PREMIUM LISTS - Des Moines Obedience Training Club

OFFICERS & BOARD MEMBERS
PREMIUM LISTS
President……………………………………...……………………………………………..……………....……….….………..Debra Waston
Vice-President……….…………..…………………………………………………………………………………...……..……...Sally Martin
Recording Secretary ………….……………………………………………………………………………...………………….....Aryn Fross
Corresponding Secretary……………………………………….…………………………...……………..…….…….……Harriet Leitch
PO Box 33, Des Moines, IA 50301
Treasurer………………….……………………….……………………………………………………….………………………. Lori Martindale
Member-at-Large.……………………………….……………………………………………….…………..…..………...…Helena Schuldt
…………………….………….……………………………………………….………....…………..…….…Donna Yeast
Past President………………………………………………………………………………………………………………………….Lorelle Jones
Competition Director………………….……….………………………………………….….………Sherry Bennett/Jane Ashmead
Training Director…………………………………………………………………………………………………..….……………….Judy Kinney
KPT Director.………….……………………………………………………………..………………….……………………....Carole Jackson
Member of the American Kennel Club
Event Chair…..………………………………………….…………………………………….…………………..…..…….……….John Kimbro
1112 Creston, Des Moines, IA 50315, (515) 664-4570, kimbro188@yahoo.com
Chief Ring Steward…………..……….……………………………………………..…………..…..….………..…………..…Sally Martin
Food Service…………………………………………………………………………..……Judy Kinney, Harriet Leitch & Nancy Kail
Matches………………………………………………………………………………………………...Helena Schuldt & Nikki Fitzgerald
All Officers & Members of the Board of Directors
Entries are open to all AKC registered dogs and dogs listed
with the AKC Canine Partners program
FRIDAY, February 6, 2015
Obedience Trial, AKC Event #2015064103
TRIAL COMMITTEE
SATURDAY, February 7, 2015
TRIAL SECRETARY
Polly S. Mumma
PO Box 8055 Des Moines, IA 50301 (515) 710-7214
e-mail: polly@springertigger.com
Obedience Trial, AKC Event #2015064101
VETERINARIAN – ON CALL
All classes limited to judges’ 5 hour judging load
All classes limited to judges’ daily 7 hour judging load
SUNDAY, February 8, 2015
Obedience Trial, AKC Event #2015064102
All classes limited to judges’ daily 7 hour judging load
TRIAL HOURS:
Friday 12noon to 6 pm; Saturday 7am to 10pm; Sunday 7am to 6pm
BUILDING HOURS:
The building will be available 1 hour prior to the beginning of judging, and will be closed
30 minutes following the end of each day’s activities.
Des Moines Obedience Training Club Building
1423 SW Army Post Rd
Des Moines, IA 50315
All judging will be indoors
Space is very limited. Unentered dogs will not be allowed at these
trials. Entries are limited as specified above.
ENTRIES CLOSE 6:00PM CST, WEDNESDAY, January 21, 2015, at
Secretary’s address, after which time entries cannot be accepted, canceled,
altered or substituted except as provided for in Chapter 11, Section 6 of the
Dog Show Rules. Please waive signature requirements on all forms of
delivery. Mail requiring signatures will be returned to sender.
CERTIFICATION
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
Animal Emergency Clinic
6110 Creston Ave, Des Moines, IA
(515) 280-3051
Driving Directions: North on Fleur Dr. to Park Ave.; turn left (west) on Park to 63rd St; turn right (north) on 63rd to Creston. Right on Creston.
ENTRY FEES
(Includes 50¢ AKC recording fee and $3.00 AKC Event Service Fee.)
First entry each day of each dog, Obedience Trial classes……………………………………….$25.00
Each additional entry of the same dog, unless otherwise specified…………….…..…...$20.00
Make checks payable to DMOTC. All entries must be submitted on official AKC entry
forms, one dog per entry form. Photocopies of entries without the AKC agreement
attached are NOT acceptable. Unsigned, incomplete or illegible entries are NOT
acceptable and cannot be entered in the trial. (AKC Rule CH 14, Sec 4) Faxed entries and/
or credit cards cannot be accepted.
MAIL ENTRIES WITH FEES PAYABLE TO
Des Moines Obedience Training Club (DMOTC)
c/o Polly S. Mumma
PO Box 8055
Des Moines, IA 50301
Online and credit card entries are available through Showtime Entry
Services. Enter online at http://www.showtimeentryservice.com. Phone entries
can be accepted at 800-798-5531 and fax entries can be sent to 609-935-0909.
