PREMIUM LIST REVISED 12/13/10 Event Numbers: & DATED MATERIAL

Similar documents
PREMIUM LIST Event Numbers: & DATED MATERIAL

PREMIUM LIST. AKC Licensed All-Breed Agility Trial NOVICE - OPEN ONLY Sat/Sun, February 17 & 18, 2007

ENTRY METHOD: FIRST RECEIVED PREMIUM LIST AKC AGILITY TRIALS. American Boxer Club

February 18-21, 2011

Bernese Mountain Dog Club of America (BMDCA)

Saturday and Sunday, March 3 4, 2012: All Standard and Jumpers With Weaves Classes

November Central Indiana Shetland Sheepdog Club. To: ALL BREED AGILITY TRIALS. Event Numbers: , ,

Lost Coast Kennel Club of California

AGILITY ABILITY CLUB OF ILLINOIS Licensed by the American Kennel Club

PREMIUM LIST AKC All Breed Agility Trial. Licensed by the American Kennel Club Conroe Agility Training Club Staffed by: Dog Gone Fun Agility, LLC

Glenbard All Breed Obedience Club January 24 & 25, 2015 (event # & # )

Saturday and Sunday, June 2 3, 2018: All Standard (including Premier), Jumpers With Weaves (including Premier) and Time2Beat classes

Greater Lafayette PREMIUM LIST Kennel Club

Southwest Tracking Association of Metropolitan Houston, Inc. S u n d a y, F e b r u a r y 10, Event #

March 5, 6 & 7, 2010 Event Numbers , &

Norwegian Elkhound Association of Minnesota

Jim Payne, Trial Secretary

SATURDAY & SUNDAY MAY 11 & ST PETERSBURF FL Entries Limitted to 350 runs each day

Norwegian Elkhound Association of Minnesota

Dog Gone Fun Agility, LLC 9310 Max Conrad Drive, Spring TX 77379

AMERICAN BELGIAN MALINOIS Club AKC All-Breed Agility Trial (Member of the American Kennel Club)

PREMIUM LIST AKC All Breed Agility Trial. Licensed by the American Kennel Club Staffordshire Bull Terrier Club of America

PREMIUM LIST Smack Dab Agility Club of Warrenville, Inc. (Licensed by the American Kennel Club)

NO INDOOR CRATING SPACE AVAILABLE.

Entries are open to All-American dogs listed in the AKC Canine Partners program.

Hunt test secretary s name Street address, City, State, zip code

Dog Gone Fun Agility, LLC 9310 Conrad Drive, Spring TX 77379

Marshfield Area Kennel Club

PREMIUM LIST AKC All Breed Agility Trial. AKC Member Club. English Cocker Spaniel Club of America. October 5, 2018 Event #

May 10 11, Event #: ,

DATED MATERIAL FIRST CLASS MAIL. Agility Ability Club of Illinois. Saturday, May 20 & Sunday, May 21, Premium List AKC Agility Titling Event

PREMIUM LIST AKC All Breed Agility Trial

Siberian Husky Club of Greater Chicago

Friday, April 20, th Annual Rally Trial Event # (All Breeds and Mixed Breeds)

Dog Gone Fun Agility, LLC 9310 Max Conrad Drive, Spring TX 77379

Agility Ability Club of Illinois.

Beach Park, IL Agility Ability Club of Illinois DATED MATERIAL FIRST CLASS MAIL. Saturday, May 21 & Sunday, May 22, 2016

Wisconsin Rapids Kennel Club AKC All-Breed Agility Trial (Licensed by the American Kennel Club)

Southwest Tracking Association of Metropolitan Houston, Inc. November 4, 2018 ENTRY LIMITATIONS AND TEST INFORMATION

Autumn Winds Agility Club (Licensed by the American Kennel Club OR held by an AKC Member Club)

English Cocker Spaniel Club of Southeastern Wisconsin AKC All-Breed Agility Trial (Licensed by the American Kennel Club)

Ouachita Valley Dog Training Club, Inc. (Licensed by the American Kennel Club)

Glenbard All Breed Obedience Club

Name: Dog & Class Entered: Dog & Class Entered: Dog & Class Entered: Zip Code: CC Type: CC Number:

