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GOLDEN RETRIEVER CLUB OF CANADA GOLDEN RETRIEVER CLUB OF BC JULY

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GOLDEN RETRIEVER CLUB OF CANADA GOLDEN RETRIEVER CLUB OF BC JULY Powered By Docstoc
					                          ACCOMMODATION                                                                 OFFICIAL PREMIUM LIST
                                                                                              Event #071733, 071734, 071735, 071736, 071737, 071738
A BLOCK OF ROOMS HAS BEEN SET ASIDE FOR THE SPORTING DOG               ENTRIES CLOSE: June 27, 2007 at 6 pm or when limit of entries has been reach
SPECTACULAR AT THE SANDMAN HOTEL LANGLEY, 8855-202ND STREET,
LANGLEY BC PHONE: 1-604-888-7263 OR TOLL FREE 1-877-888-7260 (DIRECT                  GOLDEN RETRIEVER CLUB OF CANADA
TO HOTEL). THE SPECIAL RATE IS $89.75 PER NIGHT PLUS TAXES (SINGLE
OR DOUBLE OCCUPANCY). THERE IS A $10.00 CHARGE FOR PETS IN THE
ROOM. ROOMS MUST BE BOOKED DIRECTLY WITH THE HOTEL. FOR THE
SPECIAL RATE, PLEASE QUOTE YOU ARE RESERVING UNDER THE
“CONFIRMATION # 127057”. BLOCK OF ROOMS WILL BE HELD UNTIL JUNE
1ST, 2007. THE SANDMAN HOTEL WILL HAVE A WELCOME PACKAGE FOR
GUESTS STAYING WITH THEM INCLUDING COUPONS AND A MAP TO THE
HAZELMERE RV PARK & CAMPGROUND.                                                                                    HOSTED BY
                                                                                            GOLDEN RETRIEVER CLUB OF BC
 LANGLEY TRAVELODGE 216TH & FRASER HWY,               (877) 533-4431                             JULY 20, 21 & 22, 2007
 LANGLEY, BC
 ($79 + TAX, PETS $10 EXTRA, PLEASE DECLARE PET AT                                  SIX (6) ALL BREED CKC LICENSED AGILITY TRIALS
 TIME OF RESERVATION AS NOT ALL ROOMS                                                (LIMITED ENTRY) (LIMITED TO 300 RUNS PER DAY)
 AVAILABLE FOR PETS))                                                       HELD IN CONJUNCTION WITH SPORTING DOG SPECTACULAR
 RAMADA LTD SURREY/LANGLEY, 19225 HWY 10              (604) 576-8388                            CONFORMATION & OBEDIENCE
 SURREY BC                                                               Two (2) trials on Friday Two (2) trials on Saturday Two (2) trials on Sunday
 (LIMITED NUMBER OF ROOMS AVAILABLE AT TIME OF
 PRINTING)                                                                                                   Outdoors on grass at:
 WESTWARD INN, 19650 FRASER HWY, LANGLEY BC           (604) 534-9238                                    Hazelmere RV and Campground
 (PETS WELCOME, $4 EXTRA)                                                                                 18843, 8th Ave Surrey BC
 SLEEP INN LANGLEY, 6722 GLOVER RD, LANGLEY BC        (604) 514-3111                                              V4P 1M7
 (PETS $10 EXTRA)
                                                                                                        Our distinguished Judges are:
EXHIBITORS ARE RESPONSIBLE FOR ANY DAMAGE TO THE HOTELS OR                    Trials 1 & 2                      Brigitte Hole,                      Novice A & B
GROUNDS CAUSED BY THEIR DOGS. PLEASE ENSURE WE CAN CONTINUE                   Friday,July 20, 2007              34471 Jasper Ave                    Intermediate
TO USE THESE FACILITIES IN THE FUTURE BY CONTROLLING AND                      Trials 5 & 6                      Mission, BC                         Excellent A & B
CLEANING UP AFTER YOUR DOGS AND BY LEAVING ROOMS AND                          Sunday, July 22, 2007                                                 Jumpers With Weaves
                                                                                                                                                    (All Levels)
GROUNDS IN GOOD CONDITION.
                                                                              Trials 3 & 4                      Anita Thomson                                  Novice A & B
                          FOOD CONCESSION                                     Saturday, July 21, 2007           3625 Kingburne Dr                   Intermediate
                                                                                                                Cobble Hill BC, V0R 1L0             Excellent A & B
“METRO CATERING” WILL PROVIDE BREAKFAST, LUNCH, BEVERAGE AND                                                                                        Jumpers With Weaves
SNACK SERVICE FROM FRIDAY UNTIL SUNDAY NIGHT ON THE SHOW GROUNDS                                                                                    (All Levels)
(7 AM-6 PM APPROX.EACH DAY)
                                                                                                                  Trial Secretary:
            ADDITIONAL SPORTING DOG SPECTACULAR RULES                                                              Linda Fedje
                                                                                                                   PO Box 383,
NO GENERATORS TO BE RUN BEFORE 6:30AM OR AFTER 11:00PM                                                            Cobble Hill, BC
EXHIBITORS WILL BE RESPONSIBLE FOR CLEANING UP AFTER THEIR DOGS.                                                     V0R 1L0
VIOLATORS WILL BE ASKED TO LEAVE THE SHOW GROUNDS.
THERE WILL BE NO ACCESS TO THE SHOW GROUNDS, EXCEPT FOR                                  No cover will be provided in case of inclement weather
                                                                                            These events held under the rules of The Canadian Kennel Club
COMMITTEE MEMBERS, UNTIL 6:00PM THURSDAY, JULY 19, 2007                                                Outdoors, Unbenched and Unexamined

