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					Notice to Exhibitors
SAFETY, BEHAVIOR, LIABILITY: Members of the New Mexico Herding Dog Association (NMHDA) and Free
To Be Ranch and their agents, assume no responsibility for any loss, damage, or injury sustained by                      NEW MEXICO HERDING DOG ASSOCIATION
exhibitors, handlers, or their dogs, or property, and further assume no responsibility for injury to children
                                                                                                                                  PREMIUM – ALL BREED AKC HERDING TEST AND TRIALS
or guests.
                                                                                                                                                      FRIDAY, July 3, 2009
NMHDA may decline any entries for cause and may refuse to receive or may remove any dog on account of                                               SATURDAY, July 4, 2009
disease, viciousness or other cause and no one shall have any claim or recourse against NMHDA, Free
To Be Ranch, nor any official thereof.                                                                                                               SUNDAY, July 5, 2009
Safety of the dogs is our primary concern. By entering this event, exhibitors acknowledge that they are                                             Licensed by the American Kennel Club
familiar with the rules and regulations of the sport.                                                                                                          AKC EVENT #:
                                                                                                                   Friday Course A Sheep/Test 2009225301; Friday Course A Ducks/Course B Sheep 2009225305;
All dogs must be on a leash at all times except when on course. It is expressly understood that the              Saturday Course A Sheep/Test 2009225306; Saturday Course A Ducks/Course B Sheep 2009225302;
exhibitors alone are responsible for the behavior of their dogs, guests and/or children. Those engaging in        Sunday Course A Sheep/Test 2009225303; Sunday Course A Ducks/Course B Sheep 2009225304
unsafe or disruptive behavior may, at the discretion to the Trial Committee, be asked to leave the site. In                                                     Certification
such cases, there will be no refund of fees paid. In consideration of others, you will be expected to clean     Permission has been granted by the American Kennel Club for the holding of these events under American
up after yourself and your dogs at the event site and at your motel. Failure to do so may be cause for                                           Kennel Club Rules and Regulations
dismissal.                                                                                                                                          James P. Crowley, Secretary
Refunds: Entry fees will not be refunded in the event that a dog is absent, disqualified, excused, or barred
from competition by action of the Trial Committee. No entry fees will be refunded if the event can not
                                                                                                                                    OPENING DATE FOR ENTRIES: April 15, 2009
open or be completed by reason of riots, civil disturbances, fire, violent acts of nature, public emergency,                     CLOSING DATE FOR ENTRIES: June 3, 2009 5 pm MST
or any other cause beyond the control of the Trial Committee. All rules and regulations governing the use
of the Free To Be Ranch facility and all regulations and decisions of the Trial Committee will be strictly                       ENTRY FEES: $45 for Sheep, $40 Ducks and Testing per dog
enforced, including and not limited to the recording information of this premium list.
                                                                                                                         CLASSES OFFERED: A and B Course Sheep and A Course Ducks/Testing
Faxed, telephoned, unsigned, or incomplete entries cannot be accepted. Entries submitted that are not on
the provided official AKC entry forms provided in this premium (or reasonably recognized and accepted                METHOD OF ENTRY: First Received, Total of 50 runs per day per individual trial.
AKC similar forms) will not be accepted. All AKC entry forms shall contain the agreement and rules as part
of the entry form. No entry shall be made and no entry shall be accepted which specifies any conditions to
                                                                                                                             These events will be held outdoors regardless of weather.
its acceptance.
                                                                                                                    Open to all AKC Recognized Herding Breeds and Foundation Stock Service Breeds listed on the AKC website.
                                                                                                                                    Dogs with PAL/ILP#s, nine month of age or older may enter Trials and Tests.
Multiple entries per single envelope will be accepted. Multiple entries could include a combination of one
dog entered in the six trials, or multiple doges entered in any combination of the six trials.

