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Flat-Coated Retriever Society of
America, Inc.
Member of the American Kennel Club
June 2007 AKC AGILITY TRIAL
Exhibitor Information (Licensed by the American Kennel Club)
ENTRIES LIMITED to Flat-Coated Retrievers
CRATE GUARDING: Please use common sense when crating 1 day 2 rings
reactive dogs and do not crate in a high traffic spot. Be considerate of Monday June 11, 2007
your neighbor and keep your dog’s crate covered. A dog that is (330 runs)
consistently a bad neighbor must be crated away from the ring. Excellent, Open, Novice STD & JWW classes —Event # 2007146015
Rhonda Crane judging all classes
Olmsted County Fairgrounds
PARKING: PLEASE observe the parking signs. 16th St SE and 3rd Ave SE
Rochester, Minnesota 55904
Trial judging will begin at 8:00 am Monday.
Electronic Timing will be used at these trials. Entry method is first received.
Outdoors on grass - unbenched
Ring is 100 x 100 feet.
Please pick up after your dog and keep our neighbors Show hours 6am – 6pm
and the fair people happy! Tent and tarp Set up allowed
between 5pm and 7pm on Sunday evening.
Gates will be locked at 7 pm.
ENTRIES OPEN April 1, 2007@ 8:00am at address of trial secretary.
Envelopes/transactions received prior to the opening date shall be treated as an invalid entry and shall be
returned to the sender. Fax, telephone, E-mail entries and hand deliveries will not be accepted. Entries
must waive signature requirements else they will be returned to sender.
Final Entry Closing May 11, 2007 @ 6:00 pm, after which time entries cannot be
accepted, canceled, altered or submitted except as provided for in Chapter 11,
Section 6 of the Dog Show Rules.
Certification: Permission has been granted by the American Kennel
Club for holding this event under American Kennel Club Rules and
regulations. James Crowley, Secretary.
Flat-Coated Retriever Society of America
AKC AGILITY CLASS MOVE UP FORM FCRSA Agility Trial June 11, 2007
Move UP EARLY B-4 trial FCRSA depends on volunteers to make this a great event. Anyone, whether or not a
member, is eligible to help at the trial.
June 11, 2007 Trial
This form must be filled out for each change for each dog and given to the Trial Secretary
Volunteer Coordinator: Linda Conrad volunteer@2007.flatcoat.us
only. Forms must be received no later than June 4th at 6pm for the Trial. This change form is
only for dog entries that have been accepted for June 11, 2007. Verbal requests will not be
accepted. Please, move up early. Emails listing information requested below are acceptable
No experience necessary.
in lieu of the form. Dogs so moved up will be entered at the end of the running order.
AKC Registered Name____________________________________
can help?? Do what?
AKC # _______________________ or Armband # ______________ Ring Steward (reset bars when they are knocked
Mon down and at jump height changes, straighten the
Breed/variety_______________________ Height Division _______ chute in between dogs)
Leash Runner (Take leash from start line to finish
Owner(s)/agent's Names_____________________________________________ Mon line)
Please Circle the appropriate selections: Scribe Sheet Runner (Take scribe sheets from
Mon scribe to score table)
Scribe (Makes marks on paper when the judge
Currently Entered In: Mon raises a hand)
Standard Agility Check Box for move
Nov A / Nov B to Open Scribe Assistant (Assist the scribe and timer where
Mon applicable)
Open to Excellent A
Excellent A to Excellent B Timer (Manage a timing device during each dog’s
Mon run)
Jumpers with Weaves Check Box for move Score Table (Assist Trial secretary with scoring
Nov A / Nov B to Open Mon documents and/or computer program)
Open to Excellent A Course Builder (Move obstacles between classes as
Excellent A to Excellent B Mon directed by the Chief Course Builder)
Equipment Set-Up (Help setup at the show site
Mon before)
Preferred Agility Check Box for move
Novice to Open Mon Tear-Down (Help clean up after the show)
Open to Excellent A Gate Steward (Make sure dogs and handlers are
Excellent A to Excellent B Mon lined up and ready to run)
Preferred Jumpers with Weaves Check Box for move
Mon Relief for above.
