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ENTRY METHOD: FIRST RECEIVED OFFICERS OF THE DOBERMAN PINSCHER CLUB OF AMERICA ENTRIES WILL OPEN ON Thursday, July 22, 2021 at Noon at the Trial Secretary’s address. All entries received before this date will be returned. Overnight or certified mail must be sent with the “No Signature Required” waiver signed. President..……………………………………………………...... Ann Wulbrecht ENTRIES CLOSE ON Wednesday, September 22, 2021, 12:00pm after which time entries cannot be accepted, cancelled, First Vice President………………………………………. Tamara Rabold altered, or substituted except as provided for in Chapter 11, Section 6 of the Rules Applying to Shows. Envelopes/transactions containing entries for more than the ten (10) dog maximum and/or entries received prior to the opening Second Vice President………..………………………………Elaine Hopper date shall be treated as an invalid entry and shall be returned to the sender. Please put DPCA on outside of envelope Recording Secretary……………………………………………...Lisa Burroff Corresponding Secretary…16119 Picket Ln., Hudson, FL 34667…….Leslie Hall PREMIUM LIST Membership Secretary……………………………...………..Denise Morman AKC AGILITY TRIALS Treasurer………………………………………………………..Linda Zaeske DOBERMAN PINSCHER CLUB OF AMERICA www.dpca.org BOARD OF DIRECTORS

Doug Jensen, Cindi Huckfeldt, Michelle Santana, Darlene Young, Alissa Brotherhood

DELEGATE TO THE AKC

Glen Lajeski

TRIAL CHAIRPERSON TRIAL SECRETARY Carol Moore Janice Morton 1632 County Rd. 156 PO Box 1799 Ashley, Ohio 43003 Martinsburg, WV 25402-1799

October 9-11, 2021 [email protected] [email protected] Events: #2021075911, #2021075912, #2021075913 614-619-7646 304-283-3233 All-Breed/All American Saturday and Sunday www.versatilek9s.com Doberman Pinschers Only Monday Entries limited to 300 each day EVENT COMMITTEE Ron Ramsey Agricultural Center 140 Spurgeon Lane Carol Moore, Janice Morton, Beth Athey, Geoffrey Athey, Peg Mueller, Judy Pinkevich, Blake Simmons, Kristi Simmons, Helen Baloun, Jenn Cannerelli, Blountville, TN 37617 Michele Carberry https://ramseyagcenter.com/ This Event Will Be Held Indoors On Dirt. One 100' x 100' Ring JUDGE AND ASSIGNMENTS Trial Hours: 7:30AM – 6:00PM Accepting Online Entries for this Trial: Information Inside Ronda Bermke #94073 FEO allowed 3007 Ridge Ct. Greenleaf, WI 54126

Photos by Dean Lake CERTIFICATION https://deanlakephotography.shootproof.com/ Permission is granted by the for the holding of this event under American Kennel Club rules and regulations. Gina DiNardo, Secretary

PREFERRED CLASSES: VETERINARIAN SERVICES Preferred classes are offered at all levels. The owner may choose to enter the Preferred Standard and the Preferred JWW classes in lieu of entering the Regular classes at any trial. Colonial Heights Animal Hospital 209 Colonial Heights Rd Kingsport, TN 37663 However, the dog must be entered only in the Preferred classes or only in the Regular (423)212-6804 Mon-Fri 7:30am-6pm; Sat 8:30am-12pm classes at the same set of trials. Preferred is scored identical to the Regular classes except http://www.colonialheightsvet.com 5 seconds is added to the SCT.

