1. pets
2. dogs

Joanne Brault
Trial Secretary
W2588 Poplar Rd.
Fond du Lac, WI 54937
Premium List
FOND DU LAC COUNTY KENNEL CLUB
Event #2014044307 Event #2014044308 Event #2014044309
AKC Licensed ALL BREED
AGILITY TRIAL
Friday October 10, 2014
Ex/Mas STD & Ex/Mas JWW Classes, T2B
Saturday & Sunday October 11 & 12, 2014
All STD & All JWW Classes, T2B
Fond du Lac County Kennel Club
N5480 DeNeveu Lane
Fond du Lac, WI 54937
Trial held outdoors on grass
Entries will be accepted on a first received basis.
Entries OPEN Aug 20, 2014 at 8:00 AM at the Trial Secretary’s address.
Any entries received before this date/time will be returned.
Entries CLOSE September 26, 2014 at 6:00 PM
or when numerical limits are reached.
Limited to 330 total runs per day.
This event is accepting entries for dogs listed in the AKC Canine
Partners Program
Certification
Permission has been granted by the American
Kennel Club
for the holding of this event under
AKC Rules and Regulations.
James P. Crowley, Secretary
MAIL ALL ENTRIES WITH FEES
(Payable to Fond du Lac County Kennel Club):
Joanne Brault, Trial Secretary
W2588 Poplar Rd.
Fond du Lac, WI 54937
(920)922-2351
e-mail: rbrault@thesurf.com
NO POST DATED CHECKS
ENTRY FEES each day (includes AKC recording fee, $3.00 per entry)
$18.00 First entry, $17.00 Second entry, $10.00 Third entry
Entries are limited to 330 total runs per day.
Entries close 6:00 PM, Friday September 26. 2014, after which time entries cannot be
accepted, canceled, altered, or substituted, except as provided for in Chapter 11, Section
6 of AKC Dog Show Rules. Exhibitors are responsible for complete, accurate, and legible
information on their entry forms, including Agreement & Rules on reverse side.
Express mail must be sent "no signature required".
A maximum of ten entries per envelope is allowed. Envelopes/transactions with more
than the ten dog maximum shall be treated as an invalid entry and shall be returned to
the sender. FDLCKC will not offer a wait list.
*MOVE-UP INFORMATION*
Dog may be moved up to a higher class at the request of the owner, as a result
of qualifying for an agility title, provided that the request is made IN WRITING to
the TRIAL SECRETARY not later than Monday, October 6, 2014 at 6:00 PM
(via e-mail or regular mail).
Day to day move ups will be accepted using the following form and must be
submitted within one hour of the final run on Friday or Saturday.
AKC AGILITY CLASS MOVE UP FORM
This form must be filled out for each change and given to the Trial Secretary
only. This change form is only for entries that have been accepted for the Fond
du Lac County Kennel Club Agility Trial to be held on Friday, Saturday,
and Sunday October 10, 11, 12, 2014.
Verbal requests will not be accepted.
CALL NAME
ARMBAND#
AKC REGISTERED NAME
AKC REGISTERED NUMBER
HEIGHT DIVISION
4
8
12
16
20
24
26
OWNER(S) NAME
Please circle the appropriate selection:
Confirmation of receipt of your entry will be sent to your email if a valid address is on
your entry. For US mail confirmation, please include a self-addressed stamped post
card. After closing, email confirmations along with the judging schedule will be sent
electronically, or if email is not available, hard copies will be sent via US mail.
FAX or ONLINE entries will not be accepted.
President:
Vice President:
Secretary:
Treasurer:
Fond du Lac County Kennel Club officers:
Marthina Greer
Kerry Sheridan
Debbie Myrechuck, 342 Grove St, Fond du Lac, WI 54935
Pam Bartoli
Trial Chairperson:
Trial Secretary:
Trial Committee:
Agility Event Committee:
Ronda Bermke (920)864-3369, 3007 Ridge Court
Greenleaf, WI 54126, e-mail: bermke@centurytel.net
Joanne Brault (920)922-2351, W2588 Poplar Rd.
Fond du Lac, WI 54937 e-mail: rbrault@thesurf.com
Deb Reinke, Marilyn Hartman,
Harold Stanlick, Bev Martens
24 hr. Emergency ON CALL Veterinarian
Fox Valley Animal Referral Center (920)933-9193
4706 New Horizons Blvd, Appleton, WI 54914
Police/Fire/Ambulance 911
TITLING CLASS:
Regular
Preferred
CLASS:
Standard Agility
ENTERED IN:
Novice A / B
Open
Excellent
TO BE MOVED TO:
Novice B
Open
Master
Jumpers W/Weaves
Volunteer Worker Form
Your help is appreciated. Please fill out this form and return in the same envelope with
your trial entries. Food will be available for workers.
