Clumber Spaniel Fanciers of Michigan

OFFICERS
PREMIUM LIST
Event # 2016573001
Clumber Spaniel Fanciers of Michigan
(Licensed by the American Kennel Club)
Dennis P. FitzPatrick ................................................................................................................................
Milford Cole ..............................................................................................................................................
Dennis Schultz ..........................................................................................................................................
Peggy Holman ........................................................................................................................................
20958 Gro Racca Road, Iowa LA 70647
(337) 274-4248 Email: CajunClumbers@gmail.com
Dennis Schultz
Milford Cole
13th Annual Specialty Show
Thursday July 14th, 2016
Calhoun County Fairgrounds
Marshall, Michigan
Show Hours 12 p.m. - 7 p.m.
MAIL ALL ENTRIES WITH FEES TO:
Dennis Schultz
39666 Koppernick Road
Canton, Michigan 48187
Telephone: (734) 453-0634 Email: bigdog2@provide.net
Entries close at Show Secretary’s Office, Wednesday 6:00 p.m., June 29th, 2016, after which
time entries will not be accepted, cancelled, altered or substituted, except as provided for in
Chapter 11, Section 6 of the Dog Show Rules.
The American Kennel Club Certification
The American
Kennel Club
Permission has been granted by the American Kennel Club for
the holding of this event under American Kennel Club Rules and
Regulations.
James P. Crowley, Secretary
President
Vice President
Treasurer
Secretary
BOARD OF DIRECTORS
Carol Sanford - Shelly Miller - Sarah Beaird
Show Committee
Show Chairperson and Show Secretary
39666 Koppernick Road
Canton, MI 48187-4258
Phone: (734) 453-0634 Email: bigdog2@provide.net
Asst Show Chairperson
20958 Gro Racca Road
Iowa, LA 70647
Phone: (337) 274-4249 Email: CajunClumbers@gmail.com
and the Officers of the Board
Veterinarian - On Call
Photographer
Marshall Animal Care Center
Booth Photograhpy, Inc.
713 Brewer Street
P.O. Box 308
Marshall, MI 49068
Williamston, MI 48895
(269) 781-5114
(517) 655-4081
Directions to the Emergency Vet Service
From Fair Street turn right onto S. Marshall Avenue. Turn left onto I-94 Bus./E. Michigan Ave. at the roundabout, take the first exit onto 17 mile Rd/N Kalamazoo Ave/Old US 27. Keep right to stay on 17 Mile/Brewer St/
Old US 27. Clinic is just north of North Dr. Total trip 1.8 miles
Judging Panel
Breed ................................................................................................................................................. Mrs. Kathy Lorentzen
13577 Harris Road Chesaning, MI 48616
Sweepstakes ................................................................................................................................................ Mr Doug Belter
6735 Irving Road Hastings, MI 49058
Entry Fees
(Fees include the 50 cents AKC Recording fee and the $3.00 AKC Event Service fee on the first entry of a dog
and the $3.00 Event Service fee for each additional entry of the same dog in the regular and non-regular recordable single entry classes. (There is no recording fee or event service fee for junior showmanship, sweepstakes,
futurities, brace/team, multi-dog classes or special attractions.))
Entry Fees:
•$28.00 First Entry of each Dog
•$23.00 Additional Entry of Same Dog
•$23.00 Puppy Classes
•$23.00 Sweepstakes
•$23.00 Bred By Exhibitor
Entries Close at the Show secretary’s office Wednesday 6:00 p.m. June 29th, 2016, after which time entries will
not be accepted, cancelled, altered or substituted, except as provided for in Chapter 11, Section 6 of the Dog
Show Rules. Make checks payable to: Clumber Spaniel Fanciers of Michigan (returned check charge of $30.00)
Third party checks will not be accepted, No Fax Entries accepted. All Entries MUST be submitted on OFFICAL
AKC ENTRY FORMS. Photocopies of front & back accepted only if legible. Emailed entries can be accepted with
payment made through “PayPal” [pay to: csfmspecialty@yahoo.com] and receipt of payment must accompany
entry. Mail Entries with Fees to: Dennis Schultz 39666 Koppernick Road Canton, Michigan 48187
Waive signature requirement on priority type mail deliveries. Entries will not be accepted without signature, fees,
and back of entry form with agreement. All fees must be payable in US funds.
