Premium List: Event #s: Friday (2017461407), Saturday (2017461408), Sunday (2017461409) Show hours: Friday 10am-6pm, Saturday and Sunday 7am-6pm Northern Flyway Golden Retriever Club, Inc AKC All-Breed Agility Trial (Licensed by the American Kennel Club) Friday, May 12th, Saturday, May 13th and Sunday, May 14th, 2017 Friday-Mas/Exc Std & JWW, Premier Std, T2B Saturday--All Levels: Std & JWW, Premier JWW, T2B Sunday--All Levels: Std & JWW Open to all AKC Recognized Breeds & Dogs Enrolled in the AKC Canine Partners Program Oshkosh Kennel Club 220 W Packer Avenue, Oshkosh WI 54901 Entries Limited to 330 Runs Each Day. Method of Entry First Received Entries open Wednesday, April 5, 2017 at 8:00am. Any entries received before this date will be returned. No Hand Delivered Entries until 24 hrs after opening date. Any envelope, mailed or hand delivered, containing more than the ten dog maximum constitutes an invalid entry and will be returned. All express mail must be left with no acceptance signature required. Entries close Wednesday, April 26, 2017 at 6:00pm, 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. AMERICAN KENNEL CLUB CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under American Kennel Club Rules & Regulations. James Crowley, Secretary.
Mail all entries with fees (check or money order) payable to NFGRC to: Lorah Marquardt, Event Secretary, Bluestem Agility Trial Services, LLC 1124 W. River Drive, Stevens Point, WI 54481 Questions Call: (715) 342-0679 Or Email (preferred): bluestemk9@att.net Website: www.bluestemagility.com Entry fee of $18.00 per entry (includes $3.50 AKC recording fee for first entry per day and $3.00 AKC recording fee for each additional same day entry) WAIT LIST FOR WITHDRAWN ENTRIES: A Wait List of a maximum of 25 entries will be maintained to fill openings created by entries withdrawn after the closing date. All entries, including wait listed entries, must be received prior to the closing date. Written notice to withdraw an entry must be received by the Trial Secretary no later than 6pm on Monday, May 8, 2017. If a withdrawn entry is replaced by a wait listed entry, a full refund will be issued for the withdrawn entry. Any wait listed entry that does not move off the wait list into the trial, will receive a full refund. ONLINE WORKER SIGN-UP Online worker sign up will be available. An email will be sent to all entrants when it has been set up. Please send worker form ONLY if you cannot use the online signup. If you do not have an email address or access to the internet, fill in the sign up form and mail it in with your entry. Please do this only if you can't access the internet. Name: Address: Phone: NORTHERN FLYWAY GOLDEN RETRIEVER CLUB, INC OFFICERS President: Rick Krumenauer Vice President: Suze Walker Check classes you would be willing to work in and jobs you would be willing to do. See premium for class order. Treasurer: Ellen Hardin Secretary: Deb Krebsbach N26W27037 Prospect Ave Pewaukee WI 53703 Board: Dana Bourassa, Marilyn Hartman, Cathi Kanouse, Judy Rathbun, Deb Seline, Maureen Shaughnessy DVM, Pat Vandenheuvel, Leslie Tenor, Chris Heckel EVENT COMMITTEE Event Chair: Sionag Black, 619 Monroe St., Beaver Dam, WI 53916; golddogs@charter.net, 920-948-8845 Members: Sionag Black, Dana Bourassa, John Bourassa, Sue Fecht, Ellen Hardin, Volunteer Coordinator: Dana Bourassa, (920) 858-6368, irishacres@new.rr.com Mas/ Exc Std 26-20 16-4 Fri Sat Sun Open Std XX Novice Std XX Mas/ 26-20 Exc JWW 16-4 Open JWW XX Novice JWW XX Time 2 Beat XX Job: Fri Sat Sun Course Builder Timer Scribe Transcribe Gate Steward Ring Crew Scribe Sheet / Leash Runner TRIAL JUDGE: Cathy Nelson, 23666 Soderbeck Rd, Grantsburg WI 54840 ferlie@grantsburgtelcom.net Contact volunteer coordinator Dana Bourassa, (920) 858-6368, irishacres@new.rr.com with any questions.
