This Event is Accep ng Entries fr Dgs Listed in the AKC Canine Partners Prgram PLEASE NOTE: Friday, Saturday, and Sunday will be held at Dg Sprts At Kim s On Tuesday, the Trial will be held at Purina Farms Entry Fees are different n the Tuesday All-Breed Shw! Reminder Please enclse separate checks fr the fllwing: -All-Breed Agility Trials -ESS Mnday Specialty -Weave Ple Challenge -Tunnel Curse Challenge All checks can be made ut t: ESSFTA English Springer Spaniel Field Trial Asscia n A n: Michael Teh, Event Secretary PO Bx 130338 St. Paul, MN 55113 Premium - AKC All Breed Agility Trials English Springer Spaniel Field Trial Asscia n Licensed by the American Kennel Club Friday, August 31, 2018 /JWW (Ex/Master Only), Premier & JWW, & T2B Event# 2018166417 Saturday, September 1, 2018 /JWW (All Levels), Premier & JWW Event #2018166418 Sunday, September 2, 2018 /JWW (All Levels), Premier & JWW Event #2018166419 Tuesday, September 4, 2018 /JWW (All Levels) & T2B (At Purina Farms) Event #2018166421 Event Address: Fri, Sat, Sun: Dg Sprts At Kim s 1951 Twnsley Lane Caseyville, IL 62232 Tuesday: Purina Farms 200 Checkerbard Dr. Gray Summit, MO 63039 Trial Infrma n: Trial Hurs: 7:00AM-6:00PM (Fri,Sat,Sun,Tue) Surface: Trials will be held indrs n Fri, Sat, Sun - Rubber Flring (80 X100 ) Tuesday: Ar ficial Turf (90 X110 ) Judging Will Start: 8:00AM (Fri, Sat, Sun, Tue.) Electrnic Timing will be used at these trials Entries will be chsen by: First Received Entries Open: Wednesday June 27, 2018 at 12:00PM At the Trial Secretary s Mailing Address On-Line Entries are NOT available Any Entries received befre this date/ me will be returned. Entries must waive signature requirements r they will be returned t sender. Frm June 27 un l July 7 entries f English Springer Spaniels will be accepted first. Entries may be sent in star ng June 27 frm all ther breeds and will be kept in the rder f receipt but they will nt be prcessed un l a er July 7. N acknwledgement f entries fr breeds ther than ESS will be distributed un l a er July 7, 2018. Final Clsing Date: Wednesday August 15, 2018 at 6:00PM Entry Limits: 330 runs available (Fri, Sat, Sun, and Tues) Judge: (Fri, Sat, Sun) Jennifer McDnald (#17738) - 2407 Misty Meadws Ct., Pacific, MO 63069 (Tuesday) Karen Wldarski (#90984) - 2743 Old Oak Walk, Jhns Island, SC 29455 American Kennel Club Certificatin Permissin has been granted by the American Kennel Club fr the hlding f this event under American Kennel Club rules and regulatins. Gina DiNard, Secretary
Mail entries with fees (checks nly) payable t English Springer Spaniel Field Trial Assc. (ESSFTA) t Michael Teh, ESSFTA Event Secretary, PO Bx 130338, St. Paul, MN 55113 Ques ns abut Entries: E-mail: xtremek9trialsec@gmail.cm r Phne: 612-387-4311 (Maximum f ten (10) dgs may be submi ed per envelpe f entries) Entry Fees (Fri, Sat, Sun) $18.00 fr 1st, 2nd, 3rd, & 4th entry f each dg each day (includes $3.50 AKC recrding fee) Entry Fees (Tuesday) $20.00 fr 1st & 2nd entry f each dg each day (includes $3.50 AKC recrding fee) $17.00 fr any addi nal entry f same dg each day (includes $3.00 AKC recrding fee) (There will be a $25.00 service charge fr any returned checks.) Entry frm changes, addi ns, crrec ns, and cancella ns MUST be received in wri ng prir t the final clsing date, be legible, and include the AKC number, r n refund will be issued. N telephne changes accepted. E-mail changes are welcmed. ESSFTA Club Officers President: Mark Haglin Vice President: David Sanfrd (Field) & Peggy Presnall (Shw) Secretary: Barbara Grana r - 364 Old Wilmingtn Dr., Catesville, PA 19320 