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PREMIUM LIST Marshbanks Golden Retriever Club of South-Central ... - PDF

VIEWS: 12 PAGES: 6

  • pg 1
									                                   Entries close at 6:00 PM, on Wednesday, October 1, 2008 after which time entries
                                   cannot be accepted, canceled, altered or substituted, except as provided for in Chapter
                                   11, Section 6 of the Dog Show Rules.


                                                                     PREMIUM LIST

                                               Marshbanks Golden Retriever Club
                                                   of South-Central Michigan




                                                               Saturday, October 18, 2008
                                                                Sunday, October 19, 2008

                                                        2nd & 3rd All-breed Obedience Trials
                                                                  Event # 2008610004, 200861007
                                                             2nd & 3rd All-breed Rally Trials
                                                                   Event # 20086105, 200861006
                                                                Licensed by the American Kennel Club

                                                            Location: Northfield Dog Training
                                                                3676 West Ellsworth Rd.
                                                                  Ann Arbor, MI 48103
Marshbanks Golden Retriever Club




                                              ALL JUDGING INDOORS ON FULLY MATTED RINGS
Beth Meade, Trial Secretary




                                        Trial hours: 7:00 AM TO 6:00 PM EASTERN DAYLIGHT TIME

                                                                        LIMITED ENTRY:
Ypsilanti, MI 48198
1882 Ashley Drive




                                        Saturday, October 18: 9 Novice A, 36 Novice B, 56 Open, 56 Utility, 80 Rally

                                         Sunday, October 19: 36 Novice A, 18 Novice B, 48 Open, 56 Utility, 80 Rally


                                    AMERICAN KENNEL CLUB 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
                                                                                                                                           JUDGES
                                                                                              Mr. Brian D. Cleveland (#6061), 4001 Pelham Rd., Apt. 16, Greer, SC 29650
                 Marshbanks Golden Retriever Club                                             Ms. Laraine (Lori) Moffa (#15487), 848 Military Turnpike, Plattsburgh, NY 12901
                    Of South-Central Michigan                                                 Mr. William R. Parrill, Jr. (#34043), 3645 S. Rockbridge Rd., Stone Mtn, GA 30087

                                                                                                                            JUDGING ASSIGNMENTS
                                         OFFICERS                                             Saturday, October 18, 2008
                                                                                              Obedience Novice A, Open A and Open B                                    Mr. Brian D. Cleveland
         PRESIDENT .............................................................. Gwen Coon   Obedience Novice B and all Rally Classes                                 Mr. William R. Parrill, Jr.
         VICE PRESIDENT .................................................. Deborah Stoll      Obedience Utility A and B                                                Ms. Laraine Moffa
         TREASURER .................................................... Nancy Chapman
         SECRETARY ........................................................ Marcia Schlehr    Sunday, October 19, 2008 – Obedience
                           Box 515, Clinton, MI 49236                                         Obedience Novice A and all Rally Classes                                 Mr. William R. Parrill, Jr.
                                                                                              Obedience Novice B, Open A and Open B                                    Ms. Laraine Moffa
                                                                                              Utility A and B                                                          Mr. Brian D. Cleveland
                                     TRIAL CHAIR
                                       Adele Yunck                                                                                     ENTRY FEES
                                 3676 West Ellsworth Rd.                                      Please Note: Obedience and Rally Trials are separate events.
                                   Ann Arbor, MI 48103
                                                                                              First Entry of a Dog (each day), including $1.50 AKC Services Fee and $0.50
                                      (734) 668-0104
                                                                                              AKC Recording Fee for Obedience, or $3.00 AKC Recording Fee for Rally .......... $23.00
                                                                                              Each additional entry of the SAME dog (each event) ............................... ............. $15.00
                                  and officers of the club

        CHIEF RING STEWARD .................................. Corinne Williams                                                           MOVE-UPS
        GROUNDS ............................................................... Adele Yunck
                                                                                              Request for move-ups must be made in writing and presented to the trial secretary at least
        TROPHIES ................. Marallyn Wight and Charlene Eisenlohr
                                                                                              30 minutes prior to the start of the trial. Move-ups may be approved, provided the next
        HOSPITALITY FOR WORKERS ................... Dolores Hoagland                          class level and judge are available and the class has not reached its limit.
      JUDGES’ TRANSPORTATION AND HOSPITALITYNancy Chapman
                                                                                                                                 PREPAID CATALOG
                                    VETERINARIANS
Ann Arbor Animal Hospital (on call)                         Animal Emergency Clinic           A limited number of catalogs will be available at the Trial. To pre-order a catalog, please
2150 W. Liberty                                             4126 Packard Rd.                  include $1.00 with your entry and fill in the space on the entry form. You may pick up your
Ann Arbor, MI                                               Ann Arbor, MI                     catalog from the Trial Secretary at the trial. Catalogs will cost $2.00 at the trial. Catalogs
(734) 662-4474                                              (734) 971-8774                    will not be mailed.
Open 24 hrs                                                 Open 24 hrs
                                                                                                  NOTE – Crates and chairs may be left in the building overnight at your own risk.
Neither the Trial Committee nor Marshbanks Golden Retriever Club of South Central                   NO DOGS MAY BE LEFT IN THE BUILDING OVERNIGHT
Michigan will be responsible for the loss or damage to any dog on the show grounds,               NO TRAINING IN THE BUILDING DURING NON-TRIAL HOURS
whether as a result of an accident or any other cause. It is clearly understood that every
dog entered in the show is in the care, custody and control of its owner or handler during
                                                                                                                      MOTELS THAT WILL ACCEPT DOGS
the entire time the dog is on the show premises. Parents are responsible for their
children.
                                                                                              Red Roof Inn, 39700 Ann Arbor Rd., Plymouth, I-275, exit 8734-459-3300
                                                                                              Crosslands Livonia, 11801 Middlebelt, Livonia, I-96, exit 176734-458-8180
             NO SMOKING ALLOWED IN THE BUILDING                                               Days Inn Canton, 40500 Michigan Ave., Canton, US-275, exit 22888-872-8356
                                                                                              LaQuinta Inn Canton-Detroit, 41211 Ford Rd., Canton, US-275, exit 25734-981-1808
                                                                                              Please do not leave dogs unattended in rooms. Keep rooms and exercise areas
                                                                                              clean. It becomes increasingly difficult to find motels that accept dogs in rooms,
                                                                                              and we should not abuse this privilege.
                        RALLY AND OBEDIENCE TRIAL AWARDS                                                                                          NOTE TO EXHIBITORS
Qualifying Scores are required for all awards in regular classes. In the event a specific              Telegraph, Telephone and Unsigned Entries Cannot be Accepted. Entries Not on Official AKC Entry Forms and
trophy is unavailable, a trophy of equal value will be substituted. “Dog” means either sex.            Photocopies of Entry Forms without Agreement and Rules on the reverse side of the Official AKC Entry Form are
Trophies not claimed on the day of the trial become the property of the Marshbanks                     NOT ACCEPTABLE.
Golden Retriever Club. No trophies will be mailed.
                                                                                                       Make All Checks and Money Orders payable to Marshbanks Golden Retriever Club of South-Central Michigan.
                                                                                                       Canadian exhibitors must make fees payable in U.S. Funds. Please mail checks or money orders with entries. Trial
                                                                                                       Secretary assumes no responsibility for cash sent through the mail.
A full list, including donors, is available from the Trial Secretary, at the address listed
above.                                                                                                 Mail All Entries with Fees to Beth Meade, 1882 Ashley Drive, Ypsilanti, MI 48198. Entries received without fees with
                                                                                                       not be accepted. Entries sent overnight or express mail or other similar services should be designated “NO
                                                                                                       SIGNATURE REQUIRED”.
                                                     RIBBONS
                                                                                                       Acknowledgement of entries will be made as soon as practical after closing date with judging program and
Regular Classes                                                                                        directions to the Trial Site. Should such acknowledgement not be received by the exhibitor within a reasonable
First Place............................................................................. Blue Ribbon   time, please contact the Trial Secretary.
Second Place ........................................................................ Red Ribbon
                                                                                                       A Service Fee of $1.50 and a Recording Fee of $0.50 will be required for each dog entered at any Licensed or
Third Place ........................................................................ Yellow Ribbon     Member Club Show, Obedience Trial or Tracking Test; the Recording Fee for Rally is $3.00 for each entry of each
Fourth Place ........................................................................White Ribbon      dog. This Recording Fee is to be collected by the Show-giving Club and paid to the American Kennel Club. If a dog
                                                                                                       is entered in more than one class in the show, the Recording Fee is to be collected for the first entry only.
A Dark Green Qualifying Score Ribbon will be presented to each dog receiving a                         (American Kennel Club Rule, Chapter 11, Section 2).
qualifying score in regular classes.
                                                                                                       No entry shall be made and no entry shall be accepted which specifies any conditions to its acceptance.
Highest Scoring Dog in Obedience Trial .......... Blue and Gold Rosette
Highest Combined Score from Open and UtilityBlue and Green Rosette                                     Entry Fees shall not be refunded in the event that a dog is absent, disqualified, excused by Veterinarian or Judge, or
                                                                                                       barred from competition by action of Show Committee. If because of riots, civil disturbances or other acts beyond
                                                                                                       the control of the Club it is impossible to open or to complete the show, no refund of entry fee will be made.

                                                                                                       Post-dated and returned checks do not constitute a valid entry fee. The show giving club will add a collection fee to
                                                                                                       the amount of each returned check. Subsequent returned checks from the same exhibitors may result in their being
                                                                                                       put on a CASH ONLY basis.

                                                                                                       Errors on entry blanks. Owners are responsible for errors in making out entry forms, whoever may make such
                                                                                                       errors, and no entry fee will be refunded in event of such errors or cancellation of entries after the published closing
                                                                                                       date.

                                                                                                       No practicing will be allowed in the rings at any time. Dogs may arrive any time prior to their scheduled time of
                                                                                                       judging. Dogs not required for further judging will be excused.

                                                                                                       Judges will not wait for any dog holding up a class. Owners or agents alone are responsible for the presence of their
                                                                                                       dogs in judging ring when their classes are called to be judged.

                                                                                                       All dogs present must be held on leash or confined to their crates except when being judged or when in the
                                                                                                       exercising ring.

                                                                                                       No gasoline or diesel generators are permitted inside any building or within 100 feet of any tent in which this dog
                                                                                                       show is conducted.

                                                                                                                                            LIMITED CRATING AVAILABLE.
                                                                                                                                       CRATES MUST BE STACKED UPON REQUEST

                                                                                                       Bitches in Season – A refund of all entry fees less $10.00 will be made to any exhibitor who has a bitch entered who
                                                                                                       comes in season after the entries close. To be eligible for a refund, a statement from a veterinarian must be
                                                                                                       presented to the Trial Secretary no later than 9:00 AM the morning of the trial or the veterinarian’s statement may be
Marshbanks Golden Retriever Club is pleased to announce that photographer                              mailed to the Trial Secretary, provided it is received prior to the opening of the trial.
Karen Taylor will be on site during this trial to shoot win photos and portraits.                      Multiple Entries – When there is a multiple entry of the same dog, only the highest score will be eligible for special
Karen will also have selections from her card and gift line available.                                 awards.

                                                                                                       Trophies – All trophies must be claimed at the trial. NONE WILL BE MAILED. Any unclaimed awards become the
                                                                                                       property of the Marshbanks Golden Retriever Club of South-Central Michigan.

                                                                                                       Due to space limitations, space for un-entered dogs will not be provided.
                   OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
                                                                                                                                             AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
             MARSHBANKS GOLDEN RETRIEVER CLUB OF SOUTH-CENTRAL MICHIGAN
                   Events # 200861004, 200861005, 200861006 and 200861007
                                                                                                                                                                                                                      AGREEMENT
     Saturday, October 18 Rally                                     Saturday, October 18 Obedience                                           I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem
     Sunday, October 19 Rally                                       Sunday, October 19 Obedience                                             sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to
                                                                                                                                             have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their
ENTRY FEES: $23.00 for the first entry of a dog EACH EVENT and $15.00 for each additional entry                                              members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of
of the same dog EACH EVENT. Entry fees include $.50 AKC recording fee and $1.50 event service                                                the premises and any provider of services that are necessary to hold this event and any employees or volunteers of
fee for Obedience, or $3.00 AKC recording fee for Rally.                                                                                     the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or
ENTRIES CLOSE at Trial Secretary's address when the numerical limit has been reached, if reached                                             injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog
                                                                                                                                             while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all
before 6:00 PM, WEDNESDAY, OCTOBER 1, 2008, after which time entries cannot be accepted,                                                     responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless
canceled, altered or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show                                            from any claim for loss, injury or
Rules.                                                                                                                                       damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend
MAKE CHECKS & MONEY ORDERS payable to Marshbanks Golden Retriever Club of South-                                                             and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of
Central Michigan. CANADIAN EXHIBITORS must make fees payable in US Funds.                                                                    the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including
                                                                                                                                             death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on
MAIL ENTRIES WITH FEES to Beth Meade, 1882 Ashley Drive, Ypsilanti, MI 48198                                                                 account of damage to property, arising out of or in consequence of my (our) participation in this event, however
                                                                                                                                             such, injuries, death or property damage may be caused, and whether or not the same may have been caused or
$________enclosed for entry fees                       ______check here and add $1.00 for a pre-paid catalog
                                                                                                                                             may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees,
LIMITED ENTRY: Saturday, October 18: 9 Novice A, 36 Novice B, 56 Open, 56 Utility, 80 Rally                                                  agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM
    Sunday, October 19: 36 Novice A, 18 Novice B, 48 Open, 56 Utility, 80 Rally                                                              ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN
                                                                                                                                             THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND
IMPORTANT – Read Carefully the instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections                       MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS
of the instructions relevant to the information needed in that box (PLEASE PRINT).                                                           AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE
                                                                                                                                             AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC
  BREED                                       VARIETY 1                                         SEX                                          BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE
                                                                                                                                             AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
  DOG 2 3                                                              CLASS 3
  SHOW                                                                 DIVISION                                                                                                                                     INSTRUCTIONS
  CLASS                                                                Weight, color, etc.
                                                                                                                                             1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the
  ADDITIONAL                 OBEDIENCE CLASS           RALLY CLASS (Jump                     JR. SHOWMANSHIP                                 particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not
  CLASSES                                              Height)                               CLASS                                           exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies
                                                                                      (                                                      (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long
  NAME OF (See Back)                                                                         JR. HANDLER                                     coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature,
  JUNIOR HANDLER (if any)                                                                    NUMBER                                          standard).
  FULL                                                                                                                                       2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are
  NAME                                                                                                                                       Champions of Record and dogs which, according to their owners’ records, have completed the requirements for a
  OF DOG
                                                                                                                                             championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of
                                             Enter number here                                                                               Breed competition is limited to a period of 90 days from the date of the show where the dog completed the
                                                                       DATE OF
   AKC REG NO.                                                        BIRTH                                                                 requirements for a championship.
   AKC LITTER NO.                                                                                                                           3. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog
   ILP NO.                                                                                                                                  is divided, then, in addition to designating the class, specify the particular division of the class in which you are
                                                                       PLACE OF                 USA  Canada  Foreign
   FOREIGN REG NO. AND COUNTRY                                        BIRTH                                                                 entering your dog, i.e, age division, color division, weight division.
                                                                                                                                             4. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If
  BREEDER                                                                                                                                    a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event for
                                                                                                                                             which entries closed after the date of acquirement, regardless of whether the new owner has received the
  SIRE
                                                                                                                                             registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer
  DAM                                                                                                                                        application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.)

         ACTUAL OWNER(S)_______________________________________________________________________________                                      If this entry is for Junior Showmanship, please give the following information:
            4                       (Please Print)                                                                                           JUNIOR SHOWMANSHIP                                                           JR.’S DATE OF BIRTH_________________________
         OWNER’S ADDRESS_______________________________________________________________________________

         CITY__________________________________________________ STATE_____________________ ZIP____________                                   AKC JUNIOR HANDLER NUMBER
  NAME OF OWNER’S AGENT
  (IF ANY) AT THE SHOW______________________________________________________________________________                                         The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the
                                                                                                                                             American Kennel Club. Phone: (919) 816-3776.
I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered
above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club      By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an
in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further   agent/handler for pay while continuing to compete in Junior Showmanship.
agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is
not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we)
agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline)      ADDRESS_____________________________________________________________________________________
and to abide by any decisions made in accord with them.

SIGNATURE of owner or his agent                                                                                                              CITY ___________________________________________________ STATE ________________ ZIP____________
                                                                                                                                             If Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner?
duly authorized to make this entry ___________________________________________________________________

TELEPHONE# ___________________________________________________________________________________

E-MAIL (An acknowledgment of receipt of entry may be sent to this address) _________________________________________
                   OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM                                                                                  AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
             MARSHBANKS GOLDEN RETRIEVER CLUB OF SOUTH-CENTRAL MICHIGAN
                   Events # 200861004, 200861005, 200861006 and 200861007                                                                                                                                              AGREEMENT
                                                                                                                                             I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem
     Saturday, October 18 Rally                                     Saturday, October 18 Obedience                                             sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to
     Sunday, October 19 Rally                                       Sunday, October 19 Obedience                                               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, officers, agents, superintendents or event secretary and the owner and/or lessor of
ENTRY FEES: $23.00 for the first entry of a dog EACH EVENT and $15.00 for each additional entry                                                the premises and any provider of services that are necessary to hold this event and any employees or volunteers of
of the same dog EACH EVENT. Entry fees include $.50 AKC recording fee and $1.50 event service                                                  the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or
fee for Obedience, or $3.00 AKC recording fee for Rally.                                                                                       injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog
ENTRIES CLOSE at Trial Secretary's address when the numerical limit has been reached, if reached                                               while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all
                                                                                                                                               responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless
before 6:00 PM, WEDNESDAY, OCTOBER 1, 2008, after which time entries cannot be accepted,
                                                                                                                                               from any claim for loss, injury or
canceled, altered or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show                                            damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and
Rules.                                                                                                                                         save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the
MAKE CHECKS & MONEY ORDERS payable to Marshbanks Golden Retriever Club of South-                                                               liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including
Central Michigan. CANADIAN EXHIBITORS must make fees payable in US Funds.                                                                      death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on
                                                                                                                                               account of damage to property, arising out of or in consequence of my (our) participation in this event, however
MAIL ENTRIES WITH FEES to Beth Meade, 1882 Ashley Drive, Ypsilanti, MI 48198                                                                   such, injuries, death or property damage may be caused, and whether or not the same may have been caused or
$________enclosed for entry fees                       ______check here and add $1.00 for a pre-paid catalog                                   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
LIMITED ENTRY: Saturday, October 18: 9 Novice A, 36 Novice B, 56 Open, 56 Utility, 80 Rally                                                    ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN
    Sunday, October 19: 36 Novice A, 18 Novice B, 48 Open, 56 Utility, 80 Rally                                                                THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND
                                                                                                                                               MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS
IMPORTANT – Read Carefully the instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections                         AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE
of the instructions relevant to the information needed in that box (PLEASE PRINT).                                                             AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC
                                                                                                                                               BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE
  BREED                                       VARIETY 1                                         SEX
                                                                                                                                               AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
  DOG 2 3                                                              CLASS 3                                                                                                                                       INSTRUCTIONS
  SHOW                                                                 DIVISION
                                                                                                                                             1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the
  CLASS                                                                Weight, color, etc.
                                                                                                                                              particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not
  ADDITIONAL                 OBEDIENCE CLASS           RALLY CLASS (Jump                     JR. SHOWMANSHIP                                  exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies
  CLASSES                                              Height)                               CLASS                                            (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long
                                                                                      (
                                                                                                                                              coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature,
  NAME OF (See Back)                                                                         JR. HANDLER                                      standard).
  JUNIOR HANDLER (if any)                                                                    NUMBER
                                                                                                                                             2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are
  FULL                                                                                                                                        Champions of Record and dogs which, according to their owners’ records, have completed the requirements for a
  NAME
                                                                                                                                              championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of
  OF DOG
                                                                                                                                              Breed competition is limited to a period of 90 days from the date of the show where the dog completed the
                                             Enter number here                                                                                requirements for a championship.
                                                                       DATE OF
   AKC REG NO.                                                        BIRTH                                                                 3. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is
   AKC LITTER NO.                                                                                                                            divided, then, in addition to designating the class, specify the particular division of the class in which you are
   ILP NO.                                                                                                                                   entering your dog, i.e, age division, color division, weight division.
                                                                       PLACE OF                 USA  Canada  Foreign
   FOREIGN REG NO. AND COUNTRY                                        BIRTH                                                                 4. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If a
                                                                                                                                              registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event for
  BREEDER                                                                                                                                     which entries closed after the date of acquirement, regardless of whether the new owner has received the
                                                                                                                                              registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer
  SIRE
                                                                                                                                              application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.)
  DAM
                                                                                                                                             If this entry is for Junior Showmanship, please give the following information:
         ACTUAL OWNER(S)_______________________________________________________________________________                                      JUNIOR SHOWMANSHIP                                                            JR.’S DATE OF BIRTH_________________________
            4                       (Please Print)
         OWNER’S ADDRESS_______________________________________________________________________________
                                                                                                                                             AKC JUNIOR HANDLER NUMBER
         CITY__________________________________________________ STATE_____________________ ZIP____________
  NAME OF OWNER’S AGENT                                                                                                                      The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the
  (IF ANY) AT THE SHOW______________________________________________________________________________                                          American Kennel Club. Phone: (919) 816-3776.

I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered        By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an
above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Kennel Club       agent/handler for pay while continuing to compete in Junior Showmanship.
in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further
agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is
not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we)          ADDRESS_____________________________________________________________________________________
agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline)
and to abide by any decisions made in accord with them.                                                                                      CITY ___________________________________________________ STATE ________________ ZIP____________
                                                                                                                                             If Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner?
SIGNATURE of owner or his agent
duly authorized to make this entry ___________________________________________________________________

TELEPHONE# ___________________________________________________________________________________

E-MAIL (An acknowledgment of receipt of entry may be sent to this address) __________________________________________
RALLY TRIAL MOVE-UP FORM                                                                     OBEDIENCE TRIAL MOVE-UP FORM
(Present this form to the Trial Secretary or the Superintendent.)                            (Present this form to the Trial Secretary or the Superintendent.)

After a dog earns a title, it may be moved up to the next class in a future trial even       This is in accordance with Chapter 1, Section 16 of the Obedience Regulations.
though the closing date for the trial has passed. This move-up may be requested if,
according to the owner’s records, the dog has completed the requirements for the title       After a dog earns a title, it may be moved up to the next class in a future trial even
after the closing date of the trial in which the advanced entry is to be made. The request   though the closing date for the trial has passed. This move-up may be requested if,
for a move-up must be in writing and presented to the superintendent or the trial            according to the owner’s records, the dog has completed the requirements for the title
secretary at least 30 minutes prior to the start of each trial. Move-ups may be approved,    after the closing date of the trial in which the advanced entry is to be made. The request
provided the next level class (e.g. Novice to Advanced) and judge are available and the      for a move-up must be in writing and presented to the superintendent or the trial
class has not reached its limit.                                                             secretary at least 30 minutes prior to the start of each trial. Move-ups may be approved,
                                                                                             provided the next level class (e.g . Novice to Open) and judge are available and the class
                                                                                             has not reached its limit.

Name of Club                                                   Date

                                                                                             Name of Club                                                   Date

Dog’s AKC Registered Name                                              Dog’s AKC #

                                                                                             Dog’s AKC Registered Name                                              Dog’s AKC #

Breed                                                          Sex

                                                                                             Breed                                                          Sex
Move Entry to: (Circle one)

Rally Advanced            A         B        List Jump Height___________                     Move Entry to: (Circle one)

Rally Excellent           A         B        List Jump Height___________                     Open             A        B                  List Jump Height_____/______

                                                                                             Utility          A        B                  List Jump Height_____/______


Owner’s Name:_______________________________________________________

                                                                                             Owner’s Name:_______________________________________________________
Handler’s Name:______________________________________________________
(if applicable)
                                                                                             Handler’sName:______________________________________________________
                                                                                             (if applicable)
Signature of owner or agent
duly authorized to make this entry:________________________________________
                                                                                             Signature of owner or agent
                                                                                             duly authorized to make this entry:________________________________________
Signature of Trial Secretary
or Superintendent if approved:____________________________________________
                                                                    Date                     Signature of Trial Secretary
                                                                                             or Superintendent if approved:____________________________________________
Time Received:_______________________                                                                                                                           Date

                                                                                             Time Received:_________________________

								
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