Showtime Entry Service will charge you a per entry convenience fee for this
service.
Judging programs and your official confirmation will be sent via e-mail. It is the exhibitor’s
responsibility to print a legible e-mail address on the entry form and to configure e-mail software
to allow receipt of information from polly@springertigger.com.
RIBBON AND ROSETTE PRIZES
JUDGES
Randy Capsel (20113) 586 190th St, Ogden, IA 50212
Sandy Forneris (18255) 312 NE Main St, Grimes, IA 50111
OBEDIENCE TRIAL CLASSES
Novice A
Novice B
Open A
Open B
Utility A
Utility B
Beginner Novice A
Beginner Novice B
Graduate Novice
Graduate Open
Des Moines Obedience Training Club offers the following ribbons and rosettes:
Versatility
JUDGING ASSIGNMENTS
OBEDIENCE CLASSES
FRIDAY
SATURDAY
SUNDAY
Novice A
S Forneris
R Capsel
S Forneris
Novice B
S Forneris
R Capsel
S Forneris
Open A
S Forneris
R Capsel
S Forneris
Open B
S Forneris
R Capsel
S Forneris
Utility A
R Capsel
S Forneris
R Capsel
Utility B
R Capsel
S Forneris
R Capsel
Beginner Novice A
Not Offered
R Capsel
S Forneris
Beginner Novice B
Not Offered
R Capsel
S Forneris
Graduate Novice
Not Offered
R Capsel
S Forneris
Graduate Open
Not Offered
S Forneris
R Capsel
Versatility
Not Offered
S Forneris
R Capsell
OBEDIENCE TRIALS
HIGHEST SCORING DOG IN THE REGULAR CLASSES………………….……..Blue & Gold Rosette
HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY…….……….Blue & Green Rosette
A dark green ribbon will be awarded to all dogs receiving a qualifying score.
First Place……………………………………………………….………………………………………………...……………...Blue Ribbon
Second Place………………………………………………….…………………………………………..………………………..Red Ribbon
Third Place………………………………………………………………………………………………………………………..Yellow Ribbon
Fourth Place……………………………………………………………………..……………………………………………….White Ribbon
DMOTC offers a special rosette for each dog completing an
Obedience title at these trials.
A special high jump bar and ribbon are offered for any dog completing
a UDX(1), OTCH or OGM at these trials.
OBEDIENCE TRIAL PRIZES
Des Moines Obedience Training Club Trophy Fund offers the following prizes:
FRIDAY
Obedience classes utilizing jumps will be run in the following order:
Friday: Obedience classes utilizing jumps will begin with 16” dogs and run in descending
jump height order.
Saturday: Obedience classes utilizing jumps will begin with 18” dogs and run in
ascending jump height order.
Sunday: Obedience classes utilizing jumps will begin with 22” dogs and run in descending
jump height order.
HIGHEST SCORING DOG IN REGULAR CLASSES: $50
HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY: $25
FOR FIRST, SECOND, THIRD, AND FOURTH PLACE IN NOVICE A & BEGINNER NOVICE A: Doggy Walk Bags
ALL OTHER CLASSES: Dog Treats or Dog Toy
SATURDAY
HIGHEST SCORING DOG IN REGULAR CLASSES: $50
HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY: $25
FOR FIRST, SECOND, THIRD, AND FOURTH PLACE IN NOVICE A & BEGINNER NOVICE A: Doggy Walk Bags
ALL OTHER CLASSES: Dog Treats
SUNDAY
TRANSFERS (Formerly known as “Move ups”)….WILL BE ACCEPTED AT THESE TRIALS, according to AKC
Obedience Regulations.
ALL DOGS MUST be on leash or kenneled unless showing in the ring.
DES MOINES OBEDIENCE TRAINING CLUB (DMOTC) may decline any entries for cause and may refuse
to receive or may remove any dog on account of disease, viciousness or other cause, and no one shall
have any claim or recourse against DMOTC or any official thereof.