Treasurer: Kathy Nestr Delegate: Susanne Burgess American Kennel Club Mve-Up Frm ESSFTA Shw Dates: August 31-Sept 4 Mail Frm T: Michael Teh PO Bx 130338 St. Paul, MN 55113 Or e-mail mve-up infrma n t: xtremek9trialsec@gmail.cm Mve-Up Regula ns: If a dg earns an agility tle befre this event it can be advanced t the next level f cmpe n. Hwever, wri en n ce must be given t the Trial Secretary, n later than 6:00 PM n Mnday, August 27 r at the clse f the trial each day, which will be cnsidered the awarding f ribbns fr the last class f that day. Mve-ups will be added t the end f the running rder f the class they mve up t. Every effrt will be made t accmmdate handlers running mul ple dgs in the same class. N verbal changes can be accepted. Trial Date AKC Reg # Call Name Breed Owner Name Jump Height Event Cmmi ee Trial Chair: Kathy Patregnani, 27220 128th St. NW, Zimmerman, MN 55398 Phne: 612-718-2093 Email: vinewdess@htmail.cm Trial Cmmi ee:, Susan Rbinsn, Emily Perez, Curtney Hansn, B.A. Breese Veterinarian On Call Pacific Animal Hsp al 450 West Flier Drive, Pacific, MO 63039 PH: 636-257-2100 Direc ns: Turn Right n Hwy MM. Turn right n Hwy 100. Crss ver I-44, then turn le n US-66W/ Osage Rd fr 2.7 mi. Turn right n Flier Dr. Clinic is first building n right. Exhibitrs shuld fllw their veterinarians recmmenda n t assure their dgs are free f internal and external parasites, any cmmunicable diseases, and have apprpriate vaccina ns. Regular Standard * Frm Nvice A t Nvice B * Frm Nvice A r B t Open * Frm Open t Excellent * Frm Excellent t Master Preferred Standard * Frm Nvice P t Open P * Frm Open P t Excellent P * Frm Excellent P t Master P Regular FAST * Frm Nvice A t Nvice B * Frm Nvice A r B t Open * Frm Open t Excellent * Frm Excellent t Master Regular JWW * Frm Nvice A t Nvice B * Frm Nvice A r B t Open * Frm Open t Excellent * Frm Excellent t Master Preferred JWW * Frm Nvice P t Open P * Frm Open P t Excellent P * Frm Excellent P t Master P Preferred FAST * Frm Nvice P t Open P * Frm Open P t Excellent P * Frm Excellent P t Master P
Running Order Friday Saturday Sunday Tuesday (Purina Farms) Shrt t Tall Tall t Shrt Shrt t Tall Tall t Shrt Judging starts at 8:00AM Judging starts at 8:00AM Judging starts at 8:00AM Vlunteer Infrma n Judging starts at 8:00AM T2B Premier JWW Premier JWW Ex/Master Ex/Master Ex/Master JWW Ex/Master JWW Open Premier Open JWW Open JWW Nvice Ex/Master JWW Nvice JWW Nvice JWW T2B Premier JWW Premier Premier Premier JWW Ex/Master Ex/Master Ex/Master JWW Open Open Open JWW Nvice Nvice Nvice JWW ESSFTA depends n vlunteers t make this a great event. It takes many vlunteers t successfully put n an agility trial. T vlunteer, please use the Ggle Frm Online: Link h ps://dcs.ggle.cm/spreadsheets/ d/1jpx0e5ge5nhymyq3dekwwimyixmb9tudtst4j9ppxp8/edit? usp=sharing Or Cntact the Vlunteer Crdinatr: Emily Perez Efalterman@gmail.cm Special Awards The ESSFTA will be awarding Special Awards at this trial. Belw utlines the different Special Awards. High Cumula ve Springer Friday t Sunday, Fastest YPS frm and JWW. Award: High Cumula ve Ribbn High In Trial Springer Regular (Spnsred by Jennie Carl-Hward) Mnday ONLY, Fastest YPS Award: High in Trial Ribbn, Pewter Trphy, and Purina Rlling Duffle Bag High In Trial Springer Preferred (Spnsred by Pa y Ann Newell) Mnday ONLY, Fastest YPS Award: High in Trial Ribbn, Pewter Trphy, and Purina Rlling Duffle Bag High Cmbined Regular (Spnsred by Jean Hilbig and Team Rendezvus) Mnday ONLY, Fastest YPS frm bth and JWW Cmbined Award: High in Trial Ribbn, Pewter Trphy High Cmbined Preferred (Spnsred by B.A. Breese) Mnday ONLY, Fastest YPS frm bth and JWW Cmbined Award: High in Trial Ribbn, Pewter Trphy High in Trial Junir (Spnsred by Jennie Carl-Hward) Mnday ONLY, Fastest YPS Award: High in Trial Ribbn, Pewter Trphy General Agility Ribbns (Spnsred by Pa y, Dmin & Velvet Mrtara, and Wendy Parr) All Days 1st Place Awards Each Class Mnday ONLY, 1st Place Winner in each class Award: Purina Pr Plan Slip Lead 1st 4th Place Awards Each Class Mnday ONLY, 1st-4th Place Award: ESSFTA Medallin Duble Q (Master Only) Award: Duble Q Pin
