Northwest Arkansas District Fairgrounds 62 Business 1400 Fair Ground Rd Harrison, AR 72601

Sherry Gibbany NAKC Trial Secretary 1483 Harding Blvd Cotter, AR 72626 Premium List THREE DAYS ALL-BREED OBEDIENCE AND RALLY TRIALS *A.K.C. Licensed This event is Accepting Entries for All American Dogs Enrolled in the AKC Canine Partners Program FRIDAY, DECEMBER 8, 2017 OBEDIENCE TRIAL #2017246412 AND RALLY TRIAL #2017246413 SATURDAY, DECEMBER 9, 2017 OBEDIENCE TRIAL # 2017246414 AND RALLY TRIAL #2017246418 SUNDAY, DECEMBER 10, 2017 OBEDIENCE TRIAL # 2017246415 AND RALLY TRIAL #2017246419 Northwest Arkansas District Fairgrounds 62 Business 1400 Fair Ground Rd Harrison, AR 72601 ENTRIES CLOSE: 6:00 p.m. Wednesday November 22, 2017 CDT, after which time entries cannot be accepted, cancelled, altered, or substituted except as provided for in Chapter 11, Section 6 of the Rules Applying to Dog Shows. Indoors - and fully matted *CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under American Kennel Club Rules and Regulations. James P. Crowley Secretary

North Arkansas Kennel Club, Inc. Barbara Allen... President Jerry O Dell... Vice President Cj Titus... Treasurer Sherry Gibbany... Secretary Lila Bauwens, Ellen Brock, Iva Duggins, Rhonda Ludwig, Bambi Walden,..... Board of Directors Trial Chairperson Lisa Thompson Sherry Gibbany P. O. Box 698 1483 Harding Blvd Flippin, AR 72634 Cotter, AR 72626 870-453-4817 870-416-7062 luath@southshore.com sherrygibbany57@gmail.com Awards... Sherry Gibbany Emergency & Disaster... Sherry Gibbany All the officers and Directors OFFICERS EVENT COMMITTEE Trial Secretary Trial Veterinarian (on call) Boone County Veterinary Clinic : 1410 Hwy 63-65 North, Harrison, AR. (870) 741-9475 DIRECTIONS TO BOONE COUNTY VETERINARIAN CLINIC From the Fairgrounds, turn left onto Main St. At stop sign, turn left onto Hwy 62/65/412 E Bypass. Go 3.5 miles to Hwy 65 N, turn right. Go approximately one mile (through 2 stoplights) to the clinic. The clinic is on the left next to Remax Realty. JUDGES Kathleen Cook.3548 Jackson Pike, Williamsburg, OH 45176 James Ham.22525 Shoreview Ct, St. Clair Shores, MI 48082 Obedience classes will be run in Height Order FRIDAY SATURDAY SUNDAY Obedience Novice A Kathleen Cook James Ham James Ham Novice B Kathleen Cook James Ham James Ham Open A Kathleen Cook Kathleen Cook James Ham Open B James Ham James Ham Kathleen Cook Utility A James Ham James Ham Kathleen Cook Utility B Kathleen Cook Kathleen Cook James Ham Optional Titling Beginner Novice A & Kathleen Cook James Ham James Ham B Graduate Novice James Ham Kathleen Cook Kathleen Cook Graduate Open James Ham James Ham Kathleen Cook Versatility Kathleen Cook Kathleen Cook James Ham Preferred Novice James Ham Kathleen Cook Kathleen Cook Preferred Open Kathleen Cook Kathleen Cook James Ham Preferred Utility James Ham Kathleen Cook Kathleen Cook Non Regular Wildcard Novice TBA TBA Not offered Wildcard Open TBA TBA Not offered Wildcard Utility TBA TBA Not offered Rally Rally Novice A & B James Ham Kathleen Cook Kathleen Cook Rally Intermediate James Ham Kathleen Cook Kathleen Cook Rally Advanced A & B James Ham Kathleen Cook Kathleen Cook Rally Excellent A & B James Ham Kathleen Cook Kathleen Cook Rally Master James Ham Kathleen Cook Kathleen Cook Classes Offered Obedience: Novice A & B, Open A & B, Utility A & B, Beginner Novice A & B, Graduate Novice, Graduate Open, Versatility, Preferred Novice, Preferred Open, Preferred Utility Non-Regular Obedience: Wildcard Novice, Wildcard Open, Wildcard Utility Rally: Novice A & B, Intermediate, Advanced A & B, Excellent A & B, Master THERE WILL BE NO WILDCARD CLASSES OFFERED ON SUNDAY.

