Dog ID Card Registration Form

Agility Association of Canada Dog ID Card Registration Form Incomplete or illegible forms will be returned

Owner:

Address:

Prov./State:

Postal code/Zip:

Telephone:

Dog’s Call Name:

Name to appear on certificate – 20 characters maximum

Dog’s registered name: WHERE THE COFFEE IS ALWAYS ON

Breed: Proudly presents

Specify “All Canadian” to donate mixed breed An AAC Sanctioned Agility Trial

Dog’s date of Birth: ______Day/Month/Year March 29 & 30 2013 Estimate if date unknown Valley Therapeutic Equestrian Association Dog’s height at withers 3330 256th Street at Fraser Hwy Fee Enclosed $13.44 (hst included) if new card Langley, BC

$6.72 if replacement card ID #: ______In doors $0.00 if change of address, no card issued Electronic EVENTS OFFERED Timing

Masters – 3 Standard 2 Gamblers 1 Jumpers 2 Snooker Make cheque/money order payable to: Advance – 2 Standard 2 Gamblers 1 Jumpers 1 Snooker Starter – 2 Standard 2 Gamblers 1 Jumpers 1 Snooker Agility Association of Canada (CDN Funds) Steeplechase 2 Mail to: Barbara Brown Plus all levels of Junior Handlers 9640 Hedley Dr, RR#2 Ilderton, On N0M 2A0 OUR HONOURED JUDGE Canada Christine Woodley All dogs must have a valid ID number before they compete. Legs and Titles will only be issued to dogs with a valid AAC ID Number LIMITED ENTRY Please allow up to six (6) weeks for processing and delivery of ID cards CLOSING DATE: March 22nd or when full

OFFICIAL ENTRY FORM Check In and Measuring KEE-GIGG K9’s Agility Friday March 29 & Saturday March 30 2013 First dog on line at 8:00 For starter dogs there will be a familiarization after the last master run. You may get your dog measured during that time. RETURN COMPLETED FORM WITH FEES IN CANADIAN FUNDS TO:

Questions? Please feel free to contact Dog 1 Payable to Kee-Gigg K9’s Don or Jan Stackhouse Event Starter Advance Master Jr. Handler Fee 27125 25th Ave Phone: 604-856-4688 or Standard 1 Aldergrove, BC, V4W 3N4 E-mail: [email protected] $10.00 $14.00 Standard 2 $10.00 $14.00 Standard 3 $10.00 $14.00 Owner’s Name: ______Gamblers 1 $10.00 $14.00 Handler’s Name : ______Junior Handler AAC#: ______Gamblers 2 $10.00 $14.00 Snookers 1 $10.00 $14.00 Address : ______Snookers 2 $10.00 $14.00 City : ______Province / State : ______Jumpers $10.00 $14.00 Phone # with/area code: ______Postal Code : ______Steeplechase 1 $10.00 $14.00 E-Mail Address: ______Steeplechase 2 $10.00 $14.00 Total Confirmation will be sent by: E-Mail Mail or Phone (please circle) 8 to 12 runs $13.00 per run ; 13 or more runs $12.00 per run DOG ONE INFORMATION – Make sure that you have arranged for the ID # Same household Dog 1 Call Name: ______AAC Height Card #: Event Starter Advance Master Jr. Handler Fee ______Standard 1 $10.00 $14.00 Standard 2 $10.00 $14.00 Breed: ______Birth Date______Standard 3 $10.00 $14.00 Dog’s height at withers: ______Regular – Special – Veteran (circle one) Gamblers 1 $10.00 $14.00 Actual jump Height ( the height your dog will actually jump : 6” 10” 16” 22” 26” circle Gamblers 2 $10.00 $14.00 Snookers 1 $10.00 $14.00 Snookers 2 $10.00 $14.00 DOG TWO INFORMATION Jumpers $10.00 $14.00 Steeplechase 1 $10.00 $14.00 Call Name: ______AAC Height Card #: ______Steeplechase 2 $10.00 $14.00 Breed: ______Birth date: ______Total Dog’s height at withers: ______Regular – Special – Veteran (circle one) Dry camping on site: $12.00 per night ------no services Actual jump Height (the height your dog will actually jump: 6” 10” 16” 22” 26” circle RV license # ______Total Entry fee: $______– Make sure that you have arranged for the ID #Junior handler may only handle one dog. Please make payable in Canadian funds to: Kee-Gigg K9’s Agility Phone: 604 856 4688 27125 25 Ave A trial cannot run without help so please assist where and when you are able. E mail: [email protected] Aldergrove BC V4W 3N4

AN AMOUNT OF $45:00 WILL BE CHARGED FOR NSF CHEQUES Starter Gamble 1 CW Master Snooker 2 CW Pay Pal is available online

Please enjoy your time with your four legged friend. Break away tire and electronic timing will be used

NOTICE TO EXHIBITORS

This trial shall be held under the Agility Association of Canada Rules and Regulations. All equipment used in this trial is within standards set out by the Agility Association of Canada guidelines. All dogs over two years must have a card and be measured twice, each Jump heights time by a different judge, or three times in the case of dogs that are within one inch (over (Handler’s choice where two heights are indicated) or under) of a height that means a change of jump height. Exhibitors, through submission of entry, acknowledge that they are knowledgeable of DOG HEIGHT REGULAR SPE CIAL VETERAN AAC Rules and Regulations, including but not limited to the following: 12” OR LESS 10” OR 16” 6” 6” This trial is open to all dogs being at least 18 months of age, including purebred and >12” TO 16” 16” OR 22” 10” 6” OR 10” non-purebred, except bitches in season, dogs suffering from any deformity, injury or >16” OR 21” 22”OR 26” 16” 10” OR 16” illness which may affect the dog’s physical or mental performance, or dogs exhibiting signs >21” 26” 22” 16” OR 22” of aggression.