1308 Richmond Lane. Bartlett, IL Siberian Husky Club of Greater Chicago

Mt. Nittany Dog Training Club

AGILITY ABILITY CLUB OF ILLINOIS Licensed by the American Kennel Club

Schedule: Hosted By: Thursday Master and Crazy 8s: Appian Way Friday thru Sunday: Acres Trial Chair

Illiana Collie Fanciers, Inc. November 27, 28 & 29, 2015 Events # , # & #

Saturday, February 10 th & Sunday, February 11 th, 2018

December Evening Barn Hunt Trial

LAKELAND DOG TRAINING CLUB

Southwest Tracking Association of Metropolitan Houston, Inc. S u n d a y, J a n u a r y 6, 2019

THE GERMAN SHEPHERD DOG CLUB OF SOUTHERN NEW HAMPSHIRE, INC.

THE GERMAN SHEPHERD DOG CLUB OF SOUTHERN NEW HAMPSHIRE, INC.

AMERICAN BELGIAN MALINOIS Club AKC All-Breed Agility Trial (Member of the American Kennel Club)

PREMIUM LIST Smack Dab Agility Club of Warrenville, Inc. (Licensed by the American Kennel Club)

Northern Flyway Golden Retriever Club, Inc

Premium List AKC Sanctioned A Match Tarheel Golden Retriever Club

AKC ALL-BREED AGILITY TRIALS (Open to all-breeds registered with AKC and to all mixed breeds listed with AKC)

Central Indiana Shetland Sheepdog Club ALL BREED AGILITY TRIALS

PREMIUM LIST SYRACUSE OBEDIENCE TRAINING CLUB, INC. 3 AKC ALL BREED AGILITY TRIALS - INDOORS October 15, 16 & 17, 2010 (American Kennel Club Licensed)

Agility Event #

AKC ALL-BREED AGILITY TRIALS. GOLDEN RETRIEVER CLUB OF COLUMBUS, OHIO (Licensed by the American Kennel Club) PREMIUM LIST

Saturday, February 9 th & Sunday, February 10 th, 2019

AGILITY ABILITY CLUB OF ILLINOIS Licensed by the American Kennel Club

Club. Lakeland Dog Training. AKC All-Breed Agility Trial (Member of the American Kennel Club) Saturday, January 12 th & Sunday, January 13 th, 2019

Southwest Tracking Association of Metropolitan Houston, Inc.

Sunday, August 16, 2015 Two Fun Tests offered

Norwegian Elkhound Association of Minnesota

Saturday, July 16, 2016

AKC AGILITY TRIAL PREMIUM LIST SHETLAND SHEEPDOG CLUB OF GREATER BALTIMORE

No Indoor Crating Space Available

Stockton English Springer Spaniel Cocker Spaniel Field Trial

Event # Event # Event #

AMERICAN BELGIAN MALINOIS Club AKC All-Breed Agility Trial (Member of the American Kennel Club)

Mt. Nittany Dog Training Club AKC Licensed Agility Trials

MIAMI OBEDIENCE CLUB, INC. 44th & 45th Rally Trials

Southwest Tracking Association of Metropolitan Houston, Inc. S u n d a y, February 14, 2016

WASHINGTON BRITTANY CLUB AKC LICENSED Koopmans Farm Unit - Oakville, WA. Aug. 25,

Fox Valley Dog Training Club, Inc

Norwegian Elkhound Association of Minnesota

PREMIUM LIST AKC All Breed Agility Trial This Event is Accepting Entries for Mixed Breed Dogs Enrolled in the AKC Canine Partners Program SM

Medallion Rottweiler Club

PREMIUM LIST Stone City Kennel Club

AKC RALLY only Trials

Genesee Valley Kennel Club, Inc. (Licensed by the American Kennel Club) Sunday June 3, 2012 Event # Fire/Ambulance/Police - 911

N7699 County Road D. Katrina Hughes

Dog Gone Fun Agility, LLC 9310 Max Conrad Drive, Spring TX 77379

IRISH SETTER CLUB OF GREATER TULSA A.K.C. LICENSED

These shows are open to all AKC Registered dogs including mixed breed dogs enrolled in the AKC Canine Partners program

PREMIUM LIST Stone City Kennel Club

MIAMI OBEDIENCE CLUB, INC. 42 nd & 43 rd Rally Trials

** Parking available on the Southside of Packer Ave each day. Parking is available at Lynn's Service Station on Saturday and Sunday.

