AKC All Breed Agility Trials

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David Behrens ALAC Trial Secretary 11013 W. Monee-Manhattan Rd. Monee IL 60449 Premium List (Member of the American Kennel Club) AKC All Breed Agility Trials February 10, 11 & 12, 2017 Event # 2017185101, 2017185102 & 2017185103 Location: Rush N Around Agility and Obedience Center 27432 South Route 45 (La Grange Rd) Manhattan IL 60442 (GPS Coordinates N41.38950, W087.88310) Limited Entry: 330 Runs each day. Friday February 10 th Master/Excellent Std.& JWW Premier JWW, Master/Excellent FAST and T2B only "This trial is open to dogs listed with the AKC Canine Partners program" 1 ring - 70 x 115 indoors on sand & rubber mulch mix s Trial Hours: 7:00 am to 6:30 pm Entries chosen by Random Draw Draw Period Opens December 14, 2016 8:00 am CST Entries received before this time will be returned Draw Period Closes January 11, 2017 6:00 pm CST Draw Date January 2, 2016 6:00 pm CST Draw Location: 27432 South Route 45 - Manhattan IL 60442 Entries close at 6:00 pm CST on, January 26, 2017 after which time entries cannot be accepted, canceled, altered or substituted, except as provided for in Chapter 11, section 6 of the Dog Show Rules. Premium List Permission has been granted by the American Kennel Club for holding this event under American Kennel Club Rules and Regulations. James Crowley, Secretary

Officers President Rita Cloutier 1 Jennison Road, Milford NH 03055 Vice President Barbara Schwartz P.O.Box 749, Mancos CO 81328 Treasurer Mary Jane Orrie 1141 Cottonwood Court SE, Los Lunas NM 87031 Secretary Naomi Hanson 8653 East Royal Palm Road, Scottsdale AZ 85258 Event Committee Members Judy Gregurich, Leslie Baumann, Annette Narel, James Narel, Charlotte Smith Shirley Kilpatrick and any other club members present Trial Chairman Judy Gregurich 706 Shannon Drive Chesterton IN 46304 219-926-5645 judygregurich@gmail.com Make fees payable to: Rush'N Around Mail entries and fees to: AKC Licensed Agility Trial Secretary David Behrens 11013 West Monee-Manhattan Road Monee, IL 60449 815-439-5525 agilityentry@agilitytrialservices.com David Behrens, ALAC Trial Secretary 11013 W. Monee-Manhattan Rd., Monee IL 60449 VETERINARIAN (on call) Animal Emergency Clinic of Mokena 19110 S. 88th Ave., Mokena IL 60448 326-4800 Exhibitors should follow their veterinarians' recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations. Entry Fees: $22.00 1 st entry per dog per day (includes AKC recording fees of $3.50) $18.00 each for the 2 nd and 3 rd entry of the same dog, same day, $16.00 for the 4 th entry of the same dog, same day, and $12.00 for the 5 th entry of the same dog, same day (includes AKC recording fees of $3.00 per run). $25.00 Returned check fee Overpayments of less than $10.00 will receive worker credit towards future entries. An entry form is not valid unless accompanied with the proper funds; if one check is used to pay for multiple entries; all the entries covered by that check are to be deemed invalid Email acknowledgement of entries received will be made. Final confirmation will be made after trial closing date. (January 26, 2017) Trial Judge Kathy Guerra (#29949) 2385 Bayside Court. Lisle IL 60532-2004 Friday Saturday Sunday WORKER SIGN UP SHEETS - ALAC We will be able to reserve 35 entry spaces for workers because of the Random Draw. If you would like to volunteer, fill out the form and return it with your entry. Please note that returning this form will not guarantee entry into the trial. Job notifications will be made by the Chairman as soon as possible. Morning refreshments and lunch will be provided for workers. You will be able to sign up for jobs online at: http://agilitytrialservices.com/html/schedules.html after the close of entries on June 17, 2016 Morning refreshments and lunch will be provided for workers. Workers will also receive coupons for future entry discounts. Worker Coordinator: Annette Narel maghistakes@aol.com Name Phone Number Email Address AKC AGILITY MOVE-UP FORM - ALAC AKC Registered Name: Call Name: Breed/Variety Owner(s) Name : Please circle the appropriate selection(s): PROGRAM: Regular Preferred CLASS: Standard Jumpers JUMP HEIGHT: 4 8 12 16 20 24 26 DAY: Friday Saturday Sunday MOVE TO: *Novice B Open Excellent Master Pre-trial move ups must be made by 6:00 pm CST on Monday, February 6, 2017 All Master/Excellent Standard, JWW, FAST Classes Premier JWW & T2B All Novice, Open Master/Excellent Standard, JWW, FAST Classes Premier JWW All Novice, Open Master/Excellent Standard & JWW Classes Premier Standard & T2B