Telephone/Fax/Online Entry Services
Best In Show Enties ............................................................................................................. (800) 247-7005
Entries On Time .................................................................................................................. (800) 992-8955
K-9 Entry Service ............................................................................................................... (800) 234-3043
MB-F (infodog) .................................................................................................................. www.Infodog.com
Roy Jones Dog Shows .......................................................................................................... www.royjonesdogshows.com
The Michigan Summer Clumber Spaniel Classic Weekend
July 14th through July 17th, 2016
Calhoun County Fairgrounds
Marshall, Michigan
The Clumber Spaniel Fanciers of Michigan wants to extend its appreciation to all
those donors for supporting our 2016 specialty.
Arena and Dennis Schultz - Alps Clumbers
Dennis FitzPatrick – Breakaway Clumbers
Milford Cole and Peggy Holman – Cajun Clumbers
Sarah Beaird - Peppadew Clumbers
Shelley and Chip Miller - SunMagic Clumbers
Vonda and Jack Poole
Syndi Schuknecht-Sweeney
Rick Sala and Cindi Zeestraten
Gail Budde - Owned by Breaker
Beth Speich
The Clumber Spaniel Fanciers of Michigan wants to extend its appreciation to all those
members for their generous donations in support of our annual member awards.
The Ronald N. Tucker Memorial Sportsmanship Award
Offered by the membership of the Clumber Spaniel Fanciers of Michigan to a member
who exemplifies outstanding sportsmanship
The Breakaway Cup offered by Breakaway Clumber Spaniels
Dennis P. FitzPatrick
Awarded to the CSFM member(s) whose Clumber Spaniel goes
Best of Breed at the annual CSFM specialty.
The Masquerade Cup offered by Alps Clumber Spaniels
Arena and Dennis Schultz
Awarded to the CSFM member(s) whose Clumber Spaniel goes
Best of Opposite to Best of Breed at the annual CSFM specialty.
The Watson Cup offered by Jane and John Olds
Awarded to the CSFM member(s) whose Clumber Spaniel goes
Best in Sweepstakes at the annual CSFM specialty.
The Sunoak Cup offered by Sunoak Clumber Spaniels
Beverly and Ronald Tucker
Awarded to the CSFM member(s) whose Clumber Spaniel goes
Holland Michigan Kennel Club
Supported by CSFM
Clumber Judge: Sheila Smith
Battle Creek Kennel Club
Sat/Sun Supported by
CSFM
Sat. Clumber Judge
Mr Gary Anderson
Sun. Clumber Judge
Mrs Keke Khan
ACCOMMODATIONS
No grooming allowed in rooms. No dogs left unattended in rooms.
NOTE: When making reservations, be sure to ask if they will accept dogs.
SUPER 8 ................................................................................................................ (269) 979-1828
(Exit 97 on I-94) - 5395 Beckley Rd. Battle Creek, MI 49015 - Pets are allowed
HOWARD’S MOTEL ............................................................................................ (269) 781-4201
14884 W. Michigan Ave, Marshall, MI 49068
RAMADA INN & SUITES BATTLE CREEK ....................................................... (800) 272-6232
(Exit 97 on I-94) - 5050 Beckley Rd. Battle Creek, MI 49015
KNIGHTS INN ..................................................................................................... (262) 964-2600
(Exit 97 on I-94) - 2595 Capital Ave. SW. Battle Creek, MI 49015 - Pets are allowed
McCAMLY PLAZA HOTEL ................................................................................. (269) 963-7050
50 Capital Ave. SW. Battle Creek, MI 49015 - Small dogs only
QUALITY INN & SUITES ................................................................................... (269) 964-3000
(Exit 104 on I-94) - 1108 E. Michigan Ave. Battle Creek, MI 49014
ARBOR INN IN HISTORIC MARSHALL .......................................................... (269) 781-7772
15435 W. Michigan Ave. Marshall, MI 49068 - $5.00 per pet fee
ALBION INN .................................................................................................... (517) 629-9411
(Exit 121 on I-94) - 27644 C Drive North Albion, MI 49015
NOTICE CAMPERS
Overnight parking is available at the fairgrounds for a fee. Electrical hookups are 15 amp service only. This will not support air conditioners. Any alteration to service subject to Bench Show Committee. First come/first
served. Please be considerate of your neighbors when running generators.
TROPHIES
Best of Breed ................................................................... Clumber Motif 12” x 10” Terrarium
Offered by Cajun Clumbers - Peggy Holman & Milford Cole
Best of Opposite Sex to Best of Breed ................................ Clumber Motif 6” x 10” Terrarium
Offered by Peppadew Clumbers - Sarah Beaird
Best of Winners ................................................................. Clumber Motif 6” x 10” Terrarium
Offered by Cajun Clumbers - Peggy Holman & Milford Cole
Winners Dog ................................................................. Clumber Motif 12” x 15” Shadow Box
Offered by - Gail Budde
Winners Bitch ............................................................... Clumber Motif 12” x 15” Shadow Box
Offered by - Vonda & Jack Poole
Reserve Winners Dog and Bitch................................................. Clumber Motif Picture Frame
Offered by - Syndi Schuknecht-Sweeney
Select Dog and Bitch .................................................................. Clumber Motif Picture Frame
Offered by SunMagic Clumbers - Shelley & Chip Miller
First in Each Class ..................................................... Set of 2 champagne flutes with club logo
Offered by The Clumber Spaniel Fanciers of Michigan
Unless otherwise stated all trophies at this year’s CSFM Specialty are handmade
Clumber motiffed by Eileen Heiple
Best of Breed, Best of Opposite to Best of Breed and Best of Winners Rosettes
Offered by Beth Speich, Vonda & Jack Poole and CSFM
CLUMBER SPANIEL PUPPY SWEEPSTAKES
Puppy sweepstakes is open to all AKC registered Clumber Spaniels who are at least 6 months
and under 18 months of age on the day of the show. Dog MUST be entered in a regular specicalty class to complete in the sweepstakes. Champions of record are allowed to compete.
Entry Fee is $23.00
Make checks payable to: CSFM (Clumber Spaniel Fanciers of Michigan)
CLASSIFICATION
(Same Classes for Bitches)
Puppy Dogs, 6 mos & under 9 mos
Puppy Dogs, 9 mos & under 12 mos.
Dogs, 12 mos & under 15 mos
Dogs, 15 mos & under 18 mos.
Best Puppy in Sweepstakes
Best of Opposite Puppy to Best in Sweepstakes
SWEEPSTAKES PRIZE MONEY
After 35% of the total fees are retained by the club for expenses, the remaining 65% will be
divided as follows:
Best in Sweepstakes ..................................................................................... 20% of total net entry fee
Best of Opposite to Best in Sweepstakes .................................................... 10% of total net entry fee
100% of the remainder of the net entry will be distributed into the individual sweeps classes
A stuffed toy will be awarded to all participants
Best in Sweepstakes ...................................................... Clumber Motif 12” x 15” Shadow Box
Offered by Alps Clumbers - Arena & Dennis Schultz
Best of Opposite Sex to Best in Sweepstakes ............................. Clumber Motif Picture Frame
Offered by - Alps Clumbers - Arena & Dennis Schultz
First in Each Class ....................................................... Clumber Spaniel Christmas Ornament
Offered by Breakaway Clumbers - Dennis P. FitzPatrick
Best in Sweepstakes and Best of Opposite to Best Sweepstakes Rosettes
Offered by - Alps Clumbers - Arena & Dennis Schultz
THE RIBBON PRIZES WILL BE AS FOLLOWS
Regular Classes
First Prize .................................................................................................................................... Blue Rosette
Second Prize ............................................................................................................................... Red Rosette
Third Prize ............................................................................................................................... Yellow Rosette
Fourth Prize ............................................................................................................................. White Rosette
Winners ................................................................................................................................... Purple Rosette
Reserve Winners .................................................................................................... Purple & White Rosette
Best of Winners .......................................................................................................... Blue & White Rosette