                                                                                 The precincts of this trial will be the ring and a 30 foot perimeter from entry/exit side
                                         Officers of the GRCBC                                                                   Regular Standard Classes:
                                                                                    Agility Novice Class “A”                     For persons and dogs that have never acquired an agility title in
President:                                      Becki Bookham                                                                    country with any organization. A dog that has met the requirem
 stt
     Vice President:                            Carol Beaulieu                                                                   for a Novice title, may continue to compete in the Novice A clas
Corresponding Secretary:                        Linda Johnson                                                                    those trials that have been previously entered providing the entri
Treasurer:                                      Susan Highton                                                                    have closed. If the entries have not closed, the dog must be mov
                                                                                                                                 to Novice B.
Trial Secretary:                               Linda Fedje                          Agility Novice Class “B”                     For agility instructors and judges, and for dogs that have acquire
 to whom all entries must be sent)             Box 383
                                                                                                                                 the Agility Novice title, but have not earned a qualifying score in
                                               Cobble Hill, BC
                                                                                                                                 Agility Intermediate; and, for persons who have previously exhi
                                               V0R 1L0
                                                                                                                                 a dog to an agility title in any organization.
                                     Phone: 250 743-2345
Show Superintendent:                           Mr James M Campbell                  Agility Intermediate Class                   The Intermediate class is open to dogs that have acquired the Ag
                                                                                                                                 Novice Title, and to those dogs which have acquired the Agility
Agility Chair:                       Linda Fedje                                                                                 Intermediate title but have not yet acquired a qualifying score
                                                                                                                                 towards the Agility Excellent title.
Trial Committee:                     All members of the GRCBC                       Agility Excellent Class “A”                  The Excellent A class is for dogs that have acquired the Interme
Official Photographer:               Photoplay’s Portrait                                                                        title, but have not yet earned the Agility Excellent title.
                                     Jean Konda-Witte                               Agility Excellent Class “B”                  The Excellent B class if for dogs that have acquired the Excellen
                                     jkonda@telul.net
                                                                                                                                 title or the Agility Master Excellent title.
                                     604.850.6940
                                                                                    Regular Jumpers With Weaves Classes:
Official Veterinarian:               Brookswood Animal Hospital                     Novice “A” Jumpers With Weaves
                                     4059 200th Street
                                                                                                                                 Novice Jumpers With Weaves A is for persons and dogs that hav
                                     Langley BC
                                                                                                                                 never acquired an agility title in any country or with any
                                     604.534.4174
                                                                                                                                 organization.
Canadian Kennel Club:                Mr. Joe Mauro, (Acting Interim) CEO            Novice “B” Jumpers With Weaves
                                     100-89 Skyway Ave,                                                                          Novice Jumpers With Weaves B is for agility instructors and Jud
                                     Etobicoke, Ontario M9W 6R4                                                                  and for dogs that have acquired the Novice Jumpers With Weav
                                     (416)675-5511                                                                               title, but have not earned a qualifying score in Intermediate Jump
                                     www:ckc.ca                                                                                  With Weaves, and for persons who have previously exhibited a
                                                                                                                                 to an agility title in any organization.
CKC Director BCSW Zone:              Ms. Margaret Jones,                            Intermediate Jumpers With Weaves Class
                                     (250)743-4812
                                                                                                                                 The Intermediate Jumpers With Weaves class is open to dogs th
                                     mjkian@shaw.ca
                                                                                                                                 have acquired the Novice Jumpers With Weaves title, and to tho
