Closing Date: Thursday, March 12, 2015 at 8:00 pm Held in conjunction with the Chintimini Kennel Club All-Breed Dog Show & Obedience Trial Columbia River Agility Club Lori Sage, Event Secretary P.O. Box 3292 Oregon City, OR 97045 Premium List Three AKC Licensed All Breed Agility Trials (Held under American Kennel Club Rules and Regulations) COLUMBIA RIVER AGILITY CLUB March 27, 28, 29, 2015 LINN COUNTY FAIRGROUNDS Calapooia Arena 3700 Knox Butte Road, Albany, OR 97321 Friday, March 27, 2015 (event #2015650101) Saturday, March 28, 2015 (event #2015650102) Sunday, March 29, 2015 (event #2015650103) This Event is Accepting Entries for All American/Mixed Breed Dogs Listed in the AKC Canine Partners Program Judge: Sheyla Gutierrez – Miami, FL Certification Permission has been granted by the American Kennel Club for the holding of this event under rules and regulations – James P. Crowley, Secretary We’re offering ISC Classes at this trial!!! ISC JWW on Friday and ISC STD on Saturday!! Opening Date Friday, December 26, 2014 8:00 am Closing Date Thursday, March 12, 2015 8:00 pm Unlimited Envelopes and/or transactions containing entries for more than (10) dogs (the maximum allowed) shall be treated as an invalid entry Express mail must be designated “no signature required” No hand deliveries accepted in the first 24 hours Trial Hours Friday, 7:00 am – 7:00 pm Saturday, 7:00 am – 7:00 pm Sunday, 7:00 am – 7:00 pm Enter this trial Online Beginning Dec 26, 2014 at www.AKC.org using your “My AKC” account OFFICERS OF THE COLUMBIA RIVER AGILITY CLUB President: Debbie Cooper, 6333 N. Oberlin St., Portland, OR 97203 Vice President: Barth Clooten, 6333 N. Oberlin St., Portland, OR 97203 Treasurer: Lori Sage, P.O. Box 3292, Oregon City, OR 97045 Recording Secretary: Maddy Turner, 3530 SE 160th Ave., Portland, OR 97236 Corresponding Secretary: Karin Haderly, 312 Gray Rd., Castle Rock, WA 98611 Board Member: Tammy Moody TRIAL CHAIRPERSON AKC LICENSED AGILITY EVENT SECRETARY Debbie Cooper 6333 N. Oberlin St. Portland, OR 97203 503-313-3386 Lori Sage [email protected] P.O. Box 3292 503-632-2227 home Oregon City, OR 97045 503-840-4303 cell Premiums and other Trial information:www.k-9sports.com Associate: Theresa Calter EVENT COMMITTEE Ronwin Ashton, Barth Clooten, Debbie Cooper, Mike Dellorto, Karin Haderly, Karen Mason, Tammy Moody, Lori Sage, Kevin White VETERINARIAN Veterinarian (On Call~24 hr emergency service): Rivers Edge Pet Medical Center, 202 NW Hickory Ave., Albany, OR 97321 541-924-1700 (Exhibitors should follow their veterinarian’s recommendations to assure their dogs are free of Internal and external parasites, any communicable diseases, and have appropriate vaccinations.) JUDGES AND ASSIGNMENTS Sheyla Gutierrez 14862 SW 178th Terr. Miami, FL 33187 (786) 229-9122 Fri : T2B, All Standard, All JWW, All FAST, ISC JWW Sat: T2B, All Standard, All JWW, All FAST, ISC STD Sun: T2B, All Standard, All JWW, All FAST RING INFORMATION 2 Rings: 100 feet wide x 90 feet deep, indoors on packed dirt. CLASSES OFFERED & JUDGING TIMES Classes Offered - All levels of Standard STD, JWW, FAST and T2B, including the preferred classes, will be offered according to the entry form. (International Sweepstakes Classes will be offered when indicated in the premium and on the entry form). A complete set of rules for all classes is available from the American Kennel Club, 8051 Arco Corporate Drive, Suite 100, Raleigh, NC 27617-3390, or from the AKC web site. It is the exhibitor’s responsibility to enter their dog in the correct class. The Trial Secretary cannot make any changes (except for move-ups as noted) after the closing date of the trial. Class Running Order (same all days) - Ring 1: T2B, Exc Std, Open Std, Nov Std. Ring 2: Exc FAST, Open FAST, Nov FAST, Nov JWW, Open JWW, Exc JWW Friday we’ll have ISC JWW and on Saturday we’ll have ISC STD and will be the last class of the day. Preferred Class Information You may not enter the same dog in preferred & regular classes in the same set of shows weekend). Move-ups, Errors, Confirmation Protocols Move-ups after entries close must be submitted to the trial secretary in writing (mail or email) by 6 pm, Pacific time, Monday, March 23, 2015. Requests for move-ups over the phone will not be accepted. Day-to-day move-ups will be accepted at the trial. Move-ups must be submitted on the move-up form provided, to the trial secretary no later than 30 minutes after completion of the last class of the day. AWARDS, RIBBONS AND PRIZE