Move-Ups Move-ups will be allowed at this trial per AKC Obedience Regulations, Chapter 1, Section 16. Move-ups close one half hour prior to judging each day. Request must be in writing prior to the event. It is recommended that move-up requests be sent by email to the Trial Secretary prior to day of show. If an email address is provided with your request, an email confirmation will be sent. AKC Event & Recording Fees Entry Fees Includes the AKC recording and service fee Make checks payable to: NAKC Obedience Classes First Entry Each Dog/Each Day... $24.00 Each Additional Entry of Same Dog/Same Day... $18.00 Non-regular classes (Wildcard)/Each Day... $15.00 Junior Handlers with AKC JH Number. $11.50 Rally Classes First Entry Each Dog/Each Day... $24.00 Each Additional Entry of Same Dog/Same Day... $18.00 Junior Handlers with AKC JH Number. $11.50 Obedience and Rally are two SEPARATE EVENTS. Obedience and Rally on the same day are required to pay two (2) First Entry fees. The additional entry fee is only applicable within each event. Entries must be signed and include the full page AGREEMENT on the back of (or attached to) the entry form. Incomplete entries are not valid and WILL BE RETURNED. Entries will be accepted for dogs listed in the AKC Canine Partners Program Entry Fees Payable to: Mail entries and fees to: NAKC Sherry Gibbany, 1483 Harding Blvd, Cotter, AR 72626 Harrison Hotel/Motels Please confirm dog policies when making your reservations. Do not leave dogs unattended or loose in rooms. All motel/hotels are considered part of the show site. All AKC rules and regulations apply. Exhibitors are expected to clean up after their dogs and respect motel property and rules. NO grooming or bathing of dogs in rooms. Do not let dogs destroy or foul the rooms. Put plastic under crates. Exercise dogs in designated areas only. An Event Committee hearing will be held for individuals reported for any motel complaints. Any offenses may result in an Event Committee hearing. Super 8 Motel 1330 Hwy 62-65, Harrison, AR 72601 (870) 741-1741 Family Budget Inn 401 S. Main Hwy 65, Harrison, AR 72601..(870) 743-1000 Holiday Inn Express 117 Hwy 43E, Harrison, AR 72601 (870) 741-3636 Quality Inn 1210 Hwy 62-65 N, Harrison, AR 72601.(870) 741-7676 RV Parking with Electric hookups Northwest Arkansas Fairgrounds $15 electric hookups Check with motel to confirm prices and pet fees. Show Hours: 7:00 a.m. to 8:00 p.m. Friday; 7:00 am to 8:00 p.m. Saturday; 7:00 a.m. to 5:00 p.m. Sunday The trial building will be available for setups after 2:00 p.m. Thursday December 7, 2017 You must waive the signature requirement on all overnight deliveries Dogs Eligible to Enter This trial is open to all dogs over the age of 6 months that are registered with the American Kennel Club. Including ILP/PAL registration, AKC Canine Partners listing number, and Approved FSS breeds, 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. Refer to Chapter 1, Section 14 of the Obedience Regulations for further restrictions. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registrable breeds that may participate.

