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					                                                                                                                                                                                                                                                                                                                        Corona, CA. 92881
                                                                                                                                                                                                                                                                                                                        3817 Seven Oaks Drive
                                                                                                                                                                                                                                                                                                                        Cheryl Shultz, Field Trial Secretary
                                                                                                                                                                                                                                                                                                                        Dachshund Club Of Santa Ana Valley
                                                                                                                                                                                                                                                                                                                                                                                                                      Combined Premium List
 www.sdbclac.org
                                                                                                                                                                                                                                                                                                                                                                                                                FIELD TRIAL




                                                                                               www.dcsav.org
                                                                                                                                                                                                                                                                                                                                                                                                  The Dachshund Club of Santa Ana Valley, Inc.
                                                                                                                                                                                                                                                                                                                                                                                                                            (AKC Licensed)
                                                                                                                                                                                                                                                                                                                                                                                                   Saturday, February 4, 2012 - Event #2012191301

                                                                                                                                                                                                                                                                                                                                                                                          Sierra Dachshund Breeder's Club of Los Angeles County
                                                                                                                                                                                                                                                                                                                                                                                                                            (AKC Licensed)
                                                                                                                                                                                                                                                                                                                                                                                                    Sunday, February 5, 2012 - Event #2012047906
                                                                                                                                                                                                                                                                                                                                                                                                                          Brace on Rabbit
                                                                                                                                                                                                                                                                                                                                                                                        These Field Trials are held under the Rules and Procedures of the American Kennel Club
                                                                                                                                                                                                                                                                                                                                                                                                                    Prado Regional Park
                                                                                                                                                                                                                                                                                                                                                                                               Intersection of Cucamonga and McCarty Roads, Chino, CA. 91710
                                                                                                                                                                                                                                                                                                                                  Central Ave.                                          Entries will close and the drawing will take place at 7:00 AM PST
                                                                                                                                                                                                                                                                                                                                                       El
                                                                                                                                                                                                                                                                                                                                                          Pra                           at the above listed grounds, and the trials will run at this location on the above
                                                                                                                                                                                                                                                                                                                                                              d
                                                                                                                                                                                                                                                                                                                                           Rd
                                                                                                                                                                                                                                                                                                                                              .
                                                                                                                                                                                                                                                                                                                                                   o
                                                                                                                                                                                                                                                                                                                                                                                        listed dates. All entered dachshunds must be present on the Field Trial
                                                                                                                                                                                                                                                                                                                                                                                        grounds for the drawing of entries.
                                                                                                                                                                                                                                             71                                                                                                                                                                     ENTRY FEE: $20.00




                                                                                                                                                                                                                                                                                                                                   Kim ball Ave.
                                                                                                                                                    R
                                                                                                                                                    Butterfield
                                                                                                                                                     anch R




                                                                                                                                                                                                                                                                                                                                                                                             For Open All-Age and Field Champion Classes, no charge for Absolute
                                                                                                                                                                                                                               to S 71 !!
                                                                                                                                                                                                                               NOTgo through
                                                                                                                                                                                                                               Note: P does


                                                                                                                                                                                                                                                                                                                                                                                                                      Mail pre-entries to:
                                                                                                                                                                                                                                   R
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                                                                                                                                                                                                                                                         Pine

                                                                                                                                                                                      2m                                                                                                                                                                                                Saturday: Cheryl Shultz, Field Trial Secretary (see entry form for info)
                                                                                                                                               71




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                                                                                                                                                                                                                                                                     Ave



                                                                                                                                                                                                                                                                                                                                                                                        Sunday: Jan Oswald, Field Trial Secretary (see entry form for info)
                                                                                                                                                                     Euc lid Ave.

                                                                                                                                                                                          Cuc am onga Ave


                                                                                                                                                                                                                                 83




                                                                                                                                                                                                                                                                                                   Euc lid Ave.
                                        V ark




                                                                                                                                                                                                                                                                         .




