American Rottweiler Club (AKC Member Club; trials held under AKC Rules and Regulations www.ARCNationals.com Four Rottweiler-Only Agility Trials at 2015 National Specialty! Two Trials: Friday, April 24, 2015 Two Trials: Saturday, April 25, 2015 Both days: Limited to 250 runs total for both trials Trial hours 7:00 AM to 6:00 PM or 30 minutes after last run Trial 1/Fri: Event # 201520160 | Trial 2/Fri: Event # 2015201608 Trial 3/Sat: Event # 201520162 | Trial 4/Sat: Event # 2015201622 Entry Method: FIRST RECEIVED. Max of 10 entries/envelope. Express mail must be designated “no signature required”. For AKC ONLINE ENTRIES see page 3. INDOORS, one 90’x110’ ring on soccer turf. Purina Farms, 300 Checkerboard Loop, Gray Summit, MO Mail Entries with Fees (payable to “ARC 2015” in USD) to: Ellen Calnan 3752 Rodeo Rd. Missoula, MT 59803 OR ENTER ONLINE at www.AKC.org (406) 544-2418 (c) [email protected] Entries Open: 8:00 AM MST, Monday, February 1, 2015 Entries Close: 8:00 PM MST, Wednesday, April 1, 2015 JUDGE Lavonda Herring (Z1328) 51 Duncan Rd., Lagrangeville, NY 12540 Permission has been granted by the American Kennel Club for the holding of these events under American Kennel Club Rules and Regulations. --James P. Crowley, Secretary RULES: All exhibitors should obtain a copy of the Regulations for Agility Trials by contacting the American Kennel Club, 8051 Arco Corporate Drive, Suite 100, Raleigh, NC 27617-3390, by phone (919) 233-9767, by email at [email protected], or on their website at www.akc.org. SAFETY, BEHAVIOR and LIABILITY: The safety of the dog is our primary concern. By entering this trial, exhibitors acknowledge that they are familiar with the rules and regulations of this sport, and that their dogs are familiar with and able to perform all obstacles safely. It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create an unnecessary disturbance or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the trial committee, be asked to leave the show site. In such case, no refund of any fees paid will be made. The club and its agents, employees, etc., will assume no responsibilities for any loss, damage or injury sustained by exhibitors or handlers, or to any of their dogs or property and further assumes no responsibility for injury to children. The club reserves the right to decline entries for cause and may remove any dog on account of aggression. No one shall have any recourse or claim against the club or any official thereof. REFUNDS: No entry fee will be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, an act of God, public emergency, act of a public enemy, or any other cause beyond the control of the organizing committee. No entry fee will be refunded in the event a dog is absent, disqualified, excused, or barred from competition by the action of the Trial Committee. 100% of entry fees will be refunded for any reason if a written (or email) request is received by the TRIAL SECRETARY on or before the trial closing. After closing, refunds less $6.00 in fees/day will be given for bitches in season if written (or email) notification is received by the TRIAL SECRETARY prior to the start of Trial 1. Verification from a veterinarian may be required at the club's discretion. Conditional, unsigned, incomplete, illegible, telephone or telegraph entries cannot be accepted and will be returned to the exhibitor. Entries not on official AKC forms, or photocopies of AKC forms without the agreement attached, cannot be accepted. Checks for entry fees will be deposited soon after the closing date. Returned checks do not constitute a valid entry, and a processing fee will be added to all returned checks. The American Rottweiler Club President: Nancy Griego Vice President: Roberta Kelley-Martin Secretary: Karen Riddle [email protected] 156 Lovelace Dr., Fall Branch, TN 37656 Treasurer: Lin Beenen AKC Delegate: Peter Piusz Trial Chair: Debbie Haynes* Trial Secretary: Event Committee *Indicates ARC members Ellen Calnan* Debbie Haynes* Ellen Calnan* Tanya Johnson* Michelle Lennon* Bernie McDowell* Directors: Ann Callahan Beth Fitzgerald Sharon Marples Joseph Bastyr Bill Ward 641 94 Ave SE, Calgary, AB T2J 0G1 403-668-8530 [email protected] 3752 Rodeo Rd., Missoula, 59803 406-544-2418 [email protected] Chuck Smith* Michelle Whistlecraft Laura Wright Smith* Wes Ulan* (And any other ARC members present) CLASSES OFFERED STD: All Levels STD: All Levels SATURDAY JWW: All Levels JWW: All Levels Trial 3 Time2Beat FAST: All Levels FRIDAY STD: All Levels SATURDAY STD: All Levels Trial 2 JWW: All Levels Trial 4 JWW: All Levels Trial 2 is the Armetale/ARC 2015 National Specialty Trial CLASS ORDER SATURDAY (250 runs TOTAL, both trials) FRIDAY (250 runs TOTAL, both trials) STD: STD: Exc/Mas Trial 3, Trial 4 Exc/Mas Trial 1, Trial 2 Open Trial 3, Trial 4 Open Trial 1, Trial 2 Nov Trial 1, Trial 2 Nov Trial 