entries, prior to the closing date and hour for entries, except that a correction may be made in the sex of a dog. No dog may otherwise be transferred to another class. Owners are responsible for errors in the entry forms, regardless of who may make such error. Pursuant to Chapter 1, Section 3, entries will not be accepted unless submitted with the required entry fee, be on an official American Kennel Club entry form, be signed by the owner or his duly authorized agent and must have the required information - name of trial giving club, date of trial, breed, sex, name of class(es) entered, full/registered name of dog, name of owner(s)/co-owner(s), address of owner, one of the following AKC registration number or ILP/PAL number; if known the following date of birth, place of birth, name of breeder(s), name of sire and dam. Entries must be submitted on approved entry forms with the agreement printed on the reverse side. Entries will not be refunded in the event a dog is absent, disqualified, excused by a veterinarian or judge, barred from competition by action of the Trial Committee or, if because of riots, civil disturbances, or other acts beyond the control of the management, it is impossible to open or complete this trial. The show giving club, the Trial Secretary, their agents, etc. assume no responsibility for any loss, damage or injury sustained by the exhibitors, handlers, or to any of their dogs or property and assume no responsibility for injury to children, who must be under the control of their parents or guardians.

NOTICE TO EXHIBITORS For awards in both Obedience and Rally, there will be only ribbon prizes. The exception for this, is a gift to be presented to all Rally Novice A exhibitors and to all Obedience Beginner Novice A and Novice A exhibitors. Dogs are not required to be at the trial until the scheduled time of judging and may leave immediately thereafter unless required for further judging. The owner/handler is solely responsible for having the dog ready at ringside when the class is to be judged. Conflicts between rings should be discussed with the judge prior to the start of the class. JUMP HEIGHT All classes requiring jumps will be arranged in jump height order (low to high, beginning with lowest jump). Entries will be run in catalog order on Saturday and on Sunday. SATURDAY ONLY - TEAM RALLY NOVICE CLASS Offering the non-regular Rally Novice Team class for teams of any four (4) dogs. One entry form must be completed for each dog, and all four (4) forms must be mailed to the Secretary all together. To enter the Team Rally class, enter Team Rally Novice in the Additional Rally Class box of the Rally Entry form. SUNDAY ONLY - VETERANS RALLY NOVICE CLASS For dogs seven (7) years of age or older on the day of the trial. All dogs will perform Rally Novice exercises. To enter the Team Rally class, enter Veterans Rally Novice in the Additional Rally Class box of the Rally Entry form. Please visit our web site at www.fvdtc.org. FVDTC is hosting a Heart Clinic on Saturday, November 18 during our annual Obedience/Rally Trial at Kane County Fairgrounds from 8:00 a.m. until 3:00 p.m. Dr. Heidi Kellihan DVM, DACVIM, Clinical Associate Professor of Cardiology at the University of Wisconsin -Madison will perform the following exams. Auscultations Exam with a Doppler Echocardiogram (an ultrasound of the heart) - $250.00 Auscultations Exam (just listening to the heart) -- $40.00 To reserve your spot for the exam: *EXAMs MUST BE PRE-PAID * Send your completed form and check (payable to Heidi Kellihan, DVM, DACVIM) to Nancy Lee, 230 Shawnee Circle, Bartlett, IL 60103. For more information, contact Nancy Lee, at nlee483@comcast.net Appointment times will be set-up after the Judging Program is determined, in an effort to accommodate exhibitor s ring times. You will need to arrive at least 15 minutes prior to your exam time to fill out necessary paperwork. Name: Address: City: State: ZIP: Phone: Dog Name: Breed: Circle Exam Amt Enclosed: $ Doppler Auscultations Echocardiogram Exam Only