                                                                                                                                                                                                                                                                                                                                                                                                 Make checks payable to “DCSAV”           for Saturday

                                                                                                                                                                                                                                                                                                                           Kim ball Ave.
                                                71




                                                                                                                                                                                                                                                                                                                                                                                                   Make checks payable to “SIERRA” for Sunday
                                                                                                                                                                                                                                              P
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                                                                                                                                                                                                                                                                                                                                                                                         DCSAV Judges (Saturday)                 Sierra Judges (Sunday)               CLASS
                                                                                                       (FIELD T




                                                                                                                                                                                                                                                                                                                                                                                                 Carol Hamilton                        Cheryl Shultz
                                                                                                                                                                                                                                                                                                                                                                        CHINO AIRPORT
                                                                                                            OLIVE GROVE




                                                                                                                                                                                     Model Air Park




                                                                                                                                                                                                                                                  Chino Corona Rd.
                                                                                                                                                                                                             Chino Corona Rd.




                                                                                                                                                                                                                                                                                    est reserve
                                                                                                                                                                                                                                                                                   W P
                                                                                                                                                                                                                                                                                                                                                                                                  Tracy Hunter                       Susan Goodman                    OAAD
                                                                                                               RIAL GROUNDS




                                                                                                                                                                                                                                                                                                         0.8 m i.




                                                                                                                                                                                                                                                                                                                        Main
                                                                                                                                                                                                                 1.3 m i.




                                                                                                                                                                                                                                                                                                                                                                                                  Dennis Duus                          Steve Shultz
                                                                                                                                                                                                                                                                                   Pine Ave.
                   Corona




                                                                                                                                                                                                                                                                                                                                                                                                  Jim Tebbetts                       Linda Castaneda                  OAAB
                                                                                                                                                                                                                                                                                                                                                                                                  Tracy Hunter                         Luanne Duus
                                                                                                                           )




                                                                                                                                                                                    1.1 m i.
                                                                                                                                  E Mc Carty




                                                                                                                                                                                                                                             Hellm an Ave.                                                                                                                                        Jim Tebbetts                       Susan Goodman                      FC
                                                                                                                                                                                                                              Chandler St.
                                                                                                                                                        River R




                                                                                                                                                                                                                                                                                                                                                                                             Selected by the field trial committee the day of the trial.             Absolute*
                                                                                                                                                               oad




                                                                                                                                                                                                                                                                                                                                                                                               Linda Castaneda, 3633 Veteran Ave., #1, Los Angeles, CA 90034
                            91

                                                 Motel 6




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                                                                                                                                                         Kendra




                                                                                                          Ro
                                                                                                                                                                                                                                                                                           Sc hleism an Rd.




                                                                                                                                                                                                                                                                                                                                                                                               Dennis & Luanne Duus, 800 N. Mountain View Pl, Fullerton, CA 92831
                                                                             unt




                                                                                                 er
                                                                                              Riv
                                                                                 ry




                                                                                                                                                                                                                                                                                                                                                       Lim onite Ave.
                                                                                 Clu




                                                                                                                                                                                                                                                                                                                                                                                               Susan Goodman, 1260 Knollwood Rd. Apt. 39J, Seal Beach, CA 90740
                                                                                    b




                                                                                                                                                                                                                                                                                                                                                                                               Carol Hamilton, 3149 Belle River, Hacienda Heights, CA 91745
                                                           Lin 1
                                                              c o .2




                                                                                                                               Norco
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                                                                                                                                                                                                                                                                                                                                                                                               Tracy Hunter, P.O. Box 1869, Silver City, NM. 88062
                                                                   Av
                                                                      e.




                                                                                        2nd




                                                                                                                                                                                                                                                                                                                    Ham ner Ave.
                                                                                                                                                                                                                                                                                                                                                                                               Steve & Cheryl Shultz, 3817 Seven Oaks Drive, Corona, CA. 92881
                                                                                                                                                                                                                                                                                                                                                                                               Jim Tebbetts, 8336 Flallon Ave., Whittier, CA. 90606
                                                                      15




                                                                                                                                                                                                                                                                                                                                                                                        * ABSOLUTE: A continuation of the field trial competition for the winners of the regular
                                                                                                                                                15




                                                                                                                                                                                                                                                                                                                                                                                        classes. Absolute may be withheld for lack of merit, but not for lack of competition.
                                                                                                                                                                                                                                                                                                                                                                                        Absolute will be run in braces or as a trio at these trials, to be determined by the Field
                                                                                                                                                                                                                                                                                                                                                                                        Trial Committees.
15