Best of Breed ............................................................................................................. Purple & Gold Rosette
Best of Opposite Sex to Best of Breed ...................................................................... Red & White Rosette
Select Dog ......................................................................................................... Light Blue & White Rosette
Select Bitch ....................................................................................................... Light Blue & White Rosette
Non-Regular Classes
First Prize ................................................................................................................. Rose Rosette
Second Prize ......................................................................................................... Brown Rosette
Third Prize ................................................................................................... Light Green Rosette
Fourth Prize ............................................................................................................. Gray Rosette
Best in Sweepstakes ................................................................................. Pink & Green Rosette
Best of Opposite to Best in Sweepstakes ....................................................... Lavender Rosette
Award of Merit ................................................................................................................. Green Rosette
CLASSIFICATION
Regular Classes
Puppy Dogs, 6 mos & under 9 mos
Puppy Dogs, 9 mos & under 12 mos.
Dogs, 12 mos & under 15 mos
Dogs, 15 mos & under 18 mos
Bred-By-Exhibitor Dogs
American Bred Dogs
Open Dogs
Winners Dog
(The Amateur Owner-Handler Class will NOT be offered at this specialty)
Best of Breed Competition - Awards of Merit:
One dog and One bitch AOM when entry is greater than 20
Two dog and Two bitch AOMs when entry is greater than 40
(Green Rosette)
Specialty Show Regular Class Rosettes offered by
Vonda & Jack Poole and Beth Speich and CSFM
Support Show trophies sponored by
Breakaway Clumbers - Dennis P. FitzPatrick
Peppadew Clumbers - Sarah Beaird
Syndi Schuknecht-Sweeney
CSFM
Come join us for the 2017
CSCA National Specialty and
International Clumber Symposium
April 29th, 2017 thru May 5th, 2017
Roberts Event Centre
Wilmington, OH
Notice to Exhibitors
The Clumber Spaniel Fanciers of Michigan and its Secretary assume no responsibility for a
wrong entry. Exhibitors are advised to print all unusual words when filling in the entry forms.
No dog wrongly entered in a class may be transferred to another class after the closing of entries, except
as provided for in Chapter 11, Section 6 of the AKC Rules and Regulations. No entry may be changed or
cancelled unless notice of the change or cancellation is received in writing or by telegram by the Show
Secretary named in the premium list to receive entries, prior to the closing date and hour for entries, except that a correction may be in the sex of a dog. No dog may otherwise be transferred to another class.
Owners are responsible for the errors in the entry forms, regardless of who may make such error. Entries
will not be accepted without proper fees and signatures. Entries must be submitted on approved entry forms
with the agreement printed on the reverse side. Photocopies of the front & back will be accepted if legible.
No entry fees will be returned if the show cannot open or be completed by reason of riots, civil disturbances, fire, an act of God, public emergency, strikes or any other causes beyond the control of the
management. Extreme weather conditions, such as, but not limited to snow storms, hurricanes, lightning, extreme heat, must be considered for the health and safety of the dogs, exhibitors and spectators. The well-being of dogs, exhibitors and spectators is of paramount importance and in the event
it is necessary to cancel or stop the show before completion, no refund of entry fee will be made.
Dogs need not be at the show until the scheduled time of judging. Dogs no longer needed for further
judging will be excused. This show is unbenched.
All dogs present must be held on leash or confined to their crates except when being judged or when in
the exercising ring.
The Club, Show Secretary, their agents, employees, etc. assume no responsibility for injury to children not
under the control of their parents or guardians.