3, Trial 4 Time2Beat Trial 3 FAST: Exc/Mas Trial 1 JWW: Exc/Mas Trial 3, Trial 4 Open Trial 1 Nov Trial 1 Open Trial 3, Trial 4 Nov Trial 3, Trial 4 JWW: Exc/Mas Trial 1, Trial 2 Open Trial 1, Trial 2 Nov Trial 1, Trial 2 • Judge’s briefing and course walk-throughs will occur prior to each class. • Course maps will be posted, and exhibitor copies available first-come, first-served. • Music will be played during course-building and walk-throughs, and by exhibitor request during T2B classes. • Each day’s start time will be determined after closing, and every effort will be made to coordinate with other events scheduled that day. FRIDAY Trial 1 It is the exhibitor’s responsibility to enter their dog in the correct class and level. The Trial Secretary cannot make any changes (except allowed move-ups) after the trial closing. Prepare your entry form carefully, and double-check your preliminary confirmation. If you have questions, contact the Trial Secretary before the closing date. HEIGHT DIVISION: When filling out the entry form, note the section to indicate your dog’s jump height card status. You MUST check the appropriate box so that the Trial Secretary knows whether to include your dog on the Dogs To Be Measured list. REGULAR PREFERRED Handlers may opt to run their dog Handlers must run their dog in in a higher height division. their proper eligible height. HEIGHT AT WITHERS Owners are responsible for entering their dog in the proper height division. 8” 4” For dogs 11 inches and under 12” 8” For dogs 14 inches and under 16” 12” For dogs 18 inches and under 20” 16” For dogs 22 inches and under 24” 20” For dogs over 22 inches 26” n/a Dogs may be entered at this height at their owner’s discretion ENTRY FEES: $25.00 first entry (incl $3.50 AKC event service fee) and $15.00 each add’l entry, same dog/same trial (incl $3.00 AKC recording fee). NOTE that each trial’s entry fees are discrete; for example, if you enter Trial 1 STD, JWW and FAST, and Trial 2 STD and JWW, total entry fees for Friday are $95.00 (Trial 1 $55.00, and Trial 2 $40.00). A NOTE ABOUT ENTRY FORMS: This premium contains TWO entry forms. “Entry Form A” is suitable for printing and filling out by hand; “Entry Form B” is an INTERACTIVE (fillable), suitable for filling out online, then printing. Choose one, or enter online. ONLINE ENTRIES: Go to the AKC Agility Online Entry Services home page at www.akc.org/AgilityEntry and follow the instructions there. During the first 48 hours after opening, the initial limit of entries per day will be as follows: 50 runs/day via online entries, 200 runs/day via paper entries. If either form of entry has not filled at the end of the 48 hour time period, the club reserves the right to decrease or increase either one accordingly. CONFIRMATION OF ENTRY: If an e-mail address is provided a preliminary confirmation will be sent soon after the entry is received; please REVIEW IT CAREFULLY and notify me of any necessary changes as soon as possible. Please make sure your spam blocker is set to accept messages from [email protected]. If an e-mail address is not provided, or if your email provider rejects messages from me, confirmation of entry will be sent by USPS after closing (no preliminary confirmations will be sent). A final confirmation and schedule of judging will be sent after the closing date. If you have not received a final confirmation and schedule at least seven days prior to the show, contact me, the Trial Secretary. DOGS ELIGIBLE TO ENTER: This trial is open to Rottweilers only, fifteen (15) months of age or older and registered with the American Kennel Club or with AKC Limited Registration or Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP). OBSTACLES: Obstacles will meet the specifications for obstacles in the current edition of AKC Regulations for Agility Trials (available at www.akc.org). MOVE-UPS: Move-ups as a result of titles earned after entries close must be submitted in writing or email so that Ellen (Trial Secretary) receives them by 6:00 PM MDT on Monday, April 20. Include dog’s call name, registration number, owner’s name, class you are moving from, and class you are moving to (replying to your final CONFIRMATION EMAIL is an ideal way to complete a move-up). If you do not receive an acknowledgement of your move-up request within 24 hours of sending, please contact Ellen to make sure that it was received. No phone move ups accepted. Friday to Saturday move-ups will be accepted at the trial, and must be submitted to the Trial Secretary in writing no later than 30 minutes after the conclusion of the last class on Friday. For allowed changes from Novice A to Novice B, refer to Chapter 1, Section 21 of the Regulations for Agility Trials. The American Rottweiler Club, event committees and the Trial Secretary assume no responsibility for any loss, damage or injury