Premium List AKC Agility Trial Event # TIBETAN TERRIER CLUB of AMERICA AGILITY TRIAL Tuesday, May 17, 2011

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PLEASE RUSH - DATED MATERIAL FIRST CLASS TTCA Sarah Osmeloski 2180 Dryden Rd. Freeville, NY 13068 ENTRIES OPEN: March 23, 2011 at 8:00 AM EDT At 2180 Dryden Rd., Freeville, NY 13068 Early entries will be accepted ENTRIES CLOSE: April 27, 2011 at 6 PM EDT MOVE-UPS CLOSE: May 10, 2011 at 6 PM EDT Method of Entry is First Received. Premium List AKC Agility Trial Event #2011146711 Member of the American Kennel Club, Inc. TIBETAN TERRIER CLUB of AMERICA AGILITY TRIAL Tuesday, May 17, 2011 Bella Vista Training Center 730 Mount Airy Rd Lewisberry, PA 17339-9740 ENTRIES ARE LIMITED TO Tibetan Terriers No limit on Tibetan Terrier entries Show Hours: 7:00 a.m. to 3:00 p.m. Trial will be held indoors - Ring Size 80 x 110 Measuring of Dogs will begin at 7:15 a.m. Judges Briefing will begin at 7:40 a.m. - Judging will commence at 8:00 a.m. American Kennel Club Certification Permission has been granted by the American Kennel Club for holding this event under American Kennel Club Rules and Regulations. James P. Crowley, Secretary

Officers and Directors of the Tibetan Terrier Club of America President: Ken Edmonds, 945 Clairemont Ave.,Decatur, GA 30030 First VP: Ron Pankiewicz, 1645 Seaks Run Road, Glen Rock PA 17237 Second VP: Jean Allen, 55 1/2 North Main St. South, Hadley, MA 01075 Treasurer: Gale Mattison, 12 Sandhurst Dr., West Hartford, CT 06107 Cor. Secretary: Lisa Hethcox, 3921 Warrior Valley Road, Altoona, AL 35952 Rec. Secretary: Mike McLoughlin, 281 Silver Hill Lane, Stamford, CT 06905 AKC Delegate: Stacy LaForge, 87 Pleasantview Ave., New Providence, NJ 07974 Directors: Betsy Richards, Karen Sponable, Nancy Stanford, Mikki DeMers, Tammy Marshall Trial Chairperson Trial Secretary Kathleen M. Rupprecht Sarah Osmeloski 710 Springfield Ave. 2180 Dryden Rd. Cranford, NJ 07016-1815 Freeville, NY 13068 908-875-3397 607-279-0877 agilhas@mac.com ttia607@gmail.com VOLUNTEER WORKER FORM Volunteers will be needed for the smooth running of this trial. To volunteer to help, please fill out the form below and return with your entry to Sarah Osmeloski, 2180 Dryden Rd., Freeville, NY 13068. Volunteer workers will be gratefully appreciated. We will contact you to confirm your work assignments as far in advance of the trial as possible. Name: Phone: Email: I can help with the following jobs: Course Builder Gate Steward Ring Steward Timer Scribe Score Runner Leash Runner I am running in the following classes: Novice Standard Open Standard Excellent Standard Novice JWW Open JWW Excellent JWW Novice FAST Open FAST Excellent FAST Flossie Barczewski Sarah Osmeloski Kathleen Rupprecht Trial Committee Judge (all classes) Stacey LaForge Betsy Richards Karen Sponable OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM AGILITY TRIAL -- MOVE-UP Tibetan Terrier Club of America May 17, 2011 MOVE-UPS close on Tuesday May 10, 2011, at 6:00 PM EDT Mail form to Sarah Osmeloski, 2180 Dryden Rd., Freeville, NY 13068 Stephanie Capkovic #18328 730 Mount Airy Rd Lewisberry, PA 17339 AKC REGISTERED NAME (INCLUDE AKC TITLES ONLY) AKC REG NO DATE OF CALL NAME BIRTH Trial Veterinarian On Call Silver Spring Animal Clinic 5 Sample Bridge Rd. Mechanicsburg, PA 17055 717-766-5980 Exhibitors can set up Monday evening. A, B, & P classes will run together MOVE STANDARD ENTRY TO: OPEN EXCELLENT A EXCELLENT B MOVE JWW ENTRY TO: OPEN EXCELLENT A EXCELLENT B MOVE FAST ENTRY TO: OPEN EXCELLENT A EXCELLENT B ACTUAL OWNER(S) SIGNATURE OF OWNER OR HIS AGENT DULY AUTHORIZED TO MAKE THIS ENTRY X For Trial Secretary Use Only: APPROVED: PARENT OR GUARDIAN SIGNATURE IF OWNER IS UNDER 18 X AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org