Novice to Open Name:
Open to Excellent A Class(es) Entered:
Excellent A to Excellent B
Height(s)Entered:
Phone:
Signature______________________________________________ Email:
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
From South - Hwy 63 to 16th St SE. Turn Right and follow to
Fairgrounds on left.
MAIL ALL ENTRIES WITH FEES TO:
Judy Hekel, Trial Sec. HOTEL & MOTEL INFORMATION
17226 Millwood Rd. There is camping at the fairgrounds complete with water and electricity.
Minnetonka, MN 55345 Cost is $25.00 per night.
Alternate Hotel (Holiday Inn is full)
952-934-0193 jhekel@comcast.net The Ramada is located about 2 miles from the Headquarters Hotel, and includes an indoor water park.
AKC AGILITY TRIAL JUDGES & Class Order A smaller block of rooms has been reserved for our event. Please mention that you are with the
FCRSA 2007 when making your reservations.
Rhonda Crane (18903) 921 South 26th St West Des Moines, IA, 50265-5791 Ramada Inn Rochester
Monday June 11, 2007 (Tall to small) Highway 52 South
Excellent STD, Novice JWW, Open STD, Excellent JWW, Novice STD, Open JWW Rochester, MN 55904
Phone (507) 289-8866 or 1-880-552-7442
Levels will run in the order shown above. In both Excellent and Novice, B teams will run first, then A
teams, then preferred B then preferred A. Preferred teams will follow dogs jumping the same height. Additional Alternate Hotels
La Quinta Inn & Conference Center
800-305-8470 or 507-281-2211
ENTRY FEE: Make Checks payable to FCRSA-2007 in US$ 507-288-8979 (fax)
$25 for the first entry of each dog per day. 1625 S. Broadway, Rochester, MN 55904
$17 for the second entry of same dog, same day. $59.99 per night plus a one time pet fee of $15.00
(includes the $3 AKC recording fee and the $1 additional entry fee)
Quality Inn & Suites
Catalogs: $6.00 if prepaid with entry, $7.00 on the day of the trial for the 800-544-2717 or 507-282-8091 (phone)
limited number that will be available day of trial. 507-424-0300 (fax)
1620 1st Avenue SE, Rochester, MN 55904
AGILITY TRIAL CHAIR $99.00 per night for 2 room suites
Caroline Baihly 12101 Highway 30 SE, Chatfield, MN 55923 agility@2007.flatcoat.us Both have complimentary breakfast and are within walking distance of the
TRIAL COMMITTEE fairgrounds
Sara Grachek, Katie Bruesewitz; Monte Bruesewitz, Linda Conrad, Les Conrad
Koa Campgrounds Rochester / Marion KOA Information: (507) 288-0785
OFFICERS 5232 65th Avenue SE Reserve Online Now! Or By Phone: (800) 562-5232
President..........Dave Bunde Vice-President.......... Jennifer Andrews Rochester, MN 55904-6313 Email: kamp@rochesterkoa.com
Treasurer…Dave Terry Membership Secretary…. Joan Dever Pet rules unique to the location will be addressed at time of reservation or registration. We encourage all dog owners to
Recording Secretary… Mary Beth Bissig call in advance to inquire about any specific rules that might apply to their situation. Please call in inquire about
128 Glendale Drive Burlington, IA 52601-1502 mbbFCRSAa@mchsi.com availability for you and your pet.
BOARD OF DIRECTORS Bob's Trailer Court - 507-282-8877 check on dog policy
Janet Ciarico, Ed Ferner, Nancy Schenck, Mary Smith 1915 Marion Rd SE
Rochester, MN 55904 – 5790 (RV's only, no tents)
Show VETERINARIAN (ON CALL):
Quarry Hill Animal Hospital (8:00AM – 5:00 PM) Other hotels/motels in city that may accept dogs at that time with or without additional fees.