                                                                                                                                 dogs that have acquired the Intermediate Jumpers with Weaves T
Agility Representative:              Anita Thomson
                                                                                                                                 but have not yet acquired a qualifying score towards the Excelle
                                     karab@telus.net
                                                                                                                                 Jumpers With Weaves Title.
                                                                                    Excellent “A” Jumpers With Weaves Class
                                                                                                                                 The Excellent Jumpers With Weaves A class is for dogs that hav
   Don’t forget the Sporting Dog Spectacular Conformation & Obedience Dog Show                                                   acquired the Intermediate Jumpers With Weaves Title, but have
                                                                                                                                 yet earned the Excellent Jumpers With Weaves Title.
                      July 20, 21, & 22, 2007 at the same location.
    Show Secretary (to whom all conformation & obedience entries must be sent)      Excellent “B” Jumpers With Weaves Class
                                                                                                                                 The Excellent Jumpers With Weaves B class is for dogs that hav
                                Western Dog Shows Ltd.,
                                                                                                                                 acquired the Excellent Jumpers With Weaves title or the Master
                     P.O. Box 3070 MPP, Kamloops, B.C. V2C 6B7                                                                   Excellent Jumpers With Weaves title.
                       Phone (250) 573-3944 Fax (250) 573-3574                      Selected Class
                          e-mail: info@westerndogshows.com                          A dog may be entered in both the Standard Class and Jumpers With Weaves Class in each trial, however they
                                                                                                                                  must enter only Regular or Selected at any given show weekend
                                                                                                                                  dog may be switched back and forth in Regular and Selected but
WE NEED YOUR HELP, agility trials cannot run without volunteers to make our trial                                                 during the same set of trials.
un smoothly you will be expected to participate when not running a dog.             The Selected Classes follow the Agility trials Rules and Regulations. The courses will be the same as in the
                                                                                                                                  regular classes but will have adjusted heights and course times (
                                                                                                                                  Section 12.5.8 of the Rule book)
                                           Moving Up (ARR 6.8.1)
                                                                                                                         It shall be the duty and obligation of the trial-giving club to see that a Judge, Club
A dog that is individually registered in the records of the CKC or has an Event Registration Number (ERN) or a           Official, Volunteer, or any participant at an event held under these rules, is not subject to
Miscellaneous Class Certification Number or a Performance Event Number (PEN) and has received 3 qualifying
 cores from a least 2 different judges, may be transferred to the next level provided that a written or electronic       indignities of any kind. The Agility Trial Committee Chair shall promptly report to the
equest is received not less than one hour prior to the commencement of each trial or in accordance with the              CKC any infringement of this regulation, and the Discipline Committee shall have the
 onditions advertised in the premium list.                                                                               authority to take such action as it deems fit, on receipt of a report, indicating that this has
                                                                                                                         occurred.
SAME DAY MOVE UPS WILL BE ALLOWED as per Rule 6.8.1
                                                                                                                                                                 PRIZE LIST
                                Bitches in Season (ARR 6.10.1 & 6.10.2)                                                                               Qualifying ribbons will be awarded
                                                                                                                             1st-4th Place will be awarded in each Height Division, provided the dog has earned a
Bitches in season are not permitted to compete. The Judge of an agility trial must remove from competition any
bitch in season.
                                                                                                                                                                qualifying score
                                                                                                                              A Qualifying score is 85 points or more out of a possible 100 points, with NO
When a bitch comes into season after entry has been submitted to the Trial Secretary, a Veterinarian’s certificate,                                  NON-QUALIFYING DEDUCTIONS
 ertifying the bitch was in season within the 10 day period preceding the trial, must reach the Trial Secretary on
or before the start of the trial. The trial-giving Club must refund the entry fee, service charge and listing fee. The
 efund and the terms thereof must be clearly stated in premium list.
                                                                                                                                                            ADDITIONAL PRIZES