Htels/RV (Dg Sprts at Kim s) Mtel 6 2431 Old Cuntry Inn Rd, Caseyville, IL 62232-618-397-8867 Super 8 Mtel 45 Ludwig Dr, Fairview Hts, IL 62208-618-398-8338 Drury Inn & Suites 12 Ludwig Dr, Fairview Hts, IL 62208-618-398-8530 LaQuinta Inn & Suites 136 Regency Park, O Falln, IL 62269-618-726-2323 Mtel 6 552 Ramada Blvd, Cllinsville, IL 62234-618-345-9500, 1-800-466-8356 Drury Inn 602 N Bluff Rd, Cllinsville, IL 62234-1-800-325-0720, 618-345-7700, 1-800-378-7946 Extended Stay Suites 6 Gateway Dr, Cllinsville, IL 62234-618-345-0800 Mst f the htels will assess a pet fee. Please check n dg acceptance plicies and pet fees when making yur reserva ns. Plicies d change. Please clean up a er yur dg and d nt leave dgs una ended in mtel rms. Htels/RV (Purina Farms) Hst Htel: Hliday Inn at Six Flags 4901 Six Flags Rd., Eureka, MO 63025-636-938-6661 Cmfrt Inn (5 Miles East) 1320 Thrntn St., Pacific, MO - 636-257-4600 Quality Inn (5 Miles East) 1400 West Osage St., Pacific, MO - 636-257-8400 Super 8 - Eurkea (10 Miles East) 1733 W 5th St., Eureka, MO Budget Ldging (13 Miles West) 866 S I-44 Outer Rd, St. Clair, MO - 636-629-1000 Mst f the htels will assess a pet fee. Please check n dg acceptance plicies and pet fees when making yur reserva ns. Plicies d change. Please clean up a er yur dg and d nt leave dgs una ended in mtel rms. RV Parking (On Site) Cst: $45/night (Full Hkups) Fr mre inf, please visit h ps://ess ana nal.cm/lca n/cmmercial-camping-rvrentals/rv-reserva ns/ RV Parking: *There is n RV parking at the Trial Site* Lcal RV Parks: Cahkia RV Parque 4060 Mississippi Ave, Cahkia, IL 62206-618-332-7700 h p://www.cahkiarvparque.cm St. Luis NE/Granite City KOA 3157 W Chain f Rcks Rd, Granite City, IL 62040-1-800-562-5861, 618-931-5160 Www.ka.cm/where/m/13107
Weave Ple Challenge The ESSFTA will be hlding a All Breed Weave Ple Challenge n Tuesday Evening, September 4th. Yu can enter the same dg mre than nce if yu chse t d s. Yu may als enter the day f the Challenge. Cst: $20/run (Pre-Entry), $25/run (Day f Shw) Prizes: 1st Place & Winner Ribbn and Cash Prize* 2nd Place Cash Prize* 3rd Place Cash Prize* 4th Place Cash Prize* *Cash Prize will be determined n the ttal amunt cllect minus any expenses incurred. Handler Name: Entry Frm Dg s Name:
Infrma n Fr Exhibitrs Obstacles: Obstacles will cnfrm t current requirements f the Regula ns fr Agility Trials. Warm-Ups: A warm-up area cnsis ng f a regula n agility jump will be prvided fr all exhibitrs. Ringside: Dgs are nt required t be at the trial un l the scheduled me f judging. All dgs nt needed fr further judging are excused. The wner/handler f each dg is slely respnsible fr having it ready at ringside when the class is t be judged. Please help yur fellw cmpe trs, the trial wrkers, and the judge by checking in with the gate steward well ahead f yur run, and being prmpt at the line when yur turn cmes t run. Dgs Eligible t Enter: As it states in the Regula ns fr Agility Trials, Chapter 1, Sec n 3, All dgs fi een (15) mnths f age r lder that are registered with the American Kennel Club r that