Libby Myers-Buhite, NCBCF Trial Secretary 1064 Pomeroy Avenue Santa Clara, CA 95051 Premium List Northern California Bearded Collie Fanciers (A.K.C. Licensed) 5th Bearded Collie Regional AKC Agility Trial Open to Bearded Collies only Thursday, April 21, 2005 Dixon May Fairgrounds 655 South First Street, Dixon, CA 95620 Trial Secretary Libby Myers-Buhite (408) 244-7762 -- SkyeCaper@aol.com Judge for all Standard and Jumpers titling classes Pam Richcreek Judging begins a suitable time after Rally Obedience Not before 11:00 am, on a grass surface Entry Fees: $30/$10-first/second agility entry, includes $3 AKC recording fee Entries close on Wednesday, April 6, 2005 at 6:00 pm Bearded Collies only - unlimited entry Entries may not be accepted or canceled after the closing date. No telephone, fax or e-mail entries will be accepted. Permission has been granted by the American Kennel Club for the holding of this event under American Kennel Club Rules and Regulations. Event # 2005426402 -- James P. Crowley, Secretary.
Northern California Bearded Collie Fanciers Licensed by the American Kennel Club This Trial is governed by American Kennel Club Rules and Regulations Dixon May Fairgrounds, Dixon Officers President: Sharon Prassa 48 36th Way, Sacramento, CA 95819 Vice President: Rosanne Hunt 77 Garland Street, Oakland, CA 94611 Recording Secretary: Mary Edner 8100 Hazel Avenue, Orangevale, CA 95662 Corresponding Secretary: Barbara Claxton P.O. Box 697, Sausalito, CA 94966 Treasurer: Jack Buhite Board of Directors John Wilkins and Pam Harris Agility Trial Committee Chair Person: Jack Buhite 408-244-7762/ jack.buhite@lmco.com Secretary: Libby Myers-Buhite 408-244-7762/SkyeCaper@aol.com Committee: Sharon Prassa, Tammy Domico, Jana Dozet, and Pam Harris Committees Chief Ring Steward: Jana Dozet Chief Course Builders: Tammy and Chris Domico and Jack Buhite Score Table and Awards: Libby Myers-Buhite Veterinarian On Call Veterinary Medical Teaching Hospital University of California Davis One Shields Avenue, Davis, CA (530) 752-1393 Judge For All Classes Pam Richcreek 45 Date Palm Drive, Sparks, NV 89436 pamrichcreek@earthlink.net 655 South First Street From Sacramento or Davis: Take I-80 west to SR 113 South (First Street) toward Dixon. Be alert for Hall Park. The Fairgrounds are a few blocks beyond on your left. From Bay Area or Vallejo: Take I-80 east to the Dixon Ave/A Street exit. Go right on A Street. Turn right on First Street. Be alert for Hall Park. The Fairgrounds are a few blocks beyond on your left. -2- -11-
Accommodations in Dixon Best Western of Dixon (Show Motel)- 707-678-1400 1345 Commercial Way (I-80 at Pitt School Road), Dixon, CA 95620 Super 8-707-678-3399 2500 Plaza Court (I-80 at Dixon Avenue), Dixon, CA 95620 For further accomodations see the NCBCF Website at www.ncbcf.org Or the Chief Solano Catalog from MB-F Inc. SUPT: mbf@infodog.com Trial Site The site is a public fairgrounds. The rings are outdoors on grass and measure 110 by 110 feet. Bring your own shade and chairs, if possible. Can You Help? It takes a lot of people to put on an agility trial. If you can help with even one class, your fellow exhibitors will appreciate it. Pick a job that suits you and mail this form back with your entry. Name: Phone: E-mail Type of work I would prefer: Volunteer Form Timer Person who uses stopwatch to time each dog (must be experienced) Scribe Person who watches judge and marks faults (must be experienced) Gate Steward Person who makes sure all dogs are ready to start Ring Steward Person who resets knocked bars and adjusts bar heights Course Builder Person who helps build courses Runner Person who takes score sheet from scribe to score table Leash Runner Person who takes leashes from start line to finish line Score Table Person who records and posts scores (must be experienced) Notice to Exhibitors