NEW! **TRIAL ENTRY FORM** Sooner State Kennel Club, Inc. TYPE AND PRINT: ***TIME TO BEAT (T2B) and PREMIER STD/JWW ON FRIDAY and SATURDAY***

Similar documents
Sooner State Kennel Club, Inc.

Sooner State Kennel Club, Inc.

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

KAY-9 DTC, Inc. Licensed by the American Kennel Club. and For additional premiums and entry forms see

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

Lost Coast Kennel Club of California

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

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

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

February 18-21, 2011

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

PREMIUM LIST AKC All Breed Agility Trial

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

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

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

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

Agility Ability Club of Illinois.

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

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

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

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

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

Event Committee Members: Sylvia Netherland, Shaefer Sides, Carol Burgin, Lynn Parker, Diane Daley, and all other WAG members present.

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

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

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

Marshfield Area Kennel Club

November 6 and 7, 2005 Event Numbers &

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

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

Bernese Mountain Dog Club of America (BMDCA)

FRENCH COURSE HERDING TRIAL CATTLE

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

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

Jim Payne, Trial Secretary

Premium List AKC Sanctioned A Match Tarheel Golden Retriever Club

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

May 10 11, Event #: ,

Kalamazoo Kennel Club Licensed by the American Kennel Club 1249 West D Avenue, Kalamazoo, MI 49001

Great Lakes Belgian Tervuren Club, Inc. (Licensed by the American Kennel Club) Great Lakes Belgian Tervuren Club, Inc.

Northern Flyway Golden Retriever Club, Inc

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

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

Fox Valley Dog Training Club, Inc

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

Five Valley Kennel Club

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

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

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

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

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

Five Valley Kennel Club

Glenbard All Breed Obedience Club

English Cocker Spaniel Club of America Staffed by: Dog Gone Fun Agility, LLC

Mt. Nittany Dog Training Club AKC Licensed Agility Trials

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

Red River North Dog Obedience Club Licensed by the American Kennel Club

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

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

No Indoor Crating Space Available

American Kennel Club for holding this event under American Kennel Club Rules and Regulations. James Crowley, Secretary

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

Mt. Nittany Dog Training Club

Miniature Bull Terrier Club of America Licensed by the American Kennel Club October 4, 2014 Event #

Agility Event #

Medallion Rottweiler Club

PREMIUM LIST AKC Herding Tests & Trials AMERICAN BELGIAN MALINOIS CLUB, INC. And PRAIRIELAND BELGIAN MALINOIS CLUB

PREMIUM LIST AKC All-Breed AGILITY A- MATCH. This event is accepting entries for dogs listed in the AKC Canine Partners Program SM

NO INDOOR CRATING SPACE AVAILABLE.

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

AGILITY ABILITY CLUB OF ILLINOIS Licensed by the American Kennel Club

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

Northern Flyway Golden Retriever Club, Inc

PREMIUM LIST Event Numbers: & DATED MATERIAL

NEW!! ONLINE ENTRY AND PAYMENT NOW AVAILABLE!!!!

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

Rally Obedience Trials Friday, March 27, 2015 Event # & Saturday, March 28, 2015 Event #

Premium List AKC Farm Dog Certification Test

This Event is Accepting Entries for Dogs listed in the AKC Canine Partners Program. All Dogs Can LLC 2232 N Lapeer Rd Lapeer MI

MOBILE BAY DOG TRAINING CLUB Licensed by the American Kennel Club FRIDAY

Trial Location: 7625 Lisa Lane, Middleton, WI

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

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

AKC Agility Trials. This trial is open to dogs listed in the AKC Canine Partners Program

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

Alamo Dog Obedience Club, Inc. Member of the American Kennel Club. April 28, 29,30, 2017 Event #s:

PREMIUM LIST. DenTex Agility Club Licensed by the American Kennel Club. February 7-8, 2015

PREMIUM LIST Stone City Kennel Club

ROGUE CANINE AGILITY, INC.