INFORMATION Awards for qualifying scores only. All awards must be claimed at the show. Ribbons will be awarded to first through fourth place in each height division in each class. First Place: Blue Ribbon ~ Second Place: Red Ribbon ~ Third Place: Yellow Ribbon Fourth Place: White Ribbon ~ Qualifying Score: Dark Green Rosette MACH & PACH ribbons and bars will be presented to dogs completing those titles If you & your dog are close to a MACH or PACH, please let a member of the trial committee know. CRAC will be awarding High in Trial Special Rosette Ribbons, for runs on Friday and Saturday only, to the highest combined score from two clean rounds, for all dogs entered in the show, in the regular classes for each of the AKC Recognized Breed Groups (Sporting, Hound, Working, Terrier, Toy, Non-Sporting, Herding and Miscellaneous) plus a Canine Partner group. Scores of 100 in both classes is required to be in contention. Scoring is based on the highest combined YPS. American Eskimo Dog Club of America (AEDCA) is considering the entry on Friday March 27, 2015 as its National Specialty. For those American Eskimo Dogs entered the following trophies are available with a qualifying score/placement. Unless otherwise noted the following items shall be offered by the American Eskimo Dog Club of America. Rosettes will be offered by the AEDCA for any American Eskimo Dog placing 1st through 4th and those completing a title on this day. Agility High In Trial (combined Std & JWW) - Metal Sculpture Agility Class first - Custom braided leash ~ Agility Qualifying score - Engraved Wood Pen ENTRY INFORMATION First entry of each dog (includes a $3.50 AKC fee) ……………………………………………………………... $20.00 2nd entry of each dog (includes a $3.00 AKC fee)……………………………………….…………...$20.00 3rd , 4th and 5th entry of the same dog (includes $3.00 AKC fee) ………………….……………. $15.00 One entry form per dog may be used for all days. MAKE CHECK PAYABLE (in US Funds) TO: CRAC Closing: Closes Thursday, March 12, 2015 at 8:00 pm. Unlimited. Entry method: First Received. Online vs Paper Entry Primary Limits: CRAC is accepting online entries for this trial through the AKC Agility Online Entry Services. Go to www.akc.org/AgilityEntry and follow the instructions there to use your “My AKC” account to enter this event online. Entries for this trial are “Unlimited”. Paper entries received within 24 hours of the opening date & time limit must: 1) 2) 3) Include postage or be metered. Be delivered by a multi-state or multi-national postage or carrier service, including but not limited to USPS, FedEx, UPS & DHL. If above conditions are not met, the entries are not valid and must be returned to the sender. Express mail must be designated “no signature required”. Walk-through & Warm-up Handlers in all classes will be permitted to walk the course without a dog prior to the start of the class. At the discretion of the judge, if the size of the entry for any class might inhibit a safe and fair walk-through by handlers, height divisions may be used to divide the walk-through into groups, e.g. walk-through for the 8”, 12” and 16” division handlers followed by runs for those height divisions; then walk-through and subsequent runs for the 20”, 24” and 26” divisions. A warm-up area, consisting of a regulation agility jump, will be provided. Umbrellas are not allowed on the course during the walk through. ELIGIBILITY AND HIEGHT DIVISIONS Dogs Eligible to Enter This trial is open to all dogs 15 months of age or older that are registered with the American Kennel Club or are register-able breeds that have obtained PAL/ILP numbers from the American Kennel Club, except bitches in season, aggressive dogs, blind or deaf dogs, or dogs suffering from any deformity, injury or illness which may affect the dog’s physical or mental performance. Mixed breed dogs listed in the AKC Canine Partners program are eligible to enter this all-breed AKC agility trial. Mixed breed dogs entered in these events must list the breed name as “Canine Partner” (mixed breed) and not as a breed hybrid and must include their AKC Canine Partners number on the entry form and check the AKC No. Box. Height Divisions The following jump height divisions shall be used in all regular classes: 8” for dogs 11 inches and under at the withers 12” for dogs 14 inches and under at the withers 16” for dogs 18 inches and under at the withers 20” for dogs 22 inches and under at the withers 24” for dogs over 22 inches at the withers 26” dogs may be entered