HEIGHT DIVISIONS Airport Emergency Clinic, Inc 2436 Highway 75 Blountville, TN 37617 (423)279-0574 after 6pm weekdays and all weekend. http://apecvet.com REGULAR PREFERRED HEIGHT AT WITHERS Handlers may opt to Handlers must run Owners are responsible for entering their dog in the run their dog in a their dog in their proper height division. Exhibitors should follow their veterinarian’s recommendations to assure their are free of internal higher height division. proper eligible height. and external parasites, any communicable diseases, and have appropriate vaccinations

4” For dogs 11 inches and under at the withers

EMERGENCY SERVICES 8”

12” 8” For dogs 14 inches and under at the withers Fire/Ambulance/Police 16” 12” For dogs 18 inches and under at the withers 911 20” 16” For dogs 22 inches and under at the withers PROPOSED CLASS ORDER 24” 20” For dogs over 22 inches at the withers Dogs who measure into the 8” through 20” regular SATURDAY AND MONDAY Sunday jump height divisions may opt to enter the 24- Combined FAST Combined FAST 24C” n/a choice height division at their owner’s discretion. Dogs who measure into the 24” regular jump height Standard – Ex/Mas, Open, Novice T2B division may not enter 24-choice. JWW - Ex/Mas, Open, Novice Standard – Ex/Mas, Open, Novice JWW - Ex/Mas, Open, Novice MEASURING and HEIGHT CARD INFORMATION Effective January 1, 2010, exhibitors are no longer required to provide proof to Trial Secretaries that Judging will be Tall to Small all days their dog has a valid jump height card as part of the check-in process. Furthermore, this change eliminates the need for a copy of the jump height card to be submitted with an entry form. All dogs Please consult the AKC Regulations for Agility Trials for a complete description and eligibility for entry that do not have a permanent or valid temporary Jump Height Card issued by the AKC must be into these classes. The exhibitor is fully responsible for entering the dog in the correct class(es)/height measured prior to competing. If a measurement is necessary, it will be the exhibitor’s responsibility divisions. Dogs running in a lower height division than they are eligible for will be eliminated. to have their dog(s) measured prior to running and failure to do so will result in the cancellation of CLASS INFORMATION any qualifying scores. Our judge is not a VMO.

REGULAR TITLING CLASSES: NEW Simplified Jump Height Card Process Novice STD – JWW – Division A is for dogs and persons that have never acquired any When filling out the entry form, there is a section at the top of the form for exhibitors to AKC agility title. Additionally, a dog entered in Novice A must be handled by a person that designate whether your dog has a valid jump height card or if your dog needs to be measured. Please has never put an AKC agility title on any dog, and the handler must be the Owner, Co- check the appropriate box so that the Trial Secretary knows whether to include your dog on the Dogs owner, or a member of the Owner’s household. Division B is for dogs that have acquired To Be Measured List. the Novice Agility Title, or the Novice Jumpers With Weaves title, or for persons who have handled a dog to any AKC agility title, and for dogs being handled by someone other than DOGS ELIGIBLE TO ENTER the Owner, Saturday and Sunday trials are open to all AKC recognized breeds; Monday’s trial is the Co-owner, or household member subject to restrictions above. DPCA National trial is open to all Doberman Pinschers only. Dogs must be fifteen (15) months Open STD – JWW – Open to dogs that have acquired the Novice & Open titles but that of age or older that are registered with the American Kennel Club or that have AKC Limited have not acquired a qualifying score towards their Excellent titles. Registration or Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP). Dogs with Excellent STD – JWW – Open to dogs that have acquired the Open & Excellent titles, but a Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) listing number must be that have not acquired a qualifying score towards their Master titles. spayed or neutered in order to compete. Wherever the word “dog” is used in these regulations Masters STD – JWW – Open only to dogs that have acquired the Excellent titles and dogs it includes both sexes. that have acquired the Master Excellent titles. Time 2 Beat- Regular & Preferred- Open to all level dogs

Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible, and neither DPCA REGIONAL TRIALS (Saturday 10/5 AND Sunday 10/6) are bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness Prizes for Dobermans only which may affect the dog’s physical or mental performance. No dog shall compete if it is taped First Place – Blue Rosette and Leather Lead or bandaged in any way or has anything attached to it for medical purposes. under Second Place – Red Rosette and Bronze Key Chain four months of age are strictly prohibited from the trial grounds. Third Place - Yellow Rosette and Bronze Key Chain Fourth Place - White Rosette and Bronze Key Chain All exhibitors should obtain a copy of the Regulations for Agility Trials by downloading them Highest Scoring Doberman with double qualifying scores from Excellent or Master from the American Kennel Club website at http://www.akc.org/rules/. Standard and JWW: Each day for the Doberman with the fastest combined YPS (yards per second), the Doberman Pinscher Club of America offers a Rosette and an Engraved 18x12 OBSTACLES AND RING CONDITIONS Walnut Carving Board.

