Richmond Dog Obedience Club, Inc.

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Rachal Sager Trial Secretary 8391 Spring Set Lane Mechanicsville, VA 23116 RALLY EVENTS #2014017402, #2014017404, #2014017409, #2014017410 OBEDIENCE EVENTS #2014017403 #2014017405 Entries Close at Trial Secretary's Home at 11:00 PM EST, SATURDAY MAY 31, 2014, after which time entries cannot be accepted, cancelled, or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. This event is accepting entries for mixed breed dogs enrolled in the AKC Canine Partners program. COMBINED PREMIUM LISTS 86 th & 87 th ALL AKC BREEDS AND MIXED BREEDS OBEDIENCE TRIALS 14 th, 15 th, 16 th & 17 th ALL AKC BREEDS AND MIXED BREEDS RALLY TRIALS (Unbenched) Richmond Dog Obedience Club, Inc. American Kennel Club Licensed TWO OBEDIENCE & FOUR RALLY TRIALS! SATURDAY, JUNE 21, 2014 AND SUNDAY, JUNE 22, 2014 ALL TRIAL HOURS: 7:00 A.M. to 7:00 P.M. RICHMOND INTERNATIONAL AL RACEWAY COMPLEX 600 E. Laburnam Ave, Richmond, VA 23222 NOW IN HENRICO HALL WITH MORE CRATING SPACE! Don t miss the rest of the First Colony Cluster Virginia Kennel Club and Gloucester Kennel Club of VA same site, same weekend! PLUS Gloucester KC has Obedience & Rally Trials on Monday! ALL JUDGING WILL BE HELD INDOORS IN AIR CONDITIONING visit our website: www.rdoc.org THIS CLUB DOES NOT AGREE TO ARBITRATE CLAIMS AS SET FORTH ON THE OFFICIAL AKC ENTRY FORM FOR THESE EVENTS.

AMERICAN KENNEL CLUB CERTIFICATION Permission has been granted by the American Kennel Club for the holding of this event under American Kennel Club rules and regulations. James P. Crowley, Secretary Get Lowest Rates Here! ACCOMODATIONS Call 1-800-780-5733 and use discount code 252688 or go to Infodog.com/travel to get the lowest rate with a price match guarantee. Officers of the Richmond Dog Obedience Club, Inc. President..... Patti Kilcullen Vice-President...... Margaret McKee Treasurer............. Pat Speas Training Directors........ Theresa Myers, Ron Smith Recording Secretary...... Nancy Brown Corresponding Secretary..... S. R. White 2004 Tomlyn Street, Richmond, VA 23230-3332 Board of Directors Michael Gardner.. Duane Jeirles... Cristol Klevinsky.. Gene Yancey Show Committee Margaret R McKee, Trials Chairperson 2426 Sandy Hook Road, Goochland, VA 23063 (804) 556-3380 Idlewyld@earthlink.net Holiday Inn Express, Mechanicsville..(804) 559-0022 Hampton Inn, Mechanicsville (804) 559-0559 Holiday Inn Express, Sandston. (804)222-1499 Candlewood Suites Airport, Sandston..(804)652-1888 Microtel Inn and Suites, Sandston.(804)737-3322 The Clarion, Sandston.(804)359-9441 Comfort Inn Airport, Sandston.... (804)226-1800 Red Roof Inn, Sandston..(804)440-5770 Americas Best Value Inn, Glen Allen (804)553-8395 Best Western Inn Plus, Glen Allen... (804)266-3500 Candlewood Suites North, Glen Allen..(804)226-2240 ATTENTION This list is illustrative of the motels available in the area of the Trials. These establishments MAY have a pet fee. Please check with the motel concerning its policies regarding show dogs. Rachal McKee Sager, Trials Secretary 8391 Spring Set Lane, Mechanicsville, VA 23116 (804) 357-1875 Seaclaed@yahoo.com And Officers of the Club Committees Chief Ring Steward........ Diane Lenk Equipment & Grounds............ Richard Farrell Hospitality..... Susan Massart Safety Coordinator........... Margaret McKee Trophies...........Patti Kilcullen Emergency Veterinarian On Call Veterinary Emergency and Specialty Center 3312 West Cary Street Richmond, VA 23221 (804) 353-9000 Exhibitors should follow their veterinarians' recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations.