This event is open to all AKC registered Bearded Collies 12 months of age or older that are registered with the American Kennel Club or that have obtained AKC ILP numbers, except bitches in season, aggressive dogs, or dogs suffering from any deformity, injury or illness which may affect the dog's physical or mental performance. Exhibitors are responsible for complete, accurate, and legible information on their entry forms. Illegible or incomplete entries cannot be entered in the trial. Running order will be determined by a random draw. Handlers with more than one dog in a class will have those dogs separated as much as possible. If a dog and/or handler are dismissed, regardless of the reason, there will be NO refund of entry fees. Entry fees will not be refunded in the event that a dog is absent, disqualified, excused or bar No entry fee will be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, an act of God, public emergency, act of a public enemy, or any other cause beyond the control of the organizing committee. Full refunds will be given for bitches in season or injury to dog or handler before the closing date. After the closing date a 50% refund for bitches in season or injuries will be given, provided that the request is made to the Trial Secretary not later than the move-up date, Monday, April 18 at noon. 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 trial site. In such case, no refund of any fees paid will be made. All dogs must be on leash at all times except when in the ring or when in the designated agility warm-up area. Exhibitors are responsible for being at the ring gate when it is their turn to run. Proper footwear must be worn by exhibitors while competing. Exhibitors will not be allowed to compete in bare feet. Any dog whose hair over its eyes interferes with its vision, or whose hair on its ears interferes with the safe performance of the obstacles, may have the hair tied back with rubber bands. Please be courteous and pick up after your dog. A pooper scooper will be available. There is also a designated area for your dogs to relieve themselves. Dogs under six months of age are prohibited at AKC Trials. Exhibitors should follow their veterinarian's recommendations to assure their dogs are free of internal and external parasites, and communicable diseases and have appropriate vaccinations. Rabies vaccine is required in the State of California. Catalogs will be available to participants. Handlers in all classes are permitted to walk the course, without a dog, prior to the start of a class. No Novice obstacle familiarizaton will be offered at this event. A warm-up jump will be provided. 10- -3-
Highs in Trial - 2004 High in Trial Standard - Jana Dozet and Star - Spindrift Catch A Risa Star, AX, MXJ, PT High in Trial JWW - Jack Buhite and Caper - Ch Skyedance Lord A-Leaping, AX, MXJ, PT, VX Highs in Trial - 2003 High in Trial Standard - Sarah Halsey and Wizard - MACH2 Anasazi Secret of the Wizard High in Trial JWW - Sarah Halsey and Wizard - MACH2 Anasazi Secret of the Wizard Highs in Trial - 2002 High in Trial Standard - Sharon Baker and Pearl - Ch Gemstone Pearl of a Girl, OA, NAJ High in Trial JWW - Sarah Halsey and Wizard - MACH Anasazi Secret of the Wizard Highs in Trial - 2001 High in Trial Standard - Tammy Domico and Sparkee - Alashaw Place Your Bets High in Trial JWW - Jack Buhite and Caper - Ch Skyedance Lord A-Leaping, OA, AXJ, PT, VX Qualifiers - 2004 Excellent B Standard 20" 1st: Patricia Coreris and Chipper - Ch Spindrift William Rikker, MX, MXJ, PT, CD, VX Excellent B Standard 24" 1st: Sarah Halsey and Impy - Malakar Delightfully Wicked, MX, MXJ Excellent A Standard 20" 1st: Jana Dozet and Star - Spindrift Catch A Risa Star, AX, MXJ, PT Open Standard 20" 1st: Barbara Claxton and BlueBerry - Headlines Rhapsody in Blue, OA, NAJ, HIAs 2nd: Kathy Pavlich