sustained by exhibitors, handlers, or spectators, or to any of their dogs or property, and further assume no responsibility for injury to any child not under the control of his or her parents or guardians. It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and /or children. Any exhibitor whose dogs and /or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee, be asked to leave the Trial. In such case, no refund of any fees paid will be made. AWARDS: A qualifying score is required for all awards. All awards offered by ARC, except where noted. All dogs earning their MACH or PACH titles at this trial will receive a trophy bar and ribbon! If you are close to earning an award, please let the TRIAL CHAIR know so that the committee is prepared to celebrate with you. All awards are offered by the American Rottweiler Club, except where noted. Qualifying scores are required for all awards. Qualifying, all trials, all classes: Dark green rosette Placements, all trials, all classes: Rosettes; Blue (1st), Red (2nd), Yellow (3rd), White (4th) High in Trial (Trial 2 only): Blue and Gold Rosette Reserve High in Trial (Trial 2 only): Blue and Red Rosette Trial 2 – Armetale and ARC National (STD and JWW only, Regular and Preferred) First 7” Armetale plate 2qt water bucket with 2015 Logo Second 2qt water bucket with 2015 Logo Third 2qt water bucket with 2015 Logo Fourth 2qt water bucket with 2015 Logo 11” Armetale plate High in Trial Cooler with 2015 logo Handmade pottery piece, created and offered by Spirit Mountain Rottweilers Pro Plan Garment Bag, offered by Pro Plan Reserve High in Trial 9” Armetale plate Cooler with 2015 logo Handmade pottery piece, created and offered by Spirit Mountain Rottweilers Handlers must REGISTER for the following awards 30 minutes before the start of Trial 2. ROSETTES for Highest Scoring: DOG IN REGULAR CLASSES | DOG IN PREFERRED CLASSES AKC CHAMPION | AKC OBEDIENCE TITLED DOG | AKC RALLY TITLED DOG AKC TRACKING TITLED DOG | AKC HERDING TITLED DOG ARC CARTING TITLED DOG | JUNIOR HANDLER* Method of determining HIT, RHIT and HS awards. • Regular and Preferred dogs are eligible for consideration. • Qualifying runs, as defined by AKC agility regulations, are required. • Qualifying runs in either Standard (STD) or Jumpers with Weaves (JWW) are eligible for consideration; qualifying runs in other classes (if offered) are not considered. • All levels (Novice, Open, Excellent and Master) are eligible for consideration. • HIT is determined by the highest qualifying score in either STD or JWW, with scoring ties broken by highest Yards Per Second (YPS) (that is, the faster dog). *Method of determining HS Junior Handler awards. • Regular and Preferred dogs are eligible for consideration. • Qualifying runs, as defined by AKC agility regulations, are required. • Qualifying runs in either Standard (STD) or Jumpers with Weaves (JWW) are eligible for consideration; qualifying runs in other classes (if offered) are not considered. • Ties in scores are broken by higher level of competition, with further ties within that level of competition broken by highest Yards Per Second (YPS) (that is, the faster dog). SITE INFORMATION PURINA FARMS, 200 Checkerboard Loop, Gray Summit, MO 63039 http://www.purinafarms.com DIRECTIONS From East/South: Take I-44 to Gray Summit exit 253 (Hwy 100 east). Turn north (east) on Hwy 100. After approximately ½ mile, turn left on Hwy MM. There is a small Purina Farms sign on the left hand side of the road. Entrance to Purina Farms is approximately 1 mile on the left. From West: Take I-70 to Hwy 47, exit 193. Take Hwy 47 south to Hwy 100. Continue on 100 to I-44 east. Take I-44 east one exit, then exit at Gray Summit. Follow directions as above. Purina Farms is about one hour from Lambert-St. Louis International Airport. HOTELS: Host Hotel: Holiday Inn at Six Flags 800-782-8108 4901 Six Flags Road, Eureka, MO 63025 Travel Lodge - Gray Summit 636-742-3501 2875 Highway 100, Villa Ridge, MO 63089 Block is under American Rottweiler Club RV Hook-ups on site: Contact Jay Ernst, 314-660-0590 or [email protected] http://www.arcnationals.com/rvcamping.html Rent Motor Homes: Contact Tanya or Warren, 636-938-2018 or [email protected] http://www.byerlyrv.com Veterinarian: Pacific Animal Hospital, 636-239-5445 450 West Flier Drive, Pacific, MO 63069 http://www.pacificvets.com/ OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM American Rottweiler Club Mail to: Ellen Calnan, 3752 Rodeo Rd., Missoula, MT 59803 Fees payable to: ARC 2015 Fees Each Trial ENTRY FORM A: Print, then fill out FRI/Trial 1 STD JWW FRI/Trial 2 STD JWW SAT/Trial 3 STD JWW SAT/Trial 4 STD JWW FAST T2B OR Preferred Classes Circle one jump height, and circle class selections :: Only one selection per class (STD, JWW, FAST, T2B) REGULAR Classes PREFERRED Classes 8” 12” 16” 20” 24” 26” STD Nov A Nov B