828 11 Ave NE Comfort Inn - small dogs only - 507-281-2211
Radisson Hotel - 507-281-8000
Rochester, MN Hilton Garden Inn - 507-285-1234
507-282-1059 Super 8 South - 507-282-156
Affilliated Emergency Clinic 507-424-3976 (6:00PM – 8:00AM)
121 23rd Avenue SW
Rochester, MN 55902
Directions to emergency Clinic: PLEASE CLEAN UP AFTER YOUR DOG!!!!
Right out of south end of fairgrounds on 16th St SE. Right on Broadway Avenue. Left on 2nd St SW. DO NOT LEAVE DOGS UNATTENDED!!!
Right on 23rd Ave SW. Clinic will be on left.
Call early to reserve rooms. Some restrictions may apply.
Show Site Please check with the hotel about their dog policies.
Olmsted County Fairgrounds
16th St SE and 3rd Ave SE
Rochester, Minnesota 55904
Directions to show site:
From North- Hwy 52 to 16th St SE. Turn East (right) and follow to
Fairgrounds on left.
AGILITY CLASSES NOTICES TO EXHIBITORS
Please refer to the AKC Regulations for Agility Trials for current class descriptions. Dogs must be SAFETY, BEHAVIOR and LIABILITY
entered only in Regular classes or Preferred Classes with no cross over between them allowed at this The safety of the dog is our primary concern. By entering this trial, exhibitors acknowledge that they are familiar
same set of trials. with the rules and regulations of this sport, and that their dogs are familiar with and able to perform all obstacles
HEIGHT DIVISIONS safely.
Regular Preferred Information It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any
Exhibitors may choose to enter All dogs entering the Preferred Owners are responsible for exhibitor whose dogs and/or children create an unnecessary disturbance or repeatedly engage in unsafe or disruptive
their dog in a higher height Classes for the first time MUST entering their dog in the proper behavior may, at the discretion of the trial committee, be asked to leave the show site. In such case, no refund of any
division than required by AKC, enter at the NOVICE level in both height division. fees paid will be made. FCRSA and its agents, employees, etc., will assume no responsibilities for any loss, damage
but not in a height division lower Pref. Std and Pref. JWW. The or injury sustained by exhibitors or handlers, or to any of their dogs or property and further assumes no responsibility
than the AKC mandated height. following jump heights shall be For dogs measuring… for injury to children.
used in all Preferred classes. FCRSA reserves the right to decline entries for cause and may remove any dog on account of aggression. No one shall
have any recourse or claim against FCRSA or any official thereof.
8” 4” 11” & under at the withers Puppies under the age of 6 months are strictly prohibited from the site.
12” 8” 14” & under at the withers All dogs must be on leash at all times except when in ring or in the designated agility warm-up area. The warm-up
16” 12” 18” & under at the withers area is to be used exclusively for warming up the dog and not for training or relieving of the dog.
20” 16” 22” & under at the withers
Entries - Refunds – Fees - Payments
24” 20” Over 22” at the withers Entry Fees will not be refunded in the event that a dog is absent, disqualified, excused, or barred from the competition
26” Any height at owner’s choice by action of the Trial Committee. The fees will be refunded for entries withdrawn before closing date. The fees will
Measuring be refunded minus $13.00 per day administrative charge for bitches in season after the closing date if a veterinarian
All agility dogs are required to have an Official Jump Height Card and exhibitors must be able to present it prior to certificate is presented to the Trial Secretary prior to first scheduled run. No refunds for duplicate entries. Fees
running their dog(s) in any class or at any time during the trial upon request whether or not they have sent a copy of such collected include the $4 AKC recording fee.
with their entry. Dogs without a valid Jump Height Card may still compete; but they must be measured/wicketed by the No entry fee will be refunded if the Trial cannot open or be completed by reason of riots, civil disturbances, fire, an
Judge of Record PRIOR to running in their class and this measurement will be valid for that weekend of trials only. The act of God, public emergency, act of a public enemy, or any other cause beyond the control of the organizing
exception to this requirement is a dog entered in the 24” height division. However, if a Volunteer Measuring Official committee.