and Gina - Ch Chantilly's Virginia Woof, OA, OAJ, PT Novice B Standard 20" 1st: Mary Lott and Brodie - Dunnachie's Make 'Em Reel PT Novice A Standard 20" 1st: Pam Kerwin and Bogart - Ch Aellen Casablanca, NA, NAJ, HT Open P Standard 16" 1st: Tammy Domico and Viva - Alashaw Viva Las Vegas, AX, AXJ Novice P Standard 16" 1st: Mary Edner and Trouble - Ch Sweet Romance of Lonetree, AX, OAJ, PT, VX Videography - Agility In Motion Silvina and Fernando Bruera Website: www.agilityinmotion.com/ E-mail: info@agilityinmotion.com We enjoyed having Silvina and Fernando videotape our NCBCF Agility Trial in 2004 and look forward to having them back again on April 21, 2005. The options Agility In Motion will offer at the show are: Option 1: Individual = $35, includes shipping and handling -Individual Personalized tape (label with name of dog and handler) including video of the Standard and JWW of the individual dog. -The same runs again in slow motion. -Performance Analysis: Comparative Chart of Times per Segment of Standard run (includes all the dogs that ask for this package in the same Standard class). "I think this will be interesting for competitors because the comparison between the same breed is even more real and useful." - Silvina To see examples go to: http://www.agilityinmotion.com/ftimes.html If you would like to order Option 1, please fill in the form below and include a check for $35 made out to Agility In Motion along with your agility entry. Silvina can add your runs to last year's tape, if you wish. Handler and Beardie: Address: Phone: E-mail Video Order Form Option 2: Tape with all the Standard and JWW runs of the trial = $25 -Tape including ALL the runs (Standard and JWW). -1st and 2nd places in the Excellent Classes will be in the side-by-side comparisons. Option 2 - available for purchase through: www.agilityinmotion.com Tien Tran Photography Tien Tran and Chris Wynn - tientranphoto@att.net Tien and Chris need no introduction since they photographed for us the last two years and are famous throughout the country for the quality of their work. They have been the official photographers for several national events. Excellent B JWW 20" 1st: Jack Buhite and Caper - Ch Skyedance Lord A-Leaping, AX, MXJ, PT, VX 2nd: Patti Bott and Spice - Spindrift Risa Hot Stuff, MX, MXJ 3rd: Sarah Halsey and Wizard - MACH4 Anasazi Secret of the Wizard 4th: Jana Dozet and Star - Spindrift Catch A Risa Star, AX, MXJ, PT Patricia Coreris and Chipper - Ch Spindrift William Rikker, MX, MXJ, PT, CD, VX Mary Lott and Harper - Pentangles Crystal Harper, AX, OAJ, HSAs, CD, VX Nov A JWW 20" 1st: Pam Kerwin and Bogart - Ch Aellen Casablanca, NA, NAJ, HT Nov P JWW 16" 1st: Mary Edner and Trouble - Ch Sweet Romance of Lonetree, AX, OAJ, PT, VX -4- -9-
Hospitality Coffee and donuts will be available in the morning during the Obedience Trial. For Friday dinner reservations at Cattlemans with our Specialty Judges, please consult the Conformation premium list and send your reservations to Barbara Claxton. AGILITY LUNCH ORDER FORM Order your lunch in advance and have it delivered at lunchtime on agility day. Water and soft drinks will be provided. Name: Phone: E-mail TURKEY CLUB SANDWICH $ 6 Includes crisp bacon, red onion, lettuce, tomatoes and creamy ranch sauce, served on fresh-baked bread with Lay's potato chips. PIZZA PERSONAL $ 7 SMALL $12 Choose from: All Meat Marvel (sausage, pepperoni, salami & linguica) Supreme (above plus green peppers, onions & olives) Vegetarian (all vegetable with roma tomatoes & cheese) Thin Crust Pan Crust Please make lunch checks out to NCBCF and mail, along with your order, to: Barbara Claxton P.O. Box 697 Sausalito, CA 94966-8- Awards 2005 Green Ribbons will be awarded to all Bearded Collies with qualifying scores. Rosettes will be awarded for 1st - 4th place in each jump height class to Beardies