at this height at owner’s discretion Preferred class: 4” Preferred class: 8” Preferred class: 12” Preferred class: 16” Preferred class: 20” Preferred class: N/A The following jump height divisions shall be used in all international classes (if offered): 14” for dogs 13-3/4 inches and under at the withers (mini dogs) 18” for dogs 16-7/8 inches and under at the withers (midi dogs) 26” for dogs over 16-7/8 inches at the withers (maxi dogs) Jump Height Information All dogs without height cards will have to be measured by the judge of record, except 24”/26” dogs. If a VMO or an AKC Representative is available, all dogs without height cards, including 24”/26” dogs, will need to be measured. When filling out the entry form, there is a new section at the top of the form for exhibitors to designate whether your dog has a valid jump height card or if your dog needs to be measured. Please check the appropriate box so that the Trial Secretary knows whether to include your dogs on the Dogs To Be Measured List Ring & Crating Information OBSTACLES AND EQUIPMENT Obstacles ~ Obstacles shall meet the specifications for obstacles in the current edition of AKC Regulations for Agility Trials. There will be no equipment familiarization at this trial. As of 9/1/06 AKC does not allow it. Rubberized contacts will be used at these trials. Equipment ~ The equipment for this event is provided by K-9 Sports LLC. Information on equipment rental can be obtained by contacting [email protected] or calling (503) 632-2227. There will be crating on the elevated spectator area around the competition. Crating space is somewhat limited, so we ask that you please conserve on space so that everyone who needs crating will be able to find a spot. HANDLERS ~ PLEASE PICK UP AFTER YOUR DOGS!!!! THIS WILL BE STRICTLY ENFORCED AND PENALTIES MAY BE ASSESSED TO OFFENDERS. . EXHIBITOR INFORMATION Important Information for Exhibitors All owners and handlers are responsible for correctly entering and participating in this trial in accordance with AKC rules. Owners are responsible for errors in entry forms, regardless of who may make such errors. All dogs must be on leash at all times except when in the ring or when in the designated agility warm-up area. AKC does not permit pinch/prong collars, electrical or special training collars anywhere on the trial grounds. The safety of dogs is of primary concern. By entering the trial, exhibitors acknowledge that they are familiar with the rules and regulations of the AKC agility program, and that their dogs are familiar with and able to perform all obstacles safely. Confirmation of entry and a schedule of judging time will be sent to the address (email will be used when provided on the entry form) on the official AKC entry form after the closing date. If an exhibitor has not received a copy of the schedule at least seven days prior to the show, the trial secretary should be contacted. Returned checks do not constitute a valid entry. If a check is returned, the entry will be deemed invalid, and the issuer will be billed for all trial associated fees, including, but not limited to: AKC fees, judges fees and secretarial fees. Envelopes/transactions containing entries for more than the ten (10) dog maximum shall be treated as an invalid entry. Conditional, unsigned, incomplete, illegible, telephone or telegraph entries cannot be accepted. Entries not on official AKC forms or photocopies of AKC forms without the agreement form included are not acceptable. 100% of entry fees will be refunded if a written request is received by the trial secretary on or before the trial closing date. After closing, refunds will be given, if notification is received not less than 48 hours prior to the start of the trial, less all fees, for injured or ill handlers, injured or ill dogs, or bitches in season. No refunds will be given if request is received after the published commencement of the trial. Verification from a doctor or vet may be required at the club’s discretion. No entry fee will be refunded if the trial cannot open or be completed by reason of riots, civil disturbances, fire, acts of God, public emergency, acts of public enemy, or any other cause beyond the control of the organizing committee. The Columbia River Agility Club, Linn County Fairgrounds and K-9 Sports LLC 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 assumes no responsibility for injury to any child not under the control of his or her parents or guardians. The Columbia River Agility Club may cancel this event in extreme weather conditions. 