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					                                            PREMIUM                                       OFFICERS OF THE EVANSVILLE OBEDIENCE CLUB, INC.
                                                                                          President …………………………………………………………. Zach Newton
                                                                                          Vice President ……………………………………………… Steve Stout
                                July 6, 7 and 8, 2012
                                                                                          Treasurer ……………………………………………………………. Terry Blake
                       OBEDIENCE and RALLY TRIALS                                         Secretary………………………………………………….....               Cathi Blackburn
   (Obedience Events #   2012081516 # 2012081517, 2012081519)                             13430 Middle Delaware Road, Henderson, KY 42420. 270-823-7164

              (Rally Events # 2012081518, # 2012081521 )
                                                                                          OBEDIENCE and RALLY TRIAL COMMITTEE:
                                                                                          Chairperson – Cathi Blackburn
        EVANSVILLE OBEDIENCE CLUB, INC.                                                   13430 Middle Delaware Road, Henderson, KY 42420
                    Licensed by the American Kennel Club                                  (270-546-1083) cathi.blackburn@gmail.com

                                                                                          Committee: Cathi Blackburn, Terry Blake, Cheryl Bosecker, Neil Bosecker, Patsy
                         At the Metro Sports Center,
                                                                                          Leonberger, Tanea Priddis, Steve Stout
               5820 Metro Center Dr., Evansville, IN 47715

                      Trial hours: 7:00 am to 5:00 pm CST
    Trials will be held indoors on soccer turf or matted flooring, unbenched.             TRIAL SECRETARY – Brenda Peters,
                                                                                          1751 E Baseline Rd, Evansville, IN 47725
   This Event is Accepting Entries for Dogs Listed in the AKC Canine Partners             (812 626-1123), petersb16@insightbb.com
                                    Program.
                                                                                          JUDGES:
Obedience entries will be accepted until a full eight hours
                                                                                          Robert Janek, #2791
of judging has been reached for each judge in each trial
                                                                                          7707 W SR 32 Farmland, IN 47340
          Rally Limits for Friday, SATURDAY & SUNDAY: 75
                                                                                          Alice Petersen, #35135
Entries open May 1, 2012 at 12:00AM                                                       11649 W Arlen St., Boise, ID 83713
Entries close Wednesday, June 20, 2012 at 6:00PM at the trial secretary's
residence, after which time entries cannot be accepted, cancelled, or altered
                                                                                          Capt. Stephen Picciuolo, #6161
except as may be specifically provided for in Chapter 11, Section 6 of the AKC            4502 Ortega Farms Cir. Jacksonville, FL 32210
Dog Show Rules.


                  AMERICAN KENNEL CLUB CERTIFICATION
                  Permission has been granted by the AKC for holding these events under
                  AKC rules and regulations.
                                      James P. Crowley, Secretary
OBEDIENCE TRIALS JUDGES -                                                  RALLY TRIALS JUDGE-
                                                                           Friday and Saturday, Captain Stephen Picciuolo, 6161,
JUDGING ASSIGNMENTS:                  Robert Janek, #2791                  Sunday, Alice Petersen, 35135
                                                                           Rally classes will be offered at these trials on July 6-8,2012
Friday 7/6                   Saturday 7/7             Sunday 7/8

NB, OB, UA, Grad Open,   NB, OB, UA, Grad Open,   NA, OA, UB, Grad Nov,
Versatility (Ring 2)     Versatility (Ring 2)     Beg. Nov (Ring 1)        Novice A       Advanced A Excellent A
                                                                           Novice B       Advanced B Excellent B
JUDGING ASSIGNMENTS:                  Alice Petersen, #35135
Friday 7/6                Saturday 7/7             Sunday 7/8

NA, OA, UB, Grad Nov     NA, OA, UB, Grad Nov     Rally (Ring 3)
Beg Nov (Ring 1)         Beg Nov (Ring 1)