                                       91
                                                                                                                                              PRIZES
     OFFICERS                      DCSAV                           Sierra                           The Dachshund Club of Santa Ana Valley (DCSAV) and the Sierra Dachshund Breeder's
     President                     Steve Shultz                    Alice Lentz                      Club of Los Angeles County offers Rosettes for all placed dogs and NBQ in the following
     Vice-President                Sherri Snyder                   Janet Georgeanne                 classes: Open All-Age Dog and Open All-Age Bitch, or Open All-Age Combined, and Field
     Treasurer                     Cheryl Shultz                   Jerri Smith                      Champion. The clubs also offer a Rosette for the Open All-Age Winner and a Rosette for the
     Secretary                     Luanne Duus                     Janene Oswald                    Absolute winner. DCSAV offers (Saturday) a field trial nail art figurine for first place in each
                                   800 N. Mountain View Pl,        P.O. Box 670                     class, a Dachshund key chain with charms for second through fourth in each class and an
                                   Fullerton, CA 92831             Cabazon, CA. 92230-0670          embroidered dog pillow for the Absolute winner. Sierra offers (Sunday) a stuffed rabbit dog
                         DCSAV FIELD TRIAL COMMITTEE                                                toy for all 1st place class winners and a leather field trial collar for the Absolute winner.
   Steve Shultz (Chairman), Sue Rucker, Luanne Duus, Susan Goodman, Dale Carnathan,                 The Dachshund Club of America, Inc. (Sheila Parish, Trophy Chairperson, PO Box 17164,
   Anne Carnathan, Linda Castaneda, Cheryl Shultz, Jan Oswald & all DCSAV members                   Urbana, IL 61803) offers, in recognition of the February 4, 2012 DCSAV Field Trial, and
                            Sierra FIELD TRIAL COMMITTEE                                            February 5, 2012 Sierra Dachshund Breeder's Club Field Trial, open to all Dachshunds, its
              Marlene Perez (Chairman), Jan Oswald, Sue Rucker, Alice Lentz                         Sunburst Medallion for First Place in all Regular Stakes. A minimum of twelve (12) entries in
               Jerri Smith and all Sierra Dachshund Breeder’s Club members                          each stake is required to receive a Medallion.
                            VETERINARIAN ON CALL                                                    The Dachshund Club of America, Inc. offers its Statuary Bronze Plaques by Katherine Ward
                  Dr. K. S. Bhullar DVM, Aacacia Animal Hospital                                    Lane and Lee Burnham as follows: 12 to 19 entries - Sunburst Medallion for Absolute; 20 to
               939 W. Sixth Street, Corona 92882 phone: 951-371-1002                                83 entries - 5” Bronze Plaque for Absolute Winner; 84 or more entries - 8” Bronze Plaque
                                                                                                    for Absolute Winner.

