Tanya Kilgore HOTC Trial Secretary 275 Stone Hill Drive Huntsville

ENTRIES OPEN Friday, September 30th, 2016 at 8:00 am CDT at the Trial Secretary’s address. All
Tanya Kilgore
HOTC Trial Secretary
275 Stone Hill Drive
Huntsville, AL 35811
entries received before this date will be returned. Envelopes/transactions containing entries for more than
the ten (10) dog maximum and/or entries received prior to the opening date shall be treated as an invalid
entry and shall be returned to the sender. No hand delivered entries accepted during the first 24 hours.
ENTRIES CLOSE Friday, November 11th, 2016 at 6:00 pm CDT after which time entries cannot be
accepted, cancelled, altered, or substituted except as provided for in Chapter 11, Section 6 of the Rules
Applying to Dog Shows and/or Chapter 1, Section 16 of the Regulations for Agility Trials.
Premium List
AKC All-Breed Agility Trials
This Event is Accepting Entries for dogs listed
in the AKC Canine Partners Program
Huntsville Obedience Training Club, Inc.
LICENSED BY THE AMERICAN KENNEL CLUB
S
Entries Open: September 30th, 2016
Entry Method: First Received
Notice To All Exhibitors
The building will be open to exhibitors on Thursday
11/24/16 ONLY from 4-6pm due to that being
Thanksgiving Day! NO SET UP WILL BE ALLOWED
AFTER THOSE HOURS
FAST, STD, JWW Friday
JWW, STD, STD Premier & JWW Premier Saturday
T2B, STD, and JWW Sunday
3 Days – 2Judge – 2 Rings
330 entries per Judge
660 entries per day
Alabama A&M Univ. Agribition Center
4925 Moores Mill Road
Huntsville, AL 35811
Friday, November 25, 2016
Saturday, November 26, 2016
Sunday, November 27, 2016
Event # 2016054920
Event # 2016054921
Event # 2016054922
Trial Hours Each Day: 7:00 AM to 6:00 PM (Central Daylight Time)
This trial will be held indoors on packed dirt.
JWW Ring: 89’ X 105’ and STD Ring: 90' x 105'
Electronic Timers/Displays will be used at this trial.
Permission has been granted by the American Kennel Club for the holding
of this event under the American Kennel Club rules and regulations.
JAMES CROWLEY, Secretary
HUNTSVILLE OBEDIENCE TRAINING CLUB OFFICERS
President:
Vice President:
Recording Sec:
Corres Sec:
Treasurer:
Board of
Directors:
Tom Johns, 306 Dublin Circle, Madison, AL 35758
Beth Matthys, 3405 Bobo Section Rd, Hazel Green, AL 35750
Linda Hall, 379 Bob Wade Lane NW, Huntsville, AL 35810
Debbie Stewart, 10046 Hoyt Way, Huntsville, AL 35803
Crystal Ferraiuolo, 367 Taylor Denton Ln, Harvest, AL 35749
Doug Kiser, Andrea Cobb, Linda Ogilvie, Cindy Martin,
Nikki Mosley
EVENT CHAIRPERSON
EVENT SECRETARY
Frank Ferraiuolo
367 Taylor Denton Lane
Harvest, AL 35749
fferraiuolo@me.com
Tanya Kilgore
275 Stone Hill Drive
Huntsville, AL 35811
256-651-2582
tflippolvt@gmail.com
ASSISTANT EVENT CHAIRPERSON
Gloria Kruger
4934 Maysville Road
New Market, AL 35761
586-413-2133
Gloria_kruger@hotmail.com
ASSISTANT EVENT SECRETARY
Mackenzie Ferguson
520-B Magnolia Circle
Huntsville, AL 35808
802-793-3063
mackenziekfergusion@gmail.com
EVENT COMMITTEE
JUDGE & JUDGING SCHEDULE
TENTATIVE
Running
Order
Friday
High to Low
Registration
7:00 AM
Saturday
Low to High
Registration
7:00 AM
(in addition to Chairperson, Assistant & Secretary & Assistant)
Lee Baragona- Chief Course
Builder
Karen Stewart- Hospitality
Butch Norckauer- Timers
Sunday
Rhonda Ritter-Chief Ring Stewart
High to Low
Registration
7:00 AM
Regular Class
Handlers may opt to
run their dog in a
higher height division
8”
12”
16”
20”
24”
26”
Preferred Class
Handlers must run their
dog in their proper
eligible height division.