Notice to Exhibitors The safety of the dogs is our primary concern. By entering these trials, 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 obstacles safely. Entry fees will not be refunded in the event that a dog is absent, disqualified, excused, or barred from competition by action of the Trial Committees. Refunds are allowed if requested before the closing date. Refunds after closing date for bitches in season only. ALL REFUNDS MUST INCLUDE OWNERS NAME AND MAILING ADDRESS WITH REQUEST. Entry fees will not be refunded if the trials cannot be opened or completed by reason of riots, civil disturbance, fire, an act of God, public emergency, an act of a public enemy, or any other cause beyond the control of the organizing committee. Since bitches in season are not allowed to compete in AKC Agility Trials, or be on the show grounds, the TTCA will refund all but $5.00 of the entry fee for bitches unable to compete for that reason. The Trial Secretary must receive a veterinarian certificate of such a claim before the start of judging for the trial to be eligible for refund. It is expressly 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 Trial Committees, be asked to leave the trial site. In such case, no refund of any fees paid will be made. All dogs must be on leash or crated at all times except when in the ring or when in the designated agility warm-up area. Exhibitors are responsible for being at the ring gate when it is their turn to run. The judge need not wait for any dog holding up a class. TTCA has no obligation or responsibility for providing service through a public address system or steward for the purpose of calling or locating dogs that are not brought to the ring when required. Entries must be made on Official AKC Entry Forms or copies and must include the Agreement and Rules. Junior Handlers must complete back of form. Include only AKC titles on entries. CGC is not an AKC title. Returned checks do not constitute a valid entry fee. A charge of $25.00 will be made for each returned check. Owners are responsible for errors in making out entry forms, whoever may have made such errors. No entry will be refunded in the event of such errors or in the event of cancellation of entries after the published closing date. Errors in entries made by the exhibitor cannot be corrected after the closing date. No refunds for duplicate entries. Dogs under 6 months of age are not permitted on the show grounds of AKC Agility Trials. Hotel Information The Host Hotel for the TTCA National Specialty is: Radisson Penn-Harris Hotel & Convention Center, 1150 Camp Hill Bypass, Camp Hill, PA 17011. Telephone: (717) 763-7117 Directions To Bella Vista Training Center From Radisson Penn-Harris Hotel & Convention Center, 1150 Camp Hill Bypass, Camp Hill, PA 17011: Head west on US-11 S/US-15 S/Camp Hill Bypass toward Lemoyne Dr. Take the ramp to US-11S/Taylor Brg Bypass. Keep right at the fork, then follow signs for 21st St N/US-15S and merge onto US-11S/Taylor Brg Bypass. Continue onto US-15S/S 32nd St. Take the PA-581 E/Harrisburg exit towards I-83/Hershey and merge onto PA-581E/US-11N. Continue onto PA-581E for 1.9 mi, then take exit 6B to merge onto I-83S towards York. Continue on I-83 for 6.3 mi, then take exit 35 toward Yorktown Rd. Turn right on Yorktown Rd and take the first left onto PA-177S/Wyndamere Rd. Continue on PA-177S/Wyndamere Rd for 6.8 mi, then turn right on Mt. Airy Rd. Continue on Mt. Airy Rd for 1.7 mi to Bella Vista Training Center. From I-83 South: Take I-83 to Exit 32 (Newberrytown Exit - old exit #13), then follow Rt. 382 North to Lewisberry, approximately 3 miles to flashing traffic light. Turn left on Rt. 177S towards Rossville and continue for ~3 miles. Turn right on Mt. Airy Rd (across from Lake Pinchot Park Office) and continue on Mt. Airy Rd for 1.7 mi to Bella Vista Training Center on left. From US-15: Take RT. 15 to Mechanicsburg - Bowmansdale Exit, Rt. 114 towards Ski Roundtop. At the traffic light at the bottom of the hill, proceed straight on South Market Street. DO NOT FOLLOW 114. Continue straight about 2.3 miles on South Market (it will become North York Rd). Turn Left on East Mt. Airy Rd (at Mt. Pleasant Church of God) and go 4.5 miles, past Ski Roundtop (on right) and