with qualifying scores. A framed Beardie print by Chet Jezierski will be offered for each qualifying first place. A High in Trial Rosette and a slate Beardie tile will be awarded both for the Standard and JWW classes. Each exhibitor will receive a participant gift. High in Trial Standard Gift: Jana Dozet and Star High in Trial Standard Rosette: Jana Dozet and Star High in Trial JWW Gift: Jack and Libby Myers-Buhite and Caper, in memory of Irwin Richland High in Trial JWW Rosette: Jack and Libby Myers-Buhite and Caper, Caprice, and Carli Regular Classes First Place Trophies: Standard 20" Novice A - Pam Kerwin and Bogie Standard 20" Novice B - Ch Dunnachie's Make 'Em Reel PT, owned by Mary Lott and Kathleen Harold Standard 20" Open - Barbara Claxton and BlueBerry Standard 20" Ex A - Jana Dozet, in honor of Star's great grandma Tessa, CH Glengarry's Twilight Fancy CD, PT Standard 20" Excellent B - Patricia Coreris and Chipper Standard 24" Excellent B - Doug and Sarah Halsey and Impy JWW 20" Novice A - Pam Kerwin and Bogie JWW 20" Novice B - Spindrift Beardies, Pam Harris JWW 20" Open - Tammy and Chris Domico, Sparkee and Viva, Touchdown Agility JWW 20" Excellent A - Sharon and Joe Prassa, in honor of Annie JWW 20" Excellent B - Jack and Libby Myers-Buhite, in honor of Skye, CH Melita Skyedance, MX, MXJ, PT, VX JWW 24" Excellent B - Doug and Sarah Halsey and Wizard Preferred Classes First Place Trophies: Standard 16" Novice - Mary Edner and Trouble - Lonetree Beardies Standard 16" Open - Beth White and Viva Standard 16" Excellent A - Spindrift Beardies, Pam Harris Standard 16" Excellent B - Elaine Robinson and Rachel JWW 16" Novice - Mary Edner and Trouble - Lonetree Beardies JWW 16" Open - Sharon Baker, in honor of Jazzbo and Luna JWW 16" Excellent A - Rosanne Hunt and Zoe Latte JWW 16" Excellent B - Patti Bott and Spice Participant gifts: Leslie Higgins-Greenberg in honor of Tory Doris and Charlie Banfield and Lorna -5-
Regular Classes Novice Agility and Novice JWW Classes: The Novice Agility Class and the Novice JWW Class are divided into Divisions A and B. Division A is for dogs that have never acquired an AKC Agility title. Additionally, a dog entered in Novice A must be handled by a person that has never put an AKC Agility title on any dog, and the handler must be the Owner, Co-owner, or a member of the Owner s household. Handlers, that co-own a dog and have never put an AKC Agility title on a dog may enter the Novice A Class regardless of the other Coowner s AKC Agility accomplishments. Dogs eligible for Novice A may be entered in the Novice B Class at the discretion of the owner. Division B is for dogs that have acquired the NA or the NAJ title, or for persons who have handled a dog to any AKC Agility title and for dogs being handled by someone other than the Owner, Co-Owner, or household member subject to the restrictions listed above. A dog may continue to be shown in the Novice B Class until they have acquired a qualifying score towards their Open title. Open Agility Class: Open to dogs that have acquired the NA or OA titles but which have not acquired a qualifying score toward their AX. Open JWW Class: Open to dogs that have acquired the NAJ or OAJ titles but which have not acquired a qualifying score toward their AXJ. Excellent A Agility Class: Open to dogs that have acquired the OA or AX titles but which have not acquired a qualifying score toward their MX. Excellent A JWW Class: Open to dogs that have acquired the OAJ or AXJ titles but which have not acquired a qualifying score toward their MXJ. Excellent B Agility Class: Open to dogs that have acquired the AX or MX titles. Excellent B JWW Class: Open to dogs that have acquired the AXJ or MXJ titles. Preferred Classes The owner may choose to enter the Preferred Agility Classes in lieu of the Regular Agility Classes at any set