FRIDAY_ MARCH 18_ 2011 SATURDAY_ MARCH 19_ 2011 SUNDAY_ MARCH 20_ 2011

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Sun Prairie, WI 53590
1930 Barrington Circle
Denine Ackerbauer, BKC Trial Secretary
                                                        All Breed Obedience & Rally Trials
                                                                       (Unbenched-Indoors)




                                                               BADGER KENNEL CLUB, INC.
                                                                    (AKC LICENSED)

                                                            FRIDAY, MARCH 18, 2011
                                                                     Rally Trial (2011082601)
                                                        SATURDAY, MARCH 19, 2011
                                                                 Obedience Trial (2011082602)
                                                           SUNDAY, MARCH 20, 2011
                                                                 Obedience Trial (2011082603)
                                                                              at:
                                                                     Badger Kennel Club
                                                        5925 Haase Road, DeForest, WI 53532-2976
                                                        Trial Hours Friday, 12:00 NOON – 5:00 P.M.;
                                                          Saturday & Sunday, 8:00 A.M.-5:00 P.M.

                                             Entries close on Wednesday, March 2, 2011, 5:00 P.M. unless
                                                        numerical limit is reached prior to this date.
                                             No entries will be accepted, changed or canceled after this time.
                                                         Move-ups will NOT be accepted at these trials
                                                                 Classes are limited as follows:
                                                                     RALLY: 100 Entries
                                                       OBEDIENCE ENTRIES ARE LIMITED EACH DAY
                                              On First Come First Served Basis - Not to Exceed 8 Hours Per Judge
                                            OPEN, UTILITY, GRAD. NOVICE & GRAD. OPEN WILL BE JUDGED IN JUMP
                                                                      HEIGHT ORDER
                                                               AMERICAN KENNEL CLUB CERTIFICATION
                                         Permission has been granted by the American Kennel Club for the holding of this event
                                         under American Kennel Club rules and regulations


                                                                                                       James P. Crowley, Secretary
RALLY ENTRY FEE:                                                                     $25.00               DIRECTIONS TO THE SHOW SITE
Each additional rally entry of the same dog:                                         $19.00
(For example, if “Rover” is entered in Advanced B on Friday, the entry fee is $25.00. If “Rover” is       From North (Fond du Lac/Green Bay): Take Hwy 151 to I90/94 north of
ALSO entered in Excellent B on Friday, the entry fee for Excellent B is $19.00. “Rover’s total entry
                                                                                                          Madison. Go west on I90/94 to Hwy 51 South, exit #132.
fee is $44.00.)

OBEDIENCE ENTRY FEE:                                                                 $25.00               From West (Wisconsin Dells): Take I-90/94 toward Madison. Exit at Hwy 51
Each additional obedience entry of the same dog same day:                            $19.00               South, exit #132.

(For example, if “Rover” is entered in Open B on Saturday, the entry fee is $25.00. If “Rover” is         From South (Janesville), take I-90 north toward Madison. Exit at Hwy 51
ALSO entered in Utility B on Saturday, the entry fee for Utility B is $19.00. “Rover’s” total entry fee   South, exit #132.
is $44.00. If “Rover” is entered in Novice B and also optional titling classes Beginner Novice B
and Graduate Novice on Saturday, the entries would be: $25.00 plus $19.00 plus $19.00, or total
of $63.00 for Saturday.)                                                                                  From East (Milwaukee): Take I-94 to I-39/ I-90 West toward Wisconsin Dells.
                                                                                                          Exit at Hwy 51 South, exit #132.
(For example, if “Rover” is entered in Novice B on Saturday, the entry fee is $25.00. If “Rover is
ALSO entered in Novice B on Sunday, the entry fee for Novice B is still $25.00. “Rover’s” total
entry fee is $50.00.)
                                                                                                          From Hwy 51 South Exit: Go south on Hwy 51 to first stoplight (CTH
                                                                                                          CV/Anderson Road) and turn left. Look for the colorful water tower. Turn
ENTRIES CLOSE: Wednesday, March 2, 2011 at 5:00 p.m. unless the
                                                                                                          left on Haase Rd. then take the fifth (5th) driveway on the right-hand side on
numerical limit is reached prior to the closing date after which time entries will                        Haase Rd. The BKC Training Center is located on the north side of the
not be accepted, cancelled, altered or substituted.                                                       parking lot. Be sure you are on Anderson Road, not Anderson Street.

All entries are to be mailed with fees to: Denine Ackerbauer, Trial Secretary
                                           1930 Barrington Circle
                                           Sun Prairie, WI 53590

Entry fees must accompany all entries. Make checks or money orders payable
to Badger Kennel Club. Entries will not be accepted without fees or
signatures. An official AKC entry form must be used. Sorry NO fax or email
entries will be accepted. If using overnight delivery, please sign signature
waiver.

Bitches that come into season after the closing date will have the entry fee less
$5.00 refunded upon written certification by a licensed veterinarian to the effect
that the bitch in question is in season on the day of the trial. NOTIFICATION
MUST BE RECEIVED BY THE TRIAL SECRETARY BEFORE 8:00 AM (CST)
ON THE TRIAL DATE.

Entry fees shall not be refunded in the event that a dog is absent, disqualified,
excused by veterinarian or judges, or barred from the competition by action of
the Trial Committee. If, because of riots, civil disturbances or other acts
beyond the control of the trial giving club, it is impossible to open or complete
the trial, no refund of entry fees will be made.

EXHIBITORS PLEASE NOTE: AKC recording fees and Event Service Fees                                                                    SITE INFORMATION
are required for each dog entered at any licensed or member obedience
trial or rally trial. These fees are included in the entry fees collected by
the show-giving club. The show-giving club forwards the fees to the
AKC. For details of the fees required by the American Kennel Club,
please see the Regulations Applying to Dog Shows, Chapter 11, Section
2, as well as the AKC Rally Regulations, Chapter 1, Section 3.
                          SITE INFORMATION                                                         OFFICERS OF BADGER KENNEL CLUB
                                                                                             President                                Mike Young
The building will be open at 12:00 NOON on Friday for set up. On Saturday                    Vice-President                           Rick Schober
                                                                                             Treasurer                                Karen Scott
and Sunday the building will be open at 8:00 A.M. for set up.                                Secretary                                Bryan Conrad
                                                                                                                              400 Nygaard St., Oregon, WI 53575-1414
Please pick up after your dogs. Anyone witnessed not picking up after
their dog will be excused from the trial with no entry fees refunded.
                                                                                                              BOARD OF DIRECTORS
                                                                                             Dawn Christensen, John Jackson, Ken Kaiser, Carol Mahlik,
                            CATALOG SALES                                                                  Dave McGuire & Toni Ward

If you wish to purchase a catalog, please pre-order with your entry. Only a                        OBEDIENCE TRIAL COMMITTEE
limited number of catalogs will be available at the show. The cost will be $5.00
                                                                                    Chairperson                      Bev Duerst
each.
                                                                                                                     506 Natchez Ct.
                                                                                                                     De Forest, WI 53532
                      VETERINARIAN (ON CALL)                                                                         (608) 332-1099
                                                                                    Trial Secretary                  Denine Ackerbauer
                   Veterinary Emergency Service                                                                      1930 Barrington Circle
               4902 E. Broadway, Madison, WI 53716                                                                   Sun Prairie, WI 53590
                           608-222-2455                                                                              (608) 825-7371
                                                                                                                     denineack@spwl.net
                                                                                    Chief Ring Steward - Obed        Judy Donmoyer
                                 CRATING                                            Chief Ring Steward - Rally       Sue Anderson
An area will be reserved for crating, but space is limited so please plan on
                                                                                    Hospitality                      Ken Kaiser and Rick Schober
stacking crates whenever possible. No X-pens will be allowed. Crates may be
                                                                                    Trophies                         Marijane Reich
left overnight; however, Badger Kennel Club will not be responsible for any lost
or damaged items left at the site. No dogs may be left overnight. No
unentered dogs are allowed in the building.                                                              JUDGES AND ASSIGNMENTS

                                                                                   Rally          Friday, March 18
                                    FOOD
                                                                                   Novice A       Mr. Robert M. Burgin
Beverages, snacks and lunch items will be available for sale on site on
                                                                                   Novice B       Mr. Robert M. Burgin
Saturday and Sunday. The food will be provided by MacTaggart’s Market &            Advanced A     Mr. Robert M. Burgin
Deli, Madison, WI. No food will be available for purchase on Friday.               Advanced B     Mr. Robert M. Burgin
                                                                                   Excellent A    Mr. Robert M. Burgin
                   MOTELS THAT ACCEPT DOGS                                         Excellent B    Mr. Robert M. Burgin
                                                                                   Obedience      Saturday, March 19                 Sunday, March 20
*Comfort Inn, 5025 County Hwy V, DeForest, WI (608) 846-9100 – $89.00;             Novice A       Mrs. Sandy Forneris                Mr. Robert M. Burgin
 one time pet fee $20                                                              Novice B       Mrs. Sandy Forneris                Mr. Robert M. Burgin
*Holiday Inn Express, 7184 Morrisonville Rd., DeForest, WI (608) 846-8686 -        Open A         Mr. Robert M. Burgin               Mrs. Sandy Forneris
  $89.00 -reflects a 10% discount; one time pet fee $20.00.                        Open B         Mr. Robert M. Burgin               Mrs. Sandy Forneris
*Red Roof Inn, 4830 Hayes Rd, Madison, WI (608) 241-1787 – $58.49; no fee          Utility A      Mrs. Sandy Forneris                Mr. Robert M. Burgin
 for pets                                                                          Utility B      Mrs. Sandy Forneris                Mr. Robert M. Burgin
                                                                                   Beg. Nov. A    Mr. Robert M. Burgin               Mrs. Sandy Forneris
* Days Inn, 6311 Rostad Dr, Windsor, WI (608) 846-7473 – $61.00; $10.00
                                                                                   Beg. Nov. B    Mr. Robert M. Burgin               Mrs. Sandy Forneris
 one time pet fee
                                                                                   Grad. Novice   Mr. Robert M. Burgin               Mrs. Sandy Forneris
                                                                                   Grad. Open     Mr. Robert M. Burgin               Mrs. Sandy Forneris
****Mention BKC at any of the above for discount on room rate****
                                                                                    Mr. Robert M. Burgin, 3118 Bayberry Drive SW, Cedar Rapids, IA 52404
                                                                                    Mrs. Sandy Forneris, 312 N Main St., Grimes, IA 50111
                       TENTATIVE SCHEDULE                                                                       SPECIAL AWARDS

                        Friday, March 18, 2011                                   - New Title Ribbons donated by Badger Kennel Club
                  Rally judging will begin at 1:00 p.m.                          - $50 for High in Trial donated by Sue Anderson, in memory of Belgians,
                                                                                    Ch, U-UD Epris' A Change of Pace, UDT, SKC CD, CGC, TT; Ch, HIT, U-OCH,
                       Saturday, March 19, 2011                                     Epris' Driving Indy Fast Lane, UDX, NA, SKC-UD, CKC-CD, TT CGC; and
                 Obedience judging will begin at 9:00 a.m.                          U-CD, Epris' Jump Start, CDX, CGC.
                                                                                 - $50 for High Combined Donated by Badger Kennel Club
       OPEN, UTILITY, GRADUATE NOVICE AND GRADUATE OPEN                          - A dog toy for all Field Spaniels receiving a qualifying score in rally & obedience donated
              ASCENDING JUMP HEIGHTS BEGINNING AT 4”                                by Cheryl Benedict, Maplesugar Field Spaniels
                                                                                 - A dog toy for every Irish Setter competing in rally or obedience donated by Anne M.
                        Sunday, March 20, 2011                                      Schilling
                Obedience judging will begin at 9:00 a.m.                        - A dog toy for highest scoring Labrador Retriever in a regular obedience donated by Judy
                                                                                    Donmoyer
       OPEN, UTILITY, GRADUATE NOVICE AND GRADUATE OPEN                          - A dog toy for highest scoring Poodle in obedience donated by Bev Duerst, Limelite
           DESCENDING JUMP HEIGHTS BEGINNING AT 36”                                 Poodles
                                                                                 - A dog toy for all Shetland Sheepdogs with a qualifying score in rally & obedience
                       AWARDS AND RIBBONS                                           donated by Barbara Duren
                                                                                 - A dog toy for all Collies with a qualifying score in rally & obedience donated by Barbara
PLEASE NOTE:                                                                        Duren
  A dog toy will be given for all placements in all Obedience and Rally          - A dog toy for every Shetland Sheepdog with a qualifying score in Rally; A stuffed sheep
  classes. High Combined and High in Trial will be awarded in Obedience             for the high scoring Sheltie in the A obedience classes; and a ceramic trivet for the high
  only.                                                                             scoring Sheltie in the B obedience classes; donated by Mary Escalante, Drumlin
  A qualifying score is required for all awards.                                    Shetland Sheepdogs, in memory of UCDX UAG1 ‘Missy’ UD
  When a dog is entered in more than one class, only its highest score will be   - A dog toy for every Poodle with a qualifying score in Rally donated by Kari Kenefick
  used in determining special awards. “Dog” refers to either sex.                - A dog toy for every Shiba Inu, American Eskimo, Chow Chow, Keeshond, & Norwegian
  ALL TROPHIES MUST BE CLAIMED THE DAY OF THE TRIAL; none will                      Elkhound competing in rally or obedience donated in memory of the Shibas 3
  be mailed.
                                                                                 - A dog toy for high scoring Golden Retriever and Icelandic Sheepdog entered in
                                                                                    obedience donated by Dawn Christensen
                           RIBBON AWARDS                                         - A goodie bag for every Brittany competing in rally or obedience donated by Denine
                                                                                    Ackerbauer
Highest Scoring Dog                           Blue & Gold Rosette                - A dog toy for the high scoring Golden Retriever in Open A each day donated by Judi
Highest Combined Score In                     Blue & Green Rosette                  Haag in memory of Thor who earned his CDX at age 11
    Open B & Utility Classes
                                                                                 - A custom made article bag for the high scoring poodle in Open obedience on Saturday.
First Place                                   Blue Ribbon
                                                                                    If no qualifiers it will be offered again on Sunday; donated by Ellen Blitz [who can’t win it
Second Place                                  Red Ribbon
Third Place                                   Yellow Ribbon                         herself]
Fourth Place                                  White Ribbon                       - A dog toy for high scoring Belgian Malinois or Belgian Shepherd in obedience donated
Qualifying Score                              Dark Green Ribbon                     by the Albright Family in the memory of Penny
     AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site,                                                        OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
                                                www.akc.org                                                                                                                                 Badger Kennel Club, Inc.
                                                         AGREEMENT
                                                                                                                            Entry Fee: $25.00 for the first entry and $19.00 for each additional entry of SAME dog, SAME
I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem        day. Entries Close: Wednesday, March 2, 2011 at 5:00 pm. Make checks or money orders
sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity        payable to Badger Kennel Club, Inc. Mail Entries to: Denine Ackerbauer, 1930 Barrington Circle,
to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving
                                                                                                                            Sun Prairie, WI 53590. JUMP HEIGHTS ARE NEEDED FOR OPEN, UTILITY, GRADUATE
club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner
and/or lessor of the premises and any provider of services that are necessary to hold this event and any                    NOVICE AND GRADUATE OPEN.
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 indirectly to any                     FRIDAY, March 18, 2011; RALLY Event Number 2011082601
person or thing by the act of this dog while in or about the event premises or grounds or near any entrance                           SATURDAY, March 19, 2011; OBEDIENCE Event Number 2011082602
thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to
                                                                                                                                      SUNDAY, March 20, 2011; OBEDIENCE Event Number 2011082603
hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I
(we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned                   I ENCLOSE $ ....…………......for entry fees                                      Pre-paid Catalog ($5.00 each)
parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by
law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time               IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the
resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage              instructions relevant to the information needed in that box (PLEASE PRINT)
to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death
or property damage may be caused, and whether or not the same may have been caused or may be alleged to
have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any                  BREED                                    VARIETY 1                                  SEX
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                                           DOG 2 3
AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF                                                                                                      CLASS 3 DIVISION
                                                                                                                            SHOW
                                                                                                                                                                                        Weight, color, etc.
(OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT                                          CLASS
SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN                                            ADDITIONAL              OBEDIENCE CLASS                     RALLY CLASS             JR. SHOWMANSHIP CLASS
ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS,                                           CLASSES                 (Jump Height)                       (Jump Height)
RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC
CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
                                                                                                                            NAME OF (See Back)
                                                                                                                                                                                                                JR. HANDLER
                                                   INSTRUCTIONS                                                             JUNIOR HANDLER
                                                                                                                                                                                                                NUMBER
                                                                                                                            (if any)
1           (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please
designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color),            FULL
                                                                                                                            NAME
Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth,                       OF DOG
wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy),
                                                                                                                                                                                   ENTER NUMBER HERE            DATE
Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince                                 ®                                                                         OF BIRTH
Charles), Poodles (toy, miniature, standard).                                                                                      AKC NO.
2           The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that                      PAL/ILP NO                                                                   PLACE OF BIRTH
are Champions of Record and dogs which, according to their owners’ records, have completed the requirements                                                                                                     (list country)
                                                                                                                                   FOREIGN REG NO & COUNTRY
for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best                                                                                                       Do not print the above in the catalog
of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the                BREEDER
requirements for a championship.
3           (Event Class) Consult the classification in this premium list. If the event class in which you are
entering your dog is divided, then, in addition to designating the class, specify the particular division of the class      SIRE
in which you are 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                DAM
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 which entries closed after the date of acquirement, regardless of whether the new owner
                                                                                                                            ACTUAL
has received the registration certificate indicating that the dog is recorded in his name. State on entry form              OWNER
whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.)
                                                                                                                            OWNER’S
                                                                                                                            ADDRESS
                   If this entry is for Junior Showmanship, please give the following information:
                                                                                                                            CITY, ST ZIP
JUNIOR SHOWMANSHIP                                    JR.’S DATE OF BIRTH_________________________
                                                                                                                            NAME OF OWNER’S AGENT
                                                                                                                            (IF ANY) AT THE SHOW
                                                                                                                            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
AKC JUNIOR HANDLER NUMBER
                                                                                                                            entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American   Kennel Club in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this
Kennel Club. Phone: (919) 816-3776.                                                                                         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
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an          representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations
agent/handler for pay while continuing to compete in Junior Showmanship.                                                    (including all provisions applying to discipline) and to abide by any decisions made in accord with them.

ADDRESS ___________________________________________________________________________________________                         ■ SIGNATURE of owner or his agent duly authorized to make this entry_________________________________ __________
CITY ___________________________________________________ STATE ________________ ZIP __________________                         TELEPHONE# ________________________________________________________________________________________
                                                                                                                               E-MAIL Address (An acknowledgment or receipt of entry may be sent to this e-mail address):
     AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site,                                                        OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
                                                www.akc.org                                                                                                                                 Badger Kennel Club, Inc.
                                                         AGREEMENT
                                                                                                                            Entry Fee: $25.00 for the first entry and $19.00 for each additional entry of SAME dog, SAME
I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem        day. Entries Close: Wednesday, March 2, 2011 at 5:00 pm. Make checks or money orders
sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity        payable to Badger Kennel Club, Inc. Mail Entries to: Denine Ackerbauer, 1930 Barrington Circle,
to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving
                                                                                                                            Sun Prairie, WI 53590. JUMP HEIGHTS ARE NEEDED FOR OPEN, UTILITY, GRADUATE
club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner
and/or lessor of the premises and any provider of services that are necessary to hold this event and any                    NOVICE AND GRADUATE OPEN.
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 indirectly to any                     FRIDAY, FRIDAY, March 18, 2011; RALLY Event Number 2011082601
person or thing by the act of this dog while in or about the event premises or grounds or near any entrance                           SATURDAY, March 19, 2011; OBEDIENCE Event Number 2011082602
thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to
                                                                                                                                      SUNDAY, March 20, 2011; OBEDIENCE Event Number 2011082603
hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I
(we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned                   I ENCLOSE $ ....…………......for entry fees                                      Pre-paid Catalog ($5.00 each)
parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by
law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time               IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the
resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage              instructions relevant to the information needed in that box (PLEASE PRINT)
to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death
or property damage may be caused, and whether or not the same may have been caused or may be alleged to
have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any                  BREED                                    VARIETY 1                                  SEX
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                                           DOG 2 3
AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF                                                                                                      CLASS 3 DIVISION
                                                                                                                            SHOW
                                                                                                                                                                                        Weight, color, etc.
(OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT                                          CLASS
SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN                                            ADDITIONAL              OBEDIENCE CLASS                     RALLY CLASS             JR. SHOWMANSHIP CLASS
ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS,                                           CLASSES                 (Jump Height)                       (Jump Height)
RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC
CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
                                                                                                                            NAME OF (See Back)
                                                                                                                                                                                                                JR. HANDLER
                                                   INSTRUCTIONS                                                             JUNIOR HANDLER
                                                                                                                                                                                                                NUMBER
                                                                                                                            (if any)
5           (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please
designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color),            FULL
                                                                                                                            NAME
Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth,                       OF DOG
wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy),
                                                                                                                                                                                   ENTER NUMBER HERE            DATE
Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince                                 ®                                                                         OF BIRTH
Charles), Poodles (toy, miniature, standard).                                                                                      AKC NO
6           The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that                      PAL/ILP NO                                                                   PLACE OF BIRTH
are Champions of Record and dogs which, according to their owners’ records, have completed the requirements                                                                                                     (list country)
                                                                                                                                   FOREIGN REG NO & COUNTRY
for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best                                                                                                       Do not print the above in the catalog
of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the                BREEDER
requirements for a championship.
7           (Event Class) Consult the classification in this premium list. If the event class in which you are
entering your dog is divided, then, in addition to designating the class, specify the particular division of the class      SIRE
in which you are entering your dog, i.e, age division, color division, weight division.
8           A dog must be entered in the name of the person who actually owned it at the time entries for an                DAM
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 which entries closed after the date of acquirement, regardless of whether the new owner
                                                                                                                            ACTUAL
has received the registration certificate indicating that the dog is recorded in his name. State on entry form              OWNER
whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.)
                                                                                                                            OWNER’S
                                                                                                                            ADDRESS
                   If this entry is for Junior Showmanship, please give the following information:
                                                                                                                            CITY, ST ZIP
JUNIOR SHOWMANSHIP                                    JR.’S DATE OF BIRTH_________________________
                                                                                                                            NAME OF OWNER’S AGENT
                                                                                                                            (IF ANY) AT THE SHOW
                                                                                                                            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
AKC JUNIOR HANDLER NUMBER
                                                                                                                            entered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American   Kennel Club in effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this
Kennel Club. Phone: (919) 816-3776.                                                                                         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
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an          representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations
agent/handler for pay while continuing to compete in Junior Showmanship.                                                    (including all provisions applying to discipline) and to abide by any decisions made in accord with them.

ADDRESS ___________________________________________________________________________________________                         ■ SIGNATURE of owner or his agent duly authorized to make this entry_________________________________ __________
CITY ___________________________________________________ STATE ________________ ZIP __________________                         TELEPHONE# ________________________________________________________________________________________
                                                                                                                               E-MAIL Address (An acknowledgment or receipt of entry may be sent to this e-mail address):

				
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posted:8/19/2011
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