continue to T intersection. Turn right on Pinetown Rd and take first left onto Mt. Airy Rd. Bella Vista Training Center is immediately on the right Dogs Eligible to Enter This trial is open to Tibetan Terriers over the age of 15 months that are registered with the American Kennel Club or that have Limited Registration or ILP numbers, except bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect a dog s physical or mental performance. Obstacles Obstacles shall meet the specifications for obstacles in the current edition of the Regulations for Agility Trials. Course Familiarization Handlers in all classes are permitted to walk the course, without a dog prior to the start of the class to plan their running strategy. A warm-up area consisting of a regulation jump shall be provided for all exhibitors. Exhibitors may not use the warm up area to relieve their dogs. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations.

Prizes and Awards Ribbons will be awarded to First Place through Fourth Place in each jump height in each class. Qualifying ribbons will be awarded to all dogs receiving qualifying scores. Dogs must qualify to receive placement ribbons. First Place Second Place Third Place Fourth Place Qualifying Blue Rosette and Pewter Plate Red Rosette Yellow Rosette White Rosette Dark Green Ribbon MACH and PAX Bars will be provided First through Fourth Place in Each Class also win embroidered towel Unless otherwise noted, all agility awards are generously offered by Martha Schwartzmann in memory of Dolbrooks N Dunn of RiLee CDX AX AXJ Novice Standard A, B & Preferred Novice JWW A, B & Preferred Open Standard Regular and Preferred Open JWW Regular & Preferred offered by Flossie Barczewski, Twilight Tibetan Terriers Excellent Standard A, B Regular & Preferred offered by Pamela Stones in memory of Ch. MACH5 Creekside s Who s That Girl "Veronica" Excellent JWW A, B & Preferred Novice FAST A, B & Preferred Open FAST Regular and Preferred Excellent FAST A, B Regular & Preferred Oldest Qualifying Dog in Agility Trial, Embroidered Tote Bag offered by Mary Martin & Family in memory of Sweet & Spicy Nutmeg UD, RN, AX, AXJ, NJP SPECIAL PRIZE Offered to any entered Tibetan Terrier(s) with date of birth closest to 12/12 in honor of the 2012 TTCA Nat'l. Specialty, framed original design by artist by Sheryl Getman, offered by Sheryl & Daniel Getman and Laurel MacMinn & James Anderson Photographer Classique Photography by Dawn Gabig 21108 Lake Wood Trail Kirksville, MO 63501 660-956-0357 www.classiquephotography.com Videographer National Show Dog Video Professionals 40 Junction Road South Berwick, ME 03908 888-808-0870 www.showdogvideopros.com Trial Information The trial site will be available to exhibitors from 7:00 AM to completion of the trial. Ring size will be 80 x 110. Trial will be held indoors on a mixture of sand and rubber mulch. Walk throughs and Judge s briefing for the first class will start at 7:40 AM. Judging will start at 8:00 AM Unentered TTs and their handlers may try certain agility equipment 30 minutes after the final run. Classes Offered Regular Agility STANDARD: Novice A & B, Open, and Excellent A & B JUMPERS WITH WEAVES: Novice A & B, Open, and Excellent A & B FAST: Novice A & B, Open, and Excellent A & B Preferred Agility STANDARD: Novice, Open, and Excellent A & B JUMPERS WITH WEAVES: Novice, Open, and Excellent A & B FAST: Novice A & B, Open, and Excellent A & B AKC Height Cards and Measuring Dogs that have not been officially measured for an Agility Jump Height Card may still compete. If your confirmation information states "Needs To Be Measured," your dog must be measured by the judge of record before he/she can run. That measurement will only be for this trial. Measuring will begin at 7:15 AM. Height Divisions Owners are responsible for entering their dogs in the proper height divisions. Height divisions are: Regular Preferred Height at the withers 8 inches 4 inches 11 inches and under 12 inches 8 inches 14 inches and under 16 inches 12 inches 18 inches and