(VMO) or an Agility Field Rep is present; ALL dogs without a valid Jump Height Card must be measured at some time Make checks and money orders payable to FCRSA-2007. Canadian exhibitors make fees payable in US$.
during the trial or cluster of trials. This does not preclude having the dog wicketed by the Judge of Record if the VMO or Returned checks do not constitute a valid entry fee. There will be a $20.00 service charge for any returned check.
Rep is not available to measure the dog before its first run of the trial or cluster of trials. It is the exhibitor’s responsibility Subsequent returned checks from the same exhibitor may result in their being put on a CASH ONLY basis.
to have their dog measured prior to running and failure to do so will result in the cancellation of any qualifying scores.
TCOTC will accept photocopies of the permanent or un-expired temporary height card with the entry for this trial. Confirmation of entry receipt can be obtained by enclosing a stamped, self-addressed envelope or post card with
DOGS ELIGIBLE TO ENTER your entry. Please note what dogs, days, what you want checked on the form. Those without complete addresses or
This Trial is open to all Flat-Coated Retrievers only over the age of 15 months that are registered with the American correct postage will not be returned. E-mail confirmations will be sent to those listing a legible e-mail address on
Kennel Club or that have obtained AKC ILP numbers, except bitches in season, aggressive dogs, or dogs suffering from the entry form. Illegible entries will not be processed and will be returned to the exhibitor. No entry shall be made
any deformity, injury, or illness which may affect the dog's physical or mental performance. No dog shall compete if it is and no entry shall be accepted which specifies any conditions as to its acceptance.
taped or bandaged in any way or has anything attached to it for medical purposes. Refer to Chapter 2 of the Registration RINGSIDE
and Discipline Rules for listing of registerable breeds that may participate. Dogs may arrive any time prior to judging, if a valid copy of their jump height card was sent with their entry.
The Regulations for Agility Trials are available on-line at www.AKC.org. For copies of the Regulations, write the AKC, Otherwise, they must be available for measuring prior to the start of their class. All dogs not needed for further
5580 Centerview Drive, Raleigh, NC 27606-3390 or call 919-233-9767. Obstacles shall meet the specifications for judging will be excused.
obstacles in the current edition of regulations for Agility Trials. Judges are not required to wait for dogs. The Owner of each dog is solely responsible for having it ready at ringside
Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of internal and when it is to be judged. The Club has no responsibility for providing service through a public address system or
external parasites, any communicable diseases, and have appropriate vaccinations. stewards or runners for the purpose of calling or locating dogs that are not brought into the ring when required.
CATALOGS
Advance catalog sales may be ordered and prepaid on your entry form for $6. A limited number of catalogs will be
Entry is not valid unless on official version of entry form approved by AKC. Entry is not valid available for sale at the trial site for a cost of $7. Running order sheets will be available to all exhibitors at no charge.
without the agreement page accompanying the entry form!! Please read the agreement section and .
return with entry form.
ADDITIONAL SITE INFORMATION
Exhibitors are responsible for cleaning up after their dog(s). Any exhibitor failing to do so may be excused without
benefit of refund if the Trial Committee deems the exhibitor to be in violation of this requirement. Cleaning supplies
and disposal sites will be available at various locations around the show grounds.
PRIZES and AWARDS
Rosettes will be awarded in each jump height division in each class as follows:
First Place……………………………………...……………...……………………….……….…..Blue
Second Place……………...……………………..…………………………………………………Red
Third Place……………………………………..…………………………………...……………Yellow
Fourth Place………………………………………..………...…………………………..………White
Qualifying Score……………………………………………………..……………...…..…Dark Green
First through Fourth Place will also receive a glass plate with etched 2007 Logo
1st place - 12 inch Plate with specialty Logo
2nd place - 9 inch Plate with specialty Logo
3rd and 4th places - 7 inch plate with specialty logo
E-MAIL ADDRESS:
OFFICIAL AMERICAN KENNEL CLUB
ENTRY FORM FOR AGILITY TRIAL
CHECK DATES AND CLASSES FOR ENTRIES
Entry Fees Monday fees
June 11
$25 first entry Std
$17 2nd entry JWW
same dog Pref
same day Pref JWW
Catalog $6
(IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT)
BREED FLAT-COATED RETRIEVER VARIETY SEX HEIGHT AT WITHERS
STANDARD AGILITY CLASS (circle one) JUMPERS WITH weaves (circle one) JUMP HEIGHT (circle one)
NOV-A NOV-B EXC-A EXC-B
OPEN NOV A NOV B OPEN EXC-A EXC-B 8 12 16 20 24 26
PREFERRED AGILITY CLASS (circle one) PREFERRED JWW (circle one) JUMP HEIGHT (circle one)
NOVICE OPEN EXC-A EXC-B NOVICE OPEN EXC-A EXC-B 4 8 12 16 20
FAST CLASS: (effective 01/01/07) (circle one) JUMP HEIGHT (circle one)
(NOT offered) REGULAR: NOV-A NOV-B OPEN EXC-A EXC-B 8 12 16 20 24 26
PREFERRED: NOV-P OPEN-P EXC-AP EXC-BP 4 8 12 16 20
NON-REGULAR AGILITY CLASSES: INTERNATIONAL SWEEPSTAKES CLASS JUMP HEIGHT (circle one)
(NOT offered) (circle class) STD JWW NOT OFFERED 14 18 26
AKC REGISTERED NAME (Include AKC titles only) CALL NAME OF DOG
AKC REG. NO. (Enter number here) DATE OF BIRTH AKC JUNIOR HANDLER #
AKC LITTER NO.
ILP NO. PLACE OF BIRTH
FOREIGN REG. NO. & COUNTRY USA CANADA FOREIGN
BREEDER
SIRE
DAM
ACTUAL OWNERS
OWNERS ADDRESS NEW ADDRESS
CITY, STATE, ZIP + 4
HANDLER (Junior Handler see back) FEE ENCLOSED
I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I 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
event, and by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the "Agreement" printed
on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for
acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and
Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them.
■Signature of owner or his agent duly
authorized to make this entry
_______________________________________________________________
TELEPHONE :
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org CITY ____________________________________________ STATE
________________ ZIP __________________
AGREEMENT
I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In ■If Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the
Entry Fees Monday fees consideration Junior Handler to the Owner?
June 11 of the
acceptance of
$25 first entry Std
this entry and
$17 2nd entry JWW of the holding
THIS FORM IS VALID FOR ALL AGILITY TRIALS HELD ON OR AFTER JANUARY 1, 2007. AEAGL2 - 01/01/07 (03/06)
same dog Pref of this event
same day Pref JWW and of the
Catalog $6 opportunity to
have the dog OFFICIAL AMERICAN KENNEL CLUB
judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors,
governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider ENTRY FORM FOR AGILITY TRIAL
of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any CHECK DATES AND CLASSES FOR ENTRIES
AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been
caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or
near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further
agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog.
Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned
parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any
of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom,
sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in (IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT)
consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and BREED FLAT-COATED RETRIEVER VARIETY SEX HEIGHT AT WITHERS
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 STANDARD AGILITY CLASS (circle one) JUMPERS WITH weaves (circle one) JUMP HEIGHT (circle one)
AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS NOV-A NOV-B OPENEXC-A EXC-B NOV A NOV B OPEN EXC-A EXC-B 8 12 16 20 24 26
PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF
THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE PREFERRED AGILITY CLASS (circle one) PREFERRED JWW (circle one) JUMP HEIGHT (circle one)
AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, NOVICE OPEN EXC-A EXC-B NOVICE OPEN EXC-A EXC-B 4 8 12 16 20
RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER FAST CLASS: (effective 01/01/07) (circle one) JUMP HEIGHT (circle one)
AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. (NOT offered) REGULAR: NOV-A NOV-B OPEN EXC-A EXC-B 8 12 16 20 24 26
INSTRUCTIONS PREFERRED: NOV-P OPEN-P EXC-AP EXC-BP 4 8 12 16 20
Handlers may opt to enter in a higher height division for all Regular titling classes and the FAST NON-REGULAR AGILITY CLASSES: INTERNATIONAL SWEEPSTAKES CLASS JUMP HEIGHT (circle one)
titling classes, but not in a division lower than their proper height division. (NOT offered) (circle class) STD JWW NOT OFFERED 14 18 26
AKC REGISTERED NAME (Include AKC titles only) CALL NAME OF DOG
Dogs entered in the Preferred classes must compete at the required jump height and may not
compete in a jump height division higher or lower than their proper height division.
All dogs that have not been officially measured for an Agility Jump Height Card may still compete; AKC REG. NO. (Enter number here) DATE OF BIRTH AKC JUNIOR HANDLER #
however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer AKC LITTER NO.
ILP NO. PLACE OF BIRTH
Measuring Official, prior to running. The Judge's measurement will be valid for this trial or back-to-back
FOREIGN REG. NO. & COUNTRY USA CANADA FOREIGN
trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog(s)
BREEDER
measured prior to running.
_____________________________________________________________________________________________
If this entry is for Junior Showmanship, please give the following information: SIRE
JUNIOR SHOWMANSHIP JR.’S DATE OF BIRTH_________________________
DAM
AKC JUNIOR HANDLER NUMBER
ACTUAL OWNERS
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from
the American Kennel Club. Phone: (919) 816-3776. OWNERS ADDRESS NEW ADDRESS
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as
an agent/handler for pay while continuing to compete in Junior Showmanship. CITY, STATE, ZIP + 4
ADDRESS_____________________________________________________________________________________
HANDLER (Junior Handler see back) FEE ENCLOSED
I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I 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
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
event, and by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the "Agreement" printed
on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for
acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and
AGREEMENT
Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. In
■Signature of owner or his agent duly consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged
authorized to make this entry and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors,
_______________________________________________________________ governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider
of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any
TELEPHONE :
AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been
E-MAIL ADDRESS:
caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or
near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further
agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog.
Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned
parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any
of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom,
sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in
consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and
whether or not the same may have been caused or may be alleged to have been caused by the negligence of the
aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF
ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE
AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS
PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF
THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE
AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS,
RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER
AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
INSTRUCTIONS
Handlers may opt to enter in a higher height division for all Regular titling classes and the FAST
titling classes, but not in a division lower than their proper height division.
Dogs entered in the Preferred classes must compete at the required jump height and may not
compete in a jump height division higher or lower than their proper height division.
All dogs that have not been officially measured for an Agility Jump Height Card may still compete;
however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer
Measuring Official, prior to running. The Judge's measurement will be valid for this trial or back-to-back
trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog(s)
measured prior to running.
_____________________________________________________________________________________________
If this entry is for Junior Showmanship, please give the following information:
JUNIOR SHOWMANSHIP JR.’S DATE OF BIRTH_________________________
AKC JUNIOR HANDLER NUMBER
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from
the American Kennel Club. Phone: (919) 816-3776.
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as
an agent/handler for pay while continuing to compete in Junior Showmanship.
ADDRESS_____________________________________________________________________________________
CITY ____________________________________________ STATE ________________ ZIP __________________
■If Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner?
THIS FORM IS VALID FOR ALL AGILITY TRIALS HELD ON OR AFTER JANUARY 1, 2007. AEAGL2 - 01/01/07 (03/06)