DIRECTIONS TO THE TRIAL SITE From the North: Travel I-95 to Exit 43 onto I-295 South. Follow I-295 to Exit 38-B-Meadowbridge Road. Travel Meadowbridge Road approximately five miles; the entrance will be on the left. From the South: Travel I-95 to Exit 45 onto I-295 North. Follow I-295 to Exit 38-B-Meadowbridge Road. Travel Meadowbridge Road approximately five miles; the entrance will be on the left. From the West: Travel I-64 East to Exit 177 onto I-295 South. Follow I-296 to Exit 38-B - Meadowbridge Road. Travel Meadowbridge Road approximately five miles; the entrance will be on the left. From the East: Travel I-64 West to Exit 200 onto I-295 North. Follow I-295 to Exit 38-B - Meadowbridge Road. Travel Meadowbridge Road approximately five miles; the entrance will be on the left. JUDGES All Regular and Optional Titling Obedience Classes Ms. Victoria A. Brown, 1514 Dog Kennel Rd, Halifax, NC 27839 Mr. James J. Ham, 3400 North Dr, St. Clair Shores, MI 48082 All Regular Rally Trial Classes Mr. David Brobst, 10214 Delray Rd, Glen Allen, VA 23222 Mrs. Joanie Brobst, 10214 Delray Rd, Glen Allen, VA 23222 JUDGE ASSIGNMENTS Saturday June 21, 2014 Sunday June 22, 2014 Novice Class A Mr. Ham Ms. Brown Novice Class B Ms. Brown Mr. Ham Open Class A Ms. Brown Mr. Ham Open Class B Mr. Ham Ms. Brown Utility Class A Mr. Ham Ms. Brown Utility Class B Ms. Brown Mr. Ham Beginning Novice A Mr. Ham Ms. Brown Beginning Novice B Mr. Ham Ms. Brown Graduate Novice Ms. Brown Mr. Ham Graduate Open Ms. Brown Mr. Ham AM Trial AM Trial Rally Novice A Mrs. Brobst Mrs. Brobst Rally Novice B Mrs. Brobst Mrs. Brobst Rally Advanced A Mrs. Brobst Mrs. Brobst Rally Advanced B Mrs. Brobst Mrs. Brobst Rally Excellent A Mrs. Brobst Mrs. Brobst Rally Excellent B Mrs. Brobst Mrs. Brobst PM Trial PM Trial Rally Novice A Mr. Brobst Mr. Brobst Rally Novice B Mr. Brobst Mr. Brobst Rally Advanced A Mr. Brobst Mr. Brobst Rally Advanced B Mr. Brobst Mr. Brobst Rally Excellent A Mr. Brobst Mr. Brobst Rally Excellent B Mr. Brobst Mr. Brobst RIBBON PRIZES Regular Classes Optional Titling Classes First Prize Blue Rosette First Prize Blue Rosette Second Prize Red Rosette Second Prize Red Rosette Third Prize Yellow Rosette Third Prize Yellow Rosette Fourth Prize White Rosette Fourth Prize White Rosette Highest Scoring Dog in Regular Classes Highest Combined Score in Regular Classes Highest Combined Score in Rally Classes Obedience Qualifying Score Rally Qualifying Score Blue & Gold Rosette Blue & Green Rosette Blue & Green Rosette Green Rosette Green Ribbon Obedience Qualifying Rosettes were donated in memory of CH. Ka-Ba Ezekiel s Rolling, CD CGC

RALLY TRIAL PRIZES ATTENTION EXHIBITORS Qualifying Score required for all prizes. Dog means either sex. Unless otherwise listed, all prizes are offered by Richmond Dog Obedience Club Saturday, June 21, 2014 Both AM and PM Trials Highest Combined Score in Excellent B and Advanced B - $50 Gift Card First through Fourth Place in each Class Stainless Steel Water Bowl Each Dog entered in Rally - RDOC Bandana Each Dog Completing an RAE Title - Rosette and a weave cone Sunday, June 22, 2014 Both AM and PM Trials Highest Combined Score in Excellent B and Advanced B - $50 Gift Card First through Fourth Place in each Class Dog Toy Each Dog entered in Rally - RDOC Water Bottle Each Dog Completing an RAE Title - Rosette and a weave cone OBEDIENCE TRIAL PRIZES Qualifying Score required for all prizes. Dog means either sex. Unless otherwise listed, all prizes are offered by Richmond Dog Obedience Club Saturday, June 21, 2014 Highest Scoring Dog in Regular Classes - $50 Gift Card Highest Combined Score in Open B and Utility B - $50 Gift Card Each Dog entered in Obedience - RDOC Water Bottle Each Dog Completing an OTCh Title - Rosette offered by Beth Goodbody Each Dog Completing a UDX Title - Rosette offered by Beth Goodbody Each Dog Completing a CDX Title - Rosette offered by Susan Massart Each Dog Completing any other title - Rosette First though Fourth Place in Regular