JUDGING ASSIGNMENTS:                  Captain Stephen Picciuolo,
                                                                           PRIZES FOR THE OBEDIENCE and RALLY TRIALS
#6161                                                                      RIBBONS:      First place…...Blue; Second place……Red; Third

Friday 7/6                Saturday 7/7             Sunday 7/8
                                                                           place…..Yellow; Fourth place…. White
                                                                           QUALIFYING SCORE…..A dark green qualifying ribbon will be given to
Rally (Ring 3)           Rally (Ring 3)           NB, OB, UA, Grad Open,   each dog attaining a qualifying score.
                                                  Versatility (Ring 2)     HIGHEST SCORING DOG IN REGULAR OBEDIENCE CLASSES: Blue
                                                                           and Gold Rosette
Entry Limits                                                               HIGHEST COMBINED SCORE IN OBEDIENCE OPEN B AND
Obedience: Entries will be accepted until a full eight                     UTILITY: Blue and Green Rosette
hours of judging has been reached for each trial
Rally :75
                                                                                Move-ups between days will be allowed. The request to move
CLASSES WILL RUN IN JUMP HEIGHT ORDER- Short to Tall
                                                                                up must be made to the Trial Secretary no later than 30
CRATING TIMES - Crating for the weekend will begin at 7:00am on                 minutes after the conclusion of obedience classes. You cannot
Friday morning. Thursday evening crating will be open ONLY FOR                  move up from a new titling class to a regular class nor move
THOSE WHO VOLUNTEER IN ADVANCE to help with the setup of the                    from one new titling class to another.
trial beginning at 6:00pm. Contact Cathi Blackburn at
cathi.blackburn@gmail.com to volunteer for setup. No crates can be                            MARK YOUR CALENDARS NOW!
brought into the building before 6:00pm, no exceptions!                                    for the Evansville Obedience Club’s 2012
       Obedience and Rally trials, September 7-9; November 9-11;                    First obedience entry of each dog, per day.............................$26.00
         Check our website www.evansvilleobedienceclub.com                          Additional entry of same dog, per day ......................................$16.00
                            for opening dates
                                                                                    CATALOG Three -day catalog, preordered................................$3.00
Metro Sports Center does not allow food to be brought into the Center.
Only treats and water for your dog will be permitted.                               (A limited supply of catalogs will be available at the trial)
The Metro offers a full Concessions Stand that serves fresh hot pizza, big          Mail entries with fees payable to “Evansville Obedience Club” to:
burgers, hotdogs, pretzels, nachos, cheese fries, wings, poppers, cheese sticks &
more. A full assortment of cold drinks is also available.                           Trial Secretary, Evansville Obedience Club, 1751 E Baseline Rd,
                                                                                    Evansville, IN 47725
            Check out Metro center’s website for more information
                   www.metrosportscenter.net/map.html                               IMPORTANT NOTE:
                                                                                    DON’T NEED UDX? ATTACH A NOTE TO YOUR ENTRY.
Directions: From US 41 exit onto Lloyd Expressway East to Green River               Entries that are illegible or do not contain complete information, with
Rd. exit North go to Virginia and head East on Virginia Ave. We are
                                                                                    the AGREEMENT form attached and INCLUDING THE JUMP HEIGHT
located directly behind Nagasaki Grill.
                                                                                    WHEN APPLICABLE, will not be accepted. The exhibitor may not be
                                                                                    notified of the entry’s status before closing.
From US I64 go to 164 South toward Evansville exit on to Lloyd
Expressway going West to Burkhardt Ave. head North to Virginia Ave.
go West. We are located directly behind Nagasaki Grill.                             For additional trial premiums, visit our website:
                                                                                    www.evansvilleobedienceclub.com


                                                                                    VETERINARIANS ON CALL

                                                                                    Village East Animal Hospital, 1305 S. Green River Road, Evansville
                                                                                    812-477-2131, Friday, 8 AM-5:30 PM, Saturday, 8 AM-12 Noon And on call

