Licensed by The American Kennel Club

PREMIUM LIST Event Nos. Obedience: 2017132607, 2017132608 Rally: 2017132603, 2017132604 Entries close at 6:00 P.M. on Wednesday, April 12, 2017, or when numerical limits have been reached, if before this date, after which entries cannot be accepted, canceled, altered, or substituted except as provided for in Chapter 11, Section 6, of the Rules Applying to Dog Shows. Licensed by The American Kennel Club Back-to-Back All Breed Obedience Trials & Rally Trials Entries are open to All-American Dogs listed in the AKC Canine Partners Program Saturday & Sunday, April 29 & 30, 2017 Family Pet Obedience School, LLC Training Building 4890 Hammond Industrial Drive, Suite 100, Cumming, Georgia 30041 These Trials will be held indoors (unbenched). Rings are fully matted Show Hours: 7:30 AM 6:30 PM THIS CLUB DOES NOT AGREE TO ARBITRATE CLAIMS AS SET FORTH ON THE OFFICIAL AKC ENTRY FORM FOR THIS EVENT American Kennel Club 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

Dalmatian Club of Greater Atlanta President..Anita Tate Vice President. Joni Shoup Secretary/Treasurer. Sally Brock 714 Arnold Lane, Hiram, GA 30141 E-mail: sallyb803@yahoo.com Board Members Dan Bacon * Linda Scheller-Bradley DVM * Cindy Dyar Obedience Trial and Rally Trial Committee Trial Secretary.......Tammy Roberts Trial Chair.... Mary Jane Bergin Chief Ring Steward......Mary Jane Bergin Hospitality...... Cindy Dyar Trophies........ Tammy Roberts Publicity...Anita Tate Judges Connie Parrish...Gordon, GA Ted McCall...Fairfield, NC Assignments CLASS SATURDAY SUNDAY BEGINNER NOVICE A BEGINNER NOVICE B PREFERRED NOVICE NOVICE A NOVICE B GRADUATE NOVICE PREFERRED OPEN OPEN A OPEN B GRADUATE OPEN PREFERRED UTILITY UTILITY A UTILITY B VERSATILITY RALLY NOVICE A RALLY NOVICE B RALLY ADVANCED A RALLY ADVANCED B RALLY EXCELLENT A RALLY EXCELLENT B -2-

Entry Limits & Preference Obedience classes requiring a jump height will be arranged tall to small Saturday and Sunday. Rally classes requiring a jump height will be arranged small to tall Saturday and Sunday. Entry Fees Each Day Make checks payable to DCGA Obedience: 1st entry of each dog each day in regular classes or optional titling classes - $25/ 2nd entry of the same dog each day in regular classes or optional titling classes - $17. Rally: 1st entry of each dog each day - $25/2nd entry of the same dog each day - $17. (Note: AKC considers Obedience and Rally as separate events.) For both Obedience and Rally, please include jump height on entry form. If a dog is entered in both Obedience and Rally, you must pay the fee for the first entry of the dog in EACH trial, as they are separate events. Mail entries with fees payable to DCGA to Trial Secretary, Tammy Roberts, 4890 Hammond Industrial Drive, Suite 100, Cumming, GA 30041 Entries sent by overnight delivery must waive the requirement for a signature. Entries containing e-mail addresses will be acknowledged on receipt and will receive judging schedules by e-mail. EMERGENCY VETERINARIAN An-Emerge Animal Emergency Center 770-534-2911 275 Pearl Nix Pkwy Ste 3, Gainesville, GA Directions from Site to EMERGENCY VETERINARIAN 1. 2. 3. 4. Start out going south on Hammond Industrial Dr toward Browns Bridge Rd/GA-369. Turn left onto Browns Bridge Rd/GA-369. (14.5 mi) Turn left onto Pearl Nix Pkwy. (0.3 mi) An-Emerge Animal Emergency Center is on the right. 23 mins / 15.15 miles -3- (0.4 mi.)