have AKC Limited Registra n, Purebred Alterna ve Lis ng/indefinite Lis ng Privileges (PAL/ILP) r an AKC Canine Partners lis ng number, r apprved Funda n Stck Service (FSS) breeds are eligible t par cipate except bitches in heat, aggressive dgs, r dgs suffering frm any defrmity, injury, r illness which may affect the dg s physical r mental perfrmance. Dgs r register able breeds with accepted freign registra n numbers are eligible t par- cipate. Height Divisins: Owners are respnsible fr entering the prper height divisin. Regular Titling Classes: 8 Inches Fr Dgs 11 Inches and under at the withers. 12Inches Fr Dgs 14 Inches and under at the withers. 16 Inches Fr Dgs 18 Inches and under at the withers. 20 Inches Fr Dgs 22 Inches and under at the withers. 24 Inches Fr Dgs ver 22 Inches at the withers. 26 Inches May Be Entered at Owner s discre n. Preferred Titling Classes: 4 Inches Fr Dgs 11 Inches and under at the withers. 8 Inches Fr Dgs 14 Inches and under at the withers. 12Inches Fr Dgs 18 Inches and under at the withers. 16 Inches Fr Dgs 22 Inches and under at the withers. 20 Inches Fr Dgs ver 22 Inches at the withers. Infrma n Fr Exhibitrs Cnt. Prize and Awards: Ribbns will be awarded t the 1st thrugh 4th place dgs in each Standard and Jumpers with Weaves class. A green qualifying ribbn will be awarded t all dgs earning a qualifying scre. A MACH/PACH bar and Rse e will be awarded t each team earning MACH/PACH. The club reserves the right t subs tute prizes f equal r greater value. All awards and prizes must be clamed at the shw as nne will be mailed. Refunds: Entry fees fr bitches that cme int seasn and injured dgs a er the clsing date will be refunded with a veterinary nte presented t the trial secretary (minus $15.00 administra n fee per day). Request fr refunds must be made prir t the start f judging. N entry fees will be refunded if the trial cannt pen r be cmpleted by reasn f rits, civil disturbances, fire, an act f Gd, public emergency, r any ther cause beynd the cntrl f the rganizing cmmi ee. Entry fees shall nt be refunded in the event that a dg is absent, disqualified, excused by vet r judge, r barred frm cmpe n by ac n f the trial cmmi ee. Safety/Behavir: The safety f the dgs is ur primary cncern. By entering this trial, exhibitrs acknwledge that they are familiar with the rule and regula ns f this sprt, and that their dgs are familiar with and able t perfrm all bstacles safely. Exhibitrs shuld fllw their veterinarian s recmmenda n t assure their dgs are fee f internal and external parasites, any cmmunicable diseases, and have apprpriate vaccina ns. All dgs present must be n leash r cnfined t their crates except when being judged r when using the warm-up jump. Liability: It is expressly understd that exhibitrs alne are respnsible fr the behavir f their dgs and/r children. Any exhibitrs whse dgs and/r children create unnecessary disturbances r repeatedly engage in unsafe r disrup ve behavir may, at the discre n f the Trial Cmmi ee, be asked t leave the trial site. In such cases, n refund f any fees paid will be made. The ESSFTA and its agents, emplyees, ect. will nt assume respnsibility fr any lss, damage, r injury sustained by exhibitrs r handlers, r t any f their dgs r prperty, and further assume n respnsibility fr injury t children. Cra ng: N Ex-pens allwed. Crates may be le vernight; hwever ESSFTA, Dg Sprts at Kim s, and Purina Farms will nt be respnsible fr any lst r damaged items le at the shw site. Entry Fees: Exhibitrs must submit entries with checks drawn n US accunts r with interna nal mney rders payable in US funds.
OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM AKC Rules, Regulatins, Plicies and Guidelines are available n the American Kennel Club Web site, www.akc.rg AGREEMENT Entry Fees: Fri, Sat, Sun - $18/run Tues - $20 fr 1st and 2nd run, $17 fr any additinal run (Same Dg) Mail entry with fees payable t: ESSFTA t: Michael Teh, ESSFTA Event Secretary, PO Bx 130338, St. Paul, MN 55113 Date JWW FAST T2B Premier Premier JWW Friday Aug 31 Saturday Sept 1 Sunday Sept 2 Tuesday Sept 4 (Different Fees) IMPORTANT: CAREFULLY READ INSTRUCTIONS BEFORE FILLING OUT Circle ne jump height, and circle class selectins /Only ne selectin per class (, JWW, FAST, T2B) 8 12 16 20 24 24C Nv A Nv B Open Exc Master PRM Jump Ht JWW Nv A Nv B Open Exc Master PRM JWW NvP OpenP ExcP MasterP PRM P FAST Nv A Nv B Open Exc Master FAST NvP OpenP ExcP T2B T2B T2B T2BP Jump Ht 4 8 12 16 20 NvP OpenP ExcP MasterP PRM P - JWW MasterP 14 18 26 I (we) agree that the club hlding this event has the right t refuse this entry fr cause which the club shall deem sufficient. In cn sideratin f the acceptance f this entry and f the hlding f this event and f the pprtunity t have the dg judged and t win prizes, ribbns, r trphies, I (we) agree t hld the AKC, the event giving club, their members, directrs, gvernrs, fficers, agents, superin tendents r event secretary and the wner and/r lesser f the premises and any prvider f services that are necessary t hld this event and any emplyees r vlunteers f the afrementined parties, and any AKC apprved judge, judging at this event, harmless frm any claim fr lss r injury which may be alleged t have been caused directly r indirectly t any persn r thing by the act f this dg while in r abut the event premises r grunds r near any entrance theret, and I (we) persnally assume all respnsibility and liability fr any such claim; and I (we) further agree t hld the afrementined parties harmless frm any claim fr lss, injury r damage t this dg. Additinally, I (we) hereby assume the sle respnsibility fr and agree t indemnify, defend and save the afrementined par ties harmless frm any and all lss and expense (including legal fees) by reasn f the liability impsed by law upn any f the afremen tined parties fr damage because f bdily injuries, including death at any time resulting there frm, sustained by any persn r per sns, including myself (urselves), r n accunt f damage t prperty, arising ut f r in cnsequence f my (ur) participatin in this event, hwever such, injuries, death r prperty damage may be caused, and whether r nt the same may have been caused r may be alleged t have been caused by the negligence f the afrementined parties r any f their emplyees, agents, r any ther persn. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARIS ING 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, INTREPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN AR BITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBIRATION 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 pt t enter in a higher height divisin fr all Regular titling classes, but nt in a divisin lwer than their prper height divisin. Dgs entered in the Preferred classes must cmpete at the required jump height and may nt cmpete in a jump height divisin higher r lwer than their prper height divisin. All dgs that have nt been fficially measured fr an Agility Jump Height Card may still cmpete; hwever, they must be measured by a Judge f recrd, an Agility Field Representative, r a Vlunteer Measuring Official, prir t running. If measured by the Judge f recrd, that measurement will be valid fr this trial r back-t-back trials nly. If a measurement is necessary, it is the exhibitr's respnsibility t have their dg(s) measured prir t running. Dgs listed in the AKC Canine Partners SM prgram may be eligible t enter all breed AKC agility trials at the club s ptin. These dgs shuld be listed as All American Dg and must include their AKC number n the entry frm and check the AKC N. bx. Junir Handlers shuld enter their Junir Handler number n the frnt f this frm. Shuld yu nt