                                                                                    All Pet Emergency Clinic, 104 S. Heidelbach Ave, 812-422-3300 Friday-
                                                                                    Saturday, 6 PM-8 AM ; Saturday, 12 N through Monday, 8 AM




ENTRY                                                     FEES
NOTICE TO EXHIBITORS                                                                                                 OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM GOOD FOR all 5 EVENTS
The following pertains to all obedience events:                                                                                                      EVANSVILLE OBEDIENCE CLUB, INC.
FEE of $3.50 will be required for each dog entered at any Licensed or Member Club Obedience Trial.
This fee is to be collected by the show-giving club and paid to the American Kennel Club. If a dog is       Entries for all trials close Wednesday, June 20 2012 at 6:00 pm CST at trial secretary’s office.
entered in more than one class in the show, the recording fee is to be collected on the first $26.00        Entry fees: For each dog entered in an obedience/rally class, $26 for first entry each day and $16 for
entry only and is included in the fee. DO NOT ADD $3.50 TO YOUR ENTRY. (American Kennel Club                each additional daily trial entry of the same dog. Note that obedience and rally are two separate trials.
rule, Chapter 11, Section 2)                                                                                Fees payable to EOC. Mail entries to: EOC Trial Secretary, Brenda Peters, 1751 E Baseline Rd , Evansville
ENTRY FEES shall not be refunded in the event that a dog is absent, disqualified, excused by                ,IN 47725
veterinarian or judge, or barred from competition by action of the show committee. If because of            Enclosed is $_________ for entry fees. Add $3.00 per catalog. TOTAL $___________
riots, civil disturbances, extreme and/or dangerous weather conditions, emergency, or other acts            IMPORTANT: Please read the instructions on the reverse side carefully before filling out.
beyond the control of the management, it is impossible to open or complete the show, no refund of entry
fees will be made.                                                                                          Friday July 6,2012
REFUND OF ENTRY FEES less AKC recording fees for bitches entered in obedience that come in                  Obedience Class                                    Additional Class(es)
season after the closing date of this show may be obtained by sending a veterinarian's certificate to       Saturday, July 7, 2012
the trial secretary and postmarked before the opening day of the show or given to the trial secretary
                                                                                                            Obedience Class                                    Rally Class                                             Additional Class(es)
before the start of the show. Entry fees will not be refunded due to owner’s entry errors or due to
cancellation of entry after the closing date.
                                                                                                            Sunday, July 8, 2012
RETURNED CHECKS do not constitute a valid entry fee. The trial secretary will collect a $25
administrative fee to the amount of each returned check. Subsequent returned checks from the same           Obedience Class                                    Rally Class                                           Additional Class(es)
exhibitors may result in their being put on a cash or cashiers’ check only basis.
ENTRIES WILL NOT BE ACCEPTED if received without fees or signature or the agreement on back                 BREED OF DOG                                                               VARIETY (1)                                   SEX
of form. No fax, phone, or credit card entries accepted.
ENTRIES WILL NOT BE ACCEPTED if illegible or without complete information, including jump height.           FULL NAME OF DOG
NO ENTRY shall be made and no entry shall be accepted which specifies any condition as to its
acceptance. OWNERS without an e-mail address may not be notified of entry errors in time to make             Enter number here                                                  BIRTH DATE                              0BED JUMP HGT
corrections in the catalog.
                                                                                                            AKC REG. NO.                                                        BIRTH PLACE (CIRCLE)
ALL RIBBONS must be claimed at the show. None will be mailed.
                                                                                                            AKC LITTER NO.                                                     USA Canada Foreign
DOGS NEED BE PRESENT ONLY at scheduled time of judging, and may leave immediately thereafter,
unless required for further judging.                                                                        ILP NO.                                                            Do not print in catalog
THE HANDLER of each dog is solely responsible for having it ready at ringside when its class is to be       FOREIGN REG. NO. AND COUNTRY
judged. Judges are not required to wait for any dog.                                                        BREEDER
ALL DOGS must be on leash and under control at all times. 'DOG' means either sex.
CRATING SPACE IS VERY LIMITED. NO UNENTERED DOGS inside the building. SMALL CRATES                          SIRE
MUST BE STACKED. CRATES MAY BE LEFT IN THE BUILDING OVERNIGHT.
CRATE MATS are needed under crates on the soccer turf. No crate mats permitted that are larger              DAM
than the crate(s). Chairs must be placed in front of crates.
EXHIBITORS ARE RESPONSIBLE for cleaning up after their own dogs. Please help us keep this site
                                                                                                            ACTUAL OWNER(S) [4] (PLEASE PRINT)
clean future use.
ALL DOGS MUST BE ON LEASH at all times except when in the ring.                                             OWNER’S ADDRESS CITY                                                                            STATE                   ZIP +4
NO RV PARKING AT METRO SPORTS. RV parking with permission at American General north parking                 NAME OF OWNER’S AGENT                                                                CODE #
lot nearby. Contact trial chair: cathi.blackburn@gmail.net                                                  (IF ANY) AT SHOW
                                                                                                            Junior Handlers: complete and sign back of form.
                                                                                                            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 show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or
THE EVANSVILLE OBEDIENCE CLUB, INC. assumes no responsibility for any loss, damage, or injury               obedience 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
sustained by the exhibitors, handlers, or any of their dogs or property, and further assumes no             represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing

responsibility for injury to children not under the control of their parents or guardians. Please see the   representation and agreement.

back of the entry form for details. EOC participates in the AKC Arbitration option.                         SIGNATURE of owner or his agent
                                                                                                            duly authorized to make this entry:
                                                                                                            Telephone:                                            E-Mail:
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web                                   HOTELS & MOTELS         MAKE RESERVATIONS EARLY—MOST HOTELS
site,www.akc.org                                                                                                                LISTED ARE WITHIN 15 MINUTES OF THE SHOW SITE AND ACCEPT
AGREEMENT            I (we) agree that the club holding this event has the right to refuse this entry for cause which the
                                                                                                                                WELL-BEHAVED DOGS.         NO DOGS ALLOWED IN FOOD AREAS.
club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the
opportunity to have the dog judged and to win prizes, ribbons or trophies, I (we) agree to hold the AKC, the event-giving       ADDITIONAL FEES FOR PETS MAY APPLY
club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or            Jameson Inn
lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers
of the afore-mentioned parties, and any AKC approved judge judging at this event, harmless from any claim or loss or            1101 North Green River Road Evansville, IN 47715 (812) 476-9626
injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while      Fridge, micro, breakfast. Outdoor pool. Adjacent to many restaurants and
in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility
and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for       Eastland Mall
loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify,      Baymont Inn East
defend and save the aforementioned parties harmless from any and all lose and expenses (including legal fees) by reason
of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including         8005 East Division Street, Evansville, IN 47715 (812) 477-2677
death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of       Close to many restaurants and shopping.
damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death
or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been               Comfort Inn East
caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (we)          8331 E. Walnut, Evansville, IN 47715 (812) 476-3600
agree that any cause of action, controversy or claim arising out of or related to the entry, exhibition or attendance at
the event between the AKC and the event-giving club (unless otherwise stated in its premium list) and myself (ourselves)        Close to many restaurants and shopping.
or as to the construction, interpretation and effect of this agreement shall be settled by arbitration pursuant to the          Drury Inns
applicable rules of the American Arbitration Association. However, prior to arbitration all applicable AKC bylaws, rules,
regulations and procedures must first be followed as set forth in the AKC charter and bylaws, rules, regulations,               East—100 Cross Pointe Blvd, Evansville, IN 47715 (812) 471-3400.
published policies and guidelines.                                                                                              Hot breakfast bar; adjacent to many restaurants. Indoor pool.
INSTRUCTIONS 1.                (Variety) if you are entering a dog of a breed in which there are varieties for show purposes,
                                                                                                                                North—3901 U. S. Hwy 41 N Evansville, IN 47711 (812) 423-5818.
please designate the particular variety you are entering i.e., Cocker Spaniel (solid color black, ASCOB, parti-color).
Beagles (not exceeding 13 inches over 13 inches but not exceeding 15 inches). Dachshunds (longhaired, smooth,
                                                                                                                                Hot breakfast bar. Indoor pool.
wirehaired), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat),          LaQuinta     8015 Division St Evansville, IN 47715 812-471-3414
English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard), Collies
(rough, smooth).
                                                                                                                                Lee's Inn and Suites 5538 E Indiana Evansville, IN 47715 (812)477-6663
2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of           Motel 6
Record and dogs which according to their owner’s records, have completed the requirements for a championship, but
whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a
                                                                                                                                4321 N. Hwy 41 Evansville, IN 47711 (812) 424-6431.
period of 90 days from the date of the show where the dog completed the requirements for a championship.                        Next door to Denny's and Hardee's
3. (Dog Show Class) Consult the classification in this premium list. If the dog show class in which you are entering your
dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are
                                                                                                                                Residence Inn 8283 E. Walnut St Evansville, IN 47715 812-471-7191
entering your dog, i.e., age division, color division, weight division.                                                         Super 8
4. A dog must be entered in the name of the person who actually owned it at the time entries for a show closed. If a
registered dog has been acquired by a new owner, it must be entered in the name of its new owner in any show for which
                                                                                                                                4600 E. Morgan Evansville, IN 47715 (812) 476-4008. Continental breakfast;
entries closed after the date of acquirement, regardless of whether the new owner has received the registration                 next door to restaurant and multi-screen.
certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been
mailed to A.K.C. (for complete rule refer to Chapter 11, Section 3)