German Shepherd Dog Training Club of Chicago

Canine Partners WELCOME! All Dogs Can LLC 2040 N Lapeer Rd Lapeer MI

Premium List. Jan 4-6, Judges: Dan Butcher ~ Portland, OR Tracy Mazur ~ Draper, UT

This Event is Accepting Entries for Dogs listed in the AKC Canine Partners Program All Dogs Can LLC 2040 N Lapeer Rd Lapeer MI

SUNDAY: MST/EXC FAST OPN FAST NOV. FAST, OPN JWW, MST/EXC. STD NOV. JWW OPN STD. MST/EXC JWW NOV. STD.

Southwest Tracking Association of Metropolitan Houston, Inc.

All Dogs Can LLC 2232 N Lapeer Rd Lapeer MI

Saturday, July 16, 2016

Canine Partners WELCOME! Canine Sports Recreation Center 7275 Joy Road Dexter, MI 48130

Premium List AKC Farm Dog Certification Test

FRIDAY, SATURDAY, & SUNDAY APRIL 20 th, 21 st, & 22 nd, 2018 ***Now offering Premier classes***

Transcription:

NEW! YOU CAN NOW FILL IN THE FORMS IN THIS PREMIUM ON YOUR COMPUTER, PRINT THEM OUT AND MAIL! ***TIME TO BEAT (T2B) and PREMIER STD/JWW ON FRIDAY and SATURDAY*** ALL YOU NEED IS ADOBE ACROBAT READER. IF YOU DON T HAVE IT, YOU CAN DOWNLOAD IT FREE HERE: https://acrobat.adobe.com/us/en/acr obat/pdfreader.html?promoid=ksnew TYPE AND PRINT: **TRIAL ENTRY FORM** THERE IS 1 ENTRY FORM IN THIS DOCUMENT: ONE YOU CAN TYPE ON NOTE: YOU WON T BE ABLE TO SAVE THE INFO ON THE FORMS YOU TYPE. YOU CAN ONLY PRINT THEM OUT WITH THE INFO YOU FILL IN. IF YOU WANT TO KEEP A COPY, PRINT 2. Sooner State Kennel Club, Inc. Licensed by the American Kennel Club Three All Breed Agility Trials Friday October 13th, 2017 Event #2017013104 (T2B, Ex/Mas JWW/STD & Premier STD/JWW Only / Limit 330) Saturday October 14th, 2017 Event #2017013105 (T2B, Premier STD/JWW, All STD/JWW Classes / Limit 330) Sunday October 15th, 2016 Event #2017013106 (All STD/JWW Classes / Limit 330) PREMIER ADDED FRIDAY & SATURDAY - NO FAST CLASSES OFFERED In Conjunction with Sooner State Kennel Club Conformation & Obedience Trials http://members.fullnet.net/dlboyer/index.html ***Electronic Timers & Rubberized Contacts will be used *** Garfield County Fairgrounds - Chisholm Trail Expo Center Pavilion 111 West Purdue Enid Oklahoma 73702 Indoor - Packed Dirt Floor Arena / 2 Rings - 100 X 120 Trial Hours Friday: 10:00 AM. - 8:00 PM Saturday and Sunday: 7:00 AM - 7:00 PM Entries Accepted on "First Received" Basis on or after 8:00 a.m. Jun 1st, 2017 (A Maximum of 10 Entries Only per envelope will be accepted) ENTRIES CLOSE: Friday, September 29th, 2017 at 12:00 PM or when entry limits have been reached, after which time entries cannot be accepted, canceled, altered or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Certification Permission is granted by the American Kennel Club for the holding of this event under American Kennel Club rules and regulations. James P. Crowley, Secretary