classes - Acrylic Treat Canister First though Fourth Place in Beginning Novice classes - Stainless Steel Treat Canister First though Fourth Place in Graduate classes - Dog Toy Sunday, June 22, 2014 Highest Scoring Dog in Regular Classes - $50 Gift Card Highest Combined Score in Open B and Utility B - $50 Gift Card Each Dog entered in Obedience - RDOC Water Bottle Each Dog Completing an OTCh Title - Rosette offered by Beth Goodbody Each Dog Completing a UDX Title - Rosette offered by Beth Goodbody Each Dog Completing a CDX Title - Rosette offered by Susan Massart Each Dog Completing any other title - Rosette First First though Fourth Place in Regular classes - Small Cooler with club logo First though Fourth Place in Beginning Novice classes - Acrylic Treat Canister First though Fourth Place in Graduate classes - Stainless Steel Treat Canister RDOC Special Awards / Prizes Special awards are offered at all trials. A complete list of trophies and prizes may be downloaded from the RDOC website at: www.rdoc.org or by contacting the Trial Secretary for a mailed copy. The full list of trophies will be included in the Trials Catalog. All awards will be made at the trial. No trophies will be mailed. Awards not claimed at the time of presentation on the day of the trial will become the property of RDOC, Inc. PARKING: ** PLEASE NOTE: There is a fee for exhibitor parking set by the Cluster Committee. Each exhibitor will receive a daily parking pass to identify them as attending the RDOC trials, Please turn in your parking pass daily with the appropriate parking fee when you arrive, so your fee is credited to RDOC.** RV Camping is available with full hookups in close proximity to the show building. Please refer to the Virginia Kennel Club premium list (www.infodog.com) OR contact the Trial Secretary for more information. Parking is monitored by SITE CONTROL, Inc. THERE WILL BE NO SAVING OF SPACES! BUILDING: THIS IS A NON-SMOKING FACILITY. Exhibitors will not have access to the building until Friday 3:00pm. Clean up after your dogs there are ample trash cans. No Flexi-Leads are permitted in the building. No Strollers are permitted! The welfare of an exhibitor s child is assumed to be the responsibility of the exhibitor. It is distinctly understood that exhibitors will exercise control and restraint over their children on each day of the events. Children found running loose will be given a pound of candy and a kitty before being sent home. Rules will be enforced. Violators will be dealt with by Event Committee Hearing. Refunds for bitches that come into season after entries close will be processed by written request from the exhibitor and are subject to a $5 processing fee. Move-ups will be permitted. Rally Ring Dimensions are 70 x 30. Jump Order for all dogs will be judged from low to high jump height for each trial, beginning with dogs whose jump height is 4 inches. THE RICHMOND DOG OBEDIENCE CLUB, INC RESERVES THE RIGHT TO REMOVE ANY ANIMAL IN DISTRESS FROM A PARKED VEHICLE OR CRATE, AND ALL PERSONS AT- TENDING THESE EVENTS HEREBY WAIVE ANY CLAIM FOR DAMAGES AGAINST THE CLUB FOR SUCH REMOVAL. Entry Fees Entry Fee Includes $3.00 AKC Event Service Fee per Entry & $.50 AKC Recording Fee First Entry Only First Entry per TRIAL....$28 Additional Entry of Same Dog at the SAME TRIAL... $25 Please tabulate your entry fee payment carefully. The Obedience Trials are separate trials from the Rally Trials. The AM Rally Trial s and the PM Rally Trials are also separate events! ** Prepaid 2-day Catalogs are available for $3 when paid with your entries** Catalogs will be $5 the day of the show

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, EXHIBI- TION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHER- WISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTER- PRETATION 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 GUIDE- LINES. 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 certificate 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.) JUNIOR SHOWMANSHIP AKC JUNIOR HANDLER NUMBER If this entry is for Junior Showmanship, please give the following information: JR. S DATE OF 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) 816-3776. 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 If 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? OFFICIAL ENTRY FORM Richmond Dog Obedience Club, Inc. 86 h and 87 th Obedience Trials 14 th, 15 th, 16 th and 17 th Rally Trials Saturday June 21 and Sunday June 22, 2014 Entry fee for all classes is $28.00 (includes AKC fees) for the first entry, $25.00 for each additional entry of the same dog in the same trial. Entries close 11:00 p.m. Saturday, May 31, 2014 after which entries cannot be accepted, changed, cancelled, altered, or substituted except under Chapter 11, Section 6 of the Dog Show Rules. Make all checks payable to RDOC, Inc. ALL ENTRIES MUST include jump height, if applicable. Mail all entries with fees to: Rachal Sager, 8391 Spring Set Lane, Mechanicsville, VA 23116. Saturday Rally Trials Both Trials AM only PM only Catalog ($3 for all trials) Sunday Rally Trials Both Trials AM only PM only 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 VARIETY 1 SEX DOG SHOW 2 3 CLASS 3 CLASS DIVISION Weight, color, etc. ADDT L CLASSES OBEDIENCE CLASS (Jump Height) RALLY CLASS (Jump Height) JR. SHOWMNSHP CLASS NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG AKC REG NO. Enter number here AKC LITTER NO. ILP OR PAL NO. FOREIGN REG NO & COUNTRY BREEDER SIRE DAM JR. HANDLER NUMBER DATE OF PLACE OF USA Canada Foreign ACTUAL OWNER(S) (Please Print) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNER S AGENT (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. SIGNATURE of owner or his agent duly authorized to make this entry TELEPHONE# E-MAIL Address (An acknowledgment or receipt of entry may be sent to this e-mail address): AEN999

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 AC- TION, 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 PRE- MIUM 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), 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 certificate 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.) OFFICIAL ENTRY FORM Richmond Dog Obedience Club, Inc. 86 h and 87 th Obedience Trials 14 th, 15 th, 16 th and 17 th Rally Trials Saturday June 21 and Sunday June 22, 2014 Entry fee for all Classes is $28.00 (includes AKC fees) for the first entry, $25.00 for each additional entry of the same dog in the same trial. Entries close 11:00 p.m. Saturday, May 31, 2014 after which entries cannot be accepted, changed, cancelled, altered, or substituted except under Chapter 11, Section 6 of the Dog Show Rules. Make all checks payable to RDOC, Inc. ALL ENTRIES MUST include jump height, if applicable. Mail all entries with fees to: Rachal Sager, 8391 Spring Set Lane, Mechanicsville, VA 23116. Obedience Both days Saturday only Sunday only Catalog ($3 for all trials) 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 VARIETY 1 SEX DOG SHOW 2 3 CLASS 3 CLASS DIVISION Weight, color, etc. ADDT L CLASSES OBEDIENCE CLASS (Jump Height) RALLY CLASS (Jump Height) JR. SHOWMNSHP CLASS NAME OF (See Back) JUNIOR HANDLER (if any) FULL NAME OF DOG AKC REG NO. Enter number here AKC LITTER NO. ILP OR PAL NO. FOREIGN REG NO & COUNTRY BREEDER SIRE DAM JR. HANDLER NUMBER DATE OF PLACE OF USA Canada Foreign JUNIOR SHOWMANSHIP AKC JUNIOR HANDLER NUMBER If this entry is for Junior Showmanship, please give the following information: JR. S DATE OF 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) 816-3776. 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 If 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? ACTUAL OWNER(S) (Please Print) OWNER S ADDRESS CITY STATE ZIP NAME OF OWNER S AGENT (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. SIGNATURE of owner or his agent duly authorized to make this entry TELEPHONE# E-MAIL Address (An acknowledgment or receipt of entry may be sent to this e-mail address): AEN999 (7/06)