Returned checks do not constitute a valid entry fee and are subject to an added collection fee as
                                                                                                                   Send entries to: NMHDA, Arlene Starkey, Trial Secretary, 211 Summer
determined appropriate by the NMHDA bank of record, Bank of the West.                                              Winds Dr NE, Rio Rancho, NM 87124. Make checks payable to NMHDA.
Changes and corrections to the entry forms must be received in writing prior to the close of entries. Email
notification is considered acceptable, telephone notification is not considered acceptable.
                                                                                                                                                    TRIAL WILL BE HELD AT:
Entries cannot be accepted, cancelled, altered, or substituted after the entries have closed, except as
provide for in Chapter 11, Section 6 of the Rules Applying to Dog Shows. Owners are responsible for errors
in the entry form, regardless of who may make such errors.
                                                                                                                                                        Free To Be Ranch
                                                                                                                                                          #54 CR BO 46
                                                                                                                                                      Mountainair, NM 87036
                                  2009 OFFICERS OF THE NMHDA:                                                 MOTEL ACCOMODATIONS:
                                           President: Geri Abrams                                             Comfort Inn: 119 Route 66 East, Moriarty, NM - (505) 832-6666
                                       Vice President: Karen Lightfoot                                        Days Inn: PO Box 367, 1809 West Rte. 66, Moriarty, NM - (505) 832-4451
                                           Secretary: Sandra Kieft                                            Econo Lodge: 1316 Route 66 West, Moriarty, NM, 505-832-4457
                                          Treasurer: Arlene Starkey                                           Holiday Inn Express: 1507 Route 66, Moriarty, NM - (505) 832-5000
                                      Board of Directors: Kathie Woods                                        Super 8: PO Box 1127, 1611 West Old Route 66, Moriarty, NM - (505) 832-6730
                                                                                                              Turner Inn and RV Park: 303 E Highway 60, Mountainair, NM 87036, 1-888-847-0170
                                                                                                              Casa Monzano Bed & Breakfast: Tajique, NM 87016, 505-384-9767
                                          TRIAL COMMITTEE:
                          Trial Chairman: Geri Abrams at freetoberanch@aol.com
                                                                                                              Moriarty is about 45 minutes away and Mountainair is about 10 minutes away from trial site.
         AKC Trial Secretary and Contact: Arlene Starkey, 505-892-8538 or arlene.starkey@att.net
                                  Associate Trial Secretary: Heather Mann
              Committee Members: Kathie Woods, Geri Abrams, Sandra Kieft, Leon Harrison,                      There will be FREE sandwiches and snacks provided at the site for owners and handlers. Other guests at
                                      Arlene Starkey, Karen Lightfoot                                         the trials may join us, but please contribute $5 for the on-site service.

                                          VETERINARIAN (ON CALL)                                              RV HOOKUPS - ELECTRIC AND WATER AT FREE TO BE RANCH
                                            Valencia Animal Clinic                                                       By reservation only - 30 amp charge is $20 per night - 50 amp charge is $25 per night
                       1533 East River Road - Belen, New Mexico 87002 - 505-864-4075
                                                                                                              Send your request for a RV Hookup with your trial entry. Include a separate check made out to Free To Be
                                             AVMA STATEMENT                                                   Ranch for $25 as a deposit. Deposit is not refundable after entry close date, June 3, 2009.
Exhibitors should follow their veterinarian’s recommendations to assure their dogs are free of internal and
external parasites, any communicable diseases and have appropriate vaccinations. You should always have       DRY CAMPING AT FREE TO BE RANCH - DOES NOT INCLUDE ANY SERVICES
                a copy of your dog’s Rabies vaccination certificate with you when you travel.                 Parking spots will be assigned based on availability. Water may be purchased for $5.00 a fill up.