NOTICE TO EXHIBITORS A RECORDING FEE of 50, and a $3.00 AKC Event Service Fee will be required for each dog entered at any Licensed or Member Club Show, Obedience Trial or Tracking Test. Agility will have a $3.00 AKC Recording Fee on first entry & $3.00 for each additional entry per dog. Rally Trial will have a $3.00 AKC Recording Fee on each entry of a dog. These Fees are to be collected by the Show-Giving Club and paid to the American Kennel Club. If a dog is entered in more than one class in the show, a $3.00 AKC Event Service Fee for each additional entry of the same dog in the regular and non-regular recordable single entry classes will be collected. IF, BECAUSE OF RIOTS, CIVIL DISTURBANCES, OR OTHER ACTS BEYOND THE CONTROL OF THE ORGANIZING COMMITTEE IT IS IMPOSSIBLE TO OPEN OR TO COMPLETE THIS SHOW, NO REFUND OF ENTRY FEE WILL BE MADE. THE WELL BEING OF THE DOGS, EXHIBITORS AND SPECTATORS IS OF PARAMOUNT IMPORTANCE, AND IN THE EVENT IT IS NECESSARY TO CANCEL OR STOP THE EVENT BEFORE COMPLETION, NO REFUND OF ENTRY FEE WILL BE MADE. ENTRY FEES shall not be refunded in the event that a dog is absent, disqualified, excused by Veterinarian or Judge or barred from competition by action of Trial Committee. We will make every effort to find duplicate entries, but if entry is processed, NO REFUND SHALL BE MADE. THE OWNER OR HANDLER of each dog is solely responsible for having it ready at ringside when its class is to be judged. The Show-Giving Club and Show Secretary has no obligation or responsibility for providing service through a public address system, or stewards or runners for the purpose of locating dogs that are not brought into the ring when required. ALL EXHIBITORS ARE RESPONSIBLE FOR CLEANING UP AFTER THEMSELVES AND THEIR DOGS! THIS INCLUDES WITHIN THE BUILDING AND SURROUNDING AREAS. Owners are responsible for accuracy of information on the entry forms. Changes, additions, or corrections to entry forms must be submitted in writing and received by the TRIAL SECRETARY Tammy Roberts 4890 Hammond Industrial Dr., Suite 100, Cumming, GA 30041 BEFORE 6:00 P.M., Wednesday, April 12, 2017. Entries will not be accepted without fees or signature. All checks and money orders must be made in US funds. * An entry will not be accepted that is not on an official AKC entry form that includes the agreement. Returned checks do not constitute a valid entry fee. The Event Secretary will add a $50.00 collection fee to the amount of each returned check. DALMATIAN CLUB OF GREATER ATLANTA, FAMILY PET OBEDIENCE SCHOOL, LLC, the Show Secretary, and volunteers, employees, etc., assume no responsibility for any loss, damage, or injury sustained by the exhibitors, handlers, or to any of their dogs or property, and further assume no responsibility for injury to children not under the control of their parents or guardians. Smoking is not permitted inside the building, outside please pick up and dispose of your cigarette butts. MOVE-UPS WILL BE PERMITTED AT THESE TRIALS. Move-ups will be allowed if requested in writing and presented to Trial Secretary at least 30 minutes prior to the start of each trial. Move-ups will be approved, provided the judge is available and the next level class has not reached its limit. PLEASE REMEMBER TO TURN OFF CELL PHONES AND/OR PAGERS BEFORE ENTERING RINGS. TRIAL HOURS: 7:30 A.M. 6:30 P.M. The building will be available to the exhibitors at 7:30 AM on Saturday, April 29, and Sunday, April 30. Chairs may remain in the building overnight. Dogs must be removed from the building within 30 minutes after completion of judging each day. Judging procedures may be modified to accommodate disabled handlers. Park in designated areas only. You will not be permitted to use more than one parking space per vehicle. Bring your own shade and chairs, space is limited. Sick dogs or bitches in season are not permitted on the show grounds. * No refunds will be given for bitches that come into season after entries close. Faxed entries will not be accepted. Members and Officers of the Dalmatian Club of Greater Atlanta may enter dogs at these trials. * Exhibitors should have proof of current rabies vaccination available. * No Food or Drink on matted surfaces. NO crating in the building. April temperatures should be cool enough to leave your dogs crated in your cars. SPACE IS LIMITED PLEASE DO NOT HOVER NEAR RING GATE UNLESS YOU ARE TOLD TO DO SO BY RING STEWARD. CHAIRS ARE PROVIDED FOR EXHIBITORS TO SIT IN WHEN NOT EXHIBITING. PLEASE KEEP YOUR DOG AT LEAST 2 FT AWAY FROM RINGS. -4-