                                                                                                                                 ADDITIONAL INFORMATION
                      DIRECTIONS TO FIELD TRIAL GROUNDS
           FROM State Route 71: Take the Euclid Ave./Butterfield Ranch Rd. exit. Go                              Note: There are no potluck lunches at these trials!
NORTH 2 miles on Euclid Ave. (past the main entrance to Prado Regional Park) to Pine                Breakfast is complementary and includes pastries, fruit, coffee, tea, and hot
Avenue; turn right (EAST). Go 1.2 miles to Chino Corona Road and turn right (SOUTH).
Drive past California Institute for Women (on your right side) to the Stop sign at the
                                                                                                    chocolate. A hot lunch (example: sandwiches, soup, salad, dessert and a variety of
intersection of Chino Corona Road and Cucamonga Ave. Go straight on Cucamonga Ave.                  soft drinks) will be served daily at the field trial site for $5.00 per day. Judge’s
(continue at  below)                                                                               lunches are, of course, complimentary on the day(s) they judge. Payment for each
           FROM 91 freeway traveling EAST: Take SR 71 Corona Expressway North. See                  day’s lunch must be made before roll call to ensure we have enough to serve
“From State Route 71” above.                                                                        everyone. Please note that if you are not joining us for lunch the field trial site is
           FROM 91 freeway traveling WEST: Take Lincoln Ave. North in Corona, go 1.2                remote, in other words, no fast food nearby!
miles north to River Road and turn Left. Drive 2.5 miles to the intersection of River Rd. and
Archibald. (continue at  below)                                                                        PLEASE CLEAN UP AFTER YOUR DOGS AT THE AIR PARK
           FROM Interstate 15: Take 2nd Street Exit West in Norco to River Rd. Turn Right
on River Rd. Go to the intersection of River Rd. and Archibald. (continue at )
                                                                                                    NOTICE: OVERNIGHT PARKING IN THE AIR PARK IS $10.00 PER NIGHT
 Go straight and you will now be on Archibald. Go to Chandler St. and turn left. Go to dead
end and jog left (Hellman Ave) and immediate right onto Chino Corona Rd. Go 1.3 miles to             (NO HOOKUPS). FEE WILL BE COLLECTED BY A PARK RANGER OR
Cucamonga Ave. Turn Left on Cucamonga Ave. (continue at )                                             THE FIELD TRIAL SECRETARY. PLEASE INSURE WE KEEP THIS
 Go 1 mile to McCarty Road (not marked) and turn left. Go about ¼ mile and turn left into              PRIVLEDGE BY KEEPING YOUR SITE CLEAN AT ALL TIMES.
Model Airplane Park. Please park as far away from runway as possible.
                                                                                                                                       CAMPGROUNDS:
                                                                                                    PRADO REGIONAL PARK: phone: 909-597-4260, 16700 S. Euclid Ave., Chino, CA
                          RUNNING ORDER OF THE TRIAL                                                   Full hookups, call for prices. Make reservations ASAP.
The drawing of entries for all classes will take place on the field trial grounds at 7:00           CANYON R.V. Park: phone: 714-637-0210, 24001 Santa Ana Canyon Rd., Anaheim, CA.
                                                                                                       Full hookups, call for prices. Make reservations ASAP.
AM (PST). Dogs must be present on the field trial grounds at the time of the drawing to be
officially entered. OAAD & OAAB classes will be run consecutively but not necessarily in                     LOCAL MOTELS THAT ACCEPT WELL MANNERED DOGS
that order. Dogs must be 6 months of age or older on the day of the event to be entered.                                  (Please verify when making reservation)
Bitches in season are eligible to run in the OAAB class. Field Champions will run after the         MOTEL 6 phone 909-591-3877, 12266 Central Ave., Chino, CA.
completion of the open classes. The winners of the OAAD and OAAB classes, if eligible, will         MOTEL 6 phone: 951-735-6408, 200 N. Lincoln, Corona, CA. 92882
compete with the winner of the FC class, if eligible, for Absolute. The field trials will be held   LA QUINTA INN phone 909-476-1112, 3555 Inland Empire Blvd., Ontario, CA.
regardless of weather.                                                                                              (Approximately 13 miles from field trial grounds)
" Regulations for Dachshund Field Trials" may be obtained WITHOUT CHARGE from THE                                                   OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
AMERICAN KENNEL CLUB, 5580 CENTERVIEW DR., SUITE 200, RALEIGH, NC 27606-3390. In
addition, AKC Rules, Regulations, Policies, and Guidelines are available on the American Kennel Club                Note: This Entry Form Must Be Completed in Full (Ch. 10, Sec. 5)
website at www.akc.org.
                                                                                                                                       DCSAV                                Sierra Dachshund Breeder's Club
                                                AGREEMENT                                                                   LICENSED FIELD TRIAL                                  LICENSED FIELD TRIAL
I (WE) ACKNOWLEDGE THAT THE "Rules Applying to Dog Shows/Registration and Discipline" and,                                Saturday, February 4, 2012                              Sunday, February 5, 2012
if this entry is for a Dachshund Field Trial, the "Regulations for Dachshund Field Trials", have been made                         Event #2012191301                                  Event #2012047906
available to me (us) and that I am (we are) familiar with their contents. I (we) waive any and all claims,
causes of action, 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 event has
                                                                                                                       Mail all entries and fees to:                           Mail all entries and fees to:
the right to refuse this entry for cause which the club shall deem to be sufficient. In consideration of the      CHERYL SHULTZ, Field Trial Secretary                     JAN OSWALD, Field Trial Secretary
acceptance of this entry and of the holding of the field trial and of the opportunity to have the dog judged           3817 Seven Oaks Drive                                         P.O. Box 670
and to win prize money, ribbons, or trophies, I (we) agree to hold this club, its members, directors,                   CORONA, CA. 92881                                        Cabazon, CA. 92230
governors, officers, agents, superintendents or trial secretary and owner or lessor of the premises and any        Make all checks payable to “DCSAV”        Make all checks payable to “Sierra”
employees of the aforementioned parties, harmless from any claim for loss or injury which may be
                                                                                                                                                (circle one above)
alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or
upon the field trial test premises or grounds or near any entrance thereto, and I (we) personally assume all    I submit $20.00 for entry fee.
                                                                                                                 Enter in class:                                          Call Name
responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties
harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any
                                                                                                                 Registered Name of Dog
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
                                                                                                                 AKC Reg. #                                               or AKC Litter #
the negligence of any other person, or any other cause or causes.
                                                                                                                 Or Foreign Reg. # AND Country of Registry                MALE                  FEMALE
Additionally, 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
                                                                                                                                                                 VARIETY                               D/O/B
liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries,           BREED     DACHSHUND
including death at any time resulting therefrom, sustained by any person or persons, including myself
                                                                                                                 SIRE
(ourselves) or on account of damage to property, arising out of or in consequence of my (our)
participation in this field trial, howsoever such injuries, death or damage to property may be caused, and
                                                                                                                 DAM
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 person. I (we) agree that any
                                                                                                                 BREEDER
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) or as to the construction, interpretation and effect of the         NAME OF ACTUAL OWNER
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 and procedures must first be         OWNERS STREET ADDRESS
followed as set forth in the AKC Charter and Bylaws, rules, published policies and guidelines.
                                                                                                                 CITY                                                     STATE                   ZIP CODE