have yur Junir Handler number, it may be btained frm the American Kennel Club (919) 233 9767. If the Junir Handler is nt the wner f the dg identified n the face f this frm, what is the relatinship f the Junir Handler t the Owner? I CERTIFY that I am the actual wner f the dg, r that I am the duly authrized agent f the actual wner whse name I have entered abve. In cnsideratin f the acceptance f this entry, I (we) agree t abide by the rules and regulatins f the American Kennel Club in effect at the time f this event, and by any additinal rules and regulatins appearing in the premium list fr this event, and further agree t be bund by the Agreement printed abve n this frm. I (we) certify and represent that the dg entered is nt a hazard t persns r ther dgs. This entry is submitted fr acceptance n the freging representatin and Agreement. I (we) agree t cnduct myself (urselves) in accrdance with all such Rules and Regulatins (including all prvisins applying t discipline) and t abide by any decisins made in accrd with them. SIGNATURE f wner r his agent duly authrized t make this entry X Telephne Number: Email Address: New Email. In Case f Emergency Name: Phne:
This Event is Accep ng Entries fr Dgs Listed in the AKC Canine Partners Prgram English Springer Spaniel Field Trial Asscia n A n: Michael Teh, Event Secretary PO Bx 130338 St. Paul, MN 55113 Premium - AKC English Springer Spaniel ONLY Agility Trial English Springer Spaniel Field Trial Asscia n Licensed by the American Kennel Club Mnday, September 3, 2018 /JWW/FAST (All Levels), Premier & JWW & T2B Event #2018166420 Event Address: Purina Farms 200 Checkerbard Dr. Gray Summit, MO 63039 Trial Infrma n: Trial Hurs: 9:00AM-6:00PM (All Days) Surface: Trials will be held indrs n Ar ficial Turf (90 X110 ) Judging Will Start: 10:00AM (All Days) Electrnic Timing will be used at these trials Entries will be chsen by: First Received Entries Open: Wednesday June 27, 2018 at 12:00PM At the Trial Secretary s Mailing Address On-Line Entries are NOT available Any Entries received befre this date/ me will be returned. Entries must waive signature requirements r they will be returned t sender. Final Clsing Date: Wednesday August 15, 2018 at 6:00PM Entry Limits: 330 runs available Judge: Karen Wldarski (#90984) - 2743 Old Oak Walk, Jhns Island, SC 29455 American Kennel Club Certificatin Permissin has been granted by the American Kennel Club fr the hlding f this event under American Kennel Club rules and regulatins. Gina DiNard, Secretary
Tunnel Challenge The ESSFTA will be hlding a Tunnel Challenge n Mnday Evening, September 3rd. Yu can enter the same dg mre than nce if yu chse t d s. Yu may als enter the day f the Challenge. Cst: $20/run (Pre-Entry), $25/run (Day f Shw) Prizes: 1st Place & Winner Ribbn and Cash Prize* 2nd Place Cash Prize* 3rd Place Cash Prize* 4th Place Cash Prize* *Cash Prize will be determined n the ttal amunt cllect minus any expenses incurred. Handler Name: Entry Frm Dg s Name:
OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM AKC Rules, Regulatins, Plicies and Guidelines are available n the American Kennel Club Web site, www.akc.rg AGREEMENT Entry Fees: $20 fr 1st and 2nd run $17 fr any additinal run (Same Dg) I (we) agree that the club hlding this event has the right t refuse this entry fr cause which the club shall deem sufficient. In cn sideratin f the acceptance f this entry and f the hlding f this event and f the pprtunity t have the dg judged and t win prizes, ribbns, r trphies, I (we) agree t hld the AKC, the event giving club, their members, directrs, gvernrs, fficers, agents, superin tendents r event secretary and the wner and/r lesser f the premises and any prvider f services that are necessary t hld this event and any emplyees r vlunteers f the afrementined parties, and any AKC apprved judge, judging at this event, harmless frm any claim fr lss r injury which may be alleged t have been caused directly r indirectly t any persn r thing by the act f this dg while in r abut the event premises r grunds r near any entrance theret, and