Upon proof as per the above Rule any bitch that comes in season to interfere with them entering the trial, monies        HQS Golden Retriever for Trial #1-6 Sheila Standish - Creekside Farm Golden Retrieve
will be refunded                                                                                                         HQS Golden Retriever overall in 6 trials Becki Bookham & Linda Fedje - Kulalani
                                                                                                                         Golden Retrievers
                                       Height Divisions – Chapter 10                                                     HQS Weimaraner for Trials 1-4 Lori Hawrychuk & Patricia Kopec – Kopec Weimarane
                                                                                                                         HQS Weimaraner in Trial #5 in Novice, Intermediate & Excellent – Weimaraner
 0.1.1     The following jump height divisions shall be used in all trial classes:
           8” – for dogs 10” and under at the withers
                                                                                                                         Association of Canada
           12” – for dogs over 10” up to and including 14”                                                               HQS Weimaraner in Trial #6 Denise & Doug McLean – Greyghost Weimaraners
           16” – for dogs over 14” up to and including 18”                                                               HQS German Shorthaired Pointer in Trial 1, 2, 3 & 4 Maxine & Didier Moinier –
           20” – for dogs over 18” up to and including 22”                                                               Hunterspride GSP
           24” – for dogs over 22” at the withers
 0.1.2     The following jump height divisions shall be used in all Selected classes:
                                                                                                                         HQS German Shorthaired Pointer in Trial 5 & 6, Novice, Intermediate & Excellent -
           4” – for dogs 10 inches and under at the withers                                                              German Shorthaired Pointer Club of Canada
           8” – for dogs 14 inches and under at the withers                                                              HQS Nova Scotia Duck Tolling Retriever in Trial 1 & 2, Novice, Intermediate & Excell
           12” – for dogs 18 inches and under at the withers                                                             as well as HQS in each trial, NSDTR Club of Canada
           16” – for dogs 22 inches and under at the withers
           20” – for dogs over 22 inches at the withers
                                                                                                                         HQS Labrador Retriever for Trial #1-6 & overall in 6 trials-Labrador Retriever Club Of
                                                                                                                         Canada
8.4.5      Dogs entering the Selected Classes must progress through the various levels beginning with
           the Novice Level. A dog may continue to compete at each level until a qualifying score at the                 Ring size is 110’ x 100’ on grass surface.
           next higher level is earned.

                                                                                                                         Familiarization will be available for Dogs Thursday evening at 8 to 8:30 p.m.
    List of Obstacles & Performance Standards – Chapter 13.1 – 16
All courses must have clearly designated start and finish lines and all obstacles/jumps
must be clearly and sequentially numbered. The course layout for each class must be posted in an easily
 ccessible area at least _ hour before the start of the class.
                                                                                                                         There will be a fantastic raffle table held up by the vendors, in front of the
Elements for all classes will include some of the following (see Chapter 14 for details)                                 conformation rings
A-Frame 5’6”                       Dog Walk                           Teeter
Pause Table                        Open Tunnel                        Closed Tunnel
Weave Poles                        Bar Jumps                          Panel Jump
Other Jumps                        Double Bar Jump                    Ascending Spread Jump
Triple Bar Jump                    Tire (Circle) Jump                 One Bar Jump
                                                                                                       ENTRY FEES (GST INCLUDED)
                                                                         ENTRY FEE FOR ALL 6 STANDARD RUNS (same dog)                                                      $105.00
                                                                         ENTRY FEE FOR ALL 6 JUMPERS RUNS (same dog)                                                       $105.00
              OVERNIGHT R.V. PARKING - AGILITY                           ENTRY FEE FOR EACH DOG PER RUN                                                                    $23.00
ALL RESERVATIONS WILL BE ON A FIRST COME, FIRST SERVED BASIS. ALL RV     LISTING FEE (See note Below)                                                                      $ 8.00
PARKING MUST BE RESERVED IN ADVANCE AND THOSE WISHING TO PARK            Prepaid Catalogue                                                                                 $6.00
TOGETHER SHOULD SUBMIT THEIR RESERVATIONS TOGETHER. DEADLINE FOR         A Listing Fee Must accompany each entry for each run and be paid for each dog that does not possess a CKC
RESERVATIONS WILL BE JULY 16TH, 2007. THERE ARE NO POWER HOOKUPS,        Individual Registration Number, or if a foreign born and owned dog, an Event Registration Number (ERN), a
AND ALL RV’S MUST BE SELF-CONTAINED. RV’S MUST PARK AS DIRECTED. RV      Performance Event Number (PEN) with the CKC.
SPACES ARE APPROXIMATELY 25’ X 40’. ALL EXPENS, RVS AND TOW VEHICLES
MUST FIT INTO THIS SPACE. IF MORE SPACE IS REQUIRED ADDITIONAL SITES
MUST BE RESERVED AND PAID FOR.                                                               ENTRY AND FEE PAYMENT INFORMATION
NO SHOW DOGS/EXHIBITORS WILL BE PERMITTED IN HAZELMERE RV
CAMPGROUNDS DURING THE SHOW. ALL CAMPING WILL BE IN THE FIELD                            Please make your Cheque or Money Order payable to:
ACROSS FROM THE RINGS.
THERE WILL BE A $2.00 PER DAY OR $5.00 FOR THREE DAYS CHARGE FOR DAY
PARKING.
                                                                                                             GRCBC Specialty Account
                                                                                                                  Mail early to:
RV PARKING AND DAY TENT SETUP WILL BE AVAILABLE COMMENCING AT 6:00PM
ON THURSDAY, JULY 19, 2007.                                                                                         GRCBC
                                                                                                                  PO Box 383,
PLEASE SEND THE ATTACHED INFORMATION AND CHEQUE OR MONEY ORDER IN
CANADIAN FUNDS, PAYABLE TO THE GRCBC SPECIALTY ACCOUNT TO:                                                      Cobble Hill, BC
                                                                                                                   V0R 1L0
                               DALE WILSON
              6266 ISLAND HWY WEST, QUALICUM BAY BC V9K 2E4
                                                                                                                 (250)743-2345
                           PHONE: (250) 757-9276                                                                karab@telus.net
NAME: ____________________________________________________________                   We will NOT be accepting fax, e-mail or credit card entries
ADDRESS: ___________________________________________________________
PHONE NO. (    ) _________________                                                        NSF Cheques will be charged a service fee of $20.00
EMAIL: ____________________________________________________________
BREED(S): ___________________________________________________________               Confirmation of entry will be mailed or e-mailed to exhibitor
NIGHTS REQ’D: THUR.    FRI.   SAT.    AGILITY RV PARKING
OVERNIGHT @ $20.00/NIGHT ________
TYPE OF RV:   MOTORHOME       VAN      TRUCK AND CAMPER        TRAILER                                         Attention U.S. Exhibitors
                                                                         Please note that fees are due and payable in Canadian dollars. Due to consistently fluctuating currency rates,
                                                                         discounted cheques will not be accepted. Personal cheques will be accepted; however, they are to be payable
LENGTH OF UNIT: _____ WIDTH OF UNIT: _____ (PLEASE INCLUDE WIDTH WITH    Canadian funds. If you send a cheque in US funds, it must be made out for the full amount of the entry and n
AWNINGS OUT)                                                             exchange will be refunded to the exhibitor. Please DO NOT mark cheques PAYABLE IN CANADIAN FUN
                                                                         or AT PAR. They will not be cleared by the banks. To simplify the process, we urge that you purchase bank
AMT. ENCLOSED: $_________                                                drafts or money orders payable in Canadian funds. Your understanding and cooperation is appreciated. Than
                                                                         you.


                                                                         BORDER CROSSING: A rabies certificate is required to bring a dog into Canada, Government
  NO OVERNIGHT PARKING ON SUNDAY.                                        regulations require this certificate MUST be dated at least 30 days prior to re-entry into the U.S.
                                                                                                                                     OFFICIAL CANADIAN KENNEL CLUB ENTRY FORM
                                          WAIVER                                                                                            ALL BREED AGILITY TRIAL

                                                                                                                        GRCBC , PO Box 383, Cobble Hill, BC V0R 1L0                              (Mail entries)
  acknowledge that I, all exhibitors, handlers and patrons, know and abide by the “CKC
Dog Show Rules”, and that I am familiar with their content. I agree that the Club holding       DATE            July 20,21,22 2007              CLOSING              June 27, 2007 6 pm
 his Show has the right to refuse this entry for cause, which the Club shall deem to be         TOTAL FEES: $ _                ENTRY FEES: $ _ ___ CATALOGUE: $______                          LISTING FEES: $ _              _
 ufficient. In consideration of the acceptance of this entry and of the holding of the Show     BREED                                                             VARIETY                                            SEX
and of the opportunity to have the dog judged and to win ribbons or trophies. I agree to                                                                                                                                 Male
                                                                                                                                                                                                                         Female
hold the Golden Retriever Club of Canada, their members, directors, governors, officers,        AGILITY TRIAL                                                                                                         HEIGHT AT
                                                                                                                                                Jump Height Division
agents, superintendents or show secretary and the owner or lessor of the premises and any       CLASS
                                                                                                                                                      4”
                                                                                                                                                                              Standard            Jumpers             WITHERS
                                                                                                Standard           Jumpers W/Weaves                                                               W/Weaves
employees of the aforementioned parties, harmless from any claim for loss or injury which                                                             8”                             Trial 1        Trial 1
                                                                                                    Novice A            Novice A                      12”                            Trial 2         Trial 2
may be alleged to have been caused directly or indirectly to any person or thing by the act         Novice B            Novice B                      16”                            Trial 3         Trial 3
of a dog while in or upon the show premises or grounds or near any entrance thereto, and I          Intermediate        Intermediate                  20”
                                                                                                                                                      24”
                                                                                                                                                                                     Trial 4         Trial 4
                                                                                                    Excellent A         Excellent A                                                  Trial 5         Trial 5
personally assume all responsibility and liability for any such claim, and I further agree to       Excellent B         Excellent B                                                  Trial 6         Trial 6
                                                                                                                                                      REGULAR
hold the aforementioned parties harmless from any claim for loss of a dog by                                                                          SELECT                         All Six            All Six
disappearance, theft, death or otherwise, and from any claim for damage or injury to the        Call Name                                 Registered Name
dog, whether such loss, disappearance, theft damage or injury be caused or alleged to be
caused by the negligence of the Club or any of the parties aforementioned, or by the            Enter CKC Number Here
                                                                                                                                                                  Is This a Puppy?
                                                                                                   CKC REG NO.                                                                             DOB ______/_______/_______
negligence of any other person, or any other cause or causes.                                      CKC ERN NO.
                                                                                                                                                                      Yes
                                                                                                                                                                                                 Day Month      Year
                                                                                                                                                                      No
                                                                                                   CKC Misc. Cert No.
                                                                                                   CKC PEN NO.
 hereby assume the sole responsibility for and agree to indemnify and save the                     LISTED                                                         PLACE OF BIRTH                CANADA            ELSEWHERE