AWARDS AND PRIZES A qualifying score is required for all awards in the Regular and Optional Titling classes. A Dark Green Qualifying Ribbon will be given to each dog attaining a Qualifying Score. ALL AWARDS MUST BE CLAIMED THE DAY OF THE TRIAL. NONE WILL BE MAILED. NEW TITLES: A rosette is offered to any dog finishing an obedience or rally title at these trials. HIGH IN TRIAL Rosette offered by NAKC Friday, Dec 8; Saturday, Dec 9; Sunday, Dec 10, 2017... $50 Friday.Offered by NAKC Saturday...Offered by Wendy Ethier Sunday.... Offered by Bambi Walden HIGH COMBINED OPEN B AND UTILITY Rosette offered by NAKC Friday, Dec 8; Saturday Dec 9; Sunday, Dec 10, 2017... $25 Friday...Offered by NAKC Saturday...Offered by Sherry Gibbany Sunday.......Offered by NAKC RALLY HIGH COMBINED ADVANCE B AND EXCELLENT B Rosette offered by NAKC Friday, Dec 8; Saturday, Dec 9; Sunday, Dec 10, 2017... $25 Friday...Offered by NAKC Saturday.Offered by NAKC Sunday...Offered by NAKC SPECIAL AWARDS Friday, Dec 8; Saturday, Dec 9; Sunday, Dec 10, 2017..$10 High Scoring Sporting Dog in Regular Obedience (Sat and Sun) Offered by Nancy Grimm Friday in memory of Gandalf the Grey Wizard of AZ UD VER RE OA OAJ NAP NJP NFP Sunday in memory of Nali Grey Priestess of AZ UD RE OA OAJ AXP AJP NFP High Scoring Dog in Rally Excellent B (Saturday).Offered by Nancy Grimm In memory of Duncan Silver Lining of AZ CD RE CGC Sunday in memory of GCh Smokey Topaz Eagle Scout (Strider) CD RE CGC High Scoring Labrador Retriever in Regular Obedience (Sat and Sun) Offered by Lori Sloas High Scoring Novice A Dog.Offered by Lisa Thompson High Scoring Belgian Tervuren in Regular Obedience.Offered by Patti Mole High Scoring Rally Novice A (Sat & Sun).Offered by Cj Titus and C J Foster High Scoring Belgian Malinois in Regular Obedience Offered by Susan McSherry Notice to Exhibitors ENTRIES CLOSE AT 6 P.M., WEDNESDAY, November 22, 2017 CDT after which time entries cannot be accepted, cancelled, altered, or substituted. Changes, additions or corrections must be received in writing prior to close of entries. Those entries received by telephone are not acceptable. MAKE CHECKS PAYABLE to North Arkansas Kennel Club (NAKC) ALL ENTRIES MUST BE MAILED WITH FEES to Sherry Gibbany, 1483 Harding Blvd, Cotter, AR 72626. RETURNED CHECKS do not constitute a valid entry fee. The Trial Secretary will add $25.00 fee to the amount of each returned check. ENTRIES WILL NOT BE ACCEPTED without fees or signature. Entries not on Official AKC forms and photocopies of entry forms without the Agreement and Rules on the reverse side of the Official AKC entry form are not acceptable. No entry shall be made and no entry accepted which specifies any condition as to its acceptance. ENTRY FEE WILL NOT BE REFUNDED for errors on entry blanks or for cancellation of entries after published closing date. There will be no refund in the event that a dog is absent, disqualified, excused by a Veterinarian or Judge, or barred from competition by the Event Committee. Entry fees will not be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, or act of God, public emergency, strikes or any other cause beyond the control of the North Arkansas Kennel Club. THE NORTH ARKANSAS KENNEL CLUB, the Trial Secretary, Trial Chairperson, Event Committee, etc. assume no responsibility for the loss, damage, or injuries sustained by spectators, exhibitors, exhibitors property and their dogs, and further assume no responsibility for injury to children. DOGS NEED TO BE PRESENT for scheduled judging. Consult judging program for time of judging. JUDGES NEED NOT WAIT FOR ANY DOG holding up a class. Owners or agents alone are responsible for the presence of their dog in the ring. MOVE-UPS WILL BE ACCEPTED PER AKC Regulations. Obedience and Rally Move-ups must be given to the Trial Secretary by 30 minutes before trial start time. JUMPS: Please put the jump height on the obedience and/or rally entry (if your dog is entered in a class with jumps). On Saturday and Sunday rally jump heights will be set lowest to highest. ALL DOGS MUST BE ON LEASH OR CRATED except when being judged. BITCHES IN SEASON are not permitted in the trial. Entry fees for bitches that come into season after closing date will be refunded minus $5.00. A written statement from a veterinarian must be provided on or before the day of the trial. THIS IS A NON-SMOKING FACILITY. CHILDREN MUST BE SUPERVISED by an adult at all times. NO STROLLERS ALLOWED. Exhibitors should follow their veterinarians recommendations to assure their dogs are free of internal and external parasites, any communicable diseases and have appropriate vaccinations. There will be no concessions but snack type foods will be provided.