                       DCSAV                                            Sierra                                   NAME OF HANDLER
       Cheryl Shultz, Field Trial Secretary                Jan Oswald, Field Trial Secretary
       3817 Seven Oaks Drive                               P.O. Box 670
       Corona, CA. 92881                                   Cabazon, CA. 92230                                   I certify that I am the actual owner of this dog, or that I am the duly authorized agent of the actual dog
                                                                                                                whose name I have entered above. In consideration of the acceptance of this entry, I agree to abide by all
       951 279-8252                                        951 849-3460
                                                                                                                the Rules of the American Kennel Club and the standard procedures governing this Field Trial and any
       cherevee@sbcglobal.net                              darshandachs@aol.com                                 decisions made in accordance with them, and I further agree that the dog is entered in and will be at this
                                                                                                                Trial at my own risk and that I will hold the Trial giving club, its members and agents free from liability
                                    ENTRY CONFIRMATION                                                          for any claims arising out of the entry of the dog or its presence at the trial.

           Check here for entry confirmation via e-mail.                                                        SIGNATURE of owner or agent
                                                                                                                duly authorized to make entry
           E-mail address:                                                                                      phone No.
                                                          PLEASE PRINT
           OR                                                                                                   Address of agent (if any Signs above line for owner)
                                                                                                                 STREET ADDRESS
           Send a self-addressed, stamped postcard with your entry forms.
                                                                                                                 CITY                                                     STATE                   ZIP CODE