AKC AGILITY MOVE-UP FORM MOVE-UP REGULATIONS: If a dog earns an AKC agility title before this event, it can be advanced to the next level of competition. Written notice must be given to the Trial Secretary no later than 6pm on Monday, May 9, 2017. Day to day move-ups will be accepted if received before the close of the trial Friday, May 12, or Saturday, May 13, 2017. Trial close will be considered the awarding of ribbons for the last class on that day. Move-ups will be added to the end of the running order of the class they move up to and every effort will be made to accommodate handlers running multiple dogs in the same class. Move-up form must be submitted Verbal requests cannot be accepted. Fill out form and send to the Trial Secretary. E-mailed requests preferred. Please include all information listed below. ------------------------------------------------------------------------------------------------ AKC Registration #: AKC Registered Name: Breed: Call name: Owner(s): Days Move-up requested for: Height Division: 4 8 12 16 20 24 STD Move to: Open Exc Mas STD Pref Move to: Open P Exc P Mas P JWW Move to: Open Exc Mas JWW Pref Move to: Open P Exc P Mas P FAST Move to: Open Exc Mas FAST Pref Move to: Open P Exc P Mas P RUNNING ORDER: Friday Saturday Sunday 10:30 PM Briefing and Walk-throughs 11:00AM Judging begins Time 2 Beat Master/ Excellent STD Premier STD Master/ Excellent JWW Height order: Big to Little Building opens at 10:00am 7:45 AM Briefing and Walk-throughs 8:00 AM Judging begins Master/ Excellent JWW Premier JWW Time 2 Beat Master/ Excellent STD Open STD Novice STD Open JWW Novice JWW Height order: Big to Little Building opens at 6:30am. SITE INFORMATION: All classes will be held indoors on stall matting. Ring size is 68ft. x 121ft. Exhibitors and spectators are expected to keep the entire area clean. Anyone witnessed not picking up after their dogs on the trial grounds will be excused from the trial with no entry fees refunded. CRATING: There will be limited indoor crating available. Please be prepared to stack crates and use only the designated crating areas. X-pens and oversized chairs not allowed. Crates may be left overnight, however, NFGRC Inc, the Oshkosh Kennel Club and Bluestem Agility Trial Services, LLC will not be responsible for any lost or damaged items left at the show site. Dogs may not be left overnight. FOOD: Food will be available on site Friday, Saturday and Sunday. CATALOGS: Running order will be posted online. Advanced catalog sales only. Cost $5.00. Please indicate on your entry form if you would like a catalog. PRIZES AND AWARDS: Ribbons will be awarded to First through Fourth place in each class and height division. Qualifying ribbons will be awarded to those dogs receiving qualifying scores. New title ribbons, Double Q ribbons, MACH and PACH ribbons & bars will also be awarded. Dogs must qualify to receive placement ribbons. Prizes must be claimed the day of the show none will be mailed. VETERINARIAN ON CALL: FOX VALLEY REFERRAL CENTER 920-933-9193 4706 New Horizons Blvd, Appleton WI 54914 7:45 AM Briefing and Walk-throughs 8:00 AM Judging begins Master/ Excellent JWW Master/ Excellent STD Open STD Novice STD Open JWW Novice JWW Height order: Big to Little Building opens at 6:30am
JUMP HEIGHT DIVISIONS: Owners are responsible for entering the proper height division. Height at Withers Jump Height Regular Classes Jump Height Preferred Classes 11 and under 8 inches 4 inches 14 and under 12 inches 8 inches 18 and under 16 inches 12 inches 22 and under 20 inches 16 inches Over 22 24 inches 20 inches 26 inch jump height may be entered at the owner s discretion. HEIGHT CARD REQUIREMENT: When filling out the entry form, please 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 list of dogs to be measured. If a measurement is necessary, it is solely the exhibitor s responsibility to have their dog measured prior to running. Exhibitors should have their dog s original, official jump height card or temporary jump height form available at each trial to present upon request.. Regulations for Agility Trials, Chapter 2, Section 4. REFUNDS: No entry fees will be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, act of God, public emergency, act of a public enemy, or any other cause beyond the control of the organizing committee. Entry fees shall not be refunded in the event that a dog is absent, disqualified, excused by a judge, or barred from competition by action of the Trial Committee. Entry fee for bitches that come into season or a dog that is injured after the closing date will be refunded (less $12 administrative fee per day) if a veterinarian s certificate is presented to the Trial Secretary prior to the start of judging on the first day of the trial. OBSTACLES: Obstacles will meet the specifications in the current edition of the Regulations for Agility Trials. A break away tire will be used at these trials. DOGS ELIGIBLE TO ENTER: This trial is open to all dogs fifteen (15) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP), or approved Foundation Stock Service (FSS) breeds. Bitches in season, aggressive, blind or deaf dogs or dogs suffering from any deformity, injury or illness which may affect the dog s physical or mental performance are ineligible to participate. All American/mixed breed dogs are eligible to enter these trials. RINGSIDE: Dogs are not required to be at the trial until the scheduled time of judging. All dogs not needed for further judging are excused. The owner or handler of each dog is solely responsible for having the dog ready at ringside when the class is to be judged. Please help your fellow competitors, the trial workers, and the judge by checking in with the gate steward well ahead of your turn, and being prompt at the line when your turn comes to run. HOTEL INFORMATION: The following area hotels accept well-behaved people and their pets. Exhibitors must contact hotels