                                                   JUDGES:                                                    NO DUMPING OF RV TANKS IS ALLOWED ON RANCH PROPERTY DUE TO ENVIRONMENTAL
                            Event Number                  Judge                        Address                CONCERNS. There is a public dumping facility at the Turner Inn and RV Park in Mountainair.
Friday, July 3, 2009        2009225301            Susan Abrams             16300 W Simmons Rd
                                                                           Edmond, OK 73003-9497
                                                                                                              EMERGENCY/DISASTER PROCEDURES:
Friday, July 3, 2009        2009225305            Bonnie A Daley           5543 McKenzie Woolard Road
                                                                                                              Our emergency coordinator will be on the grounds throughout the trial. A list of emergency
                                                                           Deer Park, WA 99006
Saturday, July 4, 2009      2009225306            Sandra Lindenmuth        316 Glenn Rd                       contacts will be posted and the coordinator will assist you in reaching whatever assistance is
                                                                           Franklin, GA 30217-6040            needed.
Saturday, July 4, 2009      2009225302            Susan Abrams             16300 W Simmons Rd
                                                                           Edmond, OK 73003-9497                                                      FIRE/AMBULANCE/POLICE
Sunday, July 5, 2009        2009225303            Bonnie A Daley           5543 McKenzie Woolard Road                                                      Torrance County
                                                                           Deer Park, WA 99006                                                                   911
Sunday, July 5, 2009        2009225304            Sandra Lindenmuth        316 Glenn Rd
                                                                           Franklin, GA 30217-6040
                                                                                                              DIRECTIONS TO TRIAL SITE
                                    RIBBON AND ROSETTE PRIZES                                                             DIRECTIONS FROM INTERSTATE 40 IN NEW MEXICO: Take Exit 196 in Moriarity, go south on
                                                     Trial:                                                   Hwy 41 until it dead ends into Hwy 60,Take a right (west) onto Hwy 60, go approximately 7 miles on Hwy 60 1/2
                                                                                                              mile past mile marker 209 to County Road BO 46, Turn right (North) onto County Road BO 46. Follow the signs.
                              Qualifying Score      ………..     Dark Green strip ribbon                                     DIRECTIONS FROM INTERSTATE 25 IN NEW MEXICO: Take Exit 175 in Bernardo, go east on Hwy
                                    First Place     ………..     Blue strip ribbon                               60, Go thru blinking light in the town of Mountainair, On Hwy 60 go 1/2 mile past mile marker 208 to County Road
                                                                                                              BO 46, Turn left (North) onto County Road BO 46. Follow the signs.
                                 Second Place       ………..     Red strip ribbon
                                   Third Place      ………..     Yellow strip ribbon
                                 Fourth Place       ………..     White strip ribbon                              LIVESTOCK
                                    Fifth Place     ………..     Pink strip ribbon                               Sheep will be Dorper and Dorper crosses. Ducks will probably be Call Ducks. Handlers will be
                                  High In Trial     ………..     Blue, Red and Yellow Rosette                    responsible for injured or killed livestock. Replacement cost: Sheep: $200.00, Duck: $50.00
                          Reserve High In Trial     ………..     Red, Yellow and White Rosette
                                                     Test:
                              Qualifying Score      ………..     Dark Green strip ribbon
                                                          ELIGIBILITY                                                                                                      OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM


All dogs nine months of age or older that are registered with the American Kennel Club and classified as Herding Dogs                                            NEW MEXICO HERDING DOG ASSOCIATION
under Chapter 2 of the Dog Show Rules are eligible to participate in herding tests and trials. Dogs classified as Herding                                                      AKC LICENSED HERDING TESTS AND TRIALS
Dogs under Chapter 2 of the Dog Show Rules that have been granted an Indefinite Listing Privilege (ILP) may                                 EVENT # s: 20099225301, 20099225305, 20099225306, 20099225302, 20099225303, 20099225304
participate in tests and trials.                                                                                                                             Free To Be Ranch, #54 CR BO 46, Mountainair, NM 87036
                                                                                                                                                                                      July 3, 4, 5, 2009
No dog may be entered in two classes on the same course with the same kind of stock under the same judge at any
                                                                                                                                              Entry fees: $45.00 per dog for each trial entry sheep or ducks; $40.00 per dog for each test entry
test/trial.
                                                                                                                                   Entries close at Trial Chairman’s Office at 5:00 PM MT June 3, 2009 or when limit is reached after which time entries
Bitches in season shall be eligible and will run at the end of the class in tests, and in catalog order as listed in the class     cannot be accepted, canceled, or substituted, except as provided for in Chapter 3 Section I of the Regulations for
in trials.                                                                                                                         Herding Tests and Trials.
A dog must be entered in the name of the person who actually owned it at the time entries for the herding test or trial                             Event Limit: 50 runs per day (combined) per trial; Duck runs limited by stock available.
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                                                      Checks payable in U.S. funds to: NMHDA
herding test or Trial for which entries closed after the date of acquisition, regardless of whether the new owner has                            Send to: Arlene Starkey, Trial Secretary, 211 Summer Winds Dr NE, Rio Rancho, NM 87124
received the registration certificate indicating that the dog is recorded in his or her name. State on entry form whether
transfer application has been mailed to AKC. (for complete rule refer to Chap. 14, Sect 3 of "Rules Applying to                                         Do not send entries by any method which requires signature for delivery.
Registration and Dog Shows")
                                                                                                                                          Friday, July 3, 2009                        Saturday, July 4, 2009                    Sunday, July 5, 2009
                                                        AGREEMENT
                                                                                                                                    20099225301        20099225305               20099225306        20099225302            20099225303       20099225304
I (we) acknowledge that the "Rules Applying to Registration and Dog Shows" and the "Rules for Herding Tests and
Trials" have been made available to me (us) and that I (we) agree that the club holding this Herding Test or Trial has the         Course Tests Course Course                   Course Tests Course Course                Course Tests Course Course
right to refuse this entry for cause which the club shall deem to be sufficient. In consideration of the acceptance of this           A                 B         A                A                 B          A            A               B          A
entry and of the holding of the Herding Test or Trial and of the opportunity to have the dog tested or judged and to win           Sheep             Sheep     Ducks            Sheep             Sheep      Ducks        Sheep            Sheep     Ducks
prize money, ribbons, or trophies, I (we) agree to hold this club, its' members, directors, governors, officers, agents,           __Std    __HT __Std         __Std            __Std    __HT __Std          __Std        __Std    __HT __Std        __Std
superintendents or show secretary and owner or lessor of the premises and any employees of the aforementioned                      __Int    __PT __Int         __Int            __Int    __PT __Int          __Int        __Int    __PT __Int        __Int
parties harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any          __Adv             __Adv     __Adv            __Adv             __Adv      __Adv        __Adv           __Adv      __Adv
person or thing by the act of this dog while in or upon the Herding Test or Trial premises or grounds or near any
entrance thereto, and I(we) personally assume all responsibility and liability for any such claim for damage or injury to          Breed:                                                        Variety                  Sex:         Date of Birth:
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 causes.                   REGISTERED NAMEOF DOG (AKC titles only):
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                 Registration No:                                              Call Name:
aforementioned parties for damage because of bodily injuries, including death at any time resulting there from,
sustained by any person or persons, including myself (ourselves) or on account of damage to property, arising out of or               ___AKC #              ___ AKC Litter #           ___PAL/ILP #            ___FSS#           ___Foreign Reg. #. & Country
in consequence of my (our) participation in the Herding Test or Trial, howsoever such injuries, death or damage to                 Breeder:
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.                             Sire:
I (we) will pay for any livestock injuries or replacement value in the event of death of any livestock by my (our) dog. In
case of any injury to any stock caused by the dog entered, I (we) will assume total responsibility for any damage I (we)           Dam:
agree to pay the full market value of the injured animal in case of serious injury, or the veterinarian bill if the injury is
slight.                                                                                                                            Actual Owner(s) :                               PLEASE PRINT or TYPE
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 MYSELF (OURSELVES)
                                                                                                                                   Address:, City, State, Zip
OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED
BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITARATION
                                                                                                                                   Name of owner’s agent (if any):                                                       Fee enclosed:
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                                                                              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 Herding Test or Trial and by any additional rules and regulations
Single copies of the latest editions of the "Rules Applying to Registration and Dog Shows" and the "Regulations for
                                                                                                                                   appearing in the premium list for this Herding Test or Trial or both, and further agree to be bound by the "Agreement"
Herding Tests and Trials" may be obtained WITHOUT CHARGE from the AMERICAN KENNEL CLUB, 51 MADISON
                                                                                                                                   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
AVENUE, NEW YORK, NEW YORK 10010
                                                                                                                                   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
Signature ____________________________________________________________________ Date: ___________________________________________
                                                                                                                                   PHONE:                                           *E-MAIL:

                                                                                                                                   *Entry confirmations and judging programs will be sent via e-mail.
                                        OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM                                                                                          OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM

                              NEW MEXICO HERDING DOG ASSOCIATION                                                                                                NEW MEXICO HERDING DOG ASSOCIATION
                                            AKC LICENSED HERDING TESTS AND TRIALS                                                                                             AKC LICENSED HERDING TESTS AND TRIALS
         EVENT # s: 20099225301, 20099225305, 20099225306, 20099225302, 20099225303, 20099225304                                           EVENT # s: 20099225301, 20099225305, 20099225306, 20099225302, 20099225303, 20099225304
                          Free To Be Ranch, #54 CR BO 46, Mountainair, NM 87036                                                                             Free To Be Ranch, #54 CR BO 46, Mountainair, NM 87036
                                                   July 3, 4, 5, 2009                                                                                                                July 3, 4, 5, 2009
           Entry fees: $45.00 per dog for each trial entry, sheep or ducks; $40.00 per dog for each test entry                               Entry fees: $45.00 per dog for each trial entry sheep or ducks; $40.00 per dog for each test entry
Entries close at Trial Chairman’s Office at 5:00 PM MT June 3, 2009 or when limit is reached after which time entries             Entries close at Trial Chairman’s Office at 5:00 PM MT June 3, 2009 or when limit is reached after which time entries
cannot be accepted, canceled, or substituted, except as provided for in Chapter 3 Section I of the Regulations for                cannot be accepted, canceled, or substituted, except as provided for in Chapter 3 Section I of the Regulations for
Herding Tests and Trials.                                                                                                         Herding Tests and Trials.
                 Event Limit: 50 runs per day (combined) per trial; Duck runs limited by stock available.                                          Event Limit: 50 runs per day (combined) per trial; Duck runs limited by stock available.
                                       Checks payable in U.S. funds to: NMHDA                                                                                            Checks payable in U.S. funds to: NMHDA
              Send to: Arlene Starkey, Trial Secretary, 211 Summer Winds Dr NE, Rio Rancho, NM 87124                                            Send to: Arlene Starkey, Trial Secretary, 211 Summer Winds Dr NE, Rio Rancho, NM 87124
                     Do not send entries by any method which requires signature for delivery.                                                          Do not send entries by any method which requires signature for delivery.
       Friday, July 3, 2009                        Saturday, July 4, 2009                    Sunday, July 5, 2009                        Friday, July 3, 2009                        Saturday, July 4, 2009                    Sunday, July 5, 2009
 20099225301        20099225305               20099225306        20099225302            20099225303       20099225304              20099225301        20099225305               20099225306        20099225302            20099225303       20099225304
Course Tests Course Course                   Course Tests Course Course                Course Tests Course Course                 Course Tests Course Course                   Course Tests Course Course                Course Tests Course Course
   A                 B         A                A                 B          A            A               B          A               A                 B         A                A                 B          A            A               B          A
Sheep             Sheep     Ducks            Sheep             Sheep      Ducks        Sheep            Sheep     Ducks           Sheep             Sheep     Ducks            Sheep             Sheep      Ducks        Sheep            Sheep     Ducks
__Std    __HT __Std         __Std            __Std    __HT __Std          __Std        __Std    __HT __Std        __Std           __Std    __HT __Std         __Std            __Std    __HT __Std          __Std        __Std    __HT __Std        __Std
__Int    __PT __Int         __Int            __Int    __PT __Int          __Int        __Int    __PT __Int        __Int           __Int    __PT __Int         __Int            __Int    __PT __Int          __Int        __Int    __PT __Int        __Int
__Adv             __Adv     __Adv            __Adv             __Adv      __Adv        __Adv           __Adv      __Adv           __Adv             __Adv     __Adv            __Adv             __Adv      __Adv        __Adv           __Adv      __Adv

Breed:                                                        Variety                  Sex:         Date of Birth:                Breed:                                                        Variety                  Sex:         Date of Birth:

REGISTERED NAMEOF DOG (AKC titles only):                                                                                          REGISTERED NAMEOF DOG (AKC titles only):

Registration No:                                              Call Name:                                                          Registration No:                                              Call Name:

   ___AKC #              ___ AKC Litter #           ___PAL/ILP #            ___FSS#           ___Foreign Reg. #. & Country           ___AKC #              ___ AKC Litter #           ___PAL/ILP #            ___FSS#           ___Foreign Reg. #. & Country
Breeder:                                                                                                                          Breeder:

Sire:                                                                                                                             Sire:

Dam:                                                                                                                              Dam:

Actual Owner(s) :                               PLEASE PRINT or TYPE                                                              Actual Owner(s) :                               PLEASE PRINT or TYPE


Address:, City, State, Zip                                                                                                        Address:, City, State, Zip

Name of owner’s agent (if any):                                                       Fee enclosed:                               Name of owner’s agent (if any):                                                       Fee enclosed:

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          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        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 Herding Test or Trial and by any additional rules and regulations          the American Kennel Club in effect at the time of this Herding Test or Trial and by any additional rules and regulations
appearing in the premium list for this Herding Test or Trial or both, and further agree to be bound by the "Agreement"            appearing in the premium list for this Herding Test or Trial or both, 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   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.                                 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                                                                    SIGNATURE of owner or agent duly authorized to make this entry


PHONE:                                           *E-MAIL:                                                                         PHONE:                                           *E-MAIL:

                       *Entry confirmations and judging programs will be sent via e-mail.                                         *Entry confirmations and judging programs will be sent via e-mail.
                                        OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM                                                                                          OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM

                              NEW MEXICO HERDING DOG ASSOCIATION                                                                                                NEW MEXICO HERDING DOG ASSOCIATION
                                            AKC LICENSED HERDING TESTS AND TRIALS                                                                                             AKC LICENSED HERDING TESTS AND TRIALS
         EVENT # s: 20099225301, 20099225305, 20099225306, 20099225302, 20099225303, 20099225304                                           EVENT # s: 20099225301, 20099225305, 20099225306, 20099225302, 20099225303, 20099225304
                          Free To Be Ranch, #54 CR BO 46, Mountainair, NM 87036                                                                             Free To Be Ranch, #54 CR BO 46, Mountainair, NM 87036
                                                   July 3, 4, 5, 2009                                                                                                                July 3, 4, 5, 2009
           Entry fees: $45.00 per dog for each trial entry, sheep or ducks; $45.00 per dog for each test entry                               Entry fees: $45.00 per dog for each trial entry, sheep or ducks; $45.00 per dog for each test entry
Entries close at Trial Chairman’s Office at 5:00 PM MT June 3, 2009 or when limit is reached after which time entries             Entries close at Trial Chairman’s Office at 5:00 PM MT June 3, 2009 or when limit is reached after which time entries
cannot be accepted, canceled, or substituted, except as provided for in Chapter 3 Section I of the Regulations for                cannot be accepted, canceled, or substituted, except as provided for in Chapter 3 Section I of the Regulations for
Herding Tests and Trials.                                                                                                         Herding Tests and Trials.
                 Event Limit: 50 runs per day (combined) per trial; Duck runs limited by stock available.                                          Event Limit: 50 runs per day (combined) per trial; Duck runs limited by stock available.
                                       Checks payable in U.S. funds to: NMHDA                                                                                            Checks payable in U.S. funds to: NMHDA
              Send to: Arlene Starkey, Trial Secretary, 211 Summer Winds Dr NE, Rio Rancho, NM 87124                                            Send to: Arlene Starkey, Trial Secretary, 211 Summer Winds Dr NE, Rio Rancho, NM 87124
                     Do not send entries by any method which requires signature for delivery.                                                          Do not send entries by any method which requires signature for delivery.
       Friday, July 3, 2009                        Saturday, July 4, 2009                    Sunday, July 5, 2009                        Friday, July 3, 2009                        Saturday, July 4, 2009                    Sunday, July 5, 2009
 20099225301        20099225305               20099225306        20099225302            20099225303       20099225304              20099225301        20099225305               20099225306        20099225302            20099225303       20099225304
Course Tests Course Course                   Course Tests Course Course                Course Tests Course Course                 Course Tests Course Course                   Course Tests Course Course                Course Tests Course Course
   A                 B         A                A                 B          A            A               B          A               A                 B         A                A                 B          A            A               B          A
Sheep             Sheep     Ducks            Sheep             Sheep      Ducks        Sheep            Sheep     Ducks           Sheep             Sheep     Ducks            Sheep             Sheep      Ducks        Sheep            Sheep     Ducks
__Std    __HT __Std         __Std            __Std    __HT __Std          __Std        __Std    __HT __Std        __Std           __Std    __HT __Std         __Std            __Std    __HT __Std          __Std        __Std    __HT __Std        __Std
__Int    __PT __Int         __Int            __Int    __PT __Int          __Int        __Int    __PT __Int        __Int           __Int    __PT __Int         __Int            __Int    __PT __Int          __Int        __Int    __PT __Int        __Int
__Adv             __Adv     __Adv            __Adv             __Adv      __Adv        __Adv           __Adv      __Adv           __Adv             __Adv     __Adv            __Adv             __Adv      __Adv        __Adv           __Adv      __Adv

Breed:                                                        Variety                  Sex:         Date of Birth:                Breed:                                                        Variety                  Sex:         Date of Birth:

REGISTERED NAMEOF DOG (AKC titles only):                                                                                          REGISTERED NAMEOF DOG (AKC titles only):

Registration No:                                              Call Name:                                                          Registration No:                                              Call Name:

   ___AKC #              ___ AKC Litter #           ___PAL/ILP #            ___FSS#           ___Foreign Reg. #. & Country           ___AKC #              ___ AKC Litter #           ___PAL/ILP #            ___FSS#           ___Foreign Reg. #. & Country
Breeder:                                                                                                                          Breeder:

Sire:                                                                                                                             Sire:

Dam:                                                                                                                              Dam:

Actual Owner(s) :                               PLEASE PRINT or TYPE                                                              Actual Owner(s) :                               PLEASE PRINT or TYPE


Address:, City, State, Zip                                                                                                        Address:, City, State, Zip

Name of owner’s agent (if any):                                                       Fee enclosed:                               Name of owner’s agent (if any):                                                       Fee enclosed:

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          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        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 Herding Test or Trial and by any additional rules and regulations          the American Kennel Club in effect at the time of this Herding Test or Trial and by any additional rules and regulations
appearing in the premium list for this Herding Test or Trial or both, and further agree to be bound by the "Agreement"            appearing in the premium list for this Herding Test or Trial or both, 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   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.                                 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                                                                    SIGNATURE of owner or agent duly authorized to make this entry


PHONE:                                           *E-MAIL:                                                                         PHONE:                                           *E-MAIL:

                       *Entry confirmations and judging programs will be sent via e-mail.                                         *Entry confirmations and judging programs will be sent via e-mail.

				
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