OFFICIAL AMERICAN KENNEL CLUB OBEDIENCE ENTRY FORM Fox Valley Dog Training Club, Inc. November 18 & 19, 2017 - Kane County Fairgrounds Entries close 11/01/2017 at the Secretary's address Catalog ($4.00) Saturday Obedience (Event #2017029507) Sunday Obedience (Event #2017029508) Mail entries, with fees made payable to FVDTC, to Robert Olson, 22W462 Sycamore Drive, Glen Ellyn, IL 60137-7406. Entry fee is $27.00 for the first entry, $20.00 each additional entry, per dog per day. Obedience is a separate event and does not apply as an additional entry to your Rally entry. I enclose $ for entry fees IMPORTANT Read Instructions on reverse side carefully before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. (PLEASE PRINT). Next, be sure to read and sign the Agreement on the reverse. No form will be processed without your signature! BREED VARIETY 1 SEX OBEDIENCE CLASS 2, 3 OBEDIENCE CLASS 2, 3 NAME OF (See Back) JUNIOR HANDLER (if any) Full Name Of Dog JUMP HEIGHT ADDITIONAL OBEDIENCE CLASS 2,3 Enter Number Here Date of AKC REG NO Birth ADDITIONAL OBEDIENCE CLASS 2,3 JR. HANDLER NUMBER AKC LITTER NO Place of USA Canada Foreign ILP OR PAL NO Birth FOREIGN REG NO & COUNTRY Do not print the above in the catalog BREEDER SIRE DAM Actual Owner(s) (Please Print) Owner s Address City State/Prov. ZIP/Postal Code Country (if not USA) TELEPHONE NUMBER Are you a new exhibitor? [ ] Yes [ ] No E-MAIL Address (An acknowledgement of receipt of entry may be sent to this email address.) Name of Agent/Handler at the Show (if any) ***Be sure to read the Agreement and sign on the reverse. No form will be processed without your signature*** INSTRUCTIONS 1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard). 2. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e., A or B division. 3. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules refer to Chapter 11, Section 3.) 4. Dogs listed in the AKC Canine Partners Program may be eligible to enter all-breed AKC Obedience 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. Sire and Dam information shall remain blank for mixed breed entrants. AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org AGREEMENT 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 any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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 the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION 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 SIGNATURE of owner or his agent duly authorized to make this entry TELEPHONE # E-MAIL Address:

OFFICIAL AMERICAN KENNEL CLUB RALLY ENTRY FORM Fox Valley Dog Training Club, Inc. November 18 & 19, 2017 - Kane County Fairgrounds Entries close 11/01/2017 at the Secretary's address Catalog ($4.00) Saturday Rally (Event #2017029509) Sunday Rally (Event #2017029510) Mail entries, with fees made payable to FVDTC, to Robert Olson, 22W462 Sycamore Drive, Glen Ellyn, IL 60137-7406. Entry fee is $27.00 for the first entry, $20.00 each additional entry, per dog per day. Obedience is a separate event and does not apply as an additional entry to your Rally entry. Veterans Rally Novice Non-Regular Class... as a 1st Entry or Add l Class: $15.00 Team Rally Novice Class (per team):... $28.00 I enclose $ for entry fees IMPORTANT Read Instructions on reverse side carefully before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. (PLEASE PRINT). Next, be sure to read and sign the Agreement on the reverse. No form will be processed without your signature! BREED VARIETY 1 SEX RALLY CLASS 2, 3 RALLY CLASS 2, 3 NAME OF (See Back) JUNIOR HANDLER (if any) Full Name Of Dog JUMP HEIGHT ADDITIONAL RALLY CLASS 2,3 Enter Number Here Date of AKC REG NO Birth ADDITIONAL RALLY CLASS 2,3 JR. HANDLER NUMBER AKC LITTER NO Place of USA Canada Foreign ILP OR PAL NO Birth FOREIGN REG NO & COUNTRY Do not print the above in the catalog BREEDER SIRE DAM Actual Owner(s) (Please Print) Owner s Address City State/Prov. ZIP/Postal Code Country (if not USA) TELEPHONE NUMBER Are you a new exhibitor? [ ] Yes [ ] No E-MAIL Address (An acknowledgement of receipt of entry may be sent to this email address.) Name of Agent/Handler at the Show (if any) ***Be sure to read the Agreement and sign on the reverse. No form will be processed without your signature*** INSTRUCTIONS 1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard). 2. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e., A or B division. 3. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules refer to Chapter 11, Section 3.) 4. Dogs listed in the AKC Canine Partners Program may be eligible to enter all-breed AKC Obedience 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. Sire and Dam information shall remain blank for mixed breed entrants. AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org AGREEMENT 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 any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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 the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION 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 SIGNATURE of owner or his agent duly authorized to make this entry TELEPHONE # E-MAIL Address: