1. Healthcare

Obedience Event No. 2015054804 – Saturday, January 31, 2015
Obedience Event No. 2015054808 – Saturday, January 31, 2015
Rally Event No. 2015054806 – Saturday, January 31, 2015
Rally Event No. 2015054809 – Saturday, January 31, 2015
Obedience Event No. 2015054805 – Sunday, February 1, 2015
Rally Event No. 2015054807 – Sunday, February 1, 2015
Entries Close: 12 Noon, Wednesday, January 14, 2015
at the Secretary’s office, after which time entries cannot
be accepted, canceled, altered, or substituted.
Confirmations will be e-mailed unless mailing is requested.
Entries are open to All-American dogs listed in the AKC Canine Partners program.
DOG OBEDIENCE CLUB OF HOLLYWOOD
Established 1951
127th 128th 129th AKC Licensed Obedience Trials
22th 23rd 24th AKC Licensed Rally Trials
Saturday, January 31, 2015
Sunday, February 1, 2015
Trial Hours – 7:00 A.M. to 6:00 P.M.
(Unbenched – Outdoors under Permanent Cover)
Davie Rodeo Arena - Bergeron Rodeo Grounds
4201 SW 65th Way
Davie, Florida 33314
Mail Entries To:
Beverly Skilling, Trial Secretary
4844 Davie Rd, Davie, FL 33314
Phone # 954-232-0443
E-mail: [email protected] (Inquiries Only)
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
DOG OBEDIENCE CLUB OF HOLLYWOOD
PRIZES & RIBBONS
OFFICERS
President
Jeff Grieff
Vice President
Joann Smith
Treasurer
Annette Smith
Recording Secretary
Beverly Skilling
Corresponding Secretary:
Kathleen Keyte
7198 Woodmont Way, Tamarac, FL 33321
954-720-7088
E-mail: [email protected]
BOARD OF DIRECTORS
Carol Honigmann, Nancy Atkins, Kristi Sachtleben, Carol Ann Klein
TRIAL CHAIRPERSON
Joann Smith
TRIAL SECRETARY
Beverly Skilling
RAFFLE COMMITTEE
Sandra Gates and Kathleen Keyte
TROPHIES & RIBBONS
Janet Gomez & Stacy Santarone
HOSPITALITY
Carol Honigmann & Jill Olsen
CHIEF RING STEWARD
Diane Davis
ADVERTISING
Joann Smith
CATALOG
Stacy Santarone & Beverly Skilling
TRIAL COMMITTEE
Joann Smith, Beverly Skilling
and the Officers & Directors of DOCOH
The following prizes are offered by the Dog Obedience Club of Hollywood, its friends, and its
members. A qualifying score is required for all ribbons & prizes in regular classes and
optional titling classes. Awards and prizes must be picked up in person or by a designated
representative on the day of the Trial. No awards will be mailed. Unclaimed awards become
the property of DOCOH. DOCOH reserves the right to substitute an award or prize of equal
value.
RIBBON PRIZES
REGULAR, OPTIONAL TITLING,
& RALLY CLASSES
First Place
Second Place
Third Place
Fourth Place
Qualifying
Blue
Red
Yellow
White
Green
NON-REGULAR CLASSES
First Place
Second Place
Third Place
Fourth Place
REGULAR CLASS ROSETTES (excluding Rally)
Highest Scoring Dog in Regular Classes
Highest Combined Score in Open B & Utility
Rose
Brown
Light Green
Gray
Blue & Gold
Blue & Green
REGULAR CLASS SPECIAL PRIZES (excluding Rally and Optional
Titling Classes)
In accordance with Chapter 6, Section 2A of the AKC Rules Applying to Dog
Shows, a condensed form of the premium list will be used. A complete list of prizes
and trophies offered can be obtained by writing to the Trophy Committee, c/o
Janet Gomez, 8620 Pasadena Blvd., Pembroke Pines, FL 33024.
MOVE UPS WILL BE ALLOWED IN OBEDIENCE AND RALLY
BUT THE INFORMATION MUST BE GIVEN TO THE TRIAL
SECRETARY NO LATER THAN MONDAY, JANUARY 26, 2015
(for the first trial on Saturday) AND AT LEAST A HALF HOUR
PRIOR TO THE START OF THE OTHER TRIALS.
AKC Rules, Regulations, Policies & Guidelines are available on the AKC website, www.akc.org
AGREEMENT
I (we) agree that the club holding this event has the right to refuse this entry for cause, which the club shall deem
sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have
the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members,
directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and
any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned
parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be
alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event
premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such
claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to
this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the
aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability
imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time
resulting there from, sustained by any person or persons, including myself (ourselves), or on account of damage to
property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property
damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the
negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (we) agree that any
cause of action, controversy or claim arising out of or related to the entry, exhibition or attendance at the event between
the AKC and the event-giving club (unless otherwise stated in its premium list) and myself (ourselves) or as to the
construction, interpretation and effect of this Agreement shall be settled by arbitration pursuant to the applicable rules of
the American Arbitration Association. However, prior to arbitration all applicable AKC Bylaws, rules, regulations and
procedures must first be followed as set forth in the AKC Charter and Bylaws, rules, regulations, published policies and
guidelines.
INSTRUCTIONS
(Variety) If you are entering a dog of a 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), Beagles (not exceeding
13 in., over 13 in. but not exceeding 15 in.), Dachshunds (long-haired, smooth, wirehaired), Collies (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, standard).
A dog must be entered in the name of the person who actually owned it at the time entries for a trial 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 trial for 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/her name. State on entry form whether transfer application has been mailed to
AKC. (For complete rules, refer to Chapter 11, Section 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 in which you are entering
your dog, i.e, A or B division.
Dogs listed in the AKC Canine Partners Program may be eligible to enter all-breed AKC Rally trials at the Club’s option.
These dogs should be listed as All American Dog and must include their AKC Number on the entry form and check the
AKC No. box. Sire and Dam information shall remain blank for mixed breed entrants.
_______________________________________________________________________________________________
If this entry is for Junior Showmanship, please give the following information:
JR.’S DATE OF BIRTH_________________________
AKC JUNIOR HANDLER NUMBER _______________________________________
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the
American Kennel Club. Phone: (919) 816-3776.
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an
agent/handler for pay while continuing to compete in Junior Showmanship.
ADDRESS ____________________________________________________________________________________
CITY __________________________________________ STATE _________________ ZIP _________________
If Junior Handler is not the owner of the dog identified on the face of this form, what is the
relationship of the Junior Handler to the Owner? _______________________________
REGULAR CLASSES
Novice B
Open A
Open B
Utility A
Utility B
OPTIONAL TITLING CLASSES
Beginner Novice A
Beginner Novice B
Pre-Novice
Graduate Novice
Pre-Open
Graduate Open
Pre-Utility
NON-REGULAR CLASSES
Wild Card Novice
Wild Card Open
Wild Card Utility
RALLY CLASSES
Rally Novice A & B
Rally Advanced A & B
Rally Excellent A & B
Novice A
All classes with jumps will be by jump height low to high on Saturday and high to low on Sunday and
jump height MUST be submitted on the entry form. Entry will be invalid without jump height.
Saturday, January 31, 2015
Trial#1 Event#2015054804
Trial #2 Event#2015054808
Novice A & B,
Novice A & B,
Beginner Novice A&B
Beginner Novice A&B
Mr Tom Masterson
Ms Louann Currey
Utility A&B, Graduate Open
Utility A&B, Graduate Open
Pre-Utility
Pre-Utility
Mr Robert R Withers
Mr Tom Masterson
Open A & B, Pre-Open
Open A & B, Pre-Open
Graduate Novice
Graduate Novice
Mr
Robert R Withers
Mrs Minta (Mike) Williquette
Pre-Novice
Pre-Novice
Mrs
Minta
(Mike) Williquette
Ms Louann Currey
Event # 2015054806
Rally Novice A&B
Rally Advanced A&B
Rally Excellent A&B
Ms Louann Currey
Event# 201054809
Rally Novice A&B
Rally Advanced A&B
Rally Excellent A&B
Mrs Minta (Mike) Williquette
Sunday February 1, 2015
Event#2015054807
Event#2015054805
Novice A & B,
Rally Novice A&B
Beginner Novice A&B
Rally Advanced A&B
Ms Louann Currey
Rally Excellent A&B
Mr Robert R Withers
Utility A&B, Graduate Open
Pre-Utility
Mrs Minta (Mike) Williquette
Open A & B, Pre-Open
Graduate Novice
Mr Tom Masterson
Pre-Novice
Mr Robert R Withers
Dog Obedience Club of Hollywood, Inc.
Entries Close:
12:00 Noon, Wednesday, January 16, 2015, after which time entries
cannot be accepted or submitted. All entries are to be mailed to Beverly Skilling, Trial
Secretary, 4844 Davie Rd, Davie, FL 33314. Make checks payable to DOCOH. Entries
without fees, incomplete entries or entries with errors will not be accepted. Electronic,
telephone, or unsigned entries CANNOT BE ACCEPTED. Entries not on official AKC entry
forms and photocopies of entry forms without the Agreement and Rules on the reverse side are
not acceptable. No entry shall be made and no entry shall be accepted which specifies any
condition as to its acceptance. Overnight and registered deliveries must be sent with no
signature required at delivery. Acknowledgment of entries will be made as soon as possible.
Owners are responsible for errors in making out entry forms, and no entry fee will be refunded
in the event of such errors or cancellation of entries after the published closing date. 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 the Show Committee; or, the Trials cannot be
held or completed by reason of riots, civil disturbance, fire, flood, disaster, Act of God, public
emergency, act of public enemy, strikes, or any other case beyond the control of DOCOH.
Unentered dogs are not allowed on the show grounds. One half of the entry fee will be
refunded, upon written request to the Trial Secretary, for a bitch coming into season after the
closing of entries for this Trial. Effective January 1, 2008, Event Service Fee for all events is
to be $3.00 for the first entry of each dog. There will be an Event Service Fee of $3.00 for each
additional entry of the same dog as well as the AKC Recording fee of $.50. RALLY: An
AKC recording Fee of $3.00 will be required for each entry in any Licensed or Member Club
Rally Trial. If a dog is entered in more that one class in a Rally event, the AKC Recording Fee
is to be collected on each of the entries of that dog. (AKC Rally Regulations, Chapter 1,
Section 3). These fees are to be collected by the trial giving club and paid to the American
Kennel Club. If a dog is entered in more than one class in the trial, the recording fee is paid on
the first entry only (AKC Regulations, Chapter 11, Section 2). Bench Show Committee will
convene as a result of any damage to hotel, motel, show grounds or to the premises or on
complaints of abusiveness to judges, stewards, workers or dogs. All exhibitors are kindly
requested to assist in maintaining the cleanliness of the facility and the grounds in order that we
may continue to utilize this site. We further request that you make the same effort for us at any
hotel or motel you may be using. DOCOH assumes no responsibility for any loss, damage or
injury sustained by exhibitors, handlers, visitors, or to any of their dogs or property and further
assumes no responsibility for injury to children. The welfare of children is the responsibility of
the parents or guardian. They must exercise control and restraint over their children at all
times. Any and all damages caused by the exhibitor, exhibitor’s dogs or children will be the
sole responsibility of the exhibitor.
Mr.Tom Masterson
Judging Panel
229 Naples Dr
Mr Robert R Withers
1033 Morningstar Dr
Dog Obedience Club of Hollywood,Inc.
Obedience
Sat February 4, 2012
Rally
115
MCPHAIL FARMS
Sun February 5, 2012
Rally
CIR
Obedience#2
Obedience
Sat January 31, 2015
Sun February 1, 2015
Rally#1
Rally#2
Rally
Separate entry form to be completed for each dog entered.
Jump height must be included for classes with jumps.
ENTRY FEES: $25 for first entry and $15 for each additional entry of the same dog.