JUNIOR SHOWMANSHIP. If this entry is for Jr. Showmanship, please give the following
information:         AKC Jr. Handler # __ __ __ __ __ __ __ __ __                            __ __ - __ __ - __
Jr.’s date of birth ___________________________________________
By signing I certify that the Junior does not now and will not act as an agent/handler for
pay while competing in Junior Showmanship
NAME OF JUNIOR HANDLER: ___________________________________
ADDRESS: CITY:                                                            STATE:                 ZIP+4:
If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship
of the Jr. Handler to the owner?:
         OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM GOOD FOR all 5 EVENTS                                                                          AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web
                                        EVANSVILLE OBEDIENCE CLUB, INC.                                                                          site,www.akc.org
                                                                                                                                                 AGREEMENT            I (we) agree that the club holding this event has the right to refuse this entry for cause which the
Entries for all trials close Wednesday, June 20 2012 at 6:00 pm CST at trial secretary’s office.                                                 club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the
                                                                                                                                                 opportunity to have the dog judged and to win prizes, ribbons or trophies, I (we) agree to hold the AKC, the event-giving
Entry fees: For each dog entered in an obedience/rally class, $26 for first entry each day and $16 for
                                                                                                                                                 club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or
each additional daily trial entry of the same dog. Note that obedience and rally are two separate trials.                                        lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers
Fees payable to EOC. Mail entries to: EOC Trial Secretary, Brenda Peters, 1751 E Baseline Rd , Evansville                                        of the afore-mentioned parties, and any AKC approved judge judging at this event, harmless from any claim or loss or
,IN 47725                                                                                                                                        injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while
Enclosed is $_________ for entry fees. Add $3.00 per catalog. TOTAL $___________                                                                 in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility
IMPORTANT: Please read the instructions on the reverse side carefully before filling out.                                                        and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for
                                                                                                                                                 loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify,
                                                                                                                                                 defend and save the aforementioned parties harmless from any and all lose and expenses (including legal fees) by reason
Friday July 6,2012                                                                                                                               of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including
Obedience Class                                    Additional Class(es)                                                                          death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of
Saturday, July 7, 2012                                                                                                                           damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death
Obedience Class                                    Rally Class                                             Additional Class(es)                  or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been
                                                                                                                                                 caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (we)
                                                                                                                                                 agree that any cause of action, controversy or claim arising out of or related to the entry, exhibition or attendance at
Sunday, July 18, 2012                                                                                                                            the event between the AKC and the event-giving club (unless otherwise stated in its premium list) and myself (ourselves)
Obedience Class                                    Rally Class                                           Additional Class(es)                    or as to the construction, interpretation and effect of this agreement shall be settled by arbitration pursuant to the
                                                                                                                                                 applicable rules of the American Arbitration Association. However, prior to arbitration all applicable AKC bylaws, rules,
                                                                                                                                                 regulations and procedures must first be followed as set forth in the AKC charter and bylaws, rules, regulations,
BREED OF DOG                                                               VARIETY (1)                                   SEX                     published policies and guidelines.