Name
E-mail
phone
Classes Entered:
Standard Titling
Jumpers w/Weaves
Jump Height: 4 8 12 16 20 24 26
Friday
Ex/Master
Ex/Master
T2B
Saturday
Nov
Open
Ex/Ma
Nov
Open
Ex/Ma
T2B
Sunday
Nov
Open
Ex/Ma
Nov
Open
Ex/Ma
T2B
Please circle any jobs you would be willing to do or learn. Cross out any jobs
you will not do.
Timer
Scribe
Transcriber
Gate Steward
Leash Runner
Score Sheet Runner
Ring Steward
Course Builder
Directions to the Fond du Lac County Kennel Club Building:
AKC AGILITY TRIAL JUDGE
Hwy 41 from North or South: Exit at Hwy 151 Bypass. North on 151 Bypass then Exit
at Hwy 45 exit. South onto Hwy 45. Almost immediately turn right onto Co K. Then left on
Reinhardt Rd. Clubhouse is on your right
Friday October 11, 2013
EXCELLENT ONLY
Judge: Sue Barnett
47 Oxbow Drive, Avon, CT 05001-2433
Ex/Master Std to begin at 12:00 NOON followed by Ex/Master JWW,
then T2B
Jumping small to tall
Hwy 23 from East or West: Exit at Hwy 151 Bypass. South on 151 Bypass then Exit at
Hwy 45 exit. South onto Hwy 45. Almost immediately turn right onto Co K. Then left on
Reinhardt Rd. Clubhouse is on your right.
Saturday, October 12, 2013
Judge: Sue Barnett
Judging to begin at 8:30 am
T2B, followed by ExJWW, Ex Std, Open JWW, Open Std,
Nov JWW, Nov Std
Sunday, October 13, 2013
Judge: Sue Barnett
Judging to begin at 8:30am
T2B, followed by Ex JWW, Ex Std, Open JWW, Open Std,
Nov JWW, Nov Std
Jumping tall to small on Saturday — small to tall on Sunday
All above classes include Preferred and will run in order listed.
TRIAL HOURS Fri 10:30am to 6:00pm Sat & Sun 7:00am to 6:00pm
A Volunteer Measuring Official will be on site
Hotel Information
Microtel Inn & Suites: (920)929-4000, 1-888-771-7171; 920 South Military Road (Hwy
151), Fond du Lac, WI 54935 $10.00 charge per stay with dogs
Comfort Inn & Suites: (920)921-4000; 77 Holiday Ln, Fond du Lac, WI 54935
No fee for pet. Requires a pet waiver form. Ask Amy about special FdLCKC pricing.
Super 8: (920)922-1088; 391 N. Pioneer Rd., Fond du Lac, WI 54935
$15.00 per night per pet
Ramada Inn: (920)923-3000; 1 North Main, Fond du Lac, WI 54935
$20.00 stay with pet. Mention Kennel Club/Agility Trial
Executive Lodge: (920)923-2020; 649 W Johnson St, Fond du Lac, WI 54935
$5.00 per night per pet
Holiday Inn: (920)923-1440; 625 Rolling Meadows Drive, Fond du Lac, WI 54935
$10.00 per stay for more than one pet
Camping Information
Fond du Lac KOA Campground: W5099 Hwy B, Fond du Lac, WI 54935 920-477-2300
FdL Co Fairgrounds: 601 Martin Ave, Fond du Lac, WI 54935 920-929-3169
***********************************************************************************
For additional detailed directions to the trial site, and for additional and
future premium lists, please go to our web site at: www.fdlckc.org
Hot food and refreshments will be available on trial site
all three days.
AKC Companion Animal Recovery ID System—Microchips Available
$25.00 to chip AND enroll each dog. To pre-register or for additional information, contact Kelly at kamoeell9393@gmail.com
SATURDAY Please support our dog friendly raffle SATURDAY
FRIDAY ***** PENDING AKC APPROVAL ******** FRIDAY
PLEASE WATCH FOR FURTHER DETAILS OF OUR MATCH MADNESS
AGILITY B MATCH—OBEDIENCE/RALLY C MATCHES
1/2 HOUR AFTER LAST AGILITY RUN
All day of match entries ONLY
Any dog that is eligible to enter any AKC events may enter the matches,
Dogs need not be entered in trial
SITE INFORMATION: The trial will be outdoors on a flat grassy area. The Standard ring
and JWW ring sizes are 100’x100’ and are fully fenced. There is very little shade and
tenting will be allowed. The building will be open for indoor crating. All dogs must be on
leash at all times except when in the ring or in the designated warm-up area.
THERE WILL BE NO OBSTACLE FAMILIARIZATION: OBSTACLES WILL CONFORM
to current requirements of the AKC regulations. Weave poles are 24” on center. All contacts are rubberized. An electronic table counter may be used, and electronic timing and
a displaceable tire will be used at this trial.
GENERAL INFORMATION FOR ALL EXHIBITORS
Entry fees for bitches that come into season will receive a full refund. Dogs that are injured after the closing date will be refunded by mail, minus $3.00 per day, AKC fee. A
veterinarian’s certificate must be presented to the trial secretary prior to the start of judging for all refunds. