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American Belgian Malinois Club

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					                               Entries open on March 1, 2007 at 9:00 am MST at the trial secretary’s address. Any entries received before this
                               date/time will be returned. ENTRIES WILL CLOSE ON April 19, 2007, 6:00 pm MST after which time entries
                               cannot be accepted, cancelled, altered, or substituted except as provided for in Chapter 11, Section 6 of the Rules
                               Applying to Dog Shows.
                                                                             PREMIUM LISTS




Iona, ID 83427
PO Box 132
LaDawn Moad, Trial Secretary
                                                                              Herding Trials
                                               These events held under the Rules and Regulations of the American Kennel Club

                                                          American Belgian Malinois Club
                                                                          an AKC Member Club




                                                          May 10, 2007 Herding Trial Event 2007418216
                                                           All Breed (Malinois Preferred) Limit 40 runs
                                                          May 10, 2007 Herding Trial Event 2007418217
                                                                   Malinois Only Limit 40 runs

                                                             Davis County Fair Park-Legacy Center
                                                           151 South 1100 West, Farmington, UT 84025

                                              These tests/trials will be held outdoors regardless of weather.

                                                                Show Hours 7:00 am to 6:00 pm MST

                                                                          Trial Secretary
                                                                           LaDawn Moad
                                                                            PO Box 132
                                                                          Iona, ID 83427
                                                                 208-552-1174, moadl@d93.k12.id.us


                                                                                  CERTIFICATION
                                                       Permission is granted by the American Kennel Club for the
                                                       holding of this event under American Kennel Club rules and
                                                       regulations.
                                                                                   James P. Crowley, Secretary
         OFFICERS OF THE AMERICAN BELGIAN MALINOIS CLUB                        OFFICIAL AMERICAN KENNEL CLUB HERDING TEST/TRIAL ENTRY FORM
                                                                                 Club:                                                                 Date(s):             Event #
                                                                                                  American Belgian Malinois Club                          05/10/2007
President……………………………………………………………………... Barb Peach                                Location: Davis County Fair Park & Legacy Center                                I enclose entry fees in
First Vice President………...……………………………………………..Lisa Swarthout                                                   Farmington, Utah                                   the amount of $
Second Vice President………...………………………………………….…..Jim Moses                         Test Classes: (check one)  Boundary                      Course: (check one)           Stock: (check one)
Recording Secretary…………………………………………………..Kathy Greenwood                          Pre-Trial     Herding     Instinct Test                A B       C                Ducks Sheep Cattle
                                                                                 Trial Classes: (check one)                                                              Under Judge:
Corresponding Secretary……………………………………………...……Nancy Lasky
                                                                                 Started         Intermediate         Advanced
…………….………………………….1568 Blue Camas Court, Idaho Falls, ID 83402                    Full Name of Dog:                                                                                         Call Name:
Treasurer…..…………………………………………………………….Tammy Williams
Director…..……………………………………………………………..…….Trish Gautier                             Breed:                                                    Reg. #:                           Sex:          Date of Birth:
Director…..……………………………………………………...………….Marcia Tokson
                                                                                 AKC No.      AKC Litter No.    ILP No.    FSS No.      Foreign No.
AKC Delegate……………………………………………………………...Nancy Bennett                                                                                          & List Country _________________________
                                                                                 Sire:
                ABMC 2007 National Specialty Co-Chairs
Suzanne Belger………….……..….……….994 Lowell Drive, Idaho Falls, ID 83402             Dam:
……………………………………………………………desertmtnmalinois@msn.com                                 Name of Breeder:
Nancy Lasky………….…………….1568 Blue Camas Court, Idaho Falls, ID 83402
……………………………………………………………vertimal@hockeytails.myrf.net                             Actual Owner(s):
Lisa Swarthout………….…………………….64 Dillman Road, Roundup, MT 59072
                                                                                 Owner’s Address:
………………………………………………………………..obeddogs@midrivers.com
                                                                                 City:                                                           State:            Zip:
                              Show Committee
Herding Chairperson……………………………………...………………Lisa Swarthout                         Name of Owner’s Agent/Handler:
…………………………………………………..64 Dillman Road, Roundup, MT 59072                          Agent/Handler’s Address:
…………………………………………………….…………..obeddogs@midrivers.com
                            Committee Members                                    City:                                                           State:            Zip:
 Suzanne Belger, Arynne Belger, Nancy Lasky, Shirley Brown, Melanie McCleary
                                                                                      AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.org
                                                                                                                                          AGREEMENT
                                  Trial Secretary                              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
                                  LaDawn Moad                                  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 club, their members, directors, governors,
                                   PO Box 132                                  officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services
                                 Iona, ID 83427                                that are necessary to this event and any employees or volunteers of the aforementioned parties, and any 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
                        208-552-1174, moadl@d93.k12.id.us                      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
                                      Judges                                   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 the
          Thursday, May 10, 2007             Thursday, May 10, 2007            aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by
                                                  Malinois Only                any persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our)
                   All Breed                                                   participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may
           Priscilla Phillips 45347             Terri Jones 45349              have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their
             13025 Broili Drive                   PO Box 6732                  employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM
                                           Gardnerville, NV 89460-4612         ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC
          Reno, NV 89511-0237                                                  AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT
                                                                               SHALL BE SETTLED BY ARBITRATIONPURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION
                                                                               ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND
              Visit http://www.abmcspecialty.com/abmc2007/                     PROCEDURES MUST FIRST BE FOLLOWED AS FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS,
                                                                               PUBLISHED POLICIES AND GUIDELINES.
           For more information on the American Belgian Malinois Club visit       Signature of owner or his
                                                                                  Agent duly authorized to make this entry:_________________________________________________________________
                     http://www.breedclub.org/ABMC.htm                            Telephone:                                                        Email address:

ENTRIES WILL CLOSE ON April 19, 2007, 6:00 pm MST……………………………………………………………..2    AHN999 (8/05)
                                  HOTEL INFORMATION                                                                       Herding Test/Trial Entry Fees
As of this printing, these hotels have graciously agreed to accept our well-mannered
dogs. A pet deposit may be required. Please check with hotels for policies an                                $45.00 per entry (includes $3.00 AKC recording fee)
restrictions. Remember to clean up after your dogs.                                               All entry fee checks or money orders (US funds only) are to be made payable to ABMC
**Best Western Cottontree Inn, 1030 North 400 East, N. Salt Lake City, UT 800-662-6886
                                                                                                        Entries with correct fees are to be mailed to the trial secretary:
Hampton Inn, 2393 South 800 West, Woods Cross, UT 888-834-4470                                                                  LaDawn Moad,
Motel 6, 2433 South 800 West, Woods Cross, UT 801-298-0289
                                                                                                                                  PO Box 132
                                                                                                                                Iona, ID 83427
Country Inn and Suites, 999 North 500 West, Bountiful, UT 801-292-8100

Comfort Inn, 877 North 400 West, Layton, UT 801-544-5577
                                                                                                                                     Livestock
                                                                                                                           Katadin Dorper Cross Sheep
Hampton Inn, 1702 Woodland Park Drive, Layton, UT 801-775-8800                                                                  3 to 5 head per run
Holiday Inn Express, 1695 Woodland Park Drive, Layton, UT 801-773-3773
                                                                                                                            (Value $150.00 per sheep)

Towneplace Suites by Marriott, 1743 Woodland park Dr, Layton, UT 84041, 801-779-2422                                          ENTRY INFORMATION
Super 8, 572 North Main Street, Clearfield, UT 801-825-8000
                                                                                                The American Belgian Malinois Club does not agree to arbitrate claims as set forth on the
                                                                                                 Official AKC Entry Form for this event.
Lagoon RV Park and Campground, 375 N Lagoon Drive, Farmington, UT 801-605-5555                  Entries must be received by Thursday, April 19, 2007, 6:00 pm MST after which time entries
                                                                                                 cannot be accepted, canceled, altered or substituted except as provided for in Chapter 11,
**Davis County Fair Park (RVs) 151 South 1100 West, Farmington, UT 801- 451-4080                 Section 8 of the dog show rules. No telephone, verbal, or fax entries will be accepted. All
                                                                                                 changes and cancellations must be received in writing. E-mail is acceptable prior to closing,
                                                                                                 except as provided for in Chapter 11, Section 6 of the Rules applying to Dog Shows published
              **ABMC 2007 National Specialty Host Hotel and National Site
                                                                                                 by the American Kennel Club.
                    http://www.co.davis.ut.us/fairpark/default.cfm                              Canadian Exhibitors must submit entries with checks drawn on US accounts or with
                                          or
                      http://www.bwcottontreeinn.com/saltlakecity/
                                                                                                 international money orders in US funds.
                                                                                                There will be no refunds for duplicate entries
                 NO DOGS ARE TO BE LEFT UNATTENDED IN ROOMS!                                    All entries must be on official AKC herding entry forms. Entries will be returned if they are
                                                                                                 illegible, incomplete, or are submitted with incorrect fees.
                            DIRECTIONS TO THE TRIAL SITE                                        Returned checks do not constitute a valid entry fee. The club will add a collection fee to the
                                                                                                 amount of the check. Subsequent returned checks from the same exhibitors may result in their
FROM THE SOUTH-Take 1-15 North, take Exit 324 (Park Lane/Farmington) and keep to the             being put on a cash only basis.
right. At the signal, turn left on Park Lane and travel .8 miles to the STOP sign. Proceed      Entry fee will not be refunded in the event that a dog is absent, disqualified, excused by
through the STOP sign; fairgrounds will be on your left.                                         Veterinarian or judge or barred from competition by action of the Show Committee.
                                                                                                No entry fees will be refunded if the show cannot open or be completed by any reason of riots,
FROM THE NORTH-Take 1-15 South, take Exit 327 (Farmington/Lagoon Drive). At the
                                                                                                 civil disturbances, fire, extreme and/or dangerous weather conditions, an Act of God, public
signal, turn right on Park Lane and travel .4 miles to the STOP sign. Proceed through the
STOP sign; fairgrounds are on your left.                                                         emergency, act of a public enemy, strikes or any other cause beyond the control of the Club or
                                                                                                 it’s superintendent.
                                                                                                No entry shall be made and no entry shall be excepted which specifies any condition as to its
For more information about local sights and activities in the Farmington area visit
                                                                                                 acceptance.
http://www.davisareacvb.com/
                                                                                                A dog may be entered in both a Trial class and a Test class for a given trial. However, one
                                                                                                 entry should be designated the priority entry on the entry form should the entry limits be
                                                                                                 reached. The second entry will be then taken as an alternate.


ENTRIES WILL CLOSE ON April 19, 2007, 6:00 pm MST…………………………………………………………..6                   ENTRIES WILL CLOSE ON April 19, 2007, 6:00 pm MST……………………………………………………………..3
   Members of the American Belgian Malinois Club, the Trial Secretary, Davis County Fair Park
    and Legacy Center, their agents, employees, etc., assume no responsibility for any personal                All rights to televise, videotape, photograph, promote or otherwise exploit these events are vested
    injury or death of any person, theft of personal property, theft, injury, death of any animal, or the       in the club or in persons to whom assignments of such rights have been made in writing by the
    loss of or damage to any property while at these shows/trials or on the show/trial grounds, or in           club. All persons and animals on the show grounds at any time while the shows are in
    transit to or from the site. The ABMC furthermore assumes no responsibility for injury to                   progressdo, by attending these shows or participating therein, hereby grant to the clubs the right
    children.                                                                                                   to photograph, televise, videotape or otherwise use their likeness and voice in any manner without
   By entering this show, exhibitors and agents agree to maintain orderly conditions. Any arguing              further release or consent.
    or abusive language may result in forfeiture of all privileges, without refund of fees. Such               Bitches in season will run last in the Tests and in catalog order in the Trials.
    actions may be subject to disciplinary action by the Trial Committee. ABMC may decline any
    entries for cause and may refuse to receive, or may remove any dog on account of disease,                                                     Ribbons and Awards
    viciousness, or other cause, and no one shall have any claim or recourse against ABMC or
    official thereof.                                                                                                                         First Prize Blue Single Rosette
   Exhibitors are responsible for cleaning up after their dog(s). Any exhibitor failing to do so may                                       Second Prize Red Single Rosette
    be excused without benefit of refund if the Trial Committee deems the exhibitor to be in violation                                      Third Prize Yellow Single Rosette
    of this requirement. Cleaning supplies and disposal sites will be available at various locations                                        Fourth Prize White Single Rosette
    around the show grounds.                                                                                                            High in Trial Blue, Red & Yellow Rosette
   Dogs must be ready for judging. Neither the club nor is superintendent will be responsible or                                High Combined (Trial 1 & Trial 2) Blue and Green Rosette
    obligated to furnish any service for notifying exhibitors or their agents of Class judging. Judges                                 Qualifying Score Dark Green Single Rosette
    need not wait for any dog holding up a class. Owners or agents alone are responsible for
    the presence of their dogs in the judging ring.                                                                 High Combined (Trial 1 & 2)---Embroidered, Hanging Dog First Aid Kit---Del Rio Foto
   The Club reserves the right to substitute a prize of equal or greater value.
   All trophies and prizes must be claimed the day of the show. None will be mailed.                                        High in Trial #1---Embroidered, Collapsible Cooler---Trish Gautier
   All checks issued as prizes are the sole responsibility of the recipient. Lost, stolen, and/or                              HSAs-1st ---Embroidered Bath Towel---Lily Rock Belgians
    misplaced checks will not be replaced.                                                                                             2nd thru 4th ---Stuffed Sheep---Connie Shown
   Loss or Damage – The Show Committee will use due care and diligence for the welfare of dogs                                     HIAs-1st ---Embroidered Bath Towel---Kelly Backus
    and exhibitors, but will not be responsible for, or assume any liability in the event of any                                       2nd thru 4th ---Stuffed Sheep---Connie Shown
    accident or misfortune, to either dogs or exhibitors participating in these shows. The welfare of                               HXAs-1st ---Embroidered Bath Towel---Kelly Backus
    an exhibitor’s child is assumed to be the responsibility of the exhibitor/parent. It is distinctly                                 2nd thru 4th ---Stuffed Sheep---Connie Shown
    understood that the exhibitors will exercise control and restraint over children on the day of the
    shows OR THE EXHIBITOR/PARENT WILL BE ASKED TO LEAVE THE SHOW PREMISES.                                                High in Trial #2---Embroidered, Collapsible Cooler----Element Belgians
   Animals left in vehicles will be monitored by County Control Officers and Show Committee. If                                    HSAs-1st ---Embroidered Bath Towel---Kelly Backus
    animals are in distress due to heat or any other circumstances, the vehicle will be forcibly                                        2nd thru 4th ---Stuffed Sheep---Connie Shown
    entered, the animal recovered and the owner cited. If it is necessary to rescue a dog from a                                     HIAs-1st ---Embroidered Bath Towel---Kelly Backus
    parked vehicle on the show grounds or in the parking areas, the club will not be responsible or                                     2nd thru 4th ---Stuffed Sheep----Connie Shown
    liable for any damage to the vehicle involved.                                                                                  HXAs-1st ---Embroidered Bath Towel---Kelly Backus
   There will be absolutely no dumping of gray water from your RV onto the ground.                                                     2nd thru 4th ---Stuffed Sheep---Lisa Swarthout
   Exhibitors and Handlers will be held responsible for clean conditions in and around their
    grooming area, parking area, hotel grounds and hotel room.
   Exhibitors will be responsible for cleaning up after their dogs Exhibitors and handlers                                                     VETERINARIANS (On Call)
    must pick up fecal matter deposited by their dogs on the grounds, streets, sidewalks, and
    parking lots.                                                                                                                     The Animal Care Center and K-9 Rehab Center
   No smoking will be allowed or tolerated in any building on the show site. Offenders of the rule                                               698 West 500 South
    shall be subject to a fine and will be asked to leave.                                                                                     West Bountiful, UT 84087
   These rules will be enforced by the show committee. Failure to comply with these rules                                                           801-294-5960
    will result in charges being brought before the show committee.
   Exhibitors should follow their veterinarians’ recommendation to assure their dogs are                                                            After 6 pm
    free of internal and external parasites, any communicable diseases, and have                                            Animal Emergency Center, 2465 N Main, Ste #5 Sunset, UT 84015
    appropriate vaccinations.                                                                                                                        801-776-8118


ENTRIES WILL CLOSE ON April 19, 2007, 6:00 pm MST……………………………………………………………..4                                 ENTRIES WILL CLOSE ON April 19, 2007, 6:00 pm MST……………………………………………………………..5
OFFICIAL AMERICAN KENNEL CLUB HERDING TEST/TRIAL ENTRY FORM                                                                           OFFICIAL AMERICAN KENNEL CLUB HERDING TEST/TRIAL ENTRY FORM
  Club:                                                                 Date(s):             Event #                                    Club:                                                                 Date(s):             Event #
                   American Belgian Malinois Club                          05/10/2007               2007418216                                           American Belgian Malinois Club                          05/10/2007               2007418216
  Location: Davis County Fair Park & Legacy Center                                I enclose entry fees in                               Location: Davis County Fair Park & Legacy Center                                I enclose entry fees in
                               Farmington, Utah                                   the amount of $                                                                    Farmington, Utah                                   the amount of $
  Test Classes: (check one)  Boundary                      Course: (check one)           Stock: (check one)                            Test Classes: (check one)  Boundary                      Course: (check one)           Stock: (check one)
  Pre-Trial     Herding     Instinct Test                A B       C                Ducks Sheep Cattle                         Pre-Trial     Herding     Instinct Test                A B       C                Ducks Sheep Cattle
  Trial Classes: (check one)                                                              Under Judge:                                  Trial Classes: (check one)                                                              Under Judge:
  Started         Intermediate         Advanced                                                                                      Started         Intermediate         Advanced
  Full Name of Dog:                                                                                         Call Name:                  Full Name of Dog:                                                                                         Call Name:

  Breed:                                                    Reg. #:                           Sex:          Date of Birth:              Breed:                                                    Reg. #:                           Sex:          Date of Birth:

  AKC No.      AKC Litter No.    ILP No.    FSS No.      Foreign No.                                                               AKC No.      AKC Litter No.    ILP No.    FSS No.      Foreign No.
                                                              & List Country _________________________                                                                                              & List Country _________________________
  Sire:                                                                                                                                 Sire:

  Dam:                                                                                                                                  Dam:

  Name of Breeder:                                                                                                                      Name of Breeder:

  Actual Owner(s):                                                                                                                      Actual Owner(s):

  Owner’s Address:                                                                                                                      Owner’s Address:

  City:                                                           State:            Zip:                                                City:                                                           State:            Zip:

  Name of Owner’s Agent/Handler:                                                                                                        Name of Owner’s Agent/Handler:

  Agent/Handler’s Address:                                                                                                              Agent/Handler’s Address:

  City:                                                           State:            Zip:                                                City:                                                           State:            Zip:

       AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.org                        AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.org
                                                           AGREEMENT                                                                                                                             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   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
consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and      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 club, their members, directors, governors,        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         officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services
that are necessary to this event and any employees or volunteers of the aforementioned parties, and any AKC approved                  that are necessary to this event and any employees or volunteers of the aforementioned parties, and any 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         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         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       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.                                                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             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 the          parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon the
aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by           aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by
any persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our)          any 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          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                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                                  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                                         ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC
AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT                                         AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT
SHALL BE SETTLED BY ARBITRATIONPURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION                                           SHALL BE SETTLED BY ARBITRATIONPURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION
ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND                                          ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND
PROCEDURES MUST FIRST BE FOLLOWED AS FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS,                                         PROCEDURES MUST FIRST BE FOLLOWED AS FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS,
PUBLISHED POLICIES AND GUIDELINES.                                                                                                    PUBLISHED POLICIES AND GUIDELINES.
   Signature of owner or his                                                                                                             Signature of owner or his
   Agent duly authorized to make this entry:_________________________________________________________________                            Agent duly authorized to make this entry:_________________________________________________________________
   Telephone:                                                        Email address:                                                      Telephone:                                                        Email address:

AHN999 (8/05)                                                                                                                         AHN999 (8/05)
OFFICIAL AMERICAN KENNEL CLUB HERDING TEST/TRIAL ENTRY FORM                                                                           OFFICIAL AMERICAN KENNEL CLUB HERDING TEST/TRIAL ENTRY FORM
  Club:                                                                 Date(s):             Event #                                    Club:                                                                 Date(s):             Event #
                   American Belgian Malinois Club                          05/10/2007               2007418217                                           American Belgian Malinois Club                          05/10/2007               2007418217
  Location: Davis County Fair Park & Legacy Center                                I enclose entry fees in                               Location: Davis County Fair Park & Legacy Center                                I enclose entry fees in
                               Farmington, Utah                                   the amount of $                                                                    Farmington, Utah                                   the amount of $
  Test Classes: (check one)  Boundary                      Course: (check one)           Stock: (check one)                            Test Classes: (check one)  Boundary                      Course: (check one)           Stock: (check one)
  Pre-Trial     Herding     Instinct Test                A B       C                Ducks Sheep Cattle                         Pre-Trial     Herding     Instinct Test                A B       C                Ducks Sheep Cattle
  Trial Classes: (check one)                                                              Under Judge:                                  Trial Classes: (check one)                                                              Under Judge:
  Started         Intermediate         Advanced                                                                                      Started         Intermediate         Advanced
  Full Name of Dog:                                                                                         Call Name:                  Full Name of Dog:                                                                                         Call Name:

  Breed:                                                    Reg. #:                           Sex:          Date of Birth:              Breed:                                                    Reg. #:                           Sex:          Date of Birth:

  AKC No.      AKC Litter No.    ILP No.    FSS No.      Foreign No.                                                               AKC No.      AKC Litter No.    ILP No.    FSS No.      Foreign No.
                                                              & List Country _________________________                                                                                              & List Country _________________________
  Sire:                                                                                                                                 Sire:

  Dam:                                                                                                                                  Dam:

  Name of Breeder:                                                                                                                      Name of Breeder:

  Actual Owner(s):                                                                                                                      Actual Owner(s):

  Owner’s Address:                                                                                                                      Owner’s Address:

  City:                                                           State:            Zip:                                                City:                                                           State:            Zip:

  Name of Owner’s Agent/Handler:                                                                                                        Name of Owner’s Agent/Handler:

  Agent/Handler’s Address:                                                                                                              Agent/Handler’s Address:

  City:                                                           State:            Zip:                                                City:                                                           State:            Zip:

       AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.org                        AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.org
                                                           AGREEMENT                                                                                                                             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   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
consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and      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 club, their members, directors, governors,        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         officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services
that are necessary to this event and any employees or volunteers of the aforementioned parties, and any AKC approved                  that are necessary to this event and any employees or volunteers of the aforementioned parties, and any 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         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         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       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.                                                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             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 the          parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon the
aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by           aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by
any persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our)          any 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          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                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                                  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                                         ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC
AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT                                         AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT
SHALL BE SETTLED BY ARBITRATIONPURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION                                           SHALL BE SETTLED BY ARBITRATIONPURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION
ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND                                          ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND
PROCEDURES MUST FIRST BE FOLLOWED AS FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS,                                         PROCEDURES MUST FIRST BE FOLLOWED AS FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS,
PUBLISHED POLICIES AND GUIDELINES.                                                                                                    PUBLISHED POLICIES AND GUIDELINES.
   Signature of owner or his                                                                                                             Signature of owner or his
   Agent duly authorized to make this entry:_________________________________________________________________                            Agent duly authorized to make this entry:_________________________________________________________________
   Telephone:                                                        Email address:                                                      Telephone:                                                        Email address:

AHN999 (8/05)                                                                                                                         AHN999 (8/05)

				
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