No leads, collars, food, toys, or other aids or devices shall be permitted on the course at any time, this includes during familiarization. It is expressly understood that exhibitors alone are responsible for the behavior of Directions their dog(s) and/or children. Any exhibitor whose dog(s) and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may be From Hwy 1; exit at 264 and go south to Fraser Hwy then turn west to 256th a asked to leave the show grounds and no refund of fees paid will be made. flashing overhead amber light here. Turn south 1st drive on your left. Exhibitors must keep crate and exercise areas clean. Please pick-up after yourselves and From Langley East on Fraser Hwy to 256 turn south 1st drive on your left your dog(s) From S. Surrey, White Rock Follow 16 Ave to 256th St. go north to 3330 Official Running Order

Friday Saturday

Master Gamble 1 CW Advance Gamble 2 CW Master 1 CW Starter Gamble 2 CW Master 2 CW Advance 2 CW Disciplinary Procedure Steeplechase 1 CW Starter 2 CW Master Snooker 1 CW Advance Jumpers CW Advance Snooker 1 CW Starter Jumpers CW Any handler who is found to abuse a dog in any way at any AAC sanctioned Starter Snooker 1 CW Master Jumpers CW event will be required to leave the site. In an incident of abuse or dog Advance Standard 1 CW Steeplechase 2 CW aggression, toward another dog or person, occurs, the incident MUST be reported to the Judge or Trial officials. Anyone witnessing an act of abuse or Starter Standard 1 CW Master 3 CW aggression may make a complaint to the host club and or AAC Advance Gamble 1 CW Master Gamble 2 CW

AGILITY ASSOCIATION OF CANADA (“AAC”) PARTICIPATION WAIVER AND RELEASE

Handler Name:

Dog 1 Name: (the “Dog”) AAC Dog ID#:

In consideration of the acceptance of this entry by AAC and Kee-Gigg K9’s Agility (the “Organizing Club”) and the opportunity to have the Dog participate, compete in and/or be judged at this event or trial (the “Event”), I, the undersigned, agree as follows:

1. I certify that I am the actual owner of the Dog, or that I am the duly authorized agent of the actual owner of the Dog and that the Dog is not a hazard to persons, property or other dogs. 2. I agree that AAC or the Organizing Club for the Event may refuse my entry for any reason that it deems to be sufficient. 3. I understand and acknowledge that participation in the Event carries certain risks, including, but not limited to injuries (including serous injuries and death) to myself, the Dog, another dog under my control or persons attending as my guests (my “Related Parties”), damage to property and other losses. I waive any and all claims that I have or may have in the future against, and release from all liability and agree not to sue AAC, the Organizing Club or any of the directors, executives, committees, representatives, employees, volunteers or agents of either AAC or the Organizing Club (the “Personnel”) for any injury, death, property damage or other loss that I or my Related Parties sustain due to any cause whatsoever, including negligence, breach of contract, breach of duty, statutory or otherwise, or mistakes or errors of judgment of any kind. 4. I assume full responsibility for the conduct of myself and my Related Parties during the entirety of the Event. I agree to indemnify and save harmless AAC, the Organizing Club and the Personnel from and against any and all claims that may be made against them or costs, fees, expenses or liability (including, without limitation, lawyers’ fees on a solicitor and own client basis) incurred by AAC, the Organizing Club or the Personnel that may arise due to: (a) any act or omission of myself, my Related Parties or any party for whom I am liable at law; or (b) aggressive behaviour by the Dog or any other dog under my control. 5. I have read, and do understand the rules of competition and the additional rules (if any) appearing in the trial schedule for the Event, as well as the policies of AAC pertaining to discipline (collectively, the “Rules”). I agree to abide by the Rules and to conduct myself and the Dog in accordance with the Rules. I understand that myself and/or the Dog may be subject to disciplinary procedures or sanctions for breach of the Rules and agree to respect and be bound by any disciplinary decision made by AAC. 6. I understand that AAC and/or the Organizing Club may, in the course of administering the Event or conducting its activities generally, collect, use or disclose my personal information and that any personal information collected, used or disclosed by AAC and/or the Organizing Club will be treated in accordance with AAC policy and applicable privacy and personal information laws. I hereby consent to the collection, use and disclosure by AAC and/or the Organizing Club of my personal information. 7. I have been given the opportunity to read and understand the terms of this Agreement before signing it, and have in fact done so. I understand that by signing this Agreement, I am restricting my legal rights and I sign this Agreement voluntarily and of my own free will.

I/We understand that the entry is accepted on the condition that I am/we are willing to volunteer.

Signature: Parent or Guardian must sign if the Handler is under 18 years of age.

Date (dd/mm/yy):

Entry not valid unless Agreement is signed, dated and submitted with the correct fee.