Tentative Class Order:
Friday
Forneris Capsel
Open B
Open A
Nov B
Nov A
Utility A
Utility B
Saturday
Capsel
Open B
Open A
Grad Nov
Nov B
Nov A
BegNov B
BegNov A
Forneris
Versatility
Grad Open
Utility A
Utility B
Sunday
Forneris
Open B
Open A
Grad Nov
Nov B
Nov A
BegNov B
BegNov A
Capsel
Versatility
Grad Open
Utility A
Utility B
HIGHEST SCORING DOG IN REGULAR CLASSES: $50
HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY: $25
FOR FIRST, SECOND, THIRD, AND FOURTH PLACE IN NOVICE A & BEGINNER NOVICE A: Doggy Walk Bags
ALL OTHER CLASSES: Dog Treats
“Dog” refers to either sex.
Qualifying score is required for all prizes.
Des Moines Obedience Training Club reserves the right to substitute prizes of equal or greater value.
Please note: Limited crating space may be available in the
main room of the building. Any crates in this area must be
placed on top of crate mats. DMOTC reserves the right to
ask any exhibitor whose dog is creating a disturbance, or
whose crate may potentially damage the building floor to
move his/her crate(s) in the back room.
The Des Moines Obedience Training Club would like to
thank each of these donors, whose generosity made the
ribbons and prizes at this weekend’s events possible.

























Jane Ashmead, In memory of Montwood
Arista Fire N’ Ice-T CDX OA OAJ OF
TDI CGC
Kathy Blume
Chasity Brees-DeYoung, Heartsong
Cardigans
Jill Clark
John Crone, In honor of Cody—MACH4
Wincraft’s Wild West Willy
Gerianne Darnell, In honor of Quintuple
Champion Riva
Sue Ditmer & Bonnie Hodson, PomPuf
Pomeranians
Chris Eblen, UOCH Can OCH Sir Clyde
Britt UDX OM RAE CGC
Theresa Finken, In honor of Buddy Big
Boy CD RA CGC TDIG
Aryn Fross
Jim & Kay Galloway
Pam Giles, In memory of FC Peabee
Whitney of Southmoor CDX RAE MX AXJ
NAP NJP ME Can CD TDI & FC
Kessandra of Southmoor MS CDX RAE
MX AXJ OAP OJP
LeAnn Golden
Sally Graf
Karri Higgins & Mark Wilke, Revolution
Belgian Tervurens
Lori Jacobson
Shirlee Jacobson, In memory of Rollie
Speck
Shirlee Jacobson, In memory of OTCH
MACH Splash
Lorelle Jones
Chuck & Nancy Kail
Judy Kinney, In memory of Howdy, True
& Tillie
Barb Koscielski
Marsha Kummer
Harriet & Duane Leitch, In memory of
Am/Can Ch Dakota DocMar’s Mandalay
Bay CD
Jerry & Karen Lewis, In memory of CT
MACH Lookout’s LeChamonix UDX























VCD4 RN MXP
Denise Lumpkin, UROC3 U-CDX,
Vogelhaus’ I Am Sweet Basil CDX RAE
TD TDI CGC C-CD C-RN
Denise Lumpkin, UROC2 U-CDX ARL’s
Samantha “Angel” CD RN TDI
Denise Lumpkin, Linwood’s Good Dog
Carl
Sally Martin
Patrick & Lori Martindale, In memory of
Ch Beachcliff Aerostotle Shadow Demon
CDX RA JH OA OAJ XF NAP
Linda Morrissey
Sherri Morrissey
Rhonda Nagy, In memory of my mother,
Penny Brafford, who loved the dogs so
very very much.
Rhonda Nagy, In memory of my little boy
blue… Tracer, you took me places I’d
never been. Forever in my heart…
Nancy O’Connell, Emerald Garden
Papillons
Deb Owens
Nancy Peterson
Kathleen Robinson
Gaye Scharinson, In memory of Jake &
Riley: Cherrywood’s Dusky Jake CD RE
CGC TDI & U-CD & Severin’s Caviare
Dreams CDX RE NA NAJ CGC TD
Helena Schuldt & Nikki Fitzgerald, In
memory of Kell Am I Blue? CDX RN AX
OAS
Lee Slorah
Pat & Lynn Stahowick, In memory of
Cisco & Sadie
Jennee Stalzer, In memory of CH OTCH
Valimary’s Got a Second Chance UDX
CGC
Ruth Vogel
Jane Walters
Earl Wears
Charlene Wilson
Donna Yeast
Attention Exhibitors
The show site will be available to exhibitors one hour before the start of judging each day. The
building will be closed and dogs must be removed from the show site each day within 30 minutes of
the completion of judging.