4”
8”
12”
16”
20”
Height At Withers
STD Ring – 90’ x 105’
Ring 1
Start – 8:00 AM
Tom Slattery (53137)
4490 Neal Ave
Afton, MN 55001
651-436-2066
1.Master/Excellent STD
2. Open STD
3. Novice STD
Start - 8:00 AM
Clyde Closson
1. Premier
2. Master/Excellent STD
3. Open STD
4. Novice STD
Start - 8:00 AM
Tom Slattery
1. T2B
2. Master/Excellent STD
3. Open STD
4. Novice STD
JWW Ring – 89’ x 105’
Ring 2
Start—8:30 AM
Clyde Closson (82418)
3624 Green Hill
Schnecksville, PA 18078
610-799-4353
1. Novice FAST
2. Open FAST
3. Master/Excellent FAST
4. Novice JWW
5. Open JWW
6. Master/Excellent JWW
Start—8:30 AM
Tom Slattery
1. Novice JWW
2. Open JWW
3. Master/Excellent JWW
4. Premier
Start—8:30 AM
Clyde Closson
1. Novice JWW
2. Open JWW
3. Master/Excellent JWW
Judge’s Briefing – 15 minutes prior to class start time
Owners are responsible for entering
their dog in the proper height division.
dogs 11 inches and under at the withers
dogs 14 inches and under at the withers
dogs 18 inches and under at the withers
dogs 22 inches and under at the withers
dogs over 22 inches at the withers
Dogs may be entered at this height at
their owner’s discretion
MEASURING AND HEIGHT CARD INFORMATION
Jump height cards are no longer required to be submitted with the entry form. The
entry form has a check box to indicate if the dog needs to be measured. It is the
owner's responsibility to understand the rules, and if the dog needs to be measured, it
is the owner's/handler's responsibility to ensure that the box on the entry form is
checked, and that the dog is measured prior to running.
CLASSES OFFERED (INCLUDING REGULAR AND PREFERRED)
Novice Agility (A&B) Standard, Jumpers with Weaves (Regular and Preferred)
Open Agility: Standard, Jumpers with Weaves (Regular and Preferred)
Master/ Excellent Agility: Standard & Jumpers with Weaves (Regular and Preferred)
Time 2 Beat (Regular and Preferred)
FAST (Master/Excellent only, Regular and Preferred))
Premier STD and Premier JWW (Regular and Preferred)
Please consult the AKC Regulations for Agility Trials for a complete description and eligibility for entry
into these classes. The exhibitor is fully responsible for entering the dog in the correct class(es)/height
divisions. Dogs running in a lower height division than they are eligible for will be eliminated.
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 info@akc.org, or at their website at www.akc.org
COURSE FAMILIARIZATION AND WARM-UPS
Handlers in all classes are permitted to walk the course, without a dog, during a walk-through period
held prior to the start of the class. The walk-through is restricted to only handlers entered in that
class. Handlers with multiple dogs, at events with multiple rings may request to walk with a height
group other than the one their dog is entered in if a conflict is imminent.
A warm-up area, consisting of a regulation agility jump, will be provided for exhibitors. The warm-up
area is to be used exclusively for warming up the dog and not for training or relieving of the dog.
OBSTACLES AND RING CONDITIONS
Obstacles will meet the specifications for obstacles in the current edition of the Regulations for Agility
Trials. All classes will take place indoors on a dirt surface.
RIBBONS AND AWARDS
Rosettes will be awarded in each jump height division in each class as follows:
First Place-Blue  Second Place-Red  Third Place-Yellow  Fourth Place-White
Qualifying Score-Dark Green strip
A New Title rosette will be awarded to all dog and handler teams finishing a title. A MACH/PACH/PAX
rosette and jump bar will be awarded to all dog and handler teams that attain their MACH/PACH/PAX.
A Master’s rosette will be awarded to all dog and handler teams that attain a Master’s title.
ENTRY FEES AND ENTRY INFORMATION
First Received, Hand Delivery Statement: Paper entries received within 24 hours of the opening date
and time must: 1) include postage or be metered; 2) be delivered by a multi-state or multi-national
postal or carrier service, including but not limited to USPS, FedEx, UPS & DHL. Overnight or certified mail
must be sent with the “No Signature Required” waiver signed. Express mail entries must include the
signature waiver allowing them to be left at the secretary’s address. If above conditions are not met,
the entries are not valid and must be returned to the sender. Refer to AKC Regulations for Agility Trials
Ch 1 Sec 15 “Paper Entry Forms Per Envelope” and Sec 16 “Entry Acceptance Methods”.