of trials. All dogs entering the Preferred Classes for the first time MUST enter the Novice level in both the Preferred Standard and Preferred JWW Classes regardless of their previous title level in the Regular Classes. The Jump Height in Preferred is 4" lower than in Regular. Novice Classes: The Novice Classes are NOT divided into A and B. Open Agility Class: Open to dogs that have acquired the NAP or OAP titles but which have not acquired a qualifying score toward their AXP. Open JWW Class: Open to dogs that have acquired the NJP or OJP titles but which have not acquired a qualifying score toward their AJP. Excellent A Agility Class: Open to dogs that have acquired the OAP or AXP titles but which have not acquired a qualifying score toward their MXP. Excellent B Agility Class: Open to dogs that have acquired the AXP or MXP titles. Excellent A JWW Class: Open to dogs that have acquired the OJP or AJP titles but which have not acquired a qualifying score toward their MJP. Excellent B JWW Class: Open to dogs that have acquired the AJP or MJP titles. Height Classes Regular Classes Dog's Actual Height Preferred Classes 16" 18' and under at the withers 12" 20" 22" and under at the withers 16" 24" Over 22" at the withers 20" Jump Height Cards Please enclose a photocopy of your Official AKC Jump Height Card with your entry form. For dogs two years and older, Owners/Handlers must send a photocopy of a permanent height card or be measured prior to competing. For dogs under two years of age, Owners/Handlers must send a photocopy of a temporary height card or be measured prior to competing. Move-Up Regulations Dogs may be moved up to a higher class at the request of the owner as a result of qualifying for an agility title, provided that the request is received in writing by the Trial Secretary, no later than noon on April 18, 2005, the Monday preceding the trial. E-mail requests will be accepted. If I hear from you by Monday, April 11, 2005, your move-up will be entered in the large show catalog. Later move-ups will be entered in the small agility only catalog and the running orders. All move-up requests will be acknowledged. If for any reason you don't hear from me by Tuesday, April 19, please call me at 408-244-7762. Registered Name of Beardie: Call name of Beardie: AKC Number: Class moving from: Class moving to: Name of owner: Move-Up Form Either send this form or be sure that all of this information is included in an e-mail to me at SkyeCaper@aol.com Libby Myers-Buhite, Trial Secretary -6- -7-
Single copies of the latest editions of the "Rules Applying to Dog Shows" and Obedience Regulations and Regulations for Agility Trials may be obtained WITHOUT CHARGE from THE AMERICAN KENNEL CLUB, 5580 Centerview Drive, Raleigh, NC 27606-3390. AGREEMENT I (we) acknowledge that the Rules Applying to Dog Shows and the Regulations for Agility Trials have been made available to me (us), and that I am (we are) familiar with their contents. I (we) waive any and all claims and cause of action that I (we) might otherwise have against the AKC and any AKC approved judge judging at this trial, under AKC rules, regulations, and guidelines. I (we) agree that the club holding this agility trial has the right to refuse this entry for causes which the club shall deem to be sufficient. In consideration of the acceptance of this entry and of the holding of the Agility Trial and of the opportunity to have the dog judged and to win prize money, ribbons or trophies, I (we) agree to hold this club, its members, directors, governors, officers, agents, superintendents or trial secretary and the owner or lessor of the premises and any employees of the aforementioned parties 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 upon the agility trial premises or grounds or near any entrance thereto, and I (we) further agree to hold