West Allis Training Kennel Club

Trial Location: 7625 Lisa Lane, Middleton, WI

11013 West Monee-Manhattan Road. Monee IL 60449

Stone City Kennel Club

Trial Secretary Obed Rally. Saturday, August 11, Obedience Sunday, August 12, Rally

Northern Colorado Springer Spaniel Club

Transcription:

DATED MATERIAL Agility Club of Indianapolis Maureen Boulanger Trial Secretary 405 Karen Drive, Pittsboro, IN 46167- PREMIUM LIST REVISED 12/13/10 Event Numbers: 2011634201 & 2011634202 This Event is accepting entries for Dogs enrolled in the AKC Canine Partners Program AKC Licensed All-Breed Agility Trial NOVICE OPEN EXCELLENT Saturday/Sunday February 19 & 20, 2011 Pawsitive Partners Dog Training Center 5750 Elmwood Court Indianapolis, IN 46203 Trial hours: 7:00 a.m. 6:00 p.m. EST Judging begins at 8:00 a.m., Saturday and Sunday Entries will be chosen by Random Draw *Entries accepted beginning Fri., Jan. 7, 2011, at 8 a.m. Any entries received before this date/time will be returned. *Draw closes: Fri., Jan. 21, 2011, at 4 p.m. Random Draw will be held at 1857 Remington Place Indpls, IN 46227, on Mon., Jan 23, at 6:00 p.m. Event CLOSES: Fri, Feb 04, 2011, at 5 p.m. Limit each day: 330 runs per day American Kennel Club 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

Agility Club of Indianapolis Trial Chairman Trial Secretary Lisa Sponsler Maureen Boulanger 14020 Wildcat Drive 405 Karen Drive Carmel, IN 46033 Pittsboro, IN 46167 317-706-1808 317-892-0030 lksponsler@indy.rr.com critterhelper@aol.com Event Committee Members Chris Roeder, Gay Bowling, Liz Ulen Toni Marbach, Elizabeth Beck And all of the Officers & Directors of the Club Trial Judge: Laura English, # 26736 1705 Aviation Ave, Evansville, IN. 47711, Please Note: Entries must be on the AKC specified size entry form and include signature, fees, and agreement on the back or they will be returned to the exhibitor. Entries are opened upon receipt and exhibitors are responsible for complete, accurate, and legible, information on entry forms as well as correct fees; illegible or incomplete entries will be returned. The Trial Secretary is not allowed to call or e-mail for information omitted. If you include an e-mail address, you agree to be notified via e-mail for information regarding the Wait List (if applicable and no post card included). No refunds given under $10 for your wrong addition. Checks returned from our bank will incur a $20 charge and all future entries will be on a *cash only* basis. You MUST designate a height at withers. Per AKC regulations, only dogs 15 months of age or older are eligible to enter this trial. Express mail entries must include YOUR signature permitting entries to be left at the Trial Secretary s address without signature receipt. MOVEUPS: Written (or emailed) moveups sent to the Trial Secretary will be accepted until 6 p.m. on Tues., Feb. 15, 2011 by sending: Your name, dog s Call Name, class entered, and class(es) you are moving to. Day-to-day move-ups will be allowed. Move-ups must be recorded in the appropriate folder at the Trial Secretary s table by the end of judging on Saturday. WORKER SIGN-UP FORM Anyone may volunteer to work at our trials, and by virtue of the Random Draw, we can reserve entry spaces for 30 workers. If you would like to volunteer, fill out the form below and return it with your entry form. Mark WORKER on the outside of the envelope. Returning this form will not guarantee entry into the trial, but we will take as many workers into slots as we can. Those with the fewest conflicts will be given preference to keep the trial flowing smoothly. Notification of worker status will be made as soon as possible by the Trial Chairman (lksponsler@indy.rr.com) Name Email Phone Class(es) Jump Height(s) Saturday JWW Saturday STD Sunday JWW Sunday STD Please X the jobs you are willing to work, and cross out the ones you would not like to do: Saturday Sunday Course Builder Scribe Asst. Scribe Timer Gate Steward Score Table Ring Crew Scribe Runner Leash Runner Floater