Obstacles will meet the specifications for obstacles in the current edition of the Regulations All-breed entries will receive flat green Qualifying and flat placement ribbons for 1st-4th place for Agility Trials. All classes will take place indoors on a groomed dirt surface. Ring size will be 100’x110’. NATIONAL SPECIALTY TRIAL (Monday 10/7)

First Place – Blue Rosette and Embroidered Beach Towel ENTRY FEES PER DAY Second Place – Red Rosette and Embroidered Hand Towel

First entry of each dog (includes a $3.00 AKC recording fee)……...……..……… $35 Third Place – Yellow Rosette and Embroidered Hand Towel Second entry of same dog (includes a $3.00 AKC recording fee)…………….…. $25 Fourth Place – White Rosette and Embroidered Hand Towel 3rd & 4th entry of same dog (includes a $3.00 AKC recording fee) ……………… $15 Highest Scoring Doberman with double qualifying scores from Excellent or Master Standard and JWW: The Doberman with the fastest combined YPS (yards per second), the Mail entry forms and fees to: Janice Morton, PO Box 1799, Martinsburg, WV 25402-1799. Doberman Pinscher Club of America offers a Framed Rosette Please make checks payable to DPCA No entries will be accepted by phone, fax or hand delivery. Express mail entries must include the signature waiver allowing them to be left at MACH/PACH All dogs finishing a MACH/PACH will also receive a MACH/PACH Bar and the secretary’s address. Inquiries may be directed to Janice Morton at MACH/PACH Rosette. If you & your dog are close to a MACH/PACH, please let the trial [email protected] No entry shall be made and no entry shall be accepted which secretary know. specifies any conditions as to its acceptance. Please put DPCA on the outside of your envelope. Illegible entries will not be processed and will be returned to the exhibitor. Class Changes Effective January 1, 2020 Returned checks do not constitute a valid entry. There will be a $20 service fee on all returned checks. Entering a Mixture of Regular and Preferred Classes Within the Same Trial Weekend – Multiple Jump Heights Within the Same Trial Day Effective January 1, 2020, exhibitors may enter a mixture of both Regular and Preferred classes on the You may enter this trial online using LabTestedOnline.com same trial day and/or during a trial weekend. Any mixture of Regular and Preferred classes is During the first 48 hours after opening, the initial limit of entries designated as either online allowed. Please note that if a dog qualifies in Regular Master Standard and Preferred Master JWW (or or paper will be as follows: 25% online and 75% paper. If either form of entry has not filled vice versa) on the same trial day, then NO Double Q shall be earned toward either the MACH or PACH at the end of the 48 hour period, the club reserves the right to increase or decrease either title. The Double Q still requires that Standard Agility and Jumpers With Weaves be either both Regular one accordingly. OR both Preferred on the same trial day. Additionally, within the same Regular or Preferred classes, a dog may now be entered in multiple jump COURSE WALK-THROUGHS AND WARM-UP INFORMATION heights within the same trial day. For example, the same dog may now be entered in 20-inch Master STD/JWW while also entered in 24C-inch Premier STD/JWW on the same trial day. Handlers in all classes are permitted to walk the course, without a dog, prior to the start of A separate entry form must be submitted when the same dog is being entered in a mixture of Regular the class. A warm-up area consisting of a regulation agility jump shall be provided for all and Preferred and/or different jump heights within the same trial weekend thereby clearly indicating exhibitors. Exhibitors may not use the warm-up area to relieve their dogs. which class(es) and/or jump heights belong together for each trial day of the weekend.

Entering For Exhibition Only (FEO) will be allowed at this trial RIBBONS, AWARDS, AND PRIZES As of January 1, 2020, For Exhibition Only may be offered at the option of the host club. FEO will be offered on a one-year pilot basis in order to give AKC time to evaluate its impact. FEO will allow Awards for qualifying scores only. All awards must be claimed at the trial. exhibitors to work with their dogs in a trial environment. FEO is only allowed in the Time 2 Beat and Ribbons will be awarded to first through fourth place in each height division in each class. FAST classes. FEO will be of value to new exhibitors or exhibitors that are having difficulty with a Green Qualifying ribbon for each qualifying score. specific obstacle and/or ring environment. Competitors must enter in T2B and/or FAST. Participation in New title rosettes will be awarded at both the Regional and the National trials. FEO is non-qualifying.  FEO runs are treated as trial entries. The exhibitor must enter the class(es) (T2B and/or FAST) prior to the closing date, pay class entry fee(s) and the Trial Secretary must record the

entry in the Trial Catalog as part of the results for that class. FEO does not need to be noted REFUNDS on the entry form; the handler will declare the day of the show. No entry fee will be refunded if the trial cannot open or be completed by reason of riots,  Dogs may be entered in any jump height for FEO runs. If entered in an ineligible jump height, civil disturbances, fire, an act of God, public emergency, act of a public enemy, or any other the team is committed to FEO for that run and must declare FEO on the start line. Day of cause beyond the control of the organizing committee. No entry fee will be refunded in the show jump height changes are not allowed. event a dog is absent, disqualified, excused, or barred from competition by the action of  Dogs may be entered in any level of FAST (Novice, Open, Excellent, Master). If the dog is not eligible for the level entered, the team is committed to FEO for that run and must declare the Trial Committee. FEO on the start line. Day of show level changes are not allowed. Bitches in season are not permitted to compete in Agility Trials. As such, the club will  The exhibitor must declare FEO in the ring prior to leading out. FEO may be declared earlier refund all but $11 per class of the entry fee paid for bitches unable to compete for this (ex. when checking in at the gate board). reason upon presentation of a veterinarian certificate. This certificate must be presented  Toys are allowed in the ring to the Trial Secretary prior to the start of judging on the first day of the trial or cluster of o Toys must be non-audible trials. o Toys may not leave the handler’s hand No refunds will be made for amounts less than $5. o Toys that roll freely cannot be used  Food/treats are not allowed in the ring RINGSIDE  FEO should be utilized for the benefit of the dog and not as a punitive correction. Harsh Dogs may arrive any time prior to judging if the dog has a valid temporary or permanent verbal and /or physical corrections shall not be tolerated. Any determination of harshness by the judge shall be immediately whistled and the handler will be dismissed from the ring. jump height card. Otherwise, they must be available for measuring prior to the start of their  A judge must monitor the entire run. Judges can stop a run at any time class if a VMO or AKC Field Rep is available to measure dogs. All dogs not needed for further judging will be excused. Fix and Go On (FNG) Judges are not required to wait for dogs. The Owner of each dog is solely responsible As of January 1, 2020, Fix and Go On will be offered on a one-year pilot basis in order to give AKC time for having it ready at ringside when it is to be judged. The Club has no responsibility for to evaluate its impact. FNG allows exhibitors to immediately reattempt an obstacle at any time while on providing service through a public address system or stewards or runners for the purpose course when the dog’s performance of an obstacle is not to their expectation. This allows the dog to of calling or locating dogs that are not brought into the ring when required. successfully complete the obstacle then finish the course or leave the ring on a positive note. Using FNG will result in a non-qualifying score. Fix and Go On is not pre-entered; rather, it occurs during the course of the run. This club does not agree to arbitrate claims as set forth on the Official AKC Entry Form for this event.

ADDITIONAL SITE INFORMATION NOTICE TO EXHIBITORS Crating space is plentiful. Crates may be left overnight; however, DPCA will not be SAFETY, BEHAVIOR and LIABILITY responsible for any lost or damaged items left at the show site. The safety of the dog is our primary concern. By entering this trial, exhibitors acknowledge that they are familiar with the rules and regulations of this sport, and that their dogs are Food is not available onsite so bring your own and there are fast food options nearby. familiar with and able to perform all obstacles safely. We are looking into food truck options, details to follow. It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create an unnecessary Clean Up - Exhibitors are responsible for cleaning up after their dog(s). Any exhibitor disturbance or repeatedly engage in unsafe or disruptive behavior may, at the discretion of failing to do so may be excused without benefit of refund if the Trial Committee deems the trial committee, be asked to leave the show site. In such case, no refund of any fees the exhibitor to be in violation of this requirement. Cleaning supplies and disposal area paid will be made. The DPCA and its agents, employees, etc., will assume no will be available at the show grounds. responsibilities for any loss, damage or injury sustained by exhibitors or handlers, or to any of their dogs or property and further assumes no responsibility for injury to children. The DPCA reserves the right to decline entries for cause and may remove any dog on account HOST HOTEL INFORMATION of aggression. No one shall have any recourse or claim against the DPCA or any official thereof. Host Hotel: MeadowView Resort & Conference Center All dogs must be on leash at all times when on trial grounds except when in the 1901 Meadowview Pkwy. Kingsport, TN 37660 (423)578-6600 designated warm-up area or competing on the course. Pinch collars, electric or dummy Group Block is already sold out! ($142/night +$50 non-refundable pet fee) collars are prohibited on trial grounds. Email Jan Stephenson to get on waitlist [email protected] Alternate Hotel info

La Quinta Inn and Suites, 10150 Airport Pkwy., Kingsport, TN 37663 Sleep Inn and Suites Kingsport Tricities, 200 Hospitality Pl. Kingsport, TN 37663

RV Parking: RV spots at host hotel are already sold out! Email DIRECTIONS TO THE TRIAL SITE [email protected] to get on waitlist. All parking is at your own risk. Neither the DPCA nor the hotel will assume any Directions to the trial site: responsibility for fire, theft, loss or damage to the vehicle(s) or contents thereof. From Knoxville, TN: Head East in I-40 to exit 421 to take I-81 N toward Bristol, TN. Next take exit 63 to TN-357 / Airport Pkwy and turn right. About 2 mile down take Limited dry camping is going to be allowed on site at Ron Ramsey arena. Contact ramp to TN-75 to Air Cargo / NE State Tech. Turn left onto TN-75 N. About 2 miles Carol Moore [email protected] for info. down turn left on Spurgeon Ln. Site: Ron Ramsey Regional Agriculture Center, 140 Spurgeon Ln., Blountville, TN 37617 Camping with full hook-ups is available at Warriors’ Path State Park (about 20 mins. from site) It is advised to make reservations early since it gets crowded From Bristol, TN: take I-81 S toward Kingsport, TN. Next take exit 63 to TN-357 / during fall foliage season. https://tnstateparks.com/parks/warriors-path Airport Pkwy and turn left. About 2 mile down take ramp to TN-75 to Air Cargo / NE State Tech. Turn left onto TN-75 N. About 2 miles down turn left on Spurgeon Ln. IMPORTANT NOTICE CONCERNING MOVE-UPS Site: Ron Ramsey Regional Agriculture Center, 140 Spurgeon Ln., Blountville, TN There will be day to day move-ups during these trials. Dogs who qualify for a higher class 37617 preceding the trials (and after closing) may be moved up if the request is received by the Trial Secretary no later than 6:00 PM, Monday, October 4, 2021. Move-up requests must From Ashville, NC: I-26 W to exit 13 merging onto TN-75 N / Bobby Hicks Hwy / be made in writing (email preferred, just reply to your confirmation). Requests for day-to- day move-ups must be made on paper to the Secretary within 30 minutes of end of trial on Suncrest Dr. About 9 miles take a left on to Spurgeon Ln. Site: Ron Ramsey the preceding day. Regional Agriculture Center, 140 Spurgeon Ln., Blountville, TN 37617 DOBERMAN PINSCHER CLUB OF AMERICA AGILITY TRIAL MOVE-UP REQUEST