the aforementioned parties harmless for any claim for loss of this dog by disappearance, theft, death, or otherwise, and for any claim for damage or injury to the dog, whether such loss, disappearance, theft, damage or injury be caused or alleged to be caused by the negligence of the club or any of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I (we) hereby assume the sole responsibility for and agree to indemnify 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, including myself (ourselves) or on account of damage to property, arising out of or in consequence of my (our) participation in this agility trial, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or may be alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons. BREED Official American Kennel Club Entry Form for Agility Trial The Northern California Bearded Collie Fanciers Thursday, 21 April 2005 Dixon May Fairgrounds, 655 South First Street, Dixon, CA 95620 Bearded Collies only - unlimited entry Closing date: Wednesday, 6 April 2005 at 6:00 pm Entry Fees: $30.00/$10.00 - first/second agility entry for each Bearded Collie Includes $3.00 AKC recording fee Make checks payable to NCBCF Mail Entries to Libby Myers-Buhite, Trial Secretary REMEMBER TO SEND A PHOTOCOPY OF YOUR "OFFICIAL AKC JUMP HEIGHT CARD," IF YOU HAVE ONE, and a copy of the "AGREEMENT" with your ENTRY FORM Overnight and Express mail entries MUST specify NO SIGNATURE REQUIRED. IMPORTANT: Read instructions on reverse side before filling out. Bearded Collie STANDARD AGILITY CLASS (Circle 1) NOV A NOV B OPEN EX A EX B PREFERRED AGILITY CLASS (Circle 1) SEX HEIGHT AT WITHERS JUMPERS WITH WEAVES CLASS (Circle 1) JUMP HEIGHT (Circle 1) NOV A NOV B OPEN EX A EX B JUMPERS WITH WEAVES CLASS (Circle 1) 8 12 16 20 24 JUMP HEIGHT (Circle 1) NOVICE OPEN EX A EX B NOVICE OPEN EX A EX B 4 8 12 16 20 AKC REGISTERED NAME (AKC TITLES ONLY) CALL NAME INSTRUCTIONS (Actual Owners) A dog must be entered in the name of the person who actually owned it at the time entries for a show 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 show for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating the dog is recorded in his name. State on entry form whether transfer application has been mailed to A.K.C. (For complete rules, refer to Chapter 11, Section 3). JUNIOR HANDLERS By signing the entry form we certify that the Junior Handler does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in the Junior Showmanship program. ( ) AKC REG # DATE OF BIRTH ( ) AKC LITTER # ( ) ILP # ( ) FOREIGN REG # AND COUNTRY PLACE OF BIRTH ( ) USA ( ) CANADA ( ) FOREIGN BREEDER SIRE DAM ACTUAL OWNERS AKC JR HANDLER # NAME OF JUNIOR HANDLER JR S DATE OF BIRTH OWNERS ADDRESS CITY STATE ZIP ADDRESS CITY STATE ZIP E-MAIL ADDRESS HANDLER PHONE NUMBER ( ) FEE ENCLOSED $ 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? 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 agility trial and by any additional rules and regulations appearing in the premium list for this agility trial, 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. SIGNATURE OF OWNER OR AGENT DULY AUTHORIZED TO MAKE THIS ENTRY PARENT OR GUARDIAN SIGNATURE IF OWNER UNDER 18
Single copies of the latest editions of the "Rules Applying to Dog Shows" and Obedience Regulations and Regulations for Agility Trials may be obtained WITHOUT CHARGE from THE AMERICAN KENNEL CLUB, 5580 Centerview Drive, Raleigh, NC 27606-3390. AGREEMENT I (we) acknowledge that the Rules Applying to Dog Shows and the Regulations for Agility Trials have been made available to me (us), and that I am (we are) familiar with their contents. I (we) waive any and all claims and cause of action that I (we) might otherwise have against the AKC and any AKC approved judge judging at this trial, under AKC rules, regulations, and guidelines. I (we) agree that the club