Agility Club of Indianapolis Board of Directors President: Suzanne Crosby Past President:Bonnie Pilbeam Vice President: Gay Bowling Secretary: Chris Roeder,450 Homestead Lane, Greenwood, IN 46142 Treasurer: Barb Johnson Member Directors: Mo Boulanger,Anne O Toole, Notice to Exhibitors Safety of the dogs is our primary concern. By entering this trial, 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. 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 disturbances or engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee, be asked to leave the Trial site. In such case, no refund of any fee paid will be made. Any incident of dog aggression resulting in harm to other dogs or people that occurs within the show grounds will be reported by the Trial Committee to the proper authorities. Entry fees will not be refunded in the event that a dog is absent, disqualified, excused, or barred from the competition by action of the Trial Committee. All dogs MUST be on leash, crated, securely penned, or otherwise under physical control at all times when not competing or at the practice jump. Crating space is limited; please crate in the designated area. There may be no more than 10 dogs per entry envelope. No entry fee will be refunded if the trial cannot open or be completed by means of riot, civil disturbance, fire, or an act of God, emergency, act of public enemy, or any other cause beyond the control of the organizing committee. Dogs are not required to be at the Trial until scheduled time of judging. However, exhibitors are responsible for being at the ringside when it is their turn to run. Judges need not wait for any dog holding up the class. Please check in with the Gate Steward. In accordance with AKC Rules Applying to Dog Shows, no dogs under the age of 6 months, and no dogs ineligible to be registered with the AKC, are allowed on the show site. All AKC rules apply regarding toys and food in the ring. Refunds: A refund of 100% of the entry fees will be given for any reason, if the request is received by the Trial Secretary, in writing or e-mailed, prior to closing. After closing and prior to the trial starting, entry fees (less administrative, judging, and AKC fees), will be refunded for injured dogs, injured handlers, and bitches in season (when a letter from your veterinarian is presented before 8 a.m. on the first day of the trial.) A doctor/vet s letter may be required for injuries, at the discretion of the Trial Committee. Requests for refunds received after the start of the Trial will not be given for any reason. VETERINARIAN ON CALL Indianapolis Veterinary Emergency Center 5245 Victory Drive Indianapolis, IN, (317) 738-3911 ** Exhibitors should follow their veterinarian s recommendations to assure that their dogs are free of internal and external parasites, and communicable diseases, and have appropriate vaccinations for the state in which they are competing. Site Information Trial Hours: SAT/SUN 7:00 a.m. to 6:00 p.m. EST One judge/one ring per day Ring is 90 x 90 Trial will be held indoors on artificial turf. X-pens and crates may be left overnight, but ACI will not be responsible for personal articles left at the site. No grooming is allowed in the building. No dogs may be left overnight and no overnight vehicle or RV parking will be allowed. ACI assumes no responsibility for any loss or injury sustained by exhibitors, handlers, nor any of their dogs, children, personal property, or vehicles. All handlers must pick up after their dogs. Anyone witnessed not cleaning up after their dogs will be requested to leave the trial site and no refunds will be given. If you would like advanced confirmation of your entry after the draw date, please enclose a self-addressed and stamped (.28) POSTCARD with your entry. No phone or e-mail confirmation will be given before the confirmation letter.