Regular and Optional Titling Obedience Classes and Rally Classes First Prize....Blue Ribbon Second Prize...Red Ribbon Third Prize...Yellow Ribbon Fourth Prize.White Ribbon Qualifying Prize....Dark Green Ribbon Highest Scoring Dog in Regular Classes...Blue and Gold Rosette Highest Combined Score in Open B and Utility Blue and Green Rosette Highest Combined Score in Advanced B and Excellent B..Blue and Green Rosette Directions to the Trials Look for the ACE Hardware store on the north side of HWY 369. Hammond Industrial Drive is adjacent to the store. GA 400 North Take the GA 306 exit, EXIT 17, toward Gainesville (0.3 mi) Turn right onto Keith Bridge Rd/GA 306 (1.0 mi) Turn right onto Browns Bridge Rd/GA369 (0.6 mi) Take the first left onto Hammond Industrial Drive (0.4 mi) 4890 is on the right End at 4890 Hammond Industrial Drive, Suite 100, Cumming, GA 30041-3950 GA 400 South Turn left onto Browns Bridge Road/GA 369 (1.4 mi) Turn left onto Hammond Industrial Drive (0.4 mi) 4890 is on the right End at 4890 Hammond Industrial Drive, Suite 100, Cumming, GA 30041-3950 Canton GA 369 east (17.3 mi) Turn left onto Hammond Industrial Drive (0.4 mi) 4890 is on the right End at 4890 Hammond Industrial Drive, Suite 100, Cumming, GA 30041-3950 Gainesville GA 369 west (15.8 mi) Turn right onto Hammond Industrial Drive (0.4 mi) 4890 is on the right End at 4890 Hammond Industrial Drive, Suite 100, Cumming, GA 30041-3950 Nearby Motels/RV Park that Accept Dogs Twin Lakes RV Park 3300 Shore Drive Cumming, GA 30040 (770)887-4400 16 miles North Dolphin Village Inn 76 N Georgia Avenue Dawsonville, GA 30534 (706)216-4410 Pet fee $25/night Super 8 205 N 400 Center Lane Dawsonville, GA 30534 (706)216-6801 Small dogs only, under 10 lbs/pet fee $20/night Quality Inn 127 Beartooth Parkway Dawsonville, GA 30534 (706)216-1900 Pet fee $15 per pet/night 16 miles South LaQuinta Inn 1350 North Point Drive Alpharetta, GA (770)754-7800 No pet fee -5-

LUNCH OFFERINGS AT THE TRIALS Pre-Order Only SATURDAY: 3 SLICES OF LITTLE CEASARS PIZZA DRINK AND COOKIE $5.00 Please check how many slices of each you would prefer Cheese Pepperoni Supreme Supreme pizza: pepperoni, Italian sausage, mushroom, onion and green peppers, substitutions may not be made SUNDAY: PUBLIX DELI SANDWICHES DRINK, CHIPS AND COOKIE $6.00 Sandwiches include lettuce, tomato, provolone cheese, mayo and mustard Roast Beef on whole wheat Roast Beef on white Turkey on whole wheat Turkey on white Italian on whole wheat Italian on white (tavern ham, Genoa Salami, Capicola and provolone cheese) Name LUNCH IS PRE-ORDER ONLY PLEASE INCLUDE THIS PAGE WITH YOUR ENTRY AND ADD PAYMENT TO YOUR CHECK Entry fees Lunch Catalog -------------Total ADDITIONAL DRINKS AND COOKIES WILL BE AVAILABLE FOR PURCHASE -6-

Dalmatian Club of Greater Atlanta OBEDIENCE TRIAL PRIZES Both Days Prizes offered are for both days unless otherwise specified. Qualifying Score required for all prizes in Regular & Titling Classes. A Dark Green Qualifying Ribbon will be given to each dog attaining a Qualifying Score. PLEASE NOTE: We will not refund entry fees for bitches entered in Obedience that come in season after entries close. Move-ups will be allowed at this trial per AKC Regulations. FOR HIGHEST SCORING DOG IN REGULAR CLASSES ROSETTE Tote Offered by the Dalmatian Club of Greater Atlanta FOR HIGHEST COMBINED SCORE IN OPEN B & UTILITY CLASSES ROSETTE Tote Offered by the Dalmatian Club of Greater Atlanta FOR FIRST IN EACH CLASS Lunch Bag FOR SECOND IN EACH CLASS Dog toy FOR THIRD IN EACH CLASS Dog toy FOR FOURTH IN EACH CLASS Dog toy NEW TITLE ROSETTES -7-

RALLY TRIAL PRIZES Both Days Prizes offered are for both days unless otherwise specified. RALLY ENTRIES MUST INCLUDE DOG S JUMP HEIGHT Qualifying score required for all prizes. A Dark Green Qualifying Ribbon will be given to each dog attaining a Qualifying Score. PLEASE NOTE: We will not refund entry fees for bitches entered in Rally that come in season after entries close. Move-ups will be allowed at this trial per AKC Regulations. FOR HIGHEST COMBINED SCORE IN ADVANCED B AND EXCELLENT B CLASSES ROSETTE Tote Offered by the Dalmatian Club of Greater Atlanta FOR FIRST IN EACH CLASS Lunch Bag FOR SECOND IN EACH CLASS Dog toy FOR THIRD IN EACH CLASS Dog toy FOR FOURTH IN EACH CLASS Dog toy NEW TITLE ROSETTES -8-

AKC Code of Sportsmanship PREFACE: The sport of purebred dog competitive events dates prior to 1884, the year of AKC s birth. Shared values of those involved in the sport include principles of sportsmanship. They are practiced in all sectors of our sport: conformation, performance and companion. Many believe that these principles of sportsmanship are the prime reason why our sport has thrived for over one hundred years. With the belief that it is useful to periodically articulate the fundamentals of our sport, this code is presented. Sportsmen respect the history, traditions and integrity of the sport of purebred dogs. Sportsmen commit themselves to values of fair play, honesty, courtesy, and vigorous competition, as well as winning and losing with grace. Sportsmen refuse to compromise their commitment and obligation to the sport of purebred dogs by injecting personal advantage or consideration into their decisions or behavior. The sportsman judge judges only on the merits of the dogs and considers no other factors. The sportsman judge or exhibitor accepts constructive criticism. The sportsman exhibitor declines to enter or exhibit under a judge where it might reasonably appear that the judge s placements could be based on something other than the merits of the dogs. The sportsman exhibitor refuses to compromise the impartiality of a judge. The sportsman respects the AKC bylaws, rules, regulations and policies governing the sport of purebred dogs. Sportsmen find that vigorous competition and civility are not inconsistent and are able to appreciate the merit of their competition and the effort of competitors. Sportsmen welcome, encourage and support newcomers to the sport. Sportsmen will deal fairly with all those who trade with them. Sportsmen are willing to share honest and open appraisals of both the strengths and weaknesses of their breeding stock. Sportsmen spurn any opportunity to take personal advantage of positions offered or bestowed upon them. Sportsmen always consider as paramount the welfare of their dog. Sportsmen refuse to embarrass the sport, the American Kennel Club, or themselves while taking part in the sport. -9-

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM BOTH SIDES OF ENTRY MUST BE SUBMITTED Dalmatian Club of Greater Atlanta Obedience: 2017132607, 2017132608 Rally: 2017132603, 2017132604 FAMILY PET OBEDIENCE SCHOOL, LLC 4890 HAMMOND INDUSTRIAL DR.,SUITE 100 CUMMING, GA 30041 Please Check Date(s) Date: April29, 2017 April 30, 2017 I ENCLOSE $ FOR ENTRY FEES See page 3 for entry fees CATALOG $3.00 ENTRIES CLOSE 6:00 PM WEDNESDAY April 12, 2017 TRIAL SECRETARY ADDRESS. MAIL ENTRIES WITH FEES PAYABLE TO DCGA: Tammy Roberts 4890 Hammond Industrial DR., Suite 100, Cumming, GA 30534 IMPORTANT Read Instructions on reverse side carefully before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT). Next, be sure to read the Agreement and sign on the reverse. No form will be processed without your signature! BREED DOG (2)(3) SHOW CLASS ADDITIONAL CLASSES VARIETY SEX OBEDIENCE CLASS CLASS (3) DIVISION Weight, Color, Etc. RALLY CLASS Jump Height Jump Height NAME OF (See Back) JUNIOR HANDLER (if any) JR. SHOWMANSHIP CLASS JR. HANDLER AKC# FULL NAME OF DOG Enter number here AKC REG. NO. PAL NO. FOREIGN REG. NO. & COUNTRY PLACE OF BIRTH (ENTER COUNTRY BELOW) DO NOT PRINT COUNTRY IN CATALOG DATE OF BIRTH BREEDER SIRE DAM ACTUAL OWNER(S) [4] OWNER S ADDRESS CITY STATE ZIP TELEPHONE NUMBER ARE YOU A NEW EXHIBITOR? YES NO OWNER/HANDLER ELIGIBLE? YES NO EMAIL ADDRESS (AN ACKNOWLEDGEMENT OR RECEIPT OF ENTRY MAY BE SENT TO THIS EMAIL ADDRESS) NAME OF AGENT AT THE SHOW (IF ANY) ***BE SURE TO READ THE AGREEMENT AND SIGN ON THE REVERSE. NO FORMS WILL BE PROCESSED WITHOUT YOUR SIGNATURE!*** -10-

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: 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 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 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. Signature of owner or his agent duly authorized to make this entry: TELEPHONE EMAIL ************************************************************************************************************************************************************************************************ 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), Collies (rough, smooth), 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). 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 owners 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 certifi cate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to the AKC. (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 "MIXED BREED." Variety, Breeder, Sire, Dam information shall remain blank for mixed breed entrants ********************************************************************************************************************************************************************** JUNIOR SHOWMANSHIP If this entry is for Junior Showmanship, please give the following information: AKC JR. HANDLER # JR s DATE OF BIRTH The Junior Handler number MUST be included. Should you not have a Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) 2339767. JUNIOR HANDLER'S ADDRESS CITY STATE ZIP COUNTRY (IF NOT USA) By signing the entry form I (we) certify that the Junior Showmanship does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. If this Junior 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? -11-

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM _ BOTH SIDES OF ENTRY MUST BE SUBMITTED Dalmatian Club of Greater Atlanta Obedience: 2017132607, 2017132608 Rally: 2017132603, 2017132604 FAMILY PET OBEDIENCE SCHOOL, LLC 4890 HAMMOND INDUSTRIAL DR.,SUITE 100 CUMMING, GA 30041 Please Check Date(s) Date: April 29, 2017 April 30, 2017 I ENCLOSE $ FOR ENTRY FEES See page 3 for entry fees CATALOG $3.00 ENTRIES CLOSE 6:00 PM WEDNESDAY April 12, 2017 TRIAL SECRETARY ADDRESS. MAIL ENTRIES WITH FEES PAYABLE TO DCGA: Tammy Roberts 4890 Hammond Industrial DR., Suite 100, Cumming, GA30041 IMPORTANT Read Instructions on reverse side carefully before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT). Next, be sure to read the Agreement and sign on the reverse. No form will be processed without your signature! BREED DOG (2)(3) SHOW CLASS ADDITIONAL CLASSES VARIETY SEX OBEDIENCE CLASS CLASS (3) DIVISION Weight, Color, Etc. RALLY CLASS Jump Height Jump Height NAME OF (See Back) JUNIOR HANDLER (if any) JR. SHOWMANSHIP CLASS JR. HANDLER AKC# FULL NAME OF DOG Enter number here AKC REG. NO. PAL NO. FOREIGN REG. NO. & COUNTRY PLACE OF BIRTH (ENTER COUNTRY BELOW) DO NOT PRINT COUNTRY IN CATALOG DATE OF BIRTH BREEDER SIRE DAM ACTUAL OWNER(S) [4] OWNER S ADDRESS CITY STATE ZIP TELEPHONE NUMBER ARE YOU A NEW EXHIBITOR? YES NO OWNER/HANDLER ELIGIBLE? YES NO EMAIL ADDRESS (AN ACKNOWLEDGEMENT OR RECEIPT OF ENTRY MAY BE SENT TO THIS EMAIL ADDRESS) NAME OF AGENT AT THE SHOW (IF ANY) ***BE SURE TO READ THE AGREEMENT AND SIGN ON THE REVERSE. NO FORMS WILL BE PROCESSED WITHOUT YOUR SIGNATURE!*** -12-

THESE TRIALS ARE SPONSORED BY Dalmatian Club of Greater Atlanta Facility Is Air Conditioned. Classes are offered in All Levels of Obedience, Rally, Nose Work, Barn Hunt, Agility, and Conformation Handling. Facility is available for rent for trials, meetings, and seminars. -14-