holding this agility trial has the right to refuse this entry for causes which the club shall deem to be sufficient. In consideration of the acceptance of this entry and of the holding of the Agility Trial and of the opportunity to have the dog judged and to win prize money, ribbons or trophies, I (we) agree to hold this club, its members, directors, governors, officers, agents, superintendents or trial secretary and the owner or lessor of the premises and any employees of the aforementioned parties 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 upon the agility trial premises or grounds or near any entrance thereto, and I (we) further agree to hold the aforementioned parties harmless for any claim for loss of this dog by disappearance, theft, death, or otherwise, and for any claim for damage or injury to the dog, whether such loss, disappearance, theft, damage or injury be caused or alleged to be caused by the negligence of the club or any of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I (we) hereby assume the sole responsibility for and agree to indemnify 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, including myself (ourselves) or on account of damage to property, arising out of or in consequence of my (our) participation in this agility trial, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or may be alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons. BREED Official American Kennel Club Entry Form for Agility Trial The Northern California Bearded Collie Fanciers Thursday, 21 April 2005 Dixon May Fairgrounds, 655 South First Street, Dixon, CA 95620 Bearded Collies only - unlimited entry Closing date: Wednesday, 6 April 2005 at 6:00 pm Entry Fees: $30.00/$10.00 - first/second agility entry for each Bearded Collie Includes $3.00 AKC recording fee Make checks payable to NCBCF Mail Entries to Libby Myers-Buhite, Trial Secretary REMEMBER TO SEND A PHOTOCOPY OF YOUR "OFFICIAL AKC JUMP HEIGHT CARD," IF YOU HAVE ONE, and a copy of the "AGREEMENT" with your ENTRY FORM Overnight and Express mail entries MUST specify NO SIGNATURE REQUIRED. IMPORTANT: Read instructions on reverse side before filling out. Bearded Collie STANDARD AGILITY CLASS (Circle 1) NOV A NOV B OPEN EX A EX B PREFERRED AGILITY CLASS (Circle 1) SEX HEIGHT AT WITHERS JUMPERS WITH WEAVES CLASS (Circle 1) JUMP HEIGHT (Circle 1) NOV A NOV B OPEN EX A EX B JUMPERS WITH WEAVES CLASS (Circle 1) 8 12 16 20 24 JUMP HEIGHT (Circle 1) NOVICE OPEN EX A EX B NOVICE OPEN EX A EX B 4 8 12 16 20 AKC REGISTERED NAME (AKC TITLES ONLY) CALL NAME INSTRUCTIONS (Actual Owners) A dog must be entered in the name of the person who actually owned it at the time entries for a show 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 show for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating the dog is recorded in his name. State on entry form whether transfer application has been mailed to A.K.C. (For complete rules, refer to Chapter 11, Section 3). JUNIOR HANDLERS By signing the entry form we certify that the Junior Handler does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in the Junior Showmanship program. ( ) AKC REG # DATE OF BIRTH ( ) AKC LITTER # ( ) ILP # ( ) FOREIGN REG # AND COUNTRY PLACE OF BIRTH ( ) USA ( ) CANADA ( ) FOREIGN BREEDER SIRE DAM ACTUAL OWNERS AKC JR HANDLER # NAME OF JUNIOR HANDLER JR S DATE OF BIRTH OWNERS ADDRESS CITY STATE ZIP ADDRESS CITY STATE ZIP E-MAIL ADDRESS HANDLER PHONE NUMBER ( ) FEE ENCLOSED $ 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? 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 agility trial and by any additional rules and regulations appearing in the premium list for this agility trial, 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. SIGNATURE OF OWNER OR AGENT DULY AUTHORIZED TO MAKE THIS ENTRY PARENT OR GUARDIAN SIGNATURE IF OWNER UNDER 18