AGILITY TRIAL COMMITTEE Trial Chairperson: Vicki Boyer 109 Shadowood, Enid, OK. 73703 Phone: (580)-237-1706 Trial Secretary: Dave Boyer 109 Shadowood Dr, Enid, OK 73703 Phone: (580) 237-1706 E-Mail: sskcagility@fullnet.net TRIAL COMMITTEE: Lisa Booze (In Spirit) Jane Bracken, Vicki Tidball Carolyn Herbel & Tammy Wilfong SOONER STATE KENNEL CLUB OFFICERS President: Carolyn A. Herbel, Rt 1, Box 50 Putnam, OK 73659 Vice President: Tammy Wilfong, 10418 S. Oakwood, Waukomis, OK 73773 Treasurer: Sherry Anderson, 1929 Allen Rd, Enid, OK 73701 Secretary: Vicki Tidball, 117 Margaret Circle, Enid, OK 73703 Entry Fees: First entry of each dog, per day: $23.00 (Includes $3.50 AKC recording fee) Each additional entry of same dog per day: $14.00 (Includes $3.00 Additional AKC recording fee) Make checks Payable to SSKC Move Ups: Move ups will be allowed prior to the start of this trial until 6 PM of Monday October 5th, 2009. Mail and E-mail changes will be accepted. Day to day move ups will also be accepted. Forms will be available on site and must be completed and submitted to the Trial Secretary no later than 30 minutes following the close of competition on Friday and Saturday. E-mail move-ups to sskcagility@fullnet.net VOLUNTEER SIGN-UP SHEET PLEASE VOLUNTEER TO HELP OUT AT OUR TRIAL! We want to keep things running smoothly so everyone enjoys this trial. To do this, we are welcoming help from exhibitors. We appreciate any help, experienced or not. We will make sure that your duties do not interfere with running your dog. We will provide lunch for our volunteers on Saturday and Sunday To volunteer to help, please fill out the form Online at: http://tinyurl.com/zzejbk3 To edit on an IPhone/IPad, you must first download the FREE Google Sheets App from the Apple App Store. No information available about other platforms such as Android. Judge for all classes CHRISTIE BOWERS - #64762 Rosanky, TX Just Cut and Paste the link into your browser

MAP & DIRECTIONS Schedule: SMALL TO TALL ALL 3 DAYS Check-in Friday begins at 12:00 PM. Judge s briefing prior to judging starting at 1:00 PM. Saturday & Sunday s Check-in for those not entered on Friday begins at 7:00 AM. Judge s briefing prior to judging. Running Order FRIDAY SATURDAY SUNDAY Limited to 330 Runs Limited to 330 Runs Limited to 330 Runs SMALL TO TALL SMALL TO TALL SMALL TO TALL START TIME : 1:00 PM T2B Premier JWW Premier STD Ex/Mas JWW Ex/Mas STD. START TIME : 9:00 AM T2B Premier JWW Premier STD Ex/Mas JWW Ex/Mas STD. Open JWW Open STD Novice A/B JWW Novice A/B STD START TIME : 8:00 AM Excellent/Masters STD Excellent/Masters JWW Open Std.. Open JWW Novice A/B STD. Novice A/B JWW NOTE: The Preferred Classes will be run concurrently with the Regular Classes using the same course as the Regular Classes to minimize exhibitor walkthroughs, judge s briefings, and jump height changes. Single copies of the latest editions of the Rules Applying to Dog Shows and Obedience Regulation and Regulations for Agility Trials may be obtained from the American Kennel Club, 5580 Centerview Drive, Raleigh, NC 27606-3390 Directions to Show Site From I-35, take exit #194B to Enid. Follow US 412 to Enid. Turn right onto US 81 (Van Buren) and travel North approximately 3 miles to Purdue Avenue (6 th Traffic Light). Turn right onto Purdue Avenue and the Fairgrounds will be ½ Mile on your right. The Trial will be held in the southeast corner of the Expo Center Pavilion. CHECK IN - HEIGHT CARDS EFFECTIVE January 1, 2010 When filling out the entry form, there is a new section at the top of the form for exhibitors to designate whether your dog has a valid jump height card or if your dog needs to be measured. Please check the appropriate box so that the Trial Secretary knows whether to include your dog on the Dogs To Be Measured List. It is no longer required that you submit a copy of your dog s jump height card with your entry form or show it during day of show check-in. LOOK! Check-In and Measuring Info NEW RULE!!: Chapter 1, Section 19 of the Regulations for Agility Trials has been amended to eliminate the mandatory use of identifying stickers/armbands worn by agility exhibitors. SSKC is not requiring armband stickers. Traditional check-in is not necessary. Please check in at the gate on the gate sheet prior to your class. If your dog does not have a height card your dog must get measured. We do not have a VMO at trial.

Veterinarian-ON CALL Enid Pet Hospital / 580-237-3377 1212 North Van Buren Street Enid, Oklahoma 73703 (Map available at Trial Site) Prizes and Awards: Ribbons will be awarded to 1st through 4th place in each jump height in each class. A GREEN qualifying ribbon will be awarded to all dogs receiving qualifying scores. Dogs must qualify to receive a placement ribbon. New Title and MACH/PACH and PAX Ribbons will also be available. AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org EMERGENCY CONTACT INFORMATION Contact Dave Boyer Cell # 580-231-1878 TRAVEL & LODGING INFORMATION Please make sure that you pick up after your dogs so that these hotels will continue to accept dogs. Some restrictions may apply. Check with hotels regarding rates and dog policy when making reservations. La Quinta 4914 W OK Garriott, Enid OK 73703 580-233-7100 No Pet Deposit 5.2 miles from Show Site Ramada Inn 3005 W. Garriott Enid, OK 73702 580-234-0440 Deposit - $10.00 per dog Baymont Inn 3614 W. Garriott Rd, Enid, OK 73703 580-234-6800 Deposit - TBD per dog Days Inn of Enid 2818 S Van Buren, Enid, OK 73702 580-242-7110 Pet deposit - $5.00 Per Pet 5.2 miles from Show Site America s Best Value Inn 2523 Mercer (HWY 81) Enid, OK 73702 580-237-3090 Pet deposit None Home AwatySuites 5103 W. Garriott Rd, Enid, OK 73703 580-237-5750 Deposit Call for Rate RV Parking at Trial Site With Electrical and Water Hookups $20.00 per night (regardless of utilities used) NO Reservations required or taken ON SITE PARKING COORDINATOR AND TAX COLLECTOR Dave Boyer, Oh Yeah, also the Trial Secretary, Chief Cook and Bottle Washer Phone: (580) 231-1878 All owners/exhibitors should be aware that the entire motel and grounds are considered within the trial limits. You will be responsible for all damage to your room and may be subject to disciplinary action in accordance with the rules of the AKC. Any abuse of the motel/adjoining grounds will be brought to the attention of the show-giving club and it s Trial Committee. Any exhibitor s entries may be refused for previous misuse of the motel facilities. This is an AKC supported measure. Concessions: Friday there will be Limited concessions available. Saturday and Sunday concessions will be available all day.

Garfield County Fairgrounds WWW.ChisholmTrailExpo.COM AGILITY HEIGHT DIVISIONS Height Divisions Regular Classes: 8 Inches: For dogs 11 inches and under at the withers 12 Inches: For dogs 14 inches and under at the withers 16 Inches: For dogs 18 inches and under at the withers 20 Inches: For dogs 22 inches and under at the withers 24 Inches: For dogs over 22 inches at the withers 26 Inches For dogs wishing to jump this height, not required Height Divisions Preferred Classes: 4 Inches: For dogs 11 inches and under at the withers 8 Inches: For dogs 14 inches and under at the withers 12 Inches: For dogs 18 inches and under at the withers 16 Inches: For dogs 22 inches and under at the withers 20 Inches: For dogs over 22 inches at the withers Obstacles Obstacles shall meet the specifications for obstacles in the current edition of the Regulations for Agility Trials. Handlers entered in all classes are permitted to walk the course without a dog, prior to the start of the class The walk-through is restricted to handlers entered in that class. A warm-up area, consisting of a regulation agility jump, shall be provided for all exhibitors. Notice To Exhibitors Telegraph, telephone and fax entries cannot be accepted. Entries not on Official AKC entry forms or Entry Forms without Agreement and Rules on the reverse side of the Official AKC Entry Form are NOT ACCEPTABLE. Unsigned Entry Forms cannot be accepted or entries which specify any conditions as to it s acceptance. Stagecoach and Starship delivered entries will be accepted. The 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. Sooner State Kennel Club, Inc and it s agents, etc. assume no responsibility for any loss, damage or injury sustained by exhibitors, handlers or to any of their dogs or property and further assumes no responsibility for injury to children. Entry fee will not be refunded in the event that the dog is absent, disqualified, excused, or barred from competition by action of the Trial Committee. No entry fee will be returned if the trial cannot open or be completed by reason of civil disturbance, fire, an act of God, public emergency, act of a public enemy, or any other cause beyond the control of the organizing committee. Returned checks do not constitute a valid entry. A $20.00 service fee will be added for all returned checks.

No refund for duplicate entries. Care will be taken to find duplicates; however, if an entry has been processed No Refund will be made. Owners are responsible for errors in making out entry forms, whoever may make such errors, and no entry fee will be refunded in the event of such errors or cancellation of entries after published closing date. PLEASE PRINT OR TYPE CLEARLY. All dogs present must be on leash or confined to crates or ex-pens when not being judged, except when in the designated warm-up area. It is expressly understood that the 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 Committee, be asked to leave the trial site. In such a case, no refund of any entry fees will be made. Bitches in season are not permitted in the trial. Sooner State Kennel Club, Inc. will comply with AKC rules for bitches unable to compete for this reason after the closing date. $10.00 Fee for each day. Vet note required. Exhibitors may choose to enter their dog in a higher height division than required by AKC, but not a division lower than their AKC mandated height. Exhibitors are responsible for being at the ring gate when it is their turn to run. Judge need not wait for any dog holding up a class. Sooner State Kennel Club, Inc. and the Trial Secretary have no obligation or responsibility for providing service through a public address system or stewards for the purposes of calling or locating dogs that are not brought into the ring when required. This trial will be run under the revised Regulations for Agility Trials that became effective as of July 2016. Crates may be left in the area designated for agility for the duration of the trial. Security will be present during trial hours. Sooner State Kennel Club, Inc assume no responsibility for any thing lost or stolen. No dogs may be left at the trial site overnight. The trial will be held indoors on 2 100 x 120 packed dirt surfaces. Exhibitors are responsible for picking up after their own dogs. Failure to do so could result in being excused from the Trial. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. Dogs Eligible To Enter This Trial is open to all dogs 15 months of age or older that are registered with the American Kennel Club or are registerable breeds that have an AKC ILP number. Dogs eligible for entry in the Miscellaneous Class at dog shows may participate providing that they are AKC registered. Spayed bitches and neutered males are eligible to participate. Miscellaneous Class dogs with ILP s, mixed breeds, breeds not registerable with the AKC, bitches in season, aggressive dogs, dogs that are blind or deaf or suffering from any deformity, injury, or illness which may affect its physical or mental performance are not eligible to participate. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registerable breeds that may participate. Owners are responsible for entering their dogs in the proper height division. Exhibitors may choose to enter their dog in a higher height division than required by AKC, but not a height division lower than the AKC mandated height. Judge reserves the right to measure dogs entered at the Trial. AGILITY TRIAL - MOVEUP FORM USE THIS ENTRY FORM TO MOVE UP TO A HIGHER AGILITY CLASS ONLY From Chapter 1, Section 13: dogs may be moved up to a higher class at the request of the owner as a result of qualifying for an agility title, provided that the request is made to the Trial Secretary no later than the day preceding the event. Such move-up entries shall be accepted subject to the availability of the class (ie. that it is offered in the premium list and that the entry limit, if any, will not be exceeded) and the payment of any difference in entry fee. Dogs so moved up will be entered at the end of the running order Entry move-up valid only if the dog was already entered at the Event indicated below and only if approved by the Trial Secretary SSKC, October 14 th and 15 th, 2017 Armband Number BREED VARIETY SEX HEIGHT AT WITHERS MOVE ENTRY TO: MOVE ENTRY TO: STANDARD AGILITY CLASS (circle one) JUMPERS WITH weaves (circle one) JUMP HEIGHT (circle one) OPEN EX A EX B OPEN EX A EX B 8 12 16 20 24 PREFERRED AGILITY CLASS (circle one) PREFERRED JWW (circle one) JUMP HEIGHT (circle one) OPEN EX A EX B OPEN EX A EX B 4 8 12 16 20 AKC REGISTERED NAME (Include AKC titles only) CALL NAME OF DOG AKC REG. NO. (Enter number here) DATE OF BIRTH AKC LITTER NO. ILP/PAL NO. PLACE OF BIRTH FOREIGN REG. NO. & COUNTRY USA CANADA FOREIGN ACTUAL OWNER OWNERS ADDRESS CITY, STATE, ZIP + 4 HANDLER (Junior Handler see back) NEW ADDRESS 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 DULY AUTHORIZED TO MAKE THIS ENTRY PARENT OR GUARDIAN SIGNATURE IF OWNER IS UNDER 18 SIGNATURE OF TRIAL SECRETARY DATE APPROVED:

OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM SOONER STATE KENNEL CLUB Opens:Thursday, Jun 1,2017, 8:00 AM Closes: Friday, Sept 29, 2017, 6:00 PM DAILY FEES: 1 Class-$23 ; 2 Classes-$37 ; 3 Classes- $51 ; 4 Classes $65 ; 5 Classes $79 FRI-OCT 13, 2017 SAT-OCT 14, 2017 SUN-OCT 15, 2017 STD STD PREM JWW JWW PREM T2B Checks payable to: SSKC - Mail to: SSKC, 109 Shadowood Dr, Enid, OK 73703 IMPORTANT: Carefully read instructions before filling out! ENTRY FEE ENCLOSED $ Choose Either Regular OR Preferred Classes Check one jump height, and check class selections :: Only one selection per class (STD, JWW, FAST, T2B) REGULAR Classes 8 12 16 20 24 26 STD Nov A Nov B Open Exc Mas Prem JWW Nov A Nov B Open Exc Mas Prem T2B This Dog Needs To Be Measured Yes BREED AKC NAME (INCLUDE AKC TITLES ONLY) No PREFERRED Classes 4 8 12 16 20 NovP OpenP ExcP MasP PremP NovP OpenP ExcP MasP PremP T2B-P SEX VARIETY AKC NO Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS OWNERS ADDRESS CITY,.STATE..ZIP.+.4. DATE OF BIRTH HEIGHT AT WITHERS CALL NAME PLACE OF BIRTH (LIST COUNTRY) NEW ADDRESS THIS IS A FILLABLE FORM. CLICK BOXES TO SELECT; TYPE INFO ON LINES; 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 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 negligence of the aforementioned parties or any of their employees or agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHI BITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GI VING CLUB (UNLESS OTHERWISE STATED I N ITS PREMI UM LI ST) AND MYSELF (OURSELVES) OR A S TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRAT ION 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. Dogs listed in the AKC Canine Partners SM program may be eligible to enter all-breed AKC agility 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. 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) 233-9767. If the Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner? RELATIONSHIP: JUNIOR BIRTH DATE: 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 forgoing 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. SIGN HERE X Telephone Number: HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. Email Address: New Email In Case of Emergency - Name: Phone #: AEAGL2 (09/12)