Class cash prizes will be paid in the ring to the person showing the dog. Claims for prize money must
be made in the ring before the judging is over, and the Show Secretary’s office advised at once. The Show
Secretary and the show-giving Club disclaim any liability for the cash prizes after the judging is over. Exhibitors are responsible for cleaning up after their dogs and keeping their crating and grooming areas clean.
Note: Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations.
Routes to the Show
Calendar of Events
International Clumber Symposium CSCA National Sweepstakes CSCA National Regular Classes
CSCA Regional Specialty
May 2nd, 2017
May 3rd, 2017
May 4th, 2017
May 5th, 2017
Holiday Inn
123 Gano Road
Wilmington, OH 45177
Reservations: 1-888-HOLIDAY
From the East and West: Take I-94 to exit 110. Go south into Marshall. Turn left on Green Street (just
beyond the circle) Turn right on exchange street and left on Fair Street.
I-69 to Marshall exit, East on Michigan Avenue to Exchange Street, South on Exchange Street which
becomes Marshall Avenue, Left on Fair Street into the Fairgrounds.
The Clumber Spaniel Fanciers of Michigan
Invites all participants to this years
Specialty to our
Mexican Fiesta
Champagne Potluck Dinner
following Best of Breed judging
For further information contact
Carol Sanford
Phone: (734) 485-3234
Email: Carol.Sanford@henkel.com
Show dress: Casual Attire as it can be very hot
and humid this time of year in Michigan
OFFICAL ENTRY FORM
CLUMBER SPANIEL FANCIERS OF MICHIGAN
Calhoun County Fairgrounds, Marshall, Michigan
AKC EVENT #2016573001
THURSDAY JULY 14th, 2016 - ENTRIES CLOSE 6/29/2016 6:00 p.m.
Entry Fees: First Entry $28.00, Additional Entry of same Dog $23.00, Regular Puppy Classes (6-9 &
9-12) $23.00, Puppy Sweepstakes $23.00 and Bred By Exhibitor $23.00.
Make checks payable to: CSFM (Clumber Spaniel Fanciers of Michigan)
Mail Entries with fees to: Dennis Schultz 39666 Koppernick Road Canton, Michigan 48187
I enclose $ . . . . . . . . . . . . for entry fees.
IMPORTANT--Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the
instructions relevant to the information needed in that box (PLEASE PRINT).
Clumber Spaniel
VARIETY
1
SEX
3
CLASS
DIVISION
weight, color, etc.
ADDITIONAL CLASSES
OBEDIENCE CLASS (JUMP HEIGHT)
RALLY CLASS (JUMP HEIGHT)
NAME OF (see back)
JUNIOR HANDLER (If any)
JR SHOWMANSHIP CLASS
JR HANDLER NUMBER
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 the 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 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, ENHIBITION 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 ARBRITATION 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
FULL
NAME
OF DOG
AKC
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
1. (Variety) if you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular
R
ENTER NUMBER HERE
REG NO.
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 (longhaired, 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).
DATE OF
BIRTH
AKC LITTER NO.
ILP NO.
PLACE OF
BIRTH (List Country
FOREIGN REG NO. & COUNTRY
2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record
Do not print in catalog
Breeder
and dogs which, according to their owners’ records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90
days from the date of the show where the dog completed the requirements for a championship.
Sire
3. (Dog Show Class) Consult the classification in this premium list. If the dog show 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. age division, color division, weight division.
Dam
4. A dog must be entered in the name of the person who actually owned it at the time entries for a show closed. If a registered
ACTUAL OWNER(S)
dog has been acquired by a new owner it must be entered in the name of its new owner in any show 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 name. State on entry form whether transfer application has been mailed to A.K.C. (For complete rules
refer to Chapter 11, Section 3.)
4
(Please Print)
OWNER’S ADDRESS
5. Mixed breed dogs entering classes for Agility, Obedience and Rally trials should mark breed as AKC Canine Partners Listed
STATE
ZIP
Dog”All-American Dog/Mixed Breed”. Variety, Breeder, Sire, Dam information shall remain blank for mixed breed entrants.
