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u February 3, 4, 5 - 2012 - Random Draw b Penn State, Snider Agricultural Arena 400 Porter Road, University Park, PA 16802 Trial will be Indoors on Packed Dirt Trial hours 7:00am to 7:00pm

INDOOR /All Breeds including Optional Mixed Breeds Friday: EXCELLENT CLASSES ONLY Saturday: ALL STD, JWW Sunday: ALL STD, JWW FAST AND T2B CLASSES NOT OFFERED PROOF OF RABIES VACCINATION REQUIRED – NO EXCEPTIONS Limit : 330 Runs Each Day Entries Open: December 2, 2011 8:00 AM RANDOM DRAW METHOD Draw Period Closes: December 16, 2011 12:00 PM Draw Date: December 17, 2011 2:00 PM St. Paul Lutheran Church 277 W. Pine Grove Road, Pine Grove Mills, PA 16868 Entries Close: January 13, 2012 5:00 PM at the Trial Secretary’s home, after which time entries cannot be accepted, cancelled, or submitted except as provided for in Chapter 14, Section 6 of the Dog Show Rules.

FRI: 10:45 AM Judges Briefing/Walk thrus – Judging Starts 11:00 AM SAT, SUN: 8:15 AM Judges Briefing/Walk thrus - Judging Starts 8:30 AM

ENTRY FEES The entry fees are $24 for the first class and $12 second entry same dog same day (Includes $3.50 AKC recording fee for the first and $3.00 for each additional class of each day) All express mail must be marked “NO SIGNATURE REQUIRED”. Maximum of ten entries per envelope.

Event # 2012219101 Event # 2012219102 Event # 2012219103

American Kennel Club Certification Permission is granted by the American Kennel Club for holding this event under American Kennel Club Rules and Regulations. James P. Crowley, Secretary OFFICERS OF THE MT NITTANY DOG TRAINING CLUB VOLUNTEER FORM P.O. Box 315, Boalsburg, PA 16827

President: Melanie Eng: P.O. Box 94, Pine Grove Mills, PA 16868 (814) 237-7918 We need your help to continue the success of our trials. If you can Vice Pres.: Karen Keller: P.O. Box 343, Centre Hall, PA 16828 (814) 364-9467 volunteer and are experienced in any of the following positions, please Secretary: Carol Aulick: 10834 Standing Stone Rd, Huntingdon, PA 16652 fill out the form below and send it in with your entry forms. (814) 644-1346 Treasurer: Kathy Huey: 145 Huey Lane, Spring Mills, PA 16875 (814) 364-1296

Name: TRIAL SECRETARY TRIAL CHAIR Jennifer Eger Karen Keller 948 Bear Wallow Road P.O. Box 343 Phone: Duncansville, PA 16635 Centre Hall, PA 16828 (814) 696-0774 814-364-9467 E-MAIL: [email protected] [email protected]

BOARD OF DIRECTORS Please list each class you are entered in : Jan Villastrigo, Janet Lewis, Roberta Horner, Tracey Dooms CLASS LEVEL DAYS JUMP HEIGHT AGILITY TRIAL COMMITTEE Ex, Op, Nov ENTERED Karen Keller, Sharon Hagerty, Kathy Huey, Betsy Geertson, Tracey Dooms, Laura FRI SAT SUN 4 8 12 16 20 24 26 Kuterbach STD

JUDGE FRI SAT SUN 4 8 12 16 20 24 26 Janet Budzynski: 441 Sterling St., Newtown, PA 18940-2142 JWW

JUDGE: Friday Saturday Sunday Janet STD – Excellent JWW – Exc, Open, STD – Exc, Open, Please check which jobs you have experience in and are willing to help with: Budzynski JWW - Excellent Novice Novice STD – Exc, Open, JWW – Exc, Open, Job Description Experienced Willing To Learn Novice Novice SCRIBE ASSISTANT SCRIBE TIMER GATE STEWARD RING CREW VETERINARIAN ON CALL LEASH RUNNER Centre Animal Hospital SCORE SHEET RUNNER 1518 West College Avenue SET-UP CLEAN-UP State College, PA 16801 OTHER (please specify) 814-238-5100 Thank you to all who have volunteered their time to help our trial run efficiently.

Visit our club’s website for trial information: Worker questions contact Karen Keller www.mndtc.org [email protected]

ACCOMMODATIONS REFUNDS Hotels: No entry fees will be refunded if the trial cannot open or be completed by reasons of Days Inn Penn State -- 240 S Pugh St., State College, PA 16801 (814) 238-8454 riots, civil disturbance, fire, act of God, public emergency, act of a public enemy, or any Super 8 -- 1663 S. Atherton and Branch Rd. (Business Rte. 322), State College, PA other causes beyond the control of the organizing committee. Entry fees shall not be 16801 (814) 237-8005. refunded in the event that a dog is absent, disqualified or excused by a judge, or barred Autoport Motel -- 1405 S. Atherton St. (Business Rte. 322), State College, PA 16801 from competition by action of the Trial Committee. (814) 237-7666 Quality Inn -- 1274 N. Atherton St. (Business Rte. 322), State College, PA 16801 (814) REFUNDS FOR BITCHES IN SEASON Less $4.00 per run, will be given. 234-1600 REFUNDS FOR INJURED DOGS OR HANDLERS, Less $7.50 per run, will be Nittany Budget Motel -- 2070 Cato Avenue, State College, PA 16801 given. Request must be submitted to trial secretary one half (½) hour or more (814) 238-0015 prior to judging. A written physician excuse or vet excuse on official letterhead Ramada Milesburg -- 971 North Eagle Valley Rd., Milesburg, PA 16853 will be the only acceptable method. (814) 355-7521 BOOK EARLY AS THERE MAY BE OTHER EVENTS IN AREA DUE TO ACTIVITIES OF PENN STATE UNIVERSITY. CLASSES AND DIVISIONS No overnight camping on site. All RVs must be moved off site each evening. CLASS STANDARD JUMPERS WITH WEAVES RANDOM DRAW REGULAR Novice A & B, Open, Exc A & B Novice A & B, Open, Exc A & B PREFERRED Novice, Open, Exc A & B Novice, Open, Exc A & B Entries accepted no sooner than December 2, 2011 at 8 a.m.; finish date for entry into the random draw opening period is December 16, Please see the AKC Regulations for Agility Trials for current class descriptions. Dogs 2011 at 12:00 p.m. must be entered only in Regular Classes or Preferred Classes with no crossover between them allowed at the same set of trials. Random draw will be held on December 17, 2011 at 2 p.m., at the St. Paul FOR MORE INFORMATION ABOUT CLASSES, RULES ETC.: Lutheran Church, 277 W. Pine Grove Road, Pine Grove Mills, PA GO TO: http://www.akc.org/pdfs/rulebooks/REAGIL.pdf 16868. Entries close January 13, 2012 at 5 p.m. If entry limits are not HEIGHT DIVISIONS reached during the opening period, they will be filled on a “first Owners / Agents are responsible for entering the proper height divisions. All Height received” basis until the closing date. divisions will be offered in both the Standard classes and the Jumpers With Weaves Entries for a maximum of ten (10) dogs are allowed in each envelope classes. submitted to the Trial Secretary for the random draw. Envelopes Regular Exhibitors may choose to enter their dog in a higher height division than containing entries for more than 10 dogs shall be treated as an required by AKC, but not in a height division lower than the AKC mandated height. invalid entry and will be returned. Preferred The following jump heights specified for Preferred must be used in all In the event an envelope is drawn that contains entries that would Preferred Classes. exceed the entry limit, there will be a random draw of the individual Regular Preferred entries contained therein to fill the specified entry limit. Dogs 11 inches and under at the withers 8 inches 4 inches If the entry limit is reached during the draw, all remaining entries Dogs 14 inches and under at the withers 12 inches 8 inches shall be drawn for a position on the waitlist. Dogs 18 inches and under at the withers 16 inches 12 inches All Random Draw rules and regulations as they appear in Chapter 1, Dogs 22 inches and under at the withers 20 inches 16 inches Section 16 of the Regulations for Agility Trials shall apply. Dogs over 22 inches at the withers 24 inches 20 inches Dogs may be entered at owner discretion 26 inches

There will be NO contact familiarization for Novice classes VENDORS RING SIZE Contact Linda Arble 814-364-2254 Email: [email protected] 75’ X 110’ PRIZES We give ribbons for placements, MACH, PAX, new titles, and qualifying runs. Those placing MUST earn qualifying scores.

MOVE UP REGULATIONS

If a dog earns an agility title before this event, it can be advanced to the next level of competition. However, written notice (Email preferred) MUST be given to the Trial Secretary no later than 6PM, the Monday BEFORE the trial. Move-ups will be added to the end of the running order of the class they move up to and every effort will be made to accommodate handlers running multiple dogs in the same class. Day to Day move- ups will be accepted. Day-to-day move-ups must be performed in writing with the Trial Secretary at the trial site prior to the close of trial each day.

TRIAL SECRETARY: Jennifer Eger, 948 Bear Wallow Road, Duncansville, PA 16635. (814) 696-0774 EMAIL (preferred): [email protected]

Agility Trial Move-Up Use this form to move up to a higher agility class only

CALL NAME: OWNER:

PLEASE MOVE-UP TO :

STD: Open Excellent A Excellent B Preferred

JWW: Open Excellent A Excellent B Preferred

Jump Height division: 4” 8” 12” 16” 20” 24” 26”

DAYS ENTERED: FRI ____ SAT ____ SUN____

Dog’s AKC Registered Name:

AKC / ILP Reg. No.

Handler’s Name (if different from owner):

Signature: Date: Signature of owner or agent duly authorized to make this entry) DOGS ELIGIBLE TO ENTER This trial is open to all dogs fifteen (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) AKC Canine Partners listing number, or approved Foundation Stock Service (FSS) breeds. Bitch In Season policy is listed under REFUND.

Mixed Breed dogs that have been listed with AKC Canine Partners may participate provided their listing number has been recorded on the entry form .

RULES AND REGULATIONS Obstacles used by the Mt. Nittany Dog Training Club meet the specifications in the current edition of Regulations for Agility Trials.

NOTE TO EXHIBITORS Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations.

FOOD AVAILABLE ON SITE SATURDAY AND SUNDAY

NOTICE TO DOG OWNERS/EXHIBITORS Exhibitors MUST respect the property of any accommodations listed in this premium or any others used by exhibitors during these trials. Any damage to a Hotel/Motel may result in an Event Committee Hearing. WORKER VOLUNTEERS Thank you to all the people who have sent in volunteer forms to help us run the trials successfully. Without volunteers we would not be able to continue to hold these events.

DIRECTIONS TO TRIAL SITE

From the South: Use Interstate 83 or 81 to get to Harrisburg. Take Rt. 322 West toward State College. Exit at the Innovation Park/Penn State Univ. Exit. Make a right onto Park Avenue, Ag Arena is located on the right just before the third stop light. Look for sign.

From Interstate 80, Exit 161: Take Rt. 26/Rt. 220 South towards Bellefonte/State College. Stay on Rt. 220 South at Exit 81. Take Exit 74 Innovation Park/Penn State Univ. Stay in Left Lane for PSU/Beaver Stadium. This lane becomes Park Avenue. Ag Arena is located on the right just before the fourth stop light. Look for sign. HANDLER (if junior handler please enter # below) FEE ENCLOSED OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY $ Mt. Nittany Dog Training Club @ PSU Snider Ag Arena, EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS State College, PA FORM. Day of Week Actual Date STD JWW Friday – Exc February 3, Only 2012 Saturday February 4, 2012 Sunday February 5, 2012

Entry fees (Includes $3.50 AKC recording fee for the first and $3.00 for each additional class of each day): $24 first entry / $12 each additional entry of same dog/day. Make Checks Payable to: MNDTC Mail to Trial Sec.: Jennifer Eger, 948 Bear Wallow Road, Duncansville, PA 16635 Express Mail must waive signatures. $36 fee for returned checks.

(IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) BREED VARIETY

SEX HEIGHT at Withers [ ] MY DOG NEEDS TO BE MEASURED

Choose either REGULAR OR PREFERRED and circle the Jump Height Regular Classes 8 12 16 20 24 26 Preferred Classes 4 8 12 16 20 CIRCLE CLASS SELECTIONS – ONE PER TYPE (STD, JWW, FAST, T2B) STANDARD JUMPERS WITH WEAVES FAST Nov A Nov B Open Ex A Nov A Nov B Open Ex A Ex Nov A Nov B Open Ex A Ex B B Ex B Nov P Open P Ex AP Ex Nov P Open P Ex AP Ex Nov P Open P Ex AP Ex BP BP BP TIME 2 BEAT NON-REGULAR AGILITY CLASSES: IF OFFERED ISC Jump Ht INTERNATIONAL SWEEPSTAKES CLASS STD JWW 14” 18” 26” T2B T2B P AKC Registered Name (Include AKC titles only CALL NAME

Enter Number Here DATE OF BIRTH AKC REG NO.

PLACE OF BIRTH [ ] ILP. [ ] PAL [ ] FOREIGN REG NO. & COUNTRY USA CANADA FOREIGN Breeder

Sire

Dam

ACTUAL OWNERS

OWNERS ADDRESS NEW ADDRESS ? [ ]

CITY, STATE & ZIP + 4 ______

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web SIGNATURE OF OWNER OR HIS AGENT DULY site, www.akc.org AUTHORIZED TO MAKE THIS ENTRY

AGREEMENT TELEPHONE :

I (we) agree that the club holding this event has the right to refuse this entry for cause which the club E-MAIL ADDRESS: shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event AEAGL2 - (01/11) 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 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 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 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. Dogs enrolled in the AKC Canine PartnersSM 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. 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? ______

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 above on 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. 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. OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY HANDLER (if junior handler please enter # below) FEE ENCLOSED Mt. Nittany Dog Training Club @ PSU Snider Ag Arena, $ State College, PA EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM. Day of Week Actual Date STD JWW Friday – Exc February 3, Only 2012 Saturday February 4, 2012 Sunday February 5, 2012

Entry fees (Includes $3.50 AKC recording fee for the first and $3.00 for each additional class of each day): $24 first entry / $12 each additional entry of same dog/day. Make Checks Payable to: MNDTC Mail to Trial Sec.: Jennifer Eger, 948 Bear Wallow Road, Duncansville, PA 16635 Express Mail must waive signatures. $36 fee for returned checks.

(IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) BREED VARIETY

SEX HEIGHT at Withers [ ] MY DOG NEEDS TO BE MEASURED

Choose either REGULAR OR PREFERRED and circle the Jump Height Regular Classes 8 12 16 20 24 26 Preferred Classes 4 8 12 16 20 CIRCLE CLASS SELECTIONS – ONE PER TYPE (STD, JWW, FAST, T2B) STANDARD JUMPERS WITH WEAVES FAST Nov A Nov B Open Ex A Nov A Nov B Open Ex A Ex Nov A Nov B Open Ex A Ex B B Ex B Nov P Open P Ex AP Ex Nov P Open P Ex AP Ex Nov P Open P Ex AP Ex BP BP BP TIME 2 BEAT NON-REGULAR AGILITY CLASSES: IF OFFERED ISC Jump Ht INTERNATIONAL SWEEPSTAKES CLASS STD JWW 14” 18” 26” T2B T2B P AKC Registered Name (Include AKC titles only CALL NAME

Enter Number Here DATE OF BIRTH AKC REG NO.

PLACE OF BIRTH [ ] ILP. [ ] PAL [ ] FOREIGN REG NO. & COUNTRY USA CANADA FOREIGN Breeder

Sire

Dam

ACTUAL OWNERS

OWNERS ADDRESS NEW ADDRESS ? [ ]

CITY, STATE & ZIP + 4 ______

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web SIGNATURE OF OWNER OR HIS AGENT DULY site, www.akc.org AUTHORIZED TO MAKE THIS ENTRY

AGREEMENT TELEPHONE :

I (we) agree that the club holding this event has the right to refuse this entry for cause which the club E-MAIL ADDRESS: shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event AEAGL2 - (01/11) 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 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 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 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. Dogs enrolled in the AKC Canine Partners SM 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. 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? ______

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 above on 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. 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. Proof of Rabies Vaccination

Please submit this form with entry(ies) and Copy of Rabies Certificate Wait List for Withdrawn Entries after the Closing Date/Time Name: ______Mt. Nittany Dog Training Club is offering a Wait List to fill Address: ______openings created by withdrawn entries after the trial's closing ______date/time. A maximum of 10 entries will be placed on the club's wait list. Telephone Number: ______All entries, including wait listed entries, must be received by the Trial Secretary prior to January 13, 2012, at 5 p.m. ______Dog’s Name Cert. Exp. Any entries withdrawn that are received by 6 p.m. on January Date 30, 2012, will be replaced by a wait listed entry if any are available. If a withdrawn entry is replaced by a wait listed entry, ______a full refund will be issued for the withdrawn entry. Dog’s Name Cert. Exp. Date Any wait listed entry that does not move off the wait list into the ______trial by 6 p.m. on January 30, 2012, will receive a full refund. Dog’s Name Cert. Exp. Date ATTENTION MIXED BREED OWNERS

When completing the entry form, please put “ALL AMERICAN DOG” in the I/We hereby certify that the information provided above is accurate and may be Breed section of the entry form. No other breed description may be used to verified by the attached certificate. identify a mixed breed entry. Additionally, you must provide your AKC Canine Partners listing number on the entry form and check “AKC No.” on the entry form. ______Signature

If the Rabies Certificate expires between the opening date and the date of the trial, you may mail your new certificate as soon as it is received. This will avoid any delays on the morning of the trial. Thank you for your cooperation in this matter.