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 site. In such case, no refund of any fees paid will be made. All dogs must be on leash at all times except when in the ring or when in the designated agility warm-up area. Please clean up after your dogs while on the show grounds and at the motel site. We want to retain these facilities for future events. Only dogs that are eligible to be shown under the AKC rules shall be allowed within the show precincts. Hotel Information Rates and pet information are subject to change. Please confirm all details when making reservations. LaQuinta Inn Super 8 Motel 6 Budget Inn Holiday Inn Express Hotel Comfort Suites Best Western Plus Inn Econolodge Phoenix Inn Marco Polo Motel 251 Airport Rd., Albany, OR 97321 315 Airport Rd. SE, Albany, OR 97321 2735 Pacific Blvd SE., Albany, OR 97321 2727 Pacific Blvd SE, Albany, OR 97321 105 Opal Court NE, Albany, OR 97322 100 Opal Court, Albany, OR 97322 1100 Price Rd., Albany, OR 97322 1212 SE Price Rd., Albany, OR 97322 3410 Spicer Dr., Albany, OR 97321 2410 Pacific Blvd, Albany, OR 97321 541-928-0921 541-928-6322 541-926-4233 541-926-4246 541-928-8820 541-928-2053 541-928-5050 541-928-6322 541-926-5696 541-926-4401 RV PARKS Blue Ox RV Park Knox Butte RV Park KOA 4000 Blue Ox Dr. SE, Albany, OR 97321 125 Expo Parkway, Albany, OR 97321 33775 Oakville Rd. S., Albany, OR 97321 541-926-2886 541-928-9033 541-967-8521 Parking Day parking is $5 per day, per space, per vehicle. $10 for the weekend. Parking fees are for Saturday and Sunday only, no charge Friday. Parking opens at 6 am and vehicles must be removed by 9 pm. Oversized vehicles will be charged for 2 spaces. No overnight parking in the day lot. No exercise pens or set-ups in the day lot. Directions From the North, on I-5: 1. Take EXIT 234A toward Fair/Expo/Knox Butte. 2. Turn slight right onto Airport Road SE 3. Turn right onto Pacific Blvd. SE/OR-99E N. 4. Stay straight to go onto Knox Butte Road E. 5. End at 3700 Knox Butte Road E. From the South, on I-5: 1. Take Exit 234 toward Fair/Expo/Knox Butte. 2. Turn right onto Knox Butte Road E. 3. End at 3700 Knox Butte Road E. RESERVED RV PARKING Chintimini Kennel Club Parking, RV Parking and Unloading Information Day Parking East side (front entrance) of Fairgrounds RV Parking/Obedience/Cascade Livestock Pavilion Grooming Enter at the South side fairgrounds RV/Vendor Gate for RV entrance and unloading DAY PARKING 1. Day parking fees are for Saturday and Sunday only, no charge Friday. 2. Day parking opens at 6 am and vehicles must be removed by 9 pm. 3. Day parking is $5 per day, per space, per vehicle. $10 for the weekend. 4. Oversized vehicles will be charged for 2 spaces and park in Gravel Lot Only. 5. No overnight parking in the day lot-this will be monitored by County Sheriff 6. No exercise pens or set-ups in the day lot. 7. Handicapped parking spaces are located near the main entrance. 8. All parking is at your own risk. Chintimini Kennel Club, Inc, the show superintendent nor the Linn County Fair and Expo assume any responsibility for any theft or damage to any vehicle or its cargo. 9. Vehicles illegally parked may be towed without notice at owner’s expense. No plug in to ANY BUILDING. No cords across any road or walkway. No generators in or near show building, rings or sheds. UNLOADING: 1. Each vehicle will be given a 15 minute Unloading Pass when unloading. 2. Turn off your engine but leave lights on during unloading. 3. Please respect all directional signs and do not move barriers. 4. Fire lanes must be kept clear. Willamette Events Center Conformation & Santiam Grooming Unloading Located in the day lot near the Willamette Events Center Cascade Livestock Pavilion Obedience/Grooming/Conformation Unloading Located on the south and also west side of the Cascade Livestock Pavilion accessed through the RV/Vendor gate. ON SITE PARKING IS A PRIVILEGE EXTENDED BY THE CHINTIMINI KENNEL CLUB, INC. AND THE LINN COUNTY FAIR AND EXPO. Any arguing, abusive language or failure to follow the rules, regulations or instructions of the club or parking personnel will cause you to be escorted from the show site, forfeit all parking privileges without refund of fees and possible discipline by the Event Committee. RV PARKING: Those using the RV Parking area are subject to all parking rules and regulations. 1. NO PLUG IN TO ANY BUILDING per Fire Marshall. 