Directions to Rush N Around Agility Center: From I-294 or 94: exit at I-80 west to I-57 south. Stay on I-57 south for 9.5 miles to the Manhattan- Monee Rd. (Rt. 6) exit and go west. Stay on Manhattan-Monee Rd. west for 6.5 miles and turn south (left) at Rt. 45 (stop sign with flashing light). Continue 2.5 miles south to Trial Site on the west side of Rt. 45. Look for agility trial signs. From the South: Take I-57 north and exit Manhattan-Monee Rd. Then follow directions above. The easiest route for those taking the I-355 extension is I-355 south to I-80 east. Exit Route 45 south (about 9 miles) to trial site. Site Information One ring - 70 x 115 indoors on sand & rubber mulch mix. Building is heated with washrooms. Crates, tents etc may be left overnight. No dogs may be left overnight. The and the Rush N Around Agility and Obedience Center will not be responsible for lost, damaged or stolen property. Food Food will be not be available at these trials. There are several fast food restaurants within 15 minutes of the trial site. Prizes and Awards Rosettes will be awarded to the 1st through 4th place dogs in each jump height in each Standard, JWW & FAST class and 1st place in each T2B jump height. Qualifying ribbons will be awarded to all dogs receiving a qualifying score. Dogs must qualify to place. A bar and rosette will be awarded for teams earning their MACH, PACH or PAX. Only one bar will be awarded for a run that earns both a PACH AND PAX. All prizes must be claimed before the close of the trial. None will be mailed. Classes STD, JWW, F.A.S.T. T2B & Premier Classes offered as described in Chapter 2, Chapter 10 & Chapter 11 in the Agility Regulations. No more than 10 entries allowed per envelope No online entries will be accepted. Express Mail entries (although not necessary) must waive acceptance signature requirement. Entry form changes, corrections or cancellations must be done in writing before the January 26, 2017 closing date. Exhibitors are responsible for complete, accurate and legible information on entry forms. Entries must include the AKC agreement. HOTEL INFORMATION: Exhibitors must contact motels directly and identify themselves as having dogs. Some require deposits; others take only small dogs. Please use extreme caution in the treatment of motel space. Please be a responsible hotel guest. Pick up after your dogs. Do not leave dogs alone in rooms! Motel Location Phone Approximate Distance LaQuinta 5210 Southwick Dr (I-57) 503-0999 Inn Matteson IL 60443 (877) 15 min. 477-5817 LaQuinta Inn Super 8 Motel Red Roof Inn TRIAL SITE 7255 W 193rd. St. Tinley Park IL 60477 9485 W. 191st St. Mokena IL 60448 25640 S Friendship Dr Monee IL 60449 633-1200 479-7808 534-0022 19 min 12 min 12 min Note Dogs Allowed Pets are not allowed to be left unattended in the rooms. Dogs Allowed; no extra charge for pets. If pet left unattended, a cell phone number must be supplied $10 extra per night per pet. Pet cannot be left unattended. Dogs Allowed; no extra charge for pets. Dogs Eligible to Enter This trial is open to all dogs fifteen (15) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP), an AKC Canine Partners listing number, or approved Foundation Stock Service (FSS) breeds are eligible to participate. Dogs with a Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) number must be spayed or neutered in order to compete. Wherever the word dog is used in these regulations it includes both sexes. Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible, and neither are bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect the dog s physical or mental performance. No dog shall compete if it is taped or bandaged in any way or has anything attached to it for medical purposes. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registerable breeds that may participate. Puppies under six months of age are strictly prohibited from the trial grounds. Wait List ALAC is offering a Wait List to fill openings created by withdrawn entries after the trial's closing date/time. A maximum of 50 entries will be placed on the club's wait list. All entries, including wait listed entries, must be received by the Trial Secretary prior to closing at 6:00 pm CST on January 26, 2017. Any entries withdrawn that are received by 6:00 pm CST on Monday, February 6, 2017 will be replaced by a wait listed entry if any are available. If a withdrawn entry is replaced by a wait listed entry, a full refund will be issued for the withdrawn entry. Any wait listed entry that does not move off the wait list into the trial by 6:00 pm CST on Monday, February 6, 2017 will not be charged. If you do not wish to be placed on the Wait List, please mark the top of the entry form. Catalogs Pre-order - $7.50 each. A limited number of catalogs will be available at the site - $10.00 each. Running Order sheets will be posted and will be available online to exhibitors for download at ATS (http://agilitytrialservices.com/html/schedules.html) after closing. You may print a copy in advance (if desired) in lieu of copies available during the trial weekend.