JUNIOR SHOWMANSHIP
Are you a new exhibitor?
yes
no
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 “Aggreement” printed on the reverse
side of this 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 agent
duly authorized to make this entry.
TELEPHONE #
If this entry is for Jr Showmanship please give the following information:
AKC JR HANDLER #
NAME OF OWNER’S AGENT
(IF ANY) AT THE SHOW
The above number MUST be included. Should you not have our Junior Handler number, this maybe obtained from the American
Kennel Club. Phone: (919) 816-3776
By signing this entry form that 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
If Jr Handler is not the owner of the dog
identified on the face of this form, what is the
relationship of the Jr Handler to the owner?
STATE
OFFICAL ENTRY FORM
CLUMBER SPANIEL FANCIERS OF MICHIGAN
Calhoun County Fairgrounds, Marshall, Michigan
AKC EVENT #2016573001
THURSDAY JULY 14th, 2016 - ENTRIES CLOSE 6/29/2016 6:00 p.m.
Entry Fees: First Entry $28.00, Additional Entry of same Dog $23.00, Regular Puppy Classes (6-9 &
9-12) $23.00, Puppy Sweepstakes $23.00 and Bred By Exhibitor $23.00.
Make checks payable to: CSFM (Clumber Spaniel Fanciers of Michigan)
Mail Entries with fees to: Dennis Schultz 39666 Koppernick Road Canton, Michigan 48187
I enclose $ . . . . . . . . . . . . for entry fees.
IMPORTANT--Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of the
instructions relevant to the information needed in that box (PLEASE PRINT).
Clumber Spaniel
VARIETY
1
SEX
CLASS 3
DIVISION
weight, color, etc.
ADDITIONAL CLASSES
OBEDIENCE CLASS (JUMP HEIGHT)
RALLY CLASS (JUMP HEIGHT)
NAME OF (see back)
JUNIOR HANDLER (If any)
JR SHOWMANSHIP CLASS
JR HANDLER NUMBER
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 the 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 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, ENHIBITION 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 ARBRITATION 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
FULL
NAME
OF DOG
AKC
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
1. (Variety) if you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular
R
ENTER NUMBER HERE
REG NO.
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 (longhaired, 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).
DATE OF
BIRTH
AKC LITTER NO.
ILP NO.
PLACE OF
BIRTH (List Country
FOREIGN REG NO. & COUNTRY
2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record
Do not print in catalog
Breeder
and dogs which, according to their owners’ records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90
days from the date of the show where the dog completed the requirements for a championship.
Sire
3. (Dog Show Class) Consult the classification in this premium list. If the dog show 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. age division, color division, weight division.
Dam
4. A dog must be entered in the name of the person who actually owned it at the time entries for a show closed. If a registered
Are you a new exhibitor?
ACTUAL OWNER(S)
yes
dog has been acquired by a new owner it must be entered in the name of its new owner in any show 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 name. State on entry form whether transfer application has been mailed to A.K.C. (For complete rules
refer to Chapter 11, Section 3.)
no
4
(Please Print)
OWNER’S ADDRESS
5. Mixed breed dogs entering classes for Agility, Obedience and Rally trials should mark breed as AKC Canine Partners Listed
STATE
ZIP
Dog”All-American Dog/Mixed Breed”. Variety, Breeder, Sire, Dam information shall remain blank for mixed breed entrants.
JUNIOR SHOWMANSHIP
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 “Aggreement” printed on the reverse
side of this 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 agent
duly authorized to make this entry.
TELEPHONE #
If this entry is for Jr Showmanship please give the following information:
AKC JR HANDLER #
NAME OF OWNER’S AGENT
(IF ANY) AT THE SHOW
JR’S DATE OF BIRTH
The above number MUST be included. Should you not have our Junior Handler number, this maybe obtained from the American
Kennel Club. Phone: (919) 816-3776
By signing this entry form that 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
If Jr Handler is not the owner of the dog
identified on the face of this form, what is the
relationship of the Jr Handler to the owner?
STATE
ZIP