                       NO CONFIRMATIONS SENT AFTER 02-01-12
" Regulations for Dachshund Field Trials" may be obtained WITHOUT CHARGE from THE                                                   OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
AMERICAN KENNEL CLUB, 5580 CENTERVIEW DR., SUITE 200, RALEIGH, NC 27606-3390. In
addition, AKC Rules, Regulations, Policies, and Guidelines are available on the American Kennel Club                Note: This Entry Form Must Be Completed in Full (Ch. 10, Sec. 5)
website at www.akc.org.
                                                                                                                                       DCSAV                                Sierra Dachshund Breeder's Club
                                                AGREEMENT                                                                   LICENSED FIELD TRIAL                                  LICENSED FIELD TRIAL
I (WE) ACKNOWLEDGE THAT THE "Rules Applying to Dog Shows/Registration and Discipline" and,                                Saturday, February 4, 2012                              Sunday, February 5, 2012
if this entry is for a Dachshund Field Trial, the "Regulations for Dachshund Field Trials", have been made                         Event #2012191301                                  Event #2012047906
available to me (us) and that I am (we are) familiar with their contents. I (we) waive any and all claims,
causes of action, 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 event has
                                                                                                                       Mail all entries and fees to:                           Mail all entries and fees to:
the right to refuse this entry for cause which the club shall deem to be sufficient. In consideration of the      CHERYL SHULTZ, Field Trial Secretary                     JAN OSWALD, Field Trial Secretary
acceptance of this entry and of the holding of the field trial and of the opportunity to have the dog judged           3817 Seven Oaks Drive                                         P.O. Box 670
and to win prize money, ribbons, or trophies, I (we) agree to hold this club, its members, directors,                   CORONA, CA. 92881                                        Cabazon, CA. 92230
governors, officers, agents, superintendents or trial secretary and owner or lessor of the premises and any        Make all checks payable to “DCSAV”        Make all checks payable to “Sierra”
employees of the aforementioned parties, harmless from any claim for loss or injury which may be
                                                                                                                                                (circle one above)
alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or
upon the field trial test premises or grounds or near any entrance thereto, and I (we) personally assume all    I submit $20.00 for entry fee.
                                                                                                                 Enter in class:                                          Call Name
responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties
harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any
                                                                                                                 Registered Name of Dog
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
                                                                                                                 AKC Reg. #                                               or AKC Litter #
the negligence of any other person, or any other cause or causes.
                                                                                                                 Or Foreign Reg. # AND Country of Registry                MALE                  FEMALE
Additionally, 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
                                                                                                                                                                 VARIETY                               D/O/B
liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries,           BREED     DACHSHUND
including death at any time resulting therefrom, sustained by any person or persons, including myself
                                                                                                                 SIRE
(ourselves) or on account of damage to property, arising out of or in consequence of my (our)
participation in this field trial, howsoever such injuries, death or damage to property may be caused, and
                                                                                                                 DAM
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 person. I (we) agree that any
                                                                                                                 BREEDER
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) or as to the construction, interpretation and effect of the         NAME OF ACTUAL OWNER
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 and procedures must first be         OWNERS STREET ADDRESS
followed as set forth in the AKC Charter and Bylaws, rules, published policies and guidelines.
                                                                                                                 CITY                                                     STATE                   ZIP CODE

                       DCSAV                                            Sierra                                   NAME OF HANDLER
       Cheryl Shultz, Field Trial Secretary                Jan Oswald, Field Trial Secretary
       3817 Seven Oaks Drive                               P.O. Box 670
       Corona, CA. 92881                                   Cabazon, CA. 92230                                   I certify that I am the actual owner of this dog, or that I am the duly authorized agent of the actual dog
                                                                                                                whose name I have entered above. In consideration of the acceptance of this entry, I agree to abide by all
       951 279-8252                                        951 849-3460
                                                                                                                the Rules of the American Kennel Club and the standard procedures governing this Field Trial and any
       cherevee@sbcglobal.net                              darshandachs@aol.com                                 decisions made in accordance with them, and I further agree that the dog is entered in and will be at this
                                                                                                                Trial at my own risk and that I will hold the Trial giving club, its members and agents free from liability
                                    ENTRY CONFIRMATION                                                          for any claims arising out of the entry of the dog or its presence at the trial.

           Check here for entry confirmation via e-mail.                                                        SIGNATURE of owner or agent
                                                                                                                duly authorized to make entry
           E-mail address:                                                                                      phone No.
                                                          PLEASE PRINT
           OR                                                                                                   Address of agent (if any Signs above line for owner)
                                                                                                                 STREET ADDRESS
           Send a self-addressed, stamped postcard with your entry forms.
                                                                                                                 CITY                                                     STATE                   ZIP CODE

                       NO CONFIRMATIONS SENT AFTER 02-01-12

				
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