THREE C MATCHES! Rent-a-Ring Two rings will be available for rental on Thursday at 2:30 pm & Friday and Saturday afternoon will start 15 minutes after the trial. Novice Open Utility-Rally $10 for 10 Minutes Directions to Show Site From the South: Turn left off of Highway 65N onto Highway 65 B (this is also South Main). Go 4/10 of a mile to entrance of Fairgrounds, turn right at entrance, go up the hill and turn right through the gates into the Fairgrounds. From the North: Off of Highway 65S turn left onto Highway 65S, 62/412 E at the light (Taco Bell on corner) Go 3.5 miles to Highway 65B (this is also South Main) turn right (Kum N Go on corner). Go 4/10 of a mile to entrance of Fairgrounds, turn right at entrance, go up the hill and turn right through the gates into the Fairgrounds. Please sign up by 5:00 p.m. for Thursday s Match Sign up on Friday & Saturday by 1:00 p.m. Sign up for the matches near the secretary s table. Entries will be taken ONLY on the day of the match Only 20 dogs per ring will be signed up. Workers will get an opportunity to go first. First Come First Served! Be courteous and help set up rings for next person to expedite the match. Only AKC approved collars will be allowed. ********************************** Any questions call Lisa Thompson (870)-453-4817 Or Sherry Gibbany (870)-416-7062

CHRISTMAS IN THE OZARKS Join us in Harrison, AR for North Arkansas Kennel Club s Annual Obedience/Rally trials on Dec 8, 9, and 10, 2017 for a Christmas gathering. PUT ON YOUR UGLY CHRISTMAS SWEATER!! Exhibitors are encouraged to dress in a Christmas theme on Saturday! All participants will receive a raffle ticket for a special basket! Decorate your crate area, too!! A complimentary lunch will be provided for all exhibitors. COME AND HAVE FUN IN THE OZARKS DURING THE CLUB S THREE DAY TRIAL!!

OFFICIAL ENTRY FORM NORTH ARKANSAS KENNEL CLUB 62 Business 1400 Fair Ground Rd, Harrison, AR 72601 Entries close November 22, 2017 FRIDAY, Dec 8, 2017 OBEDIENCE RALLY SATURDAY Dec 9, 2017 OBEDIENCE RALLY SUNDAY Dec 11, 2016 OBEDIENCE RALLY FIRST OBED ENTRY $24 SECOND OBED ENTRY $18.NON-REGULAR (WILDCARD) $15 FIRST RALLY ENTRY $24 SECOND RALLY ENTRY $18 PAY TO: NAKC MAIL TO: SHERRY GIBBANY, TRIAL SEC, 1483 HARDING BLVD, COTTER, AR 72626 I ENCLOSE $ FOR ENTRY FEES. SEND PAPER CONFIRMATION IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the instructions BREED VARIETY (1) SEX DOG (2,3) SHOW CLASS OBEDIENCE CLASSES (circle choice) Nov A Nov B Open A Open B Utility A Utility B RALLY CLASSES Nov A Nov B Intermed Adv A Adv B Exc A Exc B Master NAME OF JUNIOR HANDLER (see back if any) FULL NAME OF DOG AKC REG. NO. AKC LITTER NO. ILP/PAL NO. FOREIGN REG. NO. & COUNTRY BREEDER SIRE DAM ACTUAL OWNER(S) 4 OWNER S ADDRESS CLASS (3) DIVISION Weight, color, etc OBED Jump Height / ADDITIONAL CLASSES Enter number DATE OF BIRTH RALLY Jump Height 4 8 12 16 JR SHOWMANSHIP CLASS PLACE OF BIRTH (list country) Do not print the above in the catalog CITY STATE ZIP NAME OF OWNER S AGENT AT (IF ANY) AT THE SHOW I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. SIGNATURE of owner or his agent authorized to make this entry TELEPHONE # ARE YOU A NEW EXHIBITOR? YES NO E-MAIL Address (An acknowledgement of entry may be sent to this e-mail address) IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT). AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website, 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 the 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 expenses (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 there from, 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 1. (Variety) If you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular variety your are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color); Beagles (not exceeding 13 inches, 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. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and dogs which according to their owners records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship. 3. (Event Class) Consult the classification in this premium list. If the dog show 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., age division, color division, weight division. 4. A dog must be entered in the name of the person who actually owned it at the time entries for a show 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 show 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 made to AKC. (For complete rules, refer to Chapter 11, Section 3.) If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR. S DATE OF BIRTH AKC JUNIOR HANDLER NUMBER The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) 816-3776. By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as and agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP+4 If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Jr. Handler to the owner? AEN999 (11/08)

OFFICIAL ENTRY FORM NORTH ARKANSAS KENNEL CLUB 62 Business 1400 Fair Ground Rd, Harrison, AR 72601 Entries close November 22, 2017 FRIDAY, Dec 8, 2017 OBEDIENCE RALLY SATURDAY Dec 9, 2017 OBEDIENCE RALLY SUNDAY Dec 10, 2017 OBEDIENCE RALLY FIRST OBED ENTRY $24. SECOND OBED ENTRY $18.NON-REGULAR (WILDCARD) $15 FIRST RALLY ENTRY $24 SECOND RALLY ENTRY $18. PAY TO: NAKC MAIL TO: SHERRY GIBBANY, TRIAL SEC, 1483 HARDING BLVD, COTTER, AR 72626 I ENCLOSE $ FOR ENTRY FEES. SEND PAPER CONFIRMATION IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT). BREED VARIETY (1) SEX DOG (2,3) SHOW CLASS OBEDIENCE CLASSES (circle choice) Nov A Nov B Open A Open B Utility A Utility B RALLY CLASSES Nov A Nov B Intermed Adv A Adv B Exc A Exc B Master NAME OF JUNIOR HANDLER (see back if any) FULL NAME OF DOG AKC REG. NO. AKC LITTER NO. ILP/PAL NO. FOREIGN REG. NO. & COUNTRY BREEDER SIRE DAM ACTUAL OWNER(S) 4 OWNER S ADDRESS CLASS (3) DIVISION Weight, color, etc OBED Jump Height Enter number DATE OF BIRTH / ADDITIONAL CLASSES PLACE OF BIRTH (list country) Do not print the above in the catalog RALLY Jump Height 4 8 12 16 JR SHOWMANSHIP CLASS CITY STATE ZIP NAME OF OWNER S AGENT AT (IF ANY) AT THE SHOW I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the Agreement printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. SIGNATURE of owner or his agent authorized to make this entry TELEPHONE # ARE YOU A NEW EXHIBITOR? YES NO E-MAIL Address (An acknowledgement of entry may be sent to this e-mail address) IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT). AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website, 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 the 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 expenses (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 there from, 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 1. (Variety) If you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular variety your are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color); Beagles (not exceeding 13 inches, 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. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and dogs which according to their owners records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship. 3. (Event Class) Consult the classification in this premium list. If the dog show 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., age division, color division, weight division. 4. A dog must be entered in the name of the person who actually owned it at the time entries for a show 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 show 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 made to AKC. (For complete rules, refer to Chapter 11, Section 3.) If this entry is for Junior Showmanship, please give the following information: JUNIOR SHOWMANSHIP JR. S DATE OF BIRTH AKC JUNIOR HANDLER NUMBER The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) 816-3776. By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as and agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP+4 If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Jr. Handler to the owner? AEN999 (11/08)