2. Generators are allowed between 6 am and 10 pm. 3. All vehicles must be completely self-contained. No discharge of grey water/sanitary tanks anywhere on the site. 4. Tow vehicles must fit into your space or additional space fee will be charged. 5. Exhibitors are responsible for clean up of their parking spaces. Trash barrels provided. Reserved RV Parking Fees: 50 amp (spaces very limited) $40/night $45/night Cash Only at gate 30 amp(spaces limited), $35/night $40/night Cash Only at gate 10 amp & no electrical $30/night $35/night Cash Only at gate Refunds will be issued if cancellation is made via email or phone prior to noon Thursday, March 26, 2015. Refunds will be issued the week of the show by mail – all other refunds or added charges for 50 amp power will be processed during the show at the show site. Only the person whose name is on the reservation may cancel or change the reservation. RESERVED PARKING 1. Parking space assignment priority based on postmark date of completed registration with check enclosed for full amount of stay. Checks only, No Credit Cards Accepted. Reservations must be received by March 12, 2015 2. Reserved Parking will be available 8am Friday until 8pm Sunday. Contact John Riedl for Thursday reservation. 3. All spaces will be assigned. Parking Personnel will assist you in locating your space and answering questions. 4. Indicate on form whether you desire to be close to Conformation, Obedience or Agility. Every attempt will be made to honor requests, send reservation early for best chance of desired area. Overflow to RV gravel lot. 5. Tow vehicles and grooming setups must fit within your assigned space. 6. Limited Electrical spots available along north and west fences only. 7. There is a $25 service fee for any returned check. Chintimini Kennel Club, Inc. Parking Reservation Form Mail with check made out to CKC to: CKC Parking c/o John Riedl 5529 Quince St. NE, Salem, OR 97305 (503) 510-0460 Email: [email protected] Name ___________________________________ Email _______________________ Address______________________________________________________________ City _________________________ Phone __________________ State ____________ Zip ____________ Vehicle License #/State ________________ Type of Vehicle _____________________________ Handicap Permit # _____________________ Total Length _________ Amount Enclosed __________ Reserved RV Parking: 50 amp Electric RV 20’x40’ ______ nights @ $40/night = _______ 30 amp Electric RV 20’x40’ ______ nights @ $35/night = _______ RV 22’ x 36’ Non-Electrical ** ______ nights @ $30/night = _______ 10 amp Electric RV 20’x40’ ______ nights @ $30/night = _______ **(non-electrical only if you need more than 1 spot) Side to Side_____ or End to End _____ Circle One Preference Below: RV Spot: Closer to CONFORMATION or OBEDIENCE or AGILITY Spaces near agility are non electrical; except for some very low amperage at 10 amp RESERVATIONS MUST BE RECEIVED BY MARCH 12, 2015 Mail early, electrical spaces go quickly CONFIRMATIONS WILL BE SENT BY EMAIL OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM AGREEMENT Columbia River Agility Club March 27-29, 2015 ~ Linn County Fairgrounds, Albany, OR Opens: Friday, Dec 26, 2014 8:00am PST ● Closes: Thursday, March 12, 2015 8:00pm PST Day 1: Fri – Mar 27 □ STD □ JWW □ FAST □ T2B □ ISC JWW Day 2: Sat – Mar 28 □ STD □ JWW □ FAST □ T2B □ ISC STD Day 3: Sun – Mar 29 □ STD □ JWW □ FAST □ T2B Day 4: N/A st nd Daily Entry Fee: 1 run $20, 2 rd th run $20; 3 run $15, 4 run $15 Make checks payable to: CRAC; Mail to: Lori Sage, PO Box 3292, Oregon City, OR 97045 IMPORTANT: Carefully read instructions before filling out! ENTRY FEE ENCLOSED Choose Either Regular 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 □ ILP NO. □ Enter Complete Registration # below PAL NO. □ FOREIGN REG. NO & COUNTRY BREEDER 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. 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. 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? _____________________________________________ ___________________________________________________________________________________________________ AKC® NAME (INCLUDE AKC TITLES ONLY) AKC® NO AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. 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 Telephone Number: □New Email Email Address: CITY, STATE ZIP + 4 HANDLER X ______________________________________________________ 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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