Please leave the motel and motel grounds clean. Any complaints from proprietors will be handled
by the Show Committee.
Telephone, email and unsigned entries cannot be accepted. Entries not on an Official AKC Entry
Form and photocopies of entry forms without Agreement and Rules on the reverse side of the
Official AKC Entry Form are NOT ACCEPTABLE.
Make all checks and money orders payable to Des Moines Obedience Training Club. Canadian
exhibitors must make fees payable in US funds. Payment must accompany entries.
Mail all entries to Polly S. Mumma, PO Box 8055, Des Moines, IA 50301. Entries received without fees
will not be accepted. Acknowledgement of entries will be made as soon as practical. Unless an
exhibitor specifically requests postal communication, submission of an email address on the entry
form will serve as authorization to send communication, including entry confirmation via email. It is
the exhibitor’s responsibility to ensure that their email software will accept messages from
polly@springertigger.com
Entry fees shall not be refunded in the event that a dog is absent, disqualified, excused by
veterinarian or judge, or barred from competition by action of Show Committee or AKC. The wellbeing 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.
DMOTC does not agree to arbitrate claims as set forth on the Official AKC Entry Form for
these events.
Owners are responsible for errors on completed entry forms, whoever may make such errors, and no
entry fee will be refunded in event of such errors or cancellation of entries after the published
closing date. Changes, additions or corrections to entry forms must be received in writing prior to
close of entries. Those received by telephone are not acceptable.
Post-dated and returned checks do not constitute a valid entry. A collection fee will be added to the
amount of each returned check.
No refund for duplicate entries. Care will be taken to find duplicates, however, if an entry has been
processed, no refund will be made.
No entry shall be made and no entry shall be accepted which specifies any conditions as to its
acceptance.
It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or
children. Any exhibitor whose dog 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. There will be no refunds of entry fees if a person is asked to leave the trial site.
Dogs may arrive any time prior to their scheduled judging. Dogs not required for further judging may
be excused. Judges will not wait for any dog holding up a class. Owners or agents are responsible for
the presence of their dogs in the judging ring when their classes are called to be judged.
Class prizes will be distributed in the ring to the person showing the dog. Claims must be made in
the ring before the judging for that show is over, and the Secretary advised at once. All prizes must
be claimed at the show. If not, they become the property of DMOTC. No prizes will be mailed.
DMOTC, the show secretary, members of the show committee, their agents, employees, etc. assume
no responsibility for any loss, damage or injury sustained by spectators, exhibitors, handlers, their
employees or children, etc. or to any of their dogs or property. Entrants and spectators to this show
do so entirely at their own risk.
This show is governed by The American Kennel Club. Exhibitors should read the AKC agreement on
the entry blank in the premium list.
$1.00 per exhibitor applied for admission. General admission fee for non-participants is $1.00 per
day.
Bitches in season are not permitted in the Trial. Exhibitors may request a refund of entries,
minus a $10 per entry processing fee, for bitches that come into season after the closing date, as
long as the trial secretary is provided documentation from a veterinarian at least 30 minutes prior
to the beginning of the day’s judging.
Des Moines Obedience Training Club policy allows the Obedience/Rally trial secretary to enter
these events.
Refunds will not be given for overpayments of $5 or less.
CATALOGS
Catalogs may be ordered with your entries for $3.00 per copy. They may be picked up the day of
the trial. A limited number of catalogs will be available to purchase at the trial for $5.00 per
copy.
ROUTES TO THE SHOW SITE:
Interstate 80, Interstate 35 or Interstate 235 to Highway 5/Army Post Road.
Parking is not available for RV’s.
MOTELS
The following motels have indicated that dogs would be allowed. Please inform them of your dogs
when you make your reservation. They reserve the right to change their pet policy and rates at
any time. It is your responsibility to verify this information. Some establishments may charge
extra for pets in the room. Please pick up after your dog(s) and do not leave them unattended in
the room so that we will not be refused cooperation by these establishments in the future.