There will be food for sale in the building. Workers will be fed! No food or drink (other than water) is allowed on the artificial turf. There are several fast food restaurants nearby. Be sure to check to see if the motels listed below still accept Dogs and make your reservations early. Please have your canine companions on their best behavior so that these hotels will want our business again. We recommend that dogs be crated in your rooms when you are not there. And, as always, you must pick up after your dog and dispose of the waste responsibly. NO bathing of dogs in hotel rooms, please. Classes Offered: Sat/Sun: Regular Std. & JWW: Novice A & B, Open, Excellent A & B Pref: Std. & JWW: Novice, Open, Excellent A & B Entry Fees: First entry: $23; Second: $13 Entry fees include the AKC recording fee of $3 per class entry The following hotels nearby have accepted dogs in the past (Area code 317) Red Roof Inn, 5221 Victory Drive, Indianapolis, IN, 46203 (Exit 52/I-465) 788-9551 Motel 6, 5151 Elmwood Avenue, Indianapolis, IN. 46203 (Exit 52/I-465) 783-5555 La Quinta Inn & Suites, 5120 Victory Dr., Indianapolis, IN. 46203 (Exit 52/I465) 783-7751 Please be responsible and pick up after your dogs! Pawsitive Partners Training Center is located near the I-465 East, Emerson Exit #52. Go north from this exit and turn east at the first stop light, Elmwood Avenue. Go.8 miles, the training center is located at the corner of Elmwood Avenue and Elmwood Court. Across from the RV & boat dealership It is important that your dog is as relaxed as possible when being measured. Dogs displaying any aggression toward the judge, measurer, or handler while being measured could be excused from the trial and could be written up. Running Order: SAT: 4 26 SUN: 26 4 Class Order: Excellent JWW, Excellent Standard, Open Standard, Novice Standard, Open JWW, Novice JWW Preferred entrants will run concurrently at the end of each jump class. Novice Obstacle familiarization is no longer allowed at AKC trials. Electronic timers will be used for all classes. Prizes and Awards Each dog entered in this trial will receive a stuffed toy. Rosettes will be awarded for 1 st through 4 th place in each jump height in each class (you must qualify to receive a placement rosette and/or qualifying ribbon). Small additional prizes, worth less than $5 each, may be awarded to placement winners. All prizes/awards are to be claimed on the day(s) of the Trials; none will be mailed. Regular [Preferred] JUMP HEIGHT DIVISIONS 8 4 for dogs 11 and under at the withers 12 8 for dogs 14 and under at the withers 16 12 for dogs 18 and under at the withers 20 16 for dogs 22 and under at the withers 24 20 for dogs 26 and under at the withers 26 dogs entered at owner s discretion Owners are responsible for entering the proper height divisions. Handlers may opt to run their dog in a higher division (EXCEPT in Preferred classes), but not in a division lower than the dog s proper height division. Dogs that run in a height division lower than their proper division in the Regular Classes will be disqualified. HEIGHT CARDS All dogs without a permanent height Card will have to be measured by the judge before running, except for 24 and 26 class dogs, unless a VMO or rep is present.

OFFICIAL AKC ENTRY FORM FOR AGILITY TRIAL AGILITY CLUB OF INDIANAPOLIS - FEBRUARY 19-20, 2011 Class/Fees SAT: STD[ ] JWW[ ] Pref. STD[ ] Pref. JWW[ ] Fees: $23/$13 SUN: STD[ ] JWW[ ] Pref. STD[ ] Pref. JWW[ ] Draw opens Jan. 7, 2011 Draw closes Jan 21, 2011; Random Draw Jan. 24, 2011, Trial closes Feb., 4, 2011, Mail Entries To: Maureen Boulanger, 405 Karen Drive, Pittsboro, IN 46167 MAKE CHECKS PAYABLE TO: ACI Fees enclosed: $ Please print all information. The Agreement page MUST be sent with your entry, IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) HEIGHT AT BREED SEX [ ] MY DOG NEEDS TO BE MEASURED WITHERS [ ] MY DOG HAS A TEMPORARY JUMP HEIGHT FORM [ ] MY DOG HAS A PERMANENT JUMP HEIGHT CARD REGULAR STANDARD AGILITY REGULAR JUMPERS WITH WEAVES (circle one) (circle one) NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B JUMP HEIGHT (circle one) 8 12 16 20 24 26 PREFERRED STANDARD AGILITY PREFERRED JWW (circle one) (circle one) NOVICE-P OPEN-P EXC-AP EXC-BP NOVICE-P OPEN-P EXC-AP EXC-BP JUMP HEIGHT (circle one) 4 8 12 16 20 NON-REGULAR AGILITY CLASSES (if offered): INTERNATIONAL SWEEPSTAKES CLASS JUMP HEIGHT (circle one) (circle class) STD JWW 14 18 26 AKC NAME (Include AKC titles only) CALL NAME OF DOG (Enter number below) DATE OF BIRTH [ ] AKC NO. [ ] ILP [ ] PAL PLACE OF BIRTH (LIST COUNTRY) [ ] FOREIGN REG. NO. BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS NEW ADDRESS 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 s #ave 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 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 above on 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 duly authorized to make this entry TELEPHONE : E-MAIL ADDRESS: 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.