aforementioned parties harmless from any and all loss and expense (including legal fees)        BREEDER
by reason of the liability imposed by law upon any of the aforementioned parties because
of bodily injuries including death at any time resulting there from, sustained by an person     SIRE

or persons, including myself, or on account of damage of property, arising out of or in         Dam
consequence of my participation in this show, howsoever such injuries, death or damage to
property may be caused and whether or not the same may have been caused and whether
                                                                                                ACTUAL
or not the same may have alleged to have been caused by negligence of the                       OWNERS
aforementioned parties or any of their employees or agents, or any other person.                OWNERS
                                                                                                ADDRESS

                                                                                                                                                                                               Postal
                                                                                                CITY                                                     PROV.
                                                                                                                                                                                               Code

                                                                                                NAME OF OWNERS AGENT
                                                                                                (if any) AT THE SHOW

                                                                                                AGENT’S
                                                                                                ADDRESS

                                                                                                                                                                                               Postal
                                                                                                CITY                                                     PROV
Date____________________________           Signed_____________________________                                                                                                                 Code

                                                                                                I CERTIFY that I am the registered owner(s) of the dog, or that I am the duly authorized agent of owner(s) whose name(s) I have en
                                                                                                above and accept full responsibility for all statements made in this entry. In consideration of the acceptance of this entry. I (we) ag
                                                                                                abide by the rules and regulations of the Canadian Kennel Club and by any additional rules and regulations appearing in the premiu

                                                                                                SIGNATURE of
                                                                                                owner or agent
                                                                                                                                                                                               MAIL I.D.           OWNER
                                                                                                TELEPHONE                                                                                        TO:               AGENT

                                                                                                E-MAIL ADDRESS
                                                                                                Like all Clubs, we NEED your help – Please indicate your volunteer preference, we can not guarantee but will do our best
                                                                                                       Runner
                                                                                                       Ring Crew
                                                                                                       Course Builder
                                                                                                                                     OFFICIAL CANADIAN KENNEL CLUB ENTRY FORM
                                                                                                                                            ALL BREED AGILITY TRIAL
                                          WAIVER
                                                                                                                        GRCBC , PO Box 383, Cobble Hill, BC V0R 1L0                              (Mail entries)