TENTATIVE Running Order Friday Saturday Sunday Premier JWW Master/Excellent JWW T2B Master/Excellent Standard Master/Excellent FAST Master/Excellent FAST Open FAST, Novice FAST Master /Excellent Standard Open Standard, Novice Standard Premier JWW Master/Excellent JWW Open JWW, Novice JWW Low to High each day Master/Excellent JWW Open JWW, Novice JWW T2B Premier Standard Master/Excellent Standard Open Standard, Novice Standard Course Familiarization and Warm-Ups Handlers in all classes are permitted to walk the course without a dog prior to the start of the class as directed by the judge to plan their strategy. Judges briefing will outline the course and answer handler questions. A warm up jump will be provided for each ring. Measuring and Height Card Information Effective January 1, 2010, exhibitors are no longer required to provide proof to Trial Secretaries that their dog has a valid jump height card as part of the check-in process. Furthermore, this change eliminates the need for a copy of the jump height card to be submitted with an entry form. When filling out the entry form, there is a new section at the top of the form for exhibitors to designate whether your dog has a valid jump height card or if your dog needs to be measured. Please check the appropriate box so that the Trial Secretary knows whether to include your dog on the Dogs To Be Measured List. Dogs without a valid Jump Height Card/Form may still compete; but they must be measured/wicketed by the Judge of Record PRIOR to running in their class and this measurement will be valid for that weekend of trials only. The exception to this requirement is a dog entered in the 24 or 26 height division. However, if a Volunteer Measuring Official (VMO) or an Agility Field Rep is present; ALL dogs without a valid Jump Height Card/Form must be measured at some time during the trial or cluster of trials. This does not preclude having the dog wicketed by the Judge of Record if the VMO or Rep is not available to measure the dog before its first run of the trial or cluster of trials. It is the exhibitor s responsibility to have their dog measured prior to running and failure to do so will result in the cancellation of any qualifying scores. Height Divisions Owners are responsible for entering the proper height divisions. Judges reserve the right to measure dogs without a valid height card. Dogs may not enter both Regular and Preferred classes for the same set of trials for the weekend. Regular Preferred 8 4 For dogs 11 inches and under at the withers 12 8 For dogs 14 inches and under at the withers 16 12 For dogs 18 inches and under at the withers 20 16 For dogs 22 inches and under at the withers 24 20 For dogs over 22 inches at the withers 26 NA Dogs may be entered at this height at their owners discretion Handlers may opt to run in a higher height division but not in a division lower than their proper height. Dogs that run in a division lower than their proper height will be eliminated. Preferred dogs must run at their measured height. Ringside Exhibitors are responsible for being at ringside when it is their turn to run. Gate Stewards are only following directions to keep the trial moving smoothly for all. Please treat all volunteers working this trial for you with respect. Notice to Exhibitors Safety of the dogs is our primary concern. By entering this, Exhibitors acknowledge that they are familiar with the rules and regulations of this sport and their dogs are familiar with and able to perform all obstacles safely. Liability No entry fee will be refunded if the Trial cannot open or be completed by reason of riots, civil disturbance, fire, act of God, public emergency, act of public enemy or any other cause beyond the control of the organizing committee. are offered for sick or injured dogs or handlers. Collars At the handler s option the dog may wear a FLAT or rolled leather collar but there shall be no attachments hanging or otherwise on collars. Choke collars, pinch collars, electric and dummy collars, Halties and Gentle leaders are prohibited. Food, toys and whistles or other training devices