No entries will be accepted by phone or fax. Illegible entries will not be processed and will be
returned to the exhibitor. Returned checks do not constitute a valid entry and the Trial Secretary will
add a $30 collection fee to the amount of each returned check.
Please remember entries that are not signed, are incomplete, do not include the agreement or do
not include sufficient entry fees are not valid entries and will be returned. (Chapter 11 of the “Rules
Applying to Dog Show”)
If you would like to know the status of your entry prior to the issuance of the judging schedule upon
closing, please enclose a self-addressed, stamped envelope or postcard along with your entry. E-mail
confirmations will be sent to those listing a legible e-mail address on the entry form.
Entry Fees Per Day
$24 - First entry per day per dog (includes AKC recording fee)
$13 - Second entry per day per dog (includes AKC recording fee)
$11 - Third and More entries per day per dog (includes AKC recording fee)
Make entry checks payable to HOTC and mail with entries to:
Tanya Kilgore, HOTC Trial Secretary
275 Stone Hill Drive
Huntsville, AL 35811
Overnight, Certified, Fed Ex & UPS & Express Mail - please check “No
Signature Required”
Keep checks for entry and RV fees SEPARATE please!
DOGS ELIGIBLE TO ENTER
These trials are open to all dogs 15 months of age or older that are registered with the American
Kennel Club or that have AKC Limited Registration, Purebred Alternative Listing/Indefinite Listing
Privileges (PAL/ILP) or an AKC Canine Partners listing number or approved foundation Stock Service
breeds. Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible, and neither
are bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which
may affect the dog’s physical or mental performance. No dog shall compete if it is taped or bandaged
in any way or has anything attached to it for medical purposes. All American dogs that have been listed
with the AKC Canine Partners may participate provided their listing number has been recorded on the
entry form. Refer to Chapter 2 of the Registration and Discipline Rules for the listing of registerable
breeds that may participate.
MOVE-UPS
Dogs may be moved up to a higher class at the request of the owner, as a result of qualifying for an
agility title, provided that request is made to the Trial Secretary in writing before 6:00 PM, Monday,
November 21th , 2016 (CDT) preceding the event. For Saturday/Sunday move-ups, the request must
be made to the Trial Secretary in writing prior to the close of the Friday/Saturday event at the trial site.
Exhibitors should follow their veterinarian’s recommendation to assure their dogs are
free of internal and external parasites, any communicable diseases, and have
appropriate vaccinations.
NOTICE TO EXHIBITORS
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.
Exhibitors are responsible for cleaning up after their own dogs. Please help us keep this site clean to
ensure we have future use.
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 event committee, be asked to
leave the show site. In such case, no refund of any fees paid will be made. HOTC 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. HOTC 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 HOTC or any official thereof.
All dogs must be on leash at all times when on trial grounds except when in the designated warm-up
area or competing on the course.
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 Event Committee.
Bitches in season are not permitted to compete in Agility Trials. HOTC will refund total entry fees less
$10 per day for bitches coming into season after the closing date. A veterinarian’s certificate must be
presented to the Trial Secretary prior to the start of judging on Friday.
Dogs sick/injured. HOTC will refund total entry fees less $10 per day for dogs that become sick/injured
after the closing date. A veterinarian’s certificate must be presented to the Trial Secretary prior to the
start of judging on Friday.
Handlers sick/injured. HOTC will refund total entry fees less $10 per day for a handler that becomes
sick or injured after the closing date. A medical doctor’s excuse on the doctor’s letterhead must be
presented to the Trial Secretary prior to the start of judging on Friday.
RINGSIDE
Judges are not required to wait for dogs. The owner of each dog is solely responsible for having it
ready at ringside when it is to be judged. The Club has no responsibility for providing service through a
public address system or stewards or runners for the purpose of calling or locating dogs that are not
brought into the ring when required. Exhibitors are responsible for cleaning up after their own dogs.
Please help us keep the trial site and hotels clean.
DIRECTIONS TO THE TRIAL SITE
The Alabama A&M Univ. Agribition Center is located at 4925 Moores Mill Road Huntsville, AL 35811
From Birmingham
Take I-65 N toward HUNTSVILLE, Merge onto I-565 E via EXIT 340 toward HUNTSVILLE, I-565 E
becomes US-72 E. Turn LEFT onto MOORES MILL RD. The Agribition Center is at 4925 Moores Mill
Rd on your left.
From Chattanooga
Take I-24 W toward NASHVILLE/BIRMINGHAM (Passing through GEORGIA, then crossing into
TENNESSEE). Take the US-64/US-72 exit,( EXIT 152), toward SOUTH PITTSBURG. Turn RIGHT onto
US-72 W. Continue to follow US-72 W (Crossing into ALABAMA). Turn RIGHT onto MOORES MILL
RD. The Agribition Center is at 4925 Moores Mill Rd on your left.
From Huntsville
Take I-565 E, I-565 E becomes US-72 E. Turn LEFT onto MOORES MILL RD. The Agribition Center
is at 4925 Moores Mill Rd on your left.
From Nashville
Take I-65 South toward HUNTSVILLE (Crossing into ALABAMA). Take I-565 E via EXIT 340B toward
HUNTSVILLE. I-565 E becomes US-72 E. Turn LEFT onto MOORES MILL RD. The Agribition Center
is at 4925 Moores Mill Rd on your left.
HOSPITALS (With 24-HOUR EMERGENCY ROOM)
Huntsville Hospital, 101 Sivley Rd, SW, Huntsville, AL (256-265-1000)
Directions: Turn right out of the Agribition Center lot and go SOUTH on Moores Mill Rd. Turn
right onto US-72 W. US-72 W becomes I-565 W. Merge onto US-231 S/US-431 S/N Memorial
Pkwy via Exit 19B. Take the US-431 S exit toward AL-53 N/Governors Dr/AL-20. Turn left onto
Gallatin St SW. Turn right onto Sivley Rd SW.
HOTEL INFORMATION
Please remember to pick up after your dog.
Please contact individual hotels for pet acceptance and rules:
LaQuinta – Madison, 15 miles from site, 105 Westchester Rd Madison, AL 35758 (256-258-2777)
LaQuinta - Madison Square, 8 miles from site, 4890 University Drive Huntsville, AL 35816
(256-830-8999)
Home 2 Suites, 7.8 miles to site, 7010 Governors Dr NW Huntsville, AL 35806 (256-971-1668)
Candlewood Suites, 10 miles form site, 201 Exchange Place Huntsville, AL 35806 (256-830-8222)
AGRIBITION CENTER
1.
2.
3.
4.
5.
6.
7.
No alcohol allowed on grounds at any time.
No use of tobacco products inside the building.
No RVs and trailers will be allowed to hook up to electricity in the barn area.
All vehicles must be moved to the parking lot after unloading.
Keep all vehicles off grass areas.
Dogs must be kept on a leash while on the show grounds.
Exhibitors who do not help with set up will be not be allowed to crate until BETWEEN 46PM ON 11/24/16 ONLY. DUE TO THURSDAY BEING THANSKGIVING THE SITE WILL
ONLY BE OPEN FOR A LIMITED AMOUNT OF TIME
8. All aisles and roadways around the facility must be kept open at all times due to fire
regulations. Owners will be asked to move vehicles or will be towed at owner’s
expense.
9. Please help us maintain clean facilities and grounds during the trials by placing litter
and dog waste in trash receptacles or designated areas.
EMERGENCY PLAN
Alabama A&M Univ. Agribition Center, 4925 Moores Mill Road, Huntsville, AL 35811
 Police….911  Fire….911  Ambulance….911
SHOW VETERINARIAN ON CALL
Animal Emergency Clinic of North Alabama, Inc. 2306-A Memorial Parkway SW, Huntsville, AL
35801 (256-533-7600)
Directions: Turn right out of the Agribition Center lot and go SOUTH on MOORES MILL RD. Turn
RIGHT onto US-72 W. US-72 W becomes I-565 W. Merge onto US-231 S/ N MEMORIAL PKWY via
EXIT 19B (Memorial Parkway South – US 231 South). Take the Governor’s Drive Exit Ramp on the
right. Cross Governor’s Drive and continue straight on the access road parallel to US 231. Turn
right into parking lot of Office Depot, and turn right again toward the clinic (located on the north
end of the parking lot).
*Dog Gone it we cannot do it without you!!!*
We will need help to ensure that our trials run smoothly. In appreciation for pitching in to help us,
we will give you lunch in our HOSPITALITY ROOM. Worker coupons will be given for each class
worked, and there will be a worker’s raffle with cash prizes each day.
If you can help, please return this form with your entries.