Open Exc Master 4” 8” 12” 16” 20” STD NovP OpenP ExcP MasterP JWW Nov A Nov B Open Exc Master JWW NovP OpenP ExcP MasterP FAST Nov A Nov B Open Exc Master FAST NovP OpenP ExcP MasterP T2B T2B T2B T2BP Non-Regular Classes International Sweepstakes This Dog Needs To Be Measured BREED □Yes □No □STD □JWW Select: □14” □18” □26” SEX HEIGHT AT WITHERS VARIETY CALL NAME AGREEMENT I (we) agree that the club holding this event has the right to refuse 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 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 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 negligence of the aforementioned parties or any of their employees or agents, or any other persons. Total Enclosed: Choose Either Regular AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. 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, INTREPRETATION 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 Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division. All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog(s) measured prior to running. Dogs listed in the AKC Canine PartnersSM program may be eligible to enter all-breed AKC agility 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. AKC® NAME (INCLUDE AKC TITLES ONLY) □ ILP NO. □ Enter Complete Registration # below AKC® NO PAL NO. □ FOREIGN REG. NO & COUNTRY BREEDER Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the 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? _____________________________________________ DATE OF BIRTH 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 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 forgoing representation and agreement. I (we) 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. PLACE OF BIRTH (LIST COUNTRY) □ SIRE DAM SIGNATURE of owner or his agent duly authorized to make this entry. ACTUAL OWNERS SIGN HERE OWNERS ADDRESS NEW ADDRESS X ______________________________________________________ Telephone Number: CITY, STATE ZIP + 4 □New Email Email Address: HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions In Case of Emergency - Name: Phone #: AEAGL2 (09/12) OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM ****American Rottweiler Club**** Mail to: Ellen Calnan, 3752 Rodeo Rd., Missoula, MT 59803 Fees payable to: ARC 2015 . Daily Fees ENTRY FORM B: Fill out, then Print Fri/Trial FRI 1 Fri/Trial SAT 2 Sat/Trial SUN 3 STD JWW STD JWW STD JWW STD JWW Catalog? ($ 10 ) MON 4 Sat/Trial Choose Either Regular REGULAR Classes JUMP HEIGHT: SELECT ONE: FAST FAST FAST FAST NO T2B T2B T2B T2B Preferred Classes PREFERRED Classes JUMP HEIGHT: SELECT ONE: AGREEMENT I (we) agree that the club holding this event has the right to refuse 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. Total Enclosed: OR AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. NO 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 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 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 negligence of the aforementioned parties or any of their employees or 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, INTREPRETATION 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. STD SELECT ONE: NONE STD SELECT ONE: NONE JWW SELECT ONE: NONE JWW SELECT ONE: NONE FAST SELECT ONE NONE FAST SELECT ONE: NONE INSTRUCTIONS T2B SELECT ONE: NONE T2B SELECT ONE: NONE Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division. Non-Regular Classes International Sweepstakes This Dog Needs To Be Measured BREED □Yes □No □STD □JWW Select: □14” □18” □26” SEX HEIGHT AT WITHERS VARIETY CALL NAME AKC® NAME (INCLUDE AKC TITLES ONLY) □ ILP NO. □ Enter Complete Registration # below AKC® NO □ PAL NO. FOREIGN REG. NO & COUNTRY BREEDER □ DATE OF BIRTH PLACE OF BIRTH (LIST COUNTRY) SIRE DAM All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog(s) measured prior to running. Dogs listed in the AKC Canine PartnersSM program may be eligible to enter all-breed AKC agility 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. Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the 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? _____________________________________________ 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 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 forgoing representation and agreement. I (we) 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. SIGNATURE of owner or his agent duly authorized to make this entry. ACTUAL OWNERS SIGN HERE OWNERS ADDRESS NEW ADDRESS X ______________________________________________________ Telephone Number: □New Email CITY, STATE ZIP + 4 Email Address: HANDLER ENTER JR. HANDLER # if applicable Exhibitor or owner MUST sign on the signature line beneath the instructions In Case of Emergency - Name: Phone #: AEAGL2 (09/12)
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