directly and identify themselves as having dogs. Some of these hotels do charge an extra fee for dogs. Be sure to verify the dog policy with the hotel of your choice when you make your reservation. Please be a responsible owner and a considerate hotel guest by maintaining a restful atmosphere and cleaning up after your dog. LA QUINTA--1886 Rath Lane, Oshkosh, WI 54902 920-233-4190 HOLIDAY INN 2251 Westowne, Oshkosh, WI 54904 (920)303-1300 HAWTHORNE INN & SUITES 3105 S Washburn St. Oshkosh, WI 54904 (920)303-1133 SUPER 8 1581 W. South Park, Oshkosh, WI 54904 (920)426-2885 FAIRFIELD INN 1800 S. Koeller St. Oshkosh, WI 54902 (920)233-8504 DIRECTIONS TO TRIAL SITE: Hwy 41 to Hwy 76/Jackson St (Exit 124). Exit towards Oshkosh, go through 2 sets of stoplights and cross the railroad tracks. Take the next left turn onto Packer Ave. (located between His Church and Fox Valley Thrift Shoppe) continue straight to the OKC clubhouse on the left side of the street. PLEASE NOTE: Due to space constraints RVs not allowed in parking lot. No overnight parking. SAFETY AND BEHAVIOR: The safety of the dogs is our primary concern. By entering this trial, exhibitors acknowledge that they are familiar with the rules and regulation of this sport and that their dogs are familiar with and able to perform all obstacles safely. Exhibitors should follow their veterinarians recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. LIABILITY: It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee, be asked to leave the show site. In such cases, no refund of any fees paid will be made. NFGRC Inc, Oshkosh Kennel Club, Bluestem Agility Trial Services, LLC, and their members, agents, etc. will assume no responsibility for any loss, damage or injury sustained by exhibitors or handlers, or to any of their dogs or property, and further assumes no responsibility for injury to children.
OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM Choose Either Regular OR Preferred Classes Circle one jump height Circle class selections Only one selection per class (both Master & Premier allowed) REGULAR Classes 8 12 16 20 24 26 STD NovA NovB Open Exc Master Premier JWW NovA FAST NovA T2B T2B NovB Open Exc Master Premier NovB Open Exc Master STD PREFERRED Classes 4 8 12 16 20 NovP OpenP ExcP MasterP PremierP JWW NovP OpenP ExcP MasterP PremierP FAST NovP OpenP ExcP MasterP T2B T2BP Non-Regular Classes International Sweepstakes STD JWW ISC Jump Height - Select: 14 18 26 -or- Jump Height Same as Regular/Preferred This Dog Needs To Be Measured Yes No SEX HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) AKC NO Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS FRIDAY SATURDAY Northern Flyway Golden Retriever Club, Inc May 12, 13 & 14, 2017 Opens:4/5/2017 Closes:4/26/2017 Standard Jumpers Premier Std Premier JWW T2B DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) OWNERS ADDRESS NEW ADDRESS SUNDAY Daily Entry Fee: $18 per run Make checks payable to: NFGRC Mail to: Lorah Marquardt, Event Secretary, 1124 W River Dr, Stevens Point WI 54481 IMPORTANT: Carefully read instructions before filling out! ENTRY FEE ENCLOSED AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. AGREEMENT 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. 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 any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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 person. I (we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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 THIS 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. 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? SIGNATURE of owner or his agent duly authorized to make this entry. SIGN HERE X Telephone Number: CITY, STATE ZIP + 4 HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. Email Address: In Case of Emergency - Name: Phone #: (OPTIONAL) New Email AEAGL2 (06/15)
OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM Choose Either Regular OR Preferred Classes Circle one jump height Circle class selections Only one selection per class (both Master & Premier allowed) REGULAR Classes 8 12 16 20 24 26 STD NovA NovB Open Exc Master Premier JWW NovA FAST NovA T2B T2B NovB Open Exc Master Premier NovB Open Exc Master STD PREFERRED Classes 4 8 12 16 20 NovP OpenP ExcP MasterP PremierP JWW NovP OpenP ExcP MasterP PremierP FAST NovP OpenP ExcP MasterP T2B T2BP Non-Regular Classes International Sweepstakes STD JWW ISC Jump Height - Select: 14 18 26 -or- Jump Height Same as Regular/Preferred This Dog Needs To Be Measured Yes No SEX HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) AKC NO Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS FRIDAY SATURDAY Northern Flyway Golden Retriever Club, Inc May 12, 13 & 14, 2017 Opens:4/5/2017 Closes:4/26/2017 Standard Jumpers Premier Std Premier JWW T2B DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) OWNERS ADDRESS NEW ADDRESS SUNDAY Daily Entry Fee: $18 per run Make checks payable to: NFGRC Mail to: Lorah Marquardt, Event Secretary, 1124 W River Dr, Stevens Point WI 54481 IMPORTANT: Carefully read instructions before filling out! ENTRY FEE ENCLOSED AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. AGREEMENT 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. 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 any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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 person. I (we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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 THIS 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. 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? SIGNATURE of owner or his agent duly authorized to make this entry. SIGN HERE X Telephone Number: CITY, STATE ZIP + 4 HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. Email Address: In Case of Emergency - Name: Phone #: (OPTIONAL) New Email AEAGL2 (06/15)