under 20 inches 16 inches 22 inches and under 24 inches 20 inches over 22 inches Class Description 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 crossover between them allowed at the same set of trials. Move-ups MOVE-UPS close on Tuesday, May 10, 2011 at 6:00 PM EDT. Move-ups must be in writing. Move ups may be sent by regular mail or email to the Trial Secretary. Entry Fees $25.00 for the first entry for each dog in either class and $15.00 for additional entries of the same dog in each class per day (includes $3.00 AKC recording fee for each run). Make checks payable to TTCA. Mail entries and fees to: Sarah Osmeloski 2180 Dryden Rd. Freeville, NY 13068 You must waive the signature requirement on all overnight deliveries. If you would like confirmation that your entry was received before the trial has closed, please include your email address or enclose a self-addressed stamped postcard. Entries cannot be changed once the trial has closed. Please check your entries! PLEASE SEND A PHOTO AND A SHORT BIO OF EACH DOG ENTERED TO BE INCLUDED IN THE CATALOG. Mail or email to: Flossie Barczewski, 811 W. 28 th St., Wilmington, DE 19802 or flossiebar@comcast.net Final Confirmations of your entry will be sent out by E-mail. PLEASE read these and double check that all the information is correct.

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY TIBETAN TERRIER CLUB AGILITY TRIAL Bella Vista Training Center, 730 Mt. Airy Rd., Lewisberry, PA [ ] STD [ ] JWW [ ] FAST 1 only $25 2 classes $40 All 3 classes $55 Make All Checks Payable to TTCA Entry Fees: $25 for first class /$15 for each additional class (Includes $3.00 AKC recording fee) Trial Opens: 3/23/11 at 8 AM EDT Trial Closes 4/27/11 6PM EDT Mail to: Sarah Osmeloski, Trial Secretary, 2180 Dryden Rd., Freeville, NY 13068 PLEASE MAIL (EMAIL) A PHOTO AND A SHORT BIO OF EACH DOG ENTERED TO BE INCLUDED IN THE CATALOG TO: Flossie Barczewski, 811 W. 28 th St., Wilmington, DE 19802 or flossiebar@comcast.net BREED Tibetan Terrier Regular Standard Class (Circle one) SEX [ ] MY DOG NEEDS TO BE MEASURED [ ] MY DOG HAS A TEMPORARY JUMP HT FORM [ ] MY DOG HAS A PERMANENT JUMP HT CARD Regular Jumpers w/weaves (Circle one) JUMP HEIGHT (Circle One) 8 12 16 20 24 26 Preferred Standard Class (Circle one) Preferred Jumpers w/weaves (Circle one) Nov P JUMP HEIGHT (Circle One) 4 8 12 16 20 NON-REGULAR AGILITY CLASSES: IF OFFERED INTERNATIONAL SWEEPSTAKES CLASS STD JWW AKC Registered Name (Include AKC title only AKC REG NO. Open P Ex AP Ex BP Enter Number Here [ ] ILP. [ ] PAL [ ] FOREIGN REG NO. & COUNTRY Breeder Sire Dam ACTUAL OWNERS OWNERS ADDRESS HT at Withers Regular FAST (Circle one) Preferred FAST (Circle one) ISC Jump Ht (Circle One if class is offered) DATE OF BIRTH PLACE OF BIRTH 14 18 26 CALL NAME USA CANADA FOREIGN AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org AGREEMENT I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal 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. 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. Mixed breed classes may only be offered at standalone all-breed AKC agility trials. A standalone agility event is defined as an agility trial that is not held on the same date and show site as an AKC All-Breed Dog Show or Independent Specialty for conformation. 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) 816-3776. If the Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship is 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 agility trial, and by any additional rules and regulations appearing in the premium list for this agility trial, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I/we certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement. SIGNATURE of owner or his agent, Parent or Guardian Signature if duly authorized to make this entry Owner is Under 18 TELEPHONE NUMBER (Include Area Code) E-Mail AEAGL2 - (07/09) CITY, STATE & ZIP + 4 HANDLER (if junior handler please enter # below) FEE ENCLOSED EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM.