LaQuinta Inn
10390 NW 118th St, Clive, IA 50325 (No deposit required) (515) 221-9200
Rodeway Inn
I-80/35 Exit Hwy 169N, Des Moines, IA (No grass) (515) 265-7511
Chase Suite Hotel
11428 Forest Ave, Clive, IA 50325 (515) 223-7700
Ramada Northwest
I-80/35 Exit 131 Merle Hay Rd, Johnston, IA 50131 (515) 278-0271
Microtel Inn
I-80/35 Exit 129, Urbandale, IA (515) 727-5424
Motel 6—Des Moines East
3225 Adventureland Dr, Altoona, IA 50009
(515) 967-5252
Motel 6—West Des Moines
7655 Office Plaza Drive North, West Des Moines, IA (515) 267-8885
Sleep Inn Living History Farms
11211 Hickman Rd, Urbandale, IA
(515) 270-2424
Quality Inn (formerly the Comfort Inn)
5231 Fleur Dr, Des Moines, IA
(515) 287-3434
All owners/exhibitors should be aware that DMOTC considers the entire motel and grounds to be
within the trial limits. You will be responsible for all damage to your room and may be subject
to disciplinary action in accordance with the rules of the AKC. Any abuse of the motel/adjoining
grounds will be brought to the attention of the Trial Committee. Any exhibitor’s entries may be
refused for previous misuse of the motel facilities. This is an AKC supported measure.
FOOD
Food will be available for purchase on-site during these trials.
Des Moines Obedience Training Club
c/o Polly S. Mumma
PO Box 8055
Des Moines, IA 50301
No entry fees will be refunded if the trials cannot open or be completed by reason of riots, civil
disturbance, fire, an act of God, public emergency, an act of a public enemy, or any other cause
beyond the control of the organizing committee. DMOTC reserves the right to cancel these trials
in the event of extreme weather conditions and no entry fee refunds will be made in such case.
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
AKC Rules, Regulations, Policies and guidelines are available on the American Kennel Club Website, www.akc.org
AGREEMENT
I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient.
In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged
and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors,
governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any
provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties,
and any AKC approved judge, judging at this event harmless from any claim for loss or injury which may be alleged to have
been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or
grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim, and I
(we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog.
Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned
parties harmless from any and all loss and expense (including legal feeds) by reason of the liability imposed by law upon any
of the aforementioned parties for damage because of bodily injuries, including death at any time resulting there from
sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in
consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and
whether or not the same may have been caused or may be alleged to have been caused by the negligence of the
aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF
ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR
ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED
IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTUCTION, INTERPRETATION AND
EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES
OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC
BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC
CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
INSTRUCTIONS
1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular
variety you are entering, i.e. Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13
in. but not exceeding 15 in.), Dachshunds (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).
2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of
Record 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.
3. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is
divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your
dog, i.e. age division, color division, weight division.
4. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If a
registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event 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 the
AKC. (For complete rules, refer to Chapter 11, Section 3.)
BOTH SIDES OF ENTRY FORM MUST BE SUBMITTED
Des Moines Obedience Training Club
Des Moines Obedience Training Club Building
1423 SW Army Post Rd, Des Moines, IA 50315
Friday
2/6/2015
Obedience—First Entry (each day)
$25.00
Obedience—Additional Entry
$20.00
Saturday
2/7/2015
Sunday
2/8/2015
The above entry fees include AKC Recording Fees and Event Service Fees.
All entries must include jump height
ENTRIES CLOSE 6:00PM CST, WEDNESDAY, January 21, 2015
Make checks payable to: Des Moines Obedience Training Club
Mail to: Polly S. Mumma, PO Box 8055, Des Moines, IA 50301
Conditional, unsigned or incomplete entries or entries received without fees will not be accepted. Telephone or email entries are not acceptable. All cancellations must be written and received by the Show Secretary before the closing of entries.
I ENCLOSE $..................for entry fees
I ENCLOSE $..................for catalogs
Please typewrite or print. 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.
BREED
DOG (2) (3)
SHOW
CLASS
ADDITIONAL
CLASSES
VARIETY (1)
SEX
CLASS (3)
DIVISION
Weight, Color, Etc.
JUMP
HEIGHT
OBED
Obedience
TRIAL
CLASS
NAME OF (See Back)
JUNIOR HANDLER (if any)
JR. HANDLER
NUMBER
FULL NAME
OF DOG
Enter number here
AKC REG NO.
AKC LITTER NO.
ILP NO.
FOREIGN REG NO & COUNTRY
DATE OF
BIRTH
PLACE OF
BIRTH
USA
CANADA
FOREIGN
BREEDER
If this entry is for Junior Showmanship, please give the following information:
SIRE
JUNIOR SHOWMANSHIP
JR’S DATE OF BIRTH
AKC JUNIOR HANDLER
DAM
NUMBER
ACTUAL OWNER(S)(4)___________________________________________________________________________
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the
American Kennel Club. Phone (919) 816-3776
OWNER’S ADDRESS ____________________________________________________________________________
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an
agent/handler for pay while continuing to compete in Junior Showmanship.
