Official American Kennel Club Entry Form s1

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM E-MAIL ADDRESS

Westmoreland County Obedience Training Club Single copies of the latest edition of the "Rules Applying to Dog Shows/Registration and Discipline", "Agility Regulations" and "Obedience Regulations" may be obtained WITHOUT CHARGE from any Superintendent at Obedience Trials shows they are superintending or from THE AMERICAN KENNEL CLUB, 5580 CENTERVIEW DRIVE, SUITE 200, RALEIGH, NC 27606-3390. Saturday, June 10, 2000 Sunday, June 11, 2000 AGREEMENT I ENCLOSE $ _ _ for entry fees. IMPORTANT: Read Carefully the Instructions on the Reverse Side Before Filling Out. Numbers in parenthesis indicate sections of I (we) acknowledge that the “Rules Applying to Dog Shows/Registration and Discipline” and, if this entry is for an the instructions relevant to the information needed. PLEASE PRINT obedience trial and/or agility trial, the “Obedience Regulations”, and/or the “Agility Trial Regulations”, have been made BREED VARIETY (1) SEX available to me (us), and that I am (we are) familiar with their contents. I (we) waive any and all claims, causes of action, I (we) might otherwise have against the AKC and any AKC approved judge, judging at this show, under the “AKC Rules, Male Regulations and Guidelines”. I (we) agree that the club holding this show, obedience trial and/or agility trial has the right DOG CLASS Female to refuse this entry for cause which the club shall deem to be sufficient. In consideration of the acceptance of this entry SHOW DIVISION (3) and of the holding of the show, obedience trial or agility trial and of the opportunity to have the dog judged and to win CLASS (2)(3) Weight, Color, etc. prize money, ribbons, or trophies, I (we) agree to hold this club, iits members, directors, governors, officers, agents, superintendents or show secretary and the owner or lessor of the premises and any employees of the aforementioned parties, 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 upon the show or obedience trial premises or agility trial 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 of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, theft, OBEDIENCE TRIAL CLASS (Circle One) JR SHOWMANSHIP damage or injury, be caused or alleged to be caused by the negligence of the club or any of the parties aforementioned, Nov A Nov B Open A Open B Utility A Utility B CLASS or by the negligence of any other person, or any other cause or causes. I (we) hereby assume the sole responsibility for and agree to indemnify and save the aforementioned parties harmless ADDITIONAL CLASSES NAME OF JR HANDLER (See Back) 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 FULL NAME consequence of my (our) participation in this show or obedience trial or agility trial, howsoever such injuries, death or OF damage to property may be caused, and whether or not the same may have been caused or may have been alleged to DOG have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other Enter Number Here DATE OF persons. AKC REG NO. BIRTH INSTRUCTIONS

AKC LITTER NO. PLACE OF USA CANADA FOREIGN 1. (Variety) if you are entering a dog of a breed in which there are varieties for show purposes, please designate the ILP NO. COUNTRY BIRTH Do not print the above in catalog BREEDER 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), Bull Terriers (colored,

white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles SIRE and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard), Collies (rough, smooth). 2. The following categories or dogs may be entered and shown in Best of Breed competiton; Dogs that are Champions of Record and dogs which according to their owners records, have completed the requirements for a championship, but DAM 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 requirments for a championship. ACTUAL 3. (Dog Show Class) Consult the classification in the show’s premium list. If the dog show class in which you are OWNERS (4) 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. (Please Print) 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 OWNERS registered dog has been acquired by a new owner, it must be entered in the name of its new owner in any show for ADDRESS 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 rule refer to Chapter 11, Section 3). CITY STATE ZIP If this entry is for Junior Showmanship, please give the following: NAME OF OWNERS AGENT (if any) AT THE SHOW JUNIOR SHOWMANSHIP JR’S DATE OF BIRTH

I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have AKC JUNIOR HANDLER NUMBER 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, obedience trial and/or agility trial, and by any additional rules and regulations appearing in the premium list for this show, obedience trial and/or agility trial, and further agree to be bound by the “Agreement” The above number MUST be included. Should you not have your Junior Handler number, this may be obtained 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 from the American Kennel Club. (Phone) 919-854-0136. dogs. This entry is submitted for acceptance on the foregoing representation and agreement.

SIGNATURE of owner or his agent ADDRESS duly authorized to make this entry ______

CITY STATE ZIP TELEPHONE NUMBER (Include Area Code) 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?