Call Name:______AKC Reg. # or ILP #:______

Owner’s Name:______STD CLASS: Moved To (circle one): Open Excellent Master

Jump Height (circle one): 8” 12” 16” 20” 24” 24C”

JWW CLASS: Moved To (circle one): Open Excellent Master

Jump Height (circle one): 8” 12” 16” 20” 24” 24C”

PREFERRED STD CLASS: In addition to agility, obedience, rally, and , there will be a WAE and Moved To (circle one): Open Excellent Master many other fun things to explore. For more information on all events offered at this year’s National please check the DPCA web site for the entire show schedule: Jump Height (circle one): 4” 8” 12” 16” 20” https://dpca.org/shows/2021-national/

PREFERRED JWW CLASS: Equipment to be provided by Bratty Paws and will be available for sale after the Moved To (circle one): Open Excellent Master trials. More info about equipment on their website: Jump Height (circle one): 4” 8” 12” 16” 20” https://www.brattypaws.com/equipment-lists

OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org. Doberman Pinscher Club of America AGREEMENT Dobermans only Monday, October 11, 2021 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. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of The American Opens: Thursday, July 22, 2021 12pm ● Closes: Wednesday, September 22, 2021 12pm Kennel Club in effect at the time of this event, and any additional rules and regulations appearing in the premium list of this event Saturday, October 9, 2021 □ STD □ JWW □ FAST and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse Sunday, October 10, 2021 □ STD □ JWW □ FAST □ T2B this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to Monday, October 11, 2021 □ STD □ JWW □ FAST have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, Daily Entry Fee: 1st run $35; 2nd run $25; 3rd & 4th runs $15 each; Make checks payable to: DPCA; directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any Mail to: Janice Morton PO Box 1799 Martinsburg, WV 25402-2134 Please write DPCA on outside of provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and envelope. 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 IMPORTANT: Carefully read instructions before filling out! ENTRY FEE any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to ENCLOSED 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 Choose Either Regular OR Preferred Classes aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any Circle one jump height | Circle class selections | Only one selection per class (both Master & Premier allowed) person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my REGULAR Classes PREFERRED Classes (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 8” 12” 16” 20” 24” 24C” 4” 8” 12” 16” 20” employees, agents, or any other person. STD NovA NovB Open Exc Master Premier STD NovP OpenP ExcP MasterP PremierP 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 JWW NovA NovB Open Exc Master Premier JWW NovP OpenP ExcP MasterP PremierP OTHERWISE STATED IN THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, FAST NovA NovB Open Exc Master FAST NovP OpenP ExcP MasterP 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 T2B T2B T2B T2BP 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. Non-Regular Classes International Sweepstakes □STD □JWW NOT OFFERED SEX HEIGHT AT WITHERS INSTRUCTIONS This Dog Needs To Be Measured □Yes □No Handlers whose dogs measure into the 8” through 20” regular jump height divisions may opt to enter in a higher or 24-choice height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs who measure into the 24” regular BREED VARIETY CALL NAME jump height division may not enter 24-choice. 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. AKC® NAME (INCLUDE AKC TITLES ONLY) 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, DATE OF BIRTH AKC® NO □ Enter Complete Registration # 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. below SM PLACE OF BIRTH (LIST COUNTRY) Dogs listed in the AKC Canine Partners program may be eligible to enter all-breed AKC agility trials at the club’s option. These dogs ILP NO. □ PAL NO. □ 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 FOREIGN REG. NO & COUNTRY □ 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 BREEDER this form, what is the relationship of the Junior Handler to the Owner? ______

SIRE SIGNATURE of owner or his agent duly authorized to make this entry.

DAM SIGN HERE X______ACTUAL OWNERS Telephone Number: ______OWNERS ADDRESS  NEW ADDRESS Email Address: ______□New Email CITY, STATE ZIP + 4 In Case of Emergency - Name: Phone #: ______AEAGL2 (10/17) HANDLER ENTER JR. HANDLER # if applicable

Exhibitor or owner MUST sign on the signature line beneath the instructions.