are not allowed in the course area. Leashes All dogs must be on leash (with the leash in owner s or handler s hand; not dragging on the ground) at all times except when in the designated Agility warm up area or when in the ring being judged. Flexi leads are not recommended in crating or course area. Obstacles Obstacles shall meet the specifications for obstacles in the current edition of Regulations for Agility. All contacts are rubberized and weave poles are 24 spacing. Refunds No entry fee will be refunded if the Trial cannot open or be completed by reason of riots, civil disturbance, fire, act of God, public emergency, act of public enemy or any other cause beyond the control of the organizing committee. Entry fees will not be refunded in the event that a dog is absent, disqualified, excused by the judge or barred from the competition by act of the Trial Committee. No refunds are offered for sick or injured dogs or handlers. Withdrawals For bitches that come into season after the closing date, the entry fee less $10.00 per day will be refunded if a letter from Veterinarian is received by 30 minutes before the first class in which the dog is entered. Move Ups Dogs finishing the requirements for a title may move up to the next level of competition in accordance with AKC Agility rules. Pre-trial move ups must be made in writing to the Trial Secretary no later than 6:00 pm CST on Monday, February 6, 2017. Onsite day to day move ups will be allowed if made by the close of Friday s trial for the Saturday trial and by the close of Saturday s trial for the Sunday trial. Close of the trial will be considered when the ribbons have been awarded for the last class of the day. Verbal requests will not be accepted. Move up forms will also be available at the trial. If you need to move up, complete the form and on the next page and mail to: David Behrens ALAC Trial Secretary 11013 W. Monee-Manhattan Rd., Monee IL 60449 Email move-ups are also acceptable. In your email, please send all of the identifying information to: agilityentry@agilitytrialservices.com. Move up forms will also be available at the trial. After the close of entries a dog may be moved down in their class level. The request for the move to the class for which the dog is eligible must be in writing and submitted to the trial secretary at least 30 minutes prior to the start of the trial Notice to exhibitors using email: If you do not receive an acknowledgement from me, I did not receive your message! I am not responsible for misdirected email, and cannot make allowances for it!

OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM February 10, 11 & 12, 2017 Trial opens December 14 nd. Entry fee: $22 first entry, $18 each for the 2 nd and 3 rd entry of the same dog, same day. $16 for 4 th entry of the same dog, same day and $12 for 5 rd entry of the same dog, same day. Trial closes 6:00 pm CST on January 26, 2017 at which time entries may not be accepted, altered, substituted or cancelled. Please Print or Type. Entries will be sent back if they are illegible or you fail to sign No Receipt Signature Required Wavier for Express mail delivery. Mail entries with fees payable to Rush N Around by trial close, January 26, 2017 to: David Behrens ALAC Trial Secretary 11013 W. Monee-Manhattan Rd., Monee IL 60449 IMPORTANT: Carefully read instructions before filling out! 1 Class - $22 Fri., Feb. 10 Std. - JWW - FAST - T2B -O PREMIER JWW -O 2 Classes - $40 Sat., Feb. 11 Std. - JWW - FAST - O PREMIER JWW -O 3 Classes - $58 Sun. Feb 12 Std. - JWW - T2B - PREMIER STD -O 4 Classes - $74 WORKER Catalog $12.00 Do NOT Wait List 5 Classes - $86 Choose Either Regular or Preferred Classes Check one jump height, and check class selections Only one selection per class (both Master and Premier allowed) (STD, JWW, FAST, T2B) REGULAR Classes 8 12 16 20 24 26 PREFERRED Classes 4 8 12 16 20 STD Nov A Nov B Open Exc Master Premier Nov P OpenP ExcP MasterP PremierP JWW Nov A Nov B Open Exc Master Premier Nov P OpenP ExcP MasterP PremierP FAST Nov A Nov B Open Exc Master Nov P OpenP ExcP MasterP T2B T2B T2BP This Dog Needs To Be Measured Yes No SEX HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) AKC NO Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) USA CANADA FOREIGN OWNERS ADDRESS NEW ADDRESS CITY, STATE ZIP + 4 ENTRY FEE ENCLOSED HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. 