I (we) persnally assume all respnsibility and liability fr any such claim; and I (we) further agree t hld the afrementined parties harmless frm any claim fr lss, injury r damage t this dg. Mail entry with fees payable t: ESSFTA t: Michael Teh, ESSFTA Event Secretary, PO Bx 130338, St. Paul, MN 55113 Date Mnday Sept 3 JWW FAST T2B Premier Premier JWW IMPORTANT: CAREFULLY READ INSTRUCTIONS BEFORE FILLING OUT Circle ne jump height, and circle class selectins /Only ne selectin per class (, JWW, FAST, T2B) I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARIS ING 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, INTREPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN AR BITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBIRATION 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 8 12 16 20 24 26 Nv A Nv B Open Exc Master PRM Jump Ht Jump Ht 4 8 12 16 20 NvP OpenP ExcP MasterP PRM P JWW Nv A Nv B Open Exc Master PRM JWW NvP OpenP ExcP MasterP PRM P FAST Nv A Nv B Open Exc Master FAST NvP OpenP ExcP MasterP T2B T2BP T2B T2B - Additinally, I (we) hereby assume the sle respnsibility fr and agree t indemnify, defend and save the afrementined par ties harmless frm any and all lss and expense (including legal fees) by reasn f the liability impsed by law upn any f the afremen tined parties fr damage because f bdily injuries, including death at any time resulting there frm, sustained by any persn r per sns, including myself (urselves), r n accunt f damage t prperty, arising ut f r in cnsequence f my (ur) participatin in this event, hwever such, injuries, death r prperty damage may be caused, and whether r nt the same may have been caused r may be alleged t have been caused by the negligence f the afrementined parties r any f their emplyees, agents, r any ther persn. JWW 14 18 26 Handlers may pt t enter in a higher height divisin fr all Regular titling classes, but nt in a divisin lwer than their prper height divisin. Dgs entered in the Preferred classes must cmpete at the required jump height and may nt cmpete in a jump height divisin higher r lwer than their prper height divisin. All dgs that have nt been fficially measured fr an Agility Jump Height Card may still cmpete; hwever, they must be measured by a Judge f recrd, an Agility Field Representative, r a Vlunteer Measuring Official, prir t running. If measured by the Judge f recrd, that measurement will be valid fr this trial r back-t-back trials nly. If a measurement is necessary, it is the exhibitr's respnsibility t have their dg(s) measured prir t running. Dgs listed in the AKC Canine Partners SM prgram may be eligible t enter all breed AKC agility trials at the club s ptin. These dgs shuld be listed as All American Dg and must include their AKC number n the entry frm and check the AKC N. bx. Junir Handlers shuld enter their Junir Handler number n the frnt f this frm. Shuld yu nt have yur Junir Handler number, it may be btained frm the American Kennel Club (919) 233 9767. If the Junir Handler is nt the wner f the dg identified n the face f this frm, what is the relatinship f the Junir Handler t the Owner? I CERTIFY that I am the actual wner f the dg, r that I am the duly authrized agent f the actual wner whse name I have entered abve. In cnsideratin f the acceptance f this entry, I (we) agree t abide by the rules and regulatins f the American Kennel Club in effect at the time f this event, and by any additinal rules and regulatins appearing in the premium list fr this event, and further agree t be bund by the Agreement printed abve n this frm. I (we) certify and represent that the dg entered is nt a hazard t persns r ther dgs. This entry is submitted fr acceptance n the freging representatin and Agreement. I (we) agree t cnduct myself (urselves) in accrdance with all such Rules and Regulatins (including all prvisins applying t discipline) and t abide by any decisins made in accrd with them. SIGNATURE f wner r his agent duly authrized t make this entry X Telephne Number: Email Address: New Email In Case f Emergency Name: Phne:.