Name: _______________________________________________________
Telephone No: ________________________________________________
Email Address: ________________________________________________
Class
Master /Exc Standard
Master/Exc JWW
Open STD or JWW
Novice STD or JWW
FAST
T2B
Premier STD
Premier JWW
4-12
16
20
24-26
All
Full service RV Park at Space & Rocket Center: www.spacecamp.com/travel/rvpark;
(256-830-4987)
For information concerning reservations contact:
Send the form below with fee
(separate check from entry fees)
made payable to HOTC to:
Tom Johns
306 Dublin Circle
Madison, AL 35758
256-656-3732
tjohns@knology.net
Classes where my dogs are entered:
__________________________________________ Jump Height: ____
__________________________________________ Jump Height: ____
__________________________________________ Jump Height: ____
__________________________________________ Jump Height: ____
I would like to help with the following job(s). Experience is not necessary.

RV Hookups - $20 per night, Advanced Reservations Required. There are 28 sites
available and will be issued on a “first received” basis. The sites have power and water
only. There are 22 spaces with 30A and 6 spaces with 25A. NO dumping station on
th
site. There are no assigned spots. Spaces will be available on Thursday, November 24 ,
2016. There will be limited time to for crate set up that day.
Please use enclosed request form.
*Bathrooms available in the arena – No Showers or dumping station on site.*
Outside, undercover stalls are available for exhibitors to crate in at no charge. These
will be available starting Friday, October 28th, on a first come, first served basis. All
stalls have electricity available to them.
I can help with:

RV Information & Parking Reservations
Job
Scribe
Timer
Gate Steward
Ring Crew (Bars, Leash Runner, Scribe Sheet Runner)
Chute Straightener
Course Builder
Friday
Saturday
Sunday
Please return this completed form with your entry or email to Rhonda Ritter:
rcritter@bellsouth.net
For RVs:
 Dry Camping will be available for no cost
 Reserve early to avoid being left with Dry Camping if you really want
power and water.
 There will be no RVs allowed in the spaces with power unless a
reservation has been made.
Name:
Fee Enclosed:
RV Type:
License:
Email:
Phone:
AGREEMENT
OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM
Huntsville Obedience Training Club
Event#: 2016054920, 2016054921, 2016054922
Opens: September 30, 2016 (CDT)
● Closes: November 11, 2016 (CDT)
Friday, November 25, 2016
Saturday, November 26, 2016
□ STD
□ STD
□ JWW
□ JWW
□ FAST
□ PR STD
Sunday, November 27, 2016
□ STD
□ JWW
□ T2B
□ Pr JW
Make checks payable to: HOTC. Daily Entry Fee: 1st run $24; 2nd run $13, 3rd -6th runs $11
Mail to: Tanya Kilgore, 275 Stone Hill Drive Huntsville, AL 35811
IMPORTANT: Carefully read instructions before completing form.
ENTRY FEE ENCLOSED
Choose Either Regular OR Preferred Classes
Circle one height and circle classes: Only one selection per class (STD, JWW, T2B, FAST, Pr STD, Pr JWW))
REGULAR Classes
8” 12” 16” 20”
STD Nov A Nov B Open
JWW Nov A Nov B Open
FAST Nov A Nov B Open
Premier STD JWW
T2B
This Dog Needs To Be Measured
BREED
24”
Exc
Exc
Exc
□Yes □No
PREFERRED Classes
26”
Master
Master
Master
4”
8”
12” 16” 20”
STD NovP OpenP ExcP MasterP
JWW NovP OpenP ExcP MasterP
FAST NovP OpenP ExcP MasterP
Premier STD P JWW P
T2BP
□
ILP NO. □
PAL NO.
□
□
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.
HEIGHT AT WITHERS
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.
VARIETY
CALL NAME
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? ________________________
Enter Complete Registration # below
FOREIGN REG. NO & COUNTRY
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.
SEX
AKC® NAME (INCLUDE AKC TITLES ONLY)
AKC® NO
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.
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.
DATE OF BIRTH
PLACE OF BIRTH (LIST COUNTRY)
BREEDER
SIRE
SIGNATURE of owner or his agent duly authorized to make this entry. (MUST BE SIGNED) AKC Rules,
Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org.
DAM
SIGN HERE
ACTUAL OWNERS
X
Telephone Number:
OWNERS ADDRESS
 NEW ADDRESS
CITY, STATE ZIP + 4
HANDLER
In Case of Emergency - Name:
ENTER JR. HANDLER # if applicable
□New Email
Email Address:
Phone#:
AEAGL2 (09/12)