RALLY IS A SEPARATE TRIAL. SECOND TRIAL ON SATURDAY IS A
SEPARATE TRIAL. FIRST ENTRY FEE APPLIES.
Jump heights, if applicable, MUST be submitted on the entry form. Entry will be invalid without jump height.
ENTRIES CLOSE: 12:00 noon, Wednesday, January 14, 2015 after which time entries cannot be accepted,
changed or cancelled except as provided for in Chapter 11, Section 6 of the Dog Show rules.
ALL OVERNIGHT AND REGISTERED ENTRIES MUST BE MARKED "SIGNATURE WAIVED"
Mail Entries to Beverly Skilling, Trial Secretary, 4844 Davie Rd, Davie, FL 33314
MAKE CHECKS PAYABLE TO: DOCOH (Dog Obedience Club of Hollywood)
I ENCLOSE $ ___________FOR ENTRY FEES. IMPORTANT Read Carefully Instructions on Reverse Side
Before Filling Out. Numbers in boxes indicate sections of the instructions relevant to the information needed in that box.
(PLEASE PRINT CLEARLY)
VARIETY
BREED
OBEDIENCE OR RALLY CLASS
JUMP HEIGHT
SEX
ADD'L OBEDIENCE OR RALLY CLASS
ADD'L OBEDIENCE OR RALLY CLASS
ADD'L OBEDIENCE OR RALLY CLASS
NAME OF JUNIOR
JR HANDLER NUMBER
FULL NAME OF DOG
(check box and add #)
Enter Number Here
[ ] AKC REG NO
[
[
[
[
[
]
]
]
]
]
AKC LITTER NO
ILP NO
PAL NO
FOREIGN REG NO & COUNTRY
ALL AMERICAN DOG
DATE OF BIRTH __________________________
PLACE OF
BIRTH
[
] USA
[
] CANADA [ ] FOREIGN
Do not place above in catalog
BREEDER
SIRE
DAM
ACTUAL OWNER(S): ___________________________________________________________________________________________
(PLEASE PRINT)
ELYRIA, OH 440351522
LAKELAND, FL 338108108
ANDERSON, SC 296212581
Mrs. Minta
(Mike)
Obedience
Williquette
Separate form and work sheet to be completed for each dog entered.
height must be
Ms LouannJump
Currey
Obedience#1
included for classes with jumps.
Lake
Wales, FL 33898
8351
ENTRY FEES: $23.00 for first entry
andWakeford
$15.00 forRd
each additional entry of
the same dog.
RALLY IS A SEPARATE TRIAL. FIRST ENTRY FEE APPLIES .
All classes judged low to high on Saturday and high to low on Sunday. Jump heights, if
applicable, MUST be submitted on the entry form. Entry will be invalid without jump height.
ENTRIES CLOSE: 12:00 noon Wednesday, January 18, 2012 after which time entries cannot
be accepted, changed or cancelled except as provided for in Chapter 11, Section 6 of the Dog
Show rules.
ALL OVERNIGHT AND REGISTERED ENTRIES MUST BE MARKED "SIGNATURE
WAIVED"
OWNER’S ADDRESS ____________________________________________________________________________________________
CITY _____________________________________________________ STATE _____________ ZIP ____________________________
HANDLER: ____________________________________________________________________________________________________
I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered
above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of the American Kennel Club in
effect at the time of this show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or
obedience trial or both, and further agree to Mbe 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.
SIGNATURE of owner or his/her agent
duly authorized to make this entry ____________________________________________________________________________________
TELEPHONE # _______________________________
E-MAIL _______________________________________________________
NOTICE TO EXHIBITORS
TELEPHONE # _______________________________
E-MAIL ________________________________________________________
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site,
www.akc.org
AGREEMENT
I (we) agree that the club holding this event has the right to refuse this entry for cause, which the club shall deem
sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to
have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their
members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the
premises and any provider of services that are necessary to hold this event and any employees or volunteers of the
aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury
which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or
about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and
liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for
loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to
indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal
fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily
injuries, including death at any time resulting there from, sustained by any person or persons, including myself
(ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this
event, however such, injuries, death or property damage may be caused, and whether or not the same may have been
caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their
employees, agents, or any other persons. I (we) agree that any cause of action, controversy or claim arising out of or
related to the entry, exhibition or attendance at the event between the AKC and the event-giving club (unless otherwise
stated in its premium list) and myself (ourselves) or as to the construction, interpretation and effect of this Agreement
shall be settled by arbitration pursuant to the applicable rules of the American Arbitration Association. However, prior
to arbitration all applicable AKC Bylaws, rules, regulations and procedures must first be followed as set forth in the
AKC Charter and Bylaws, rules, regulations, published policies and guidelines.
INSTRUCTIONS
(Variety) If you are entering a dog of a 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), Beagles (not
exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (long-haired, smooth, wirehaired), Collies (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, standard).
A dog must be entered in the name of the person who actually owned it at the time entries for a trial 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 trial for
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/her name. State on entry form whether transfer application has been
mailed to AKC. (For complete rules, refer to Chapter 11, Section 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 in which you are entering
your dog, i.e, A or B division.
Dogs listed in the AKC Canine Partners Program may be eligible to enter all-breed AKC Rally trials at the Club’s
option. These dogs should be listed as All American Dog and must include their AKC Number on the entry form and
check the AKC No. box. Sire and Dam information shall remain blank for mixed breed entrants.
_______________________________________________________________________________________________
If this entry is for Junior Showmanship, please give the following information:
JR.’S DATE OF BIRTH ______________AKC JUNIOR HANDLER NUMBER _____________
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from
the American Kennel Club. Phone: (919) 816-3776.
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an
agent/handler for pay while continuing to compete in Junior Showmanship.
ADDRESS ____________________________________________________________________________________
PLEASE NOTE - Due to the Town of Davie’s contractual obligations with its
vendors, exhibitors are prohibited from bringing coolers, food or drink onto the
Arena property. Food concessions are available on site, and several fast food
establishments and restaurants are nearby on Davie Road. Picnic lunch
(tailgating) is permitted in the parking lots, and exhibitors are permitted to
bring containers of water from home for their dogs.
MOTELS THAT ACCEPT DOGS (When making reservations, please confirm that
dogs are welcome)
Motel 6
954-760-4078
1801 State Road 84
Ft. Lauderdale, FL
La Quinta Inn
954-476-6047
8101 Peters Road
Plantation, FL
Homestead Village Inn
954-476-1211
7550 State Road 84
Davie, FL
Comfort Inn
954-922-1600
I-95 and Stirling Road
Dania Beach, FL
Complimentary Motor Home/RV overnight parking permitted in the east lot
across from the Arena. NO electric or water hookups will be available; all
units must be self-contained. There is no official registration, and parking is
at your own risk.
ROUTES TO THE SHOW
(A map to the Trial Site will be included with the Judging Program)
From West: Alligator Alley east to I-595 east to Exit 7, Davie Road. South
on Davie Road to main entrance to the Bergeron Rodeo Grounds on right.
Main parking lot straight ahead. Motor Home/RV and overflow parking on
the right.
From North or South: I-95 or Turnpike to I-595 west to Exit 7, Davie
Road. Follow directions above.
AMAZING RAFFLE FOR DOG LOVERS
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? _______________________________
Bring your money, you won't be disappointed !!
Drawing will be Sunday, February 1 at Noon
Dog Obedience Club of Hollywood, Inc.
Entry Work Sheet
Obedience#1
Obedience#2
Obedience
Sat January 31, 2015
Sun February 1, 2015
Rally#1
Rally#2
Rally
Please complete one for each dog entered in multiple classes and attach to your
entry form. Thank you !
Separate entry form to be completed for each dog entered.
Dog Name: ______________________________ Jump Height: _________
ENTRY FEES: $25 for first entry and $15 for each additional entry of the same dog.
RALLY IS A SEPARATE TRIAL. SECOND TRIAL ON SATURDAY IS
A SEPARATE TRIAL. FIRST ENTRY FEE APPLIES.
Trial #1
Trial#2
Jump height must be included for classes with jumps.
Jump heights, if applicable, MUST be submitted on the entry form. Entry will be invalid without jump height.
ENTRIES CLOSE: 12:00 noon, Wednesday, January 14, 2015 after which time entries cannot be accepted,
changed or cancelled except as provided for in Chapter 11, Section 6 of the Dog Show rules.
ALL OVERNIGHT AND REGISTERED ENTRIES MUST BE MARKED "SIGNATURE WAIVED"
Mail Entries to Beverly Skilling, Trial Secretary, 4844 Davie Rd, Davie, FL 33314
MAKE CHECKS PAYABLE TO: DOCOH (Dog Obedience Club of Hollywood)
Novice A
Sat $__________ Sat $__________ Sun $___________
Novice B
Sat $__________ Sat $__________ Sun $___________
Open A
Sat $__________ Sat $__________ Sun $___________
Open B
Sat $__________ Sat $__________ Sun $___________
Utility A
Sat $__________ Sat $__________ Sun $___________
Utility B
Sat $__________ Sat $__________ Sun $_________
Beginner Novice A
Sat $__________ Sat $__________ Sun $___________
Beginner Novice B
Sat $__________ Sat $__________ Sun $___________
Pre-Novice
Sat $__________ Sat $__________ Sun $___________
Graduate Novice
Sat $__________ Sat $__________ Sun $___________
Pre-Open
Sat $__________ Sat $__________ Sun $___________
Graduate Open
Sat $__________ Sat $__________ Sun $___________
Pre-Utility
Sat $__________ Sat $__________ Sun $___________
Wild Card Novice
Sat $__________ Sat $__________ Sun $___________
Wild Card Open
Sat $__________ Sat $__________ Sun $___________
BREEDER
Wild Card Utility
Sat $__________ Sat $__________ Sun $___________
SIRE
Rally Novice A
Sat $__________ Sat $__________ Sun $___________
Rally Novice B
Sat $__________ Sat $__________ Sun $___________
Rally Advanced A
Sat $__________ Sat $__________ Sun $___________
Rally Advanced B
Sat $__________ Sat $__________ Sun $___________
Rally Excellent A
Sat $__________ Sat $__________ Sun $___________
Rally Excellent B
Sat $__________ Sat $__________ Sun $___________
I ENCLOSE $ ___________FOR ENTRY FEES. IMPORTANT Read Carefully Instructions on Reverse Side
Before Filling Out. Numbers in boxes indicate sections of the instructions relevant to the information needed in that box.
(PLEASE PRINT CLEARLY)
VARIETY
BREED
OBEDIENCE OR RALLY CLASS
JUMP HEIGHT
SEX
ADD'L OBEDIENCE OR RALLY CLASS
ADD'L OBEDIENCE OR RALLY CLASS
ADD'L OBEDIENCE OR RALLY CLASS
NAME OF JUNIOR
JR HANDLER NUMBER
FULL NAME OF DOG
(check box and add #)
Enter Number Here
[ ] AKC REG NO
[
[
[
[
[
]
]
]
]
]
AKC LITTER NO
ILP NO
PAL NO
FOREIGN REG NO & COUNTRY
ALL AMERICAN DOG
DATE OF BIRTH __________________________
PLACE OF
BIRTH
[
] USA [
] CANADA [ ] FOREIGN
Do not place above in catalog
DAM
ACTUAL OWNER(S): ___________________________________________________________________________________________
(PLEASE PRINT)
OWNER’S ADDRESS ____________________________________________________________________________________________
CITY _____________________________________________________ STATE _____________ ZIP ____________________________
HANDLER: ____________________________________________________________________________________________________
I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered
above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of the American Kennel Club in
effect at the time of this show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or
obedience trial or both, 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.
SIGNATURE of owner or his/her agent
duly authorized to make this entry ____________________________________________________________________________________
TELEPHONE # _______________________________
E-MAIL _______________________________________________________