                                                                                                                                                 INSTRUCTIONS 1.               (Variety) if you are entering a dog of a breed in which there are varieties for show purposes,
FULL NAME OF DOG                                                                                                                                 please designate the particular variety you are entering i.e., Cocker Spaniel (solid color black, ASCOB, parti-color).
                                                                                                                                                 Beagles (not exceeding 13 inches over 13 inches but not exceeding 15 inches). Dachshunds (longhaired, smooth,
 Enter number here                                                  BIRTH DATE                             0BED JUMP HGT                         wirehaired), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat),
                                                                                                                                                 English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard), Collies
AKC REG. NO.                                                        BIRTH PLACE (CIRCLE)                                                         (rough, smooth).
AKC LITTER NO.                                                     USA Canada Foreign                                                            2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of
ILP NO.                                                            Do not print in catalog                                                       Record and dogs which according to their owner’s records, have completed the requirements for a championship, but
FOREIGN REG. NO. AND COUNTRY                                                                                                                     whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a
                                                                                                                                                 period of 90 days from the date of the show where the dog completed the requirements for a championship.
BREEDER
                                                                                                                                                 3. (Dog Show Class) Consult the classification in this premium list. If the dog show class in which you are entering your
                                                                                                                                                 dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are
SIRE                                                                                                                                             entering your dog, i.e., age division, color division, weight division.
                                                                                                                                                 4. A dog must be   entered in the name of the person who actually owned it at the time entries for a show closed. If a
DAM                                                                                                                                              registered dog has been acquired by a new owner, it must be entered in the name of its new owner in any show for which
                                                                                                                                                 entries closed after the date of acquirement, regardless of whether the new owner has received the registration
                                                                                                                                                 certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been
ACTUAL OWNER(S) [4] (PLEASE PRINT)
                                                                                                                                                 mailed to A.K.C. (for complete rule refer to Chapter 11, Section 3)
OWNER’S ADDRESS CITY                                                                            STATE                   ZIP +4
                                                                                                                                                 JUNIOR SHOWMANSHIP. If this entry is for Jr. Showmanship, please give the following
NAME OF OWNER’S AGENT                                                                CODE #
                                                                                                                                                 information:
(IF ANY) AT SHOW
                                                                                                                                                 AKC Jr. Handler # __ __ __ __ __ __ __ __ __ __ __ - __ __ - __
Junior Handlers: complete and sign back of form.
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
                                                                                                                                                 Jr.’s date of birth ___________________________________________
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       By signing I certify that the Junior does not now and will not act as an agent/handler for
effect at the time of this show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or   pay while competing in Junior Showmanship
obedience 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 other dogs. This entry is submitted for acceptance on the foregoing
                                                                                                                                                 NAME OF JUNIOR HANDLER: ___________________________________
representation and agreement.                                                                                                                    ADDRESS: ___________________________________________________________
SIGNATURE of owner or his agent                                                                                                                  CITY: ________________________________STATE:________ ZIP+4: ___________
duly authorized to make this entry:                                                                                                              If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship
Telephone:                                            E-Mail:                                                                                    of the Jr. Handler to the owner?: _______________________________________

				
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