  acknowledge that I, all exhibitors, handlers and patrons, know and abide by the “CKC          DATE            July 20,21,22 2007              CLOSING              June 27, 2007 6 pm
Dog Show Rules”, and that I am familiar with their content. I agree that the Club holding
                                                                                                TOTAL FEES: $ _                ENTRY FEES: $ _ ___ CATALOGUE: $______                          LISTING FEES: $ _              _
 his Show has the right to refuse this entry for cause, which the Club shall deem to be
                                                                                                BREED                                                             VARIETY                                            SEX
 ufficient. In consideration of the acceptance of this entry and of the holding of the Show                                                                                                                              Male
and of the opportunity to have the dog judged and to win ribbons or trophies. I agree to                                                                                                                                 Female
                                                                                                AGILITY TRIAL                                                                                                         HEIGHT AT
hold the Golden Retriever Club of Canada, their members, directors, governors, officers,        CLASS
                                                                                                                                                Jump Height Division
                                                                                                                                                                              Standard            Jumpers             WITHERS
                                                                                                                                                      4”
agents, superintendents or show secretary and the owner or lessor of the premises and any       Standard           Jumpers W/Weaves
                                                                                                                                                      8”                             Trial 1
                                                                                                                                                                                                  W/Weaves
                                                                                                                                                                                                    Trial 1
employees of the aforementioned parties, harmless from any claim for loss or injury which           Novice A            Novice A                      12”                            Trial 2         Trial 2
                                                                                                    Novice B            Novice B                      16”                            Trial 3         Trial 3
may be alleged to have been caused directly or indirectly to any person or thing by the act         Intermediate        Intermediate                  20”                            Trial 4         Trial 4
                                                                                                                                                      24”
of a dog while in or upon the show premises or grounds or near any entrance thereto, and I          Excellent A
                                                                                                    Excellent B
                                                                                                                        Excellent A
                                                                                                                        Excellent B
                                                                                                                                                                                     Trial 5
                                                                                                                                                                                     Trial 6
                                                                                                                                                                                                     Trial 5
                                                                                                                                                                                                     Trial 6
personally assume all responsibility and liability for any such claim, and I further agree to                                                         REGULAR
                                                                                                                                                      SELECT                         All Six            All Six
hold the aforementioned parties harmless from any claim for loss of a dog by                    Call Name                                 Registered Name
disappearance, theft, death or otherwise, and from any claim for damage or injury to the
dog, whether such loss, disappearance, theft damage or injury be caused or alleged to be        Enter CKC Number Here
                                                                                                                                                                  Is This a Puppy?
caused by the negligence of the Club or any of the parties aforementioned, or by the               CKC REG NO.
                                                                                                                                                                      Yes
                                                                                                                                                                                           DOB ______/_______/_______
                                                                                                   CKC ERN NO.                                                                                   Day Month      Year
negligence of any other person, or any other cause or causes.                                                                                                         No
                                                                                                   CKC Misc. Cert No.
                                                                                                   CKC PEN NO.
                                                                                                   LISTED                                                         PLACE OF BIRTH                CANADA            ELSEWHERE
 hereby assume the sole responsibility for and agree to indemnify and save the                  BREEDER
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 because        SIRE
of bodily injuries including death at any time resulting there from, sustained by an person
                                                                                                Dam
or persons, including myself, or on account of damage of property, arising out of or in
consequence of my participation in this show, howsoever such injuries, death or damage to
property may be caused and whether or not the same may have been caused and whether             ACTUAL
                                                                                                OWNERS
or not the same may have alleged to have been caused by negligence of the
                                                                                                OWNERS
aforementioned parties or any of their employees or agents, or any other person.                ADDRESS

                                                                                                                                                                                               Postal
                                                                                                CITY                                                     PROV.
                                                                                                                                                                                               Code

                                                                                                NAME OF OWNERS AGENT
                                                                                                (if any) AT THE SHOW

                                                                                                AGENT’S
                                                                                                ADDRESS

                                                                                                                                                                                               Postal
                                                                                                CITY                                                     PROV                                  Code
Date____________________________           Signed_____________________________
                                                                                                I CERTIFY that I am the registered owner(s) of the dog, or that I am the duly authorized agent of owner(s) whose name(s) I have en
                                                                                                above and accept full responsibility for all statements made in this entry. In consideration of the acceptance of this entry. I (we) ag
                                                                                                abide by the rules and regulations of the Canadian Kennel Club and by any additional rules and regulations appearing in the premiu

                                                                                                SIGNATURE of
                                                                                                owner or agent
                                                                                                                                                                                               MAIL I.D.           OWNER
                                                                                                TELEPHONE                                                                                        TO:               AGENT

                                                                                                E-MAIL ADDRESS
                                                                                                Like all Clubs, we NEED your help – Please indicate your volunteer preference, we can not guarantee but will do our best
                                                                                                       Runner
                                                                                                       Ring Crew
                                                                                                       Course Builder

				
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