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY TIBETAN TERRIER CLUB AGILITY TRIAL Bella Vista Training Center, 730 Mt. Airy Rd., Lewisberry, PA [ ] STD [ ] JWW [ ] FAST 1 only $25 2 classes $40 All 3 classes $55 Make All Checks Payable to TTCA Entry Fees: $25 for first class /$15 for each additional class (Includes $3.00 AKC recording fee) Trial Opens: 3/23/11 at 8 AM EDT Trial Closes 4/27/11 6PM EDT Mail to: Sarah Osmeloski, Trial Secretary, 2180 Dryden Rd., Freeville, NY 13068 PLEASE MAIL OR EMAIL A PHOTO AND A SHORT BIO OF EACH DOG ENTERED TO BE INCLUDED IN THE CATALOG TO: Flossie Barczewski, 811 W. 28 th St., Wilmington, DE 19802 or flossiebar@comcast.net BREED Tibetan Terrier Regular Standard Class (Circle one) SEX [ ] MY DOG NEEDS TO BE MEASURED [ ] MY DOG HAS A TEMPORARY JUMP HT FORM [ ] MY DOG HAS A PERMANENT JUMP HT CARD Regular Jumpers w/weaves (Circle one) JUMP HEIGHT (Circle One) 8 12 16 20 24 26 Preferred Standard Class (Circle one) Preferred Jumpers w/weaves (Circle one) Nov P JUMP HEIGHT (Circle One) 4 8 12 16 20 NON-REGULAR AGILITY CLASSES: IF OFFERED INTERNATIONAL SWEEPSTAKES CLASS STD JWW AKC Registered Name (Include AKC title only AKC REG NO. Open P Ex AP Ex BP Enter Number Here [ ] ILP. [ ] PAL [ ] FOREIGN REG NO. & COUNTRY Breeder Sire Dam HT at Withers Regular FAST (Circle one) Preferred FAST (Circle one) ISC Jump Ht (Circle One if class is offered) DATE OF BIRTH PLACE OF BIRTH 14 18 26 CALL NAME USA CANADA FOREIGN AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org AGREEMENT I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal 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. 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. Mixed breed classes may only be offered at standalone all-breed AKC agility trials. A standalone agility event is defined as an agility trial that is not held on the same date and show site as an AKC All-Breed Dog Show or Independent Specialty for conformation. 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) 816-3776. If the Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship is 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 agility trial, and by any additional rules and regulations appearing in the premium list for this agility trial, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I/we certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and agreement. SIGNATURE of owner or his agent, Parent or Guardian Signature if duly authorized to make this entry Owner is Under 18 ACTUAL OWNERS OWNERS ADDRESS CITY, STATE & ZIP + 4 TELEPHONE NUMBER (Include Area Code) E-Mail AEAGL2 - (07/09) HANDLER (if junior handler please enter # below) FEE ENCLOSED EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM.