Mid-Florida Golden Retriever Club

PREMIUM LIST ENTRIES CLOSE WEDNESDAY NOON, NOVEMBER 20, 2013 After which time entries cannot be accepted, cancelled, altered or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Specialty Show Unbenched Mid-Florida Golden Retriever Club Licensed by the American Kennel Club Friday, December 13, 2013-2013445906 ORANGE COUNTY CONVENTION CENTER - North/South Building 9899 International Dr Orlando FL 32819 THIS SHOW WILL BE HELD INDOORS SHOW HOURS 7:00 am to 6:00 pm PUPPY CLASSES DIVIDED Eukanuba is proud to be a major supporter of this show

ENTRY FEES (including 50 cent AKC recording fee and $3.00 AKC Event Service Fee) First entry of each dog...$28.00 Additional entry of same dog, unless otherwise specified...$24.00 Puppy Classes...$24.00 Junior Showmanship Competition ONLY...$14.00 as an additional entry...free Sweepstakes/Veteran Sweepstakes...$24.00 When a dog is entered in more than one class, the highest priced class is considered the first entry. NOTICE: PLEASE PUT BREED & NAME OF SHOW ON CHECK CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under the American Kennel Club rules and regulations. JAMES P CROWLEY, Secretary Member: Dog Show Superintendents Association American Kennel Club Annually Licensed Superintendents Tiffany R Fields Nancy E Gines John Goosen Candy E James Christopher L James H T (Terry) James Mary Beth James Tim E James Dorothy Lippincott John McDonald Sandra McDonald Antony M Onofrio Jack David Onofrio Patricia Onofrio Sue Onofrio Glen Power Jo Nell Rogers Michael C Schmitt Reggie Turner Sharon Turner Greg S Wetmore PO Box 25764 PO Box 4660 Oklahoma City, Oklahoma 73125-0764 Portland, Oregon 97208-4660 Phone: (405) 427-8181 www.onofrio.com Phone: (503) 239-1080 2

OFFICERS Pat Kopco...President Joanne Hell...Vice President Ted Crowell...Treasurer Deena Strauss...Secretary 12602 Butler Bay Ct, Windmere FL 34786 BOARD OF DIRECTORS Judi Volpe Leah Wright Shirl Phillips Debbie Finch Jill Wallace Mike Orloff Tom Hell Betty Lambert SHOW COMMITTEE Caroline Roetzer...Show Chairman 3001 Sunset Pt Rd, Clearwater FL 33759 Officers of the Club & Members of the Board of Directors COMMITTEES Camille Doehring...Trophies Anney Doucette...Advertising Caroline Roetzer...Publicity Janet Narushka, Janice FitzGerald & Camille Doehring...Stewards JUDGES Regular & Non-Regular Classes Ms Cheryl L Shaw - 8644 Sunbury Pl, Delta BC Canada V4C3Y7 Sweepstakes & Veteran Sweepstakes Classes Ms Maura Phelan - 11222 Jones Rd, Manor TX 78653 Junior Showmanship Competition Mrs Janet Narushka - 357 Collins St, Ormond Beach FL 32174 3

ATTENTION EXHIBITORS The Show Site will be available to exhibitors at 2:00 pm on Monday, December 9, 2013. Dogs must be removed from the show site immediately following Best of Breed judging. A Recording Fee of 50 cents for each dog and an AKC Event Service Fee of $3.00 will be required for each recordable single entry class at any Licensed or Member Club Show or Obedience Trial. (American Kennel Club Rule, Chapter 11, Section 2). An AKC Recording Fee of $3.50 1st Entry & $3.00 additional entry of same dog will be required for each entry in Rally. (American Kennel Club Rally Regulation, Chapter 1, Section 3) These Fees are paid to the American Kennel Club. CANADIAN EXHIBITORS MUST SUBMIT ENTRIES WITH CHECKS DRAWN ON U.S. ACCOUNTS OR WITH INTERNATIONAL MONEY ORDERS IN U.S. FUNDS. There will be no refund for duplicate entries. Dogs need be present only for scheduled judging and will be released if not needed for further judging. Dogs allowed in rings during judging only. Dogs must be ready for judging. Neither the club nor its Superintendents will be responsible or obligated to furnish any service for notifying exhibitors or their agents of Breed or Class Judging. Judges need not wait for any dog holding up a class. Owners or agents alone are responsible for the presence of their dogs in the judging rings. The Club reserves the right to substitute a prize of equal or greater value. All trophies must be claimed the day of the show - None will be mailed. All checks issued as prizes are the sole responsibility of the recipient. Lost, stolen and/or misplaced checks will not be replaced. Checks are valid for 90 days. The Superintendent is not able to cash checks. RETURNED CHECKS/DECLINED CREDIT/DEBIT CARDS do not constitute a valid entry fee. Fees must be paid in guaranteed funds. Checks will not be accepted. The Superintendent will add a fee for completing the transaction and/or reprocessing the entries. Repeated occurrences from the same exhibitors may result in their being put on a CASH ONLY basis. Entry Fee will not be refunded in the event that a dog is absent, disqualified, excused by Veterinarian or judge or barred from competition by action of the Show Committee. Exhibitors should follow their veterinarian s recommendation to assure their dogs are free of internal and external parasites, any communicable diseases and have appropriate vaccinations. No entry fees will be refunded if the Show cannot open or be completed by reason of riots, civil disturbances, fire, extreme and/or dangerous weather conditions, an Act of God, public emergency, act of a public enemy, strikes or any other cause beyond the control of the Club or the Superintendent. The show giving Club, the Show Superintendent, their agents, employees, etc, assume no responsibility for any loss, damage or injury sustained by exhibitors, handlers, or to any of their dogs or property and further assume no responsibility for injury to children. No entry shall be made and no entry shall be accepted which specifies any condition as to its acceptance. Entries will not be accepted without fees, signatures or the Agreement on the reverse side of the Official AKC Entry Form. Changes, additions or corrections to entry forms must be received in writing prior to close of entries. Those received by telephone are not acceptable. Refunds of $3.00 & less will not be issued due to the costs of processing. An administrative fee of $2.00 will be charged for all cancellations or changes made prior to closing of entries. EXHIBITORS NOTE: Please notify Superintendent of any change of address. Jack Onofrio Dog Shows Telephone Entry Service phone number (405) 427-0405 or toll free (888) 421-0405: This is for Telephone Entry Service ONLY. For Mastercard/Discover/Visa/American Express cardholders. A $4.75 charge will be added to each entry for use of this service. Mon, Tues, Thurs & Fri 8:00 am to 4:30 pm; Wed 8:00 am to 12:00 noon. Facsimile Machine entries for this show will be accepted up to closing time. Both sides of entry form must be submitted. For Mastercard/Discover/Visa/American Express cardholders. A $5.50 charge will be added to each entry for use of this service. Be sure to include cardholder s name, address, card number, expiration date & signature. Phone number: (405) 427-5241. This is for Facsimile Machine ONLY. Incomplete or illegible FAX entries are not acceptable as a valid entry in a show. Proof of transmission is not proof of receipt of a legible or complete transmission (under AKC Rule Chapter 11, Section 4). Onofrio Online Entry at www.onofrio.com for entries made with Mastercard/Discover/Visa/American Express. A $2.75 charge will be added to each entry for use of this service. 4

Special Delivery & Overnight Delivery Mail Address: 3401 NE 23rd St, Oklahoma City, Oklahoma 73121-2447 FOR SPECIAL & OVERNIGHT DELIVERY MAIL ONLY! Facsimile Machine entries for this show will be accepted up to closing time. Both sides of entry form must be submitted. For Mastercard/Discover/Visa/American Express cardholders. A $5.50 charge will be added to each entry for use of this service. Be sure to include cardholder s name, address, card number, expiration date & signature. Phone number: (405) 427-5241. This is for Facsimile Machine ONLY. Incomplete or illegible FAX entries are not acceptable as a valid entry in a show. Proof of transmission is not proof of receipt of a legible or complete transmission (under AKC Rule Chapter 11, Section 4). Onofrio Online Entry at www.onofrio.com for entries made with Mastercard/Discover/Visa/American Express. A $2.75 charge will be added to each entry for use of this service. Special Delivery & Overnight Delivery Mail Address: 3401 NE 23rd St, Oklahoma City, Oklahoma 73121-2447 FOR SPECIAL & OVERNIGHT DELIVERY MAIL ONLY! EXHIBITOR UNLOADING PROCEDURE FOR THOSE ARRIVING BEFORE THE SPECIALTY DAY: No exhibitor unloading will be permitted into the unloading areas until Monday at 2:00 pm. You cannot drive inside the building at any time. You will need to show ID in order to enter the unloading areas. The entry gate is controlled by the OCCC facility; they will restrict the number of vehicles as needed. It s imperative that you unload with speed so others can get in behind you. You will have 20 minutes to unload your vehicle. All vehicles will be required to turn off their engines and leave the flashers on. There will be show personnel and uniformed security to supervise this area. Please note that this day is considered as a setup day for the facility and there is a local law that restricts any children from being in the building during the setup of any event. Please do not bring children into the building on Monday. This does not include a junior showmanship exhibitor that is entered and accompanied by a parent or guardian. FOR THOSE ARRIVING ON FRIDAY: All exhibitors may park and roll-in their equipment directly from the adjacent parking lot(s) or they can follow the unloading signs to unload through the two exhibitor entrances. Eukanuba is providing exhibitors with the Eukanuba Exhibitors Services that will have staff available to assist in your unloading and finding a grooming space. Please follow the unloading signage and check in from the unloading line to secure this complementary service. ROUTES TO THE SHOW SEE PAGE 19 IN THE AKC EUKANUBA NATIONAL PREMIUM LIST. 5

SHOW PHOTOGRAPHER Bill Meyer Dog Show Photography 3628 Dunn Spring Rd Labadie MO 63055 (636) 239-1402 FAX (636) 239-3533 SHOW VETERINARIAN Mobile Clinic on grounds Dr Mary McDaniel DVM Lake Alfred Animal Hospital 105 E Alfred St, Lake Alfred FL 33850 (863) 956-5700 VETERINARY EMERGENCY CLINIC (5.2 miles from show site) (Hours after 6:00 pm Friday to 7:30 am Monday) Veterinary Emergency Clinic of Central Florida 2080 Principal Row, Orlando, FL 32837 (407) 438-4449 DIRECTIONS TO VETERINARY EMERGENCY CLINIC: Start out going Southeast (1 mile) on International Drive toward Convention Way. Merge onto SR-528 East - Toll Road via the ramp on the left toward Int Airport/Cocoa/Florida s Turnpike (3.2 miles). Take Exit 4 towads US 17/Florida Turnpike/US 92/US 441 (.03 mile). Merge onto Consulate Dr (.04 mile). Turn right onto S Orange Blossom Trail/US 441 (.01 mile). Take the 1st right onto Principal Row (.01 mile). Clinic is on the left: #2080. ROSETTE PRIZES WILL BE AS FOLLOWS REGULAR CLASSES First Prize...Blue Second Prize...Red Third Prize...Yellow Fourth Prize...White Winners...Purple Reserve Winners...Purple and White Best of Winners...Blue and White Best of Breed...Purple and Gold Best of Opposite Sex to Best of Breed...Red and White Select...Light Blue and White NON-REGULAR CLASSES First Prize...Rose Second Prize...Brown Third Prize...Light Green Fourth Prize...Gray Eukanuba Proudly Presents This Prize: Mid-Florida Golden Retriever Club Best in Specialty Show Eukanuba Towel To collect your prize, please bring your winning ribbon to Eukanuba booth by 5:00 p.m. 6

Unless otherwise indicated, the following prizes are offered by the Mid-Florida Golden Retriever Club through the generosity of friends. SWEEPSTAKES/VETERAN SWEEPSTAKES REQUIREMENTS HANDLER: The handler of a Sweepstakes/Veteran Sweepstakes exhibit must be either the owner, co-owner, breeder or member of their immediate family as they are listed on file with the American Kennel Club as of the closing date for the show for which the Sweepstakes/Veteran Sweepstakes entry is being made. Immediate family is defined as husband, wife, mother, father, brother, sister, son, daughter or legal domestic partner. Step children and legal wards are also included in this definition. In-laws and grandchildren are not considered to be immediate family members. No other individual may take the entry into the ring during judging or check-in. The following individuals are excluded from showing an exhibit in Sweepstakes/Veteran Sweepstakes unless they are the sole owner registered with the AKC or co-own the entry with a member of their immediate family (as defined above) or a legal domestic partner: Any individual listed as an agent on any dog in any regular or non-regular class at this or any other show in the previous two years. Any individual with an Agent number including, but not limited to an AKC Registered Handler Number or Professional Handlers Association (PHA) number. To avoid confusion or question, it is recommended that a photocopy of the registration certificate be included with the entry for a co-owned exhibit. Disabled or physically challenged handlers are encouraged to show their own dogs and every effort will be made to accommodate them. Some things which might be done to assist them are: making sure the ring gate opening is wide enough for a wheel chair; making sure the surface is as level and smooth as possible; placing slower handlers at the end of the line or having them gait their dogs together; allowing someone else to push an exhibitor s wheelchair, providing they do not handle the dog; making sure stewards and judges face a handler who is hearing impaired when speaking to them; permitting the use of crutches or canes. BEST IN SWEEPSTAKES/VETERAN SWEEPSTAKES CLASSES: It is required that the same person who showed the dog to a first place in a Sweepstakes/Veteran Sweepstakes class will also show the dog in the Best in Sweepstakes/Veteran Sweepstakes class. However, if that person should have more than one dog in the Best in Sweepstakes/Veteran Sweepstakes class, someone else is permitted to show the additional winner. That person should meet the handler definitions above. Only in cases where there is not another owner, co-owner, breeder, co-breeder or immediate family member available, should another person take the dog into the Best in Sweepstakes/Veteran Sweepstakes class. It is understood that there would be no financial benefit to that individual. Individuals who have an AKC Handler number, a PHA number or are listed as agent on any dog in the regular or non-regular classes may not show a Sweepstakes/Veteran Sweepstakes entrant unless they are the sole owner registered with the AKC or co-own the entry with a member of their immediate family (as defined above) or a legal domestic partner. SWEEPSTAKES CLASSIFICATION Any purebred Golden Retriever six months of age and under eighteen months of age and entered in any of the regular classes at the specialty show at which the Sweepstakes are held. Dogs which have completed the requirements for an AKC Championship (according to AKC records) prior to the closing date of the show at which the Sweepstakes are to be held are not eligible. Indicate your Sweepstakes Class with the age division in the space provided for "Additional Class." The following classes will be provided for both dogs and bitches. Puppy, 6 Mos & Under 9 Mos Puppy, 9 Mos & Under 12 Mos Junior, 12 Mos & Under 15 Mos Junior, 15 Mos & Under 18 Mos After the completion of the individual class judging, each of the eight class winners shall be brought back to the ring for the selection of Best in Sweepstakes and Best of Opposite Sex to Best in Sweepstakes. 7

DIVISION OF ENTRY MONEY AS PRIZES 35% of total entry fees will be retained by the Club for expenses. The remaining 65% will be divided as follows: Best in Sweepstakes...20% of Sweepstakes Entries Best of Opposite Sex to Best in Sweepstakes...15% of Sweepstakes Entries First in Each Class...15% of Sweepstakes Entries Second in Each Class...7.5% of Sweepstakes Entries Third in Each Class...5% of Sweepstakes Entries Fourth in Each Class...2.5% of Sweepstakes Entries SWEEPSTAKES PRIZES BEST IN SWEEPSTAKES - Rosette & Item (Value $25.00) BEST OF OPPOSITE SEX TO BEST IN SWEEPSTAKES - Rosette & Item (Value $15.00) FIRST IN EACH CLASS - Rosette & Item (Value $8.00) SECOND, THIRD & FOURTH IN EACH CLASS - Rosette VETERAN SWEEPSTAKES REQUIREMENTS & CLASSIFICATION Any purebred Golden Retriever over eight years of age which is individually registered with the American Kennel Club (AKC). Entrants need not be entered in any other class. AKC Champions of Record and spayed or neutered Golden Retrievers are eligible. Indicate your Veteran Sweepstakes Class with the age division in the space provided. The following classes will be provided for both dogs and bitches. Veteran, 7 Yrs & Under 10 Yrs Veteran, 10 Yrs & Under 12 Yrs Veteran, 12 Yrs & Older After the completion of the individual class judging, each of the six class winners shall be brought back to the ring for the awarding of Best in Veteran Sweepstakes and Best of Opposite Sex to Best in Veteran Sweepstakes. DIVISION OF ENTRY MONEY AS PRIZES 35% of total entry fees will be retained by the Club for expenses. The remaining 65% will be divided as follows: Best in Veteran Sweepstakes...20% of Veteran Sweepstakes Entries Best of Opposite Sex to Best in Veteran Sweepstakes...15% of Veteran Sweepstakes Entries First in Each Class...15% of Veteran Sweepstakes Entries Second in Each Class...7.5% of Veteran Sweepstakes Entries Third in Each Class...5% of Veteran Sweepstakes Entries Fourth in Each Class...2.5% of Veteran Sweepstakes Entries VETERAN SWEEPSTAKES PRIZES BEST IN VETERAN SWEEPSTAKES - Rosette & Item (Value $25.00) BEST OF OPPOSITE SEX TO BEST IN VETERAN SWEEPSTAKES - Rosette & Item (Value $15.00) FIRST IN EACH CLASS - Rosette & Item (Value $8.00) SECOND, THIRD & FOURTH IN EACH CLASS - Rosette CLASSIFICATION Regular Classes The following classes will be provided for both dogs and bitches. Puppy, 6 Mos & Under 9 Mos Bred-by-Exhibitor Puppy, 9 Mos & Under 12 Mos American-Bred Twelve to Fifteen Month Open Fifteen to Eighteen Month WINNERS Amateur-Owner-Handler Best of Breed Competition NON-REGULAR (ADDITIONAL) CLASSES Involving Single Dog Entries VETERAN DOG CLASS - A Class for Dogs seven (7) years & under ten (10) years; ten (10) years & under twelve (12) years; twelve (12) years & older. VETERAN BITCH CLASS - seven (7) years & under ten (10) years; ten (10) years & under twelve (12) years; twelve (12) years & older. HUNTING RETRIEVER DOG CLASS - A Class for Dogs that have achieved the AKC Junior Hunter, Senior Hunter or Master Hunter Titles. HUNTING RETRIEVER BITCH CLASS - A Class for Bitches that have achieved the AKC Junior Hunter, Senior Hunter or Master Hunter Titles. 8

NON-REGULAR (ADDITIONAL) CLASSES Involving Multiple Dog Entries As the judge's decision in the Non-Regular Classes involving Multiple Dog Entries is based on the merits of more than one dog or bitch, no one of the dogs or bitches making up the entry judged first in these classes will be eligible to compete for Best of Breed by virtue of having won these classes. STUD DOG CLASS - For Stud Dogs and two of their Get. It is not necessary that the Get be under the same ownership as that of the Stud Dog. The Stud Dog may be entered separately in one of the regular classes, or if a Champion of Record in Best of Breed Competition, but MUST be entered in the Stud Dog Class, the Get MUST be entered in one of the regular classes. The Stud Dog shall be considered as one entry and requires one entry fee, this being the regular fee plus the additional class fee if the Stud Dog is entered in another class. The Stud Dog must be shown in the ring with the Get. The class will be judged on the merits of the Get. BROOD BITCH CLASS - Same as for the Stud Dog except substitute Brood Bitch for Stud Dog and Produce for Get. THERE WILL BE COMPETITION FOR BEST VETERAN BREED PRIZES BEST OF BREED - Rosette & Item (Value $50.00) BEST OF WINNERS - Rosette & Item (Value $30.00) BEST OF OPPOSITE SEX TO BEST OF BREED - Rosette & Item (Value $30.00) WINNERS DOG - Rosette & Item (Value $25.00) RESERVE WINNERS DOG - Rosette & Item (Value $15.00) WINNERS BITCH - Rosette & Item (Value $25.00) RESERVE WINNERS BITCH - Rosette & Item (Value $15.00) BEST VETERAN - Rosette & Item (Value $30.00) FIRST IN EACH CLASS - Rosette & Item (Value $8.00) SECOND, THIRD & FOURTH IN EACH CLASS - Rosette AWARDS OF MERIT The judge may, at her discretion, reward a Judges' Award of Merit Rosette up to 10% of Best of Breed entries offered by the Mid-Florida Golden Retriever Club. These Rosettes are reserved for those quality animals the judge feels are worthy of final consideration for Best of Breed. JUNIOR SHOWMANSHIP COMPETITION NOVICE JUNIOR CLASS - For Boys and Girls at least 9 and under 12 years of age on the day of the show who at the time entries close, have not won three (3) first place awards, with competition present, in a Novice Class at a licensed or member show. NOVICE INTERMEDIATE CLASS - For Boys and Girls at least 12 and under 15 years of age on the day of the show who at the time entries close, have not won three (3) first place awards, with competition present, in a Novice Class at a licensed or member show. NOVICE SENIOR CLASS - For Boys and Girls at least 15 and under 18 years of age on the day of the show who at the time entries close, have not won three (3) first place awards, with competition present, in a Novice Class at a licensed or member show. OPEN JUNIOR CLASS - For Boys and Girls at least 9 and under 12 years of age on the day of the show who at the time entries close, have won three (3) first place awards in a Novice Class at a licensed or member show, with competition present in the Novice Class. OPEN INTERMEDIATE CLASS - For Boys and Girls at least 12 and under 15 years of age on the day of the show who at the time entries close, have won three (3) first place awards in a Novice Class at a licensed or member show, with competition present in the Novice Class. OPEN SENIOR CLASS - For Boys and Girls at least 15 and under 18 years of age on the day of the show who at the time entries close, have won three (3) first place awards in a Novice Class at a licensed or member show, with competition present in the Novice Class. MASTER CLASS - For Boys and Girls at least 9 and under 18 years of age on the day of the show and who have won ten (10) first place wins in an Open Class, with competition to be eligible to enter the Limited Class Competition. The calendar for this class will be consistent with the eligibility dates for the AKC Eukanuba National Championship. All juniors meeting the criteria for this class are required to enter the Master Class and may change their entry the day of the show if entries have already closed. Once the eligibility time frame for that year has passed, all participants return to the Open Class to compete for the following year. NOTICE: Junior Handlers must include their AKC JUNIOR HANDLER NUMBER on each entry. You may obtain your junior identification number by calling the AKC, Judges Education Department, (919) 233-9767. BE SURE ALL INFORMATION for Junior Showmanship Classes is entered on front and back of entry form. PRIZES BEST JUNIOR HANDLER - Rosette & Item (Value $30.00) FIRST IN EACH CLASS - Rosette & Item (Value $8.00) 9

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OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM BOTH SIDES OF ENTRY FORM MUST BE SUBMITTED Specialty Show Mid-Florida Golden Retriever Club Friday, December 13, 2013 ORANGE COUNTY CONVENTION CENTER North/South Building 9899 International Dr Orlando FL 32819 See entry fees on page 2 ENTRIES CLOSE WEDNESDAY NOON, NOVEMBER 20, 2013 at Show Superintendent s Office. MAIL ENTRIES with Fees Payable to JACK ONOFRIO, PO Box 25764, Oklahoma City, Oklahoma 73125-0764 or West Coast exhibitors: PO Box 4660, Portland, Oregon 97208-4660. NOTICE: PLEASE PUT BREED & NAME OF SHOW ON CHECKS. I ENCLOSE $ for entry fees. 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 GOLDEN RETRIEVER VARIETY (1) SEX DOG (2) (3) SHOW CLASS (3) DIVISION CLASS Weight, Color, Etc. ADDITIONAL CLASSES OBEDIENCE CLASS (Jump Height) RALLY CLASS (Jump Height) JR. SHOWMANSHIP CLASS NAME OF (See Back) JR. HANDLER JUNIOR HANDLER (if any) AKC # FULL NAME OF DOG AKC NO. Enter number here DATE OF BIRTH PAL NO. PLACE OF FOREIGN REG. NO. & COUNTRY BIRTH (list country) Do not print the above in the catalog BREEDER SIRE DAM Exhibitor s Code ACTUAL OWNER(S) [4] (Please Print) OWNER S ADDRESS CITY STATE ZIP + 4 NAME OF OWNER'S AGENT CODE # (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. n SIGNATURE of owner or his agent duly authorized to make this entry Telephone ( ) Are you a new exhibitor? Yes q No q Email address: (An acknowledgement or receipt of entry may be sent to this email address): 11

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 1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular variety you are entering i.e., Cocker Spaniel (solid color black, ASCOB, parti-color). Beagles (not exceeding 13 in. over 13 in. but not exceeding 15 in.). Dachshunds (longhaired, smooth, wirehaired), 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), Collies (rough, smooth), 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 owner s 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 event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e., 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 an event closed. If a registered dog has been acquired by a new owner, it must be entered in the name of its new owner in any event for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to the A.K.C. (For complete rules refer to Chapter 11, Section 3). 5. Mixed Breed dogs entering classes for Agility, Obedience and Rally trials should mark Breed as AKC Canine Partners Listed Dog All- American Dog/Mixed Breed. Variety, Breeder, Sire, Dam information shall remain blank for mixed breed entrants. JUNIOR SHOWMANSHIP. If this entry is for Jr Showmanship, please give the following information: AKC JR HANDLER # JR. S DATE OF BIRTH 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) 233-9767. By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. ADDRESS CITY STATE ZIP + 4 n 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?... 12