2017 AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. AGREEMENT II certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this event, and any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other person. I (we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower then their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor s responsibility to have their dog(s) measured prior to running. Dogs listed in the AKC Canine Partners Program may be eligible to enter all-breed AKC agility trials at the club s option. These dogs should be listed as All American Dog and must include their AKC number on the entry form and check the AKC No. box. Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner? SIGNATURE of owner or his agent duly authorized to make this entry. SIGN HERE X Telephone Number: Email Address: New Email In Case of Emergency - Name: Phone #: AEAGL2 (12/13)

OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM February 10, 11 & 12, 2017 Trial opens December 14 nd. Entry fee: $22 first entry, $18 each for the 2 nd and 3 rd entry of the same dog, same day. $16 for 4 th entry of the same dog, same day and $12 for 5 rd entry of the same dog, same day. Trial closes 6:00 pm CST on January 26, 2017 at which time entries may not be accepted, altered, substituted or cancelled. Please Print or Type. Entries will be sent back if they are illegible or you fail to sign No Receipt Signature Required Wavier for Express mail delivery. Mail entries with fees payable to Rush N Around by trial close, January 26, 2017 to: David Behrens ALAC Trial Secretary 11013 W. Monee-Manhattan Rd., Monee IL 60449 IMPORTANT: Carefully read instructions before filling out! 1 Class - $22 Fri., Feb. 10 Std. - JWW - FAST - T2B -O PREMIER JWW -O 2 Classes - $40 Sat., Feb. 11 Std. - JWW - FAST - O PREMIER JWW -O 3 Classes - $58 Sun. Feb 12 Std. - JWW - T2B - PREMIER STD -O 4 Classes - $74 WORKER Catalog $12.00 Do NOT Wait List 5 Classes - $86 Choose Either Regular or Preferred Classes Check one jump height, and check class selections Only one selection per class (both Master and Premier allowed) (STD, JWW, FAST, T2B) REGULAR Classes 8 12 16 20 24 26 PREFERRED Classes 4 8 12 16 20 STD Nov A Nov B Open Exc Master Premier Nov P OpenP ExcP MasterP PremierP JWW Nov A Nov B Open Exc Master Premier Nov P OpenP ExcP MasterP PremierP FAST Nov A Nov B Open Exc Master Nov P OpenP ExcP MasterP T2B T2B T2BP This Dog Needs To Be Measured Yes No SEX HEIGHT AT WITHERS BREED VARIETY CALL NAME AKC NAME (INCLUDE AKC TITLES ONLY) AKC NO Enter Complete Registration # below ILP NO. PAL NO. FOREIGN REG. NO & COUNTRY BREEDER SIRE DAM ACTUAL OWNERS DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) USA CANADA FOREIGN OWNERS ADDRESS NEW ADDRESS CITY, STATE ZIP + 4 ENTRY FEE ENCLOSED HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions. 2017 AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. AGREEMENT II certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club in effect at the time of this event, and any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other person. I (we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. INSTRUCTIONS Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower then their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor s responsibility to have their dog(s) measured prior to running. Dogs listed in the AKC Canine Partners Program may be eligible to enter all-breed AKC agility trials at the club s option. These dogs should be listed as All American Dog and must include their AKC number on the entry form and check the AKC No. box. Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner? SIGNATURE of owner or his agent duly authorized to make this entry. SIGN HERE X Telephone Number: Email Address: New Email In Case of Emergency - Name: Phone #: AEAGL2 (12/13)