NAME OF OWNER’S AGENT (IF ANY) AT THE SHOW __________________________________________________
ADDRESS
CITY
STATE
ZIP
CITY________________________________ STATE________________ ZIP ______________________
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 foregoing representation and agreement.
SIGNATURE of owner or his agent
Duly authorized to make this entry __________________________________________________________
Telephone #___________________________________________________________________________
If Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship
Email _________________________________________________________________________________
By providing your email address, you agree to receive your judging program and confirmation electronically
AKC Rules, Regulations, Policies and guidelines are available on the American Kennel Club Website, www.akc.org
AGREEMENT
I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient.
In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged
and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors,
governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any
provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties,
and any AKC approved judge, judging at this event harmless from any claim for loss or injury which may be alleged to have
been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or
grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim, and I
(we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog.
Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned
parties harmless from any and all loss and expense (including legal feeds) by reason of the liability imposed by law upon any
of the aforementioned parties for damage because of bodily injuries, including death at any time resulting there from
sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in
consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and
whether or not the same may have been caused or may be alleged to have been caused by the negligence of the
aforementioned parties or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF
ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR
ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED
IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTUCTION, INTERPRETATION AND
EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES
OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC
BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC
CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
INSTRUCTIONS
1. (Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the particular
variety you are entering, i.e. Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13
in. but not exceeding 15 in.), Dachshunds (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).
2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of
Record 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.
3. (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is
divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your
dog, i.e. age division, color division, weight division.
4. A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If a
registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event 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 the
AKC. (For complete rules, refer to Chapter 11, Section 3.)
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
BOTH SIDES OF ENTRY FORM MUST BE SUBMITTED
Des Moines Obedience Training Club
Des Moines Obedience Training Club Building
1423 SW Army Post Rd, Des Moines, IA 50315
Friday
2/6/2015
Obedience—First Entry (each day)
$25.00
Obedience—Additional Entry
$20.00
Saturday
2/7/2015
Sunday
2/8/2015
The above entry fees include AKC Recording Fees and Event Service Fees.
All entries must include jump height
ENTRIES CLOSE 6:00PM CST, WEDNESDAY, January 21, 2015
Make checks payable to: Des Moines Obedience Training Club
Mail to: Polly S. Mumma, PO Box 8055, Des Moines, IA 50301
Conditional, unsigned or incomplete entries or entries received without fees will not be accepted. Telephone or email entries are not acceptable. All cancellations must be written and received by the Show Secretary before the closing of entries.
I ENCLOSE $..................for entry fees
I ENCLOSE $..................for catalogs
Please typewrite or print. 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.
BREED
DOG (2) (3)
SHOW
CLASS
ADDITIONAL
CLASSES
VARIETY (1)
SEX
CLASS (3)
DIVISION
Weight, Color, Etc.
JUMP
HEIGHT
OBED
Obedience
TRIAL
CLASS
NAME OF (See Back)
JUNIOR HANDLER (if any)
JR. HANDLER
NUMBER
FULL NAME
OF DOG
Enter number here
AKC REG NO.
AKC LITTER NO.
ILP NO.
FOREIGN REG NO & COUNTRY
DATE OF
BIRTH
PLACE OF
BIRTH
USA
CANADA
FOREIGN
BREEDER
If this entry is for Junior Showmanship, please give the following information:
SIRE
JUNIOR SHOWMANSHIP
JR’S DATE OF BIRTH
DAM
AKC JUNIOR HANDLER
NUMBER
ACTUAL OWNER(S)(4)___________________________________________________________________________
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the
American Kennel Club. Phone (919) 816-3776
OWNER’S ADDRESS ____________________________________________________________________________
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an
agent/handler for pay while continuing to compete in Junior Showmanship.
NAME OF OWNER’S AGENT (IF ANY) AT THE SHOW __________________________________________________
ADDRESS
CITY
STATE
ZIP
CITY________________________________ STATE________________ ZIP ______________________
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 foregoing representation and agreement.
SIGNATURE of owner or his agent
Duly authorized to make this entry __________________________________________________________
Telephone #___________________________________________________________________________
If Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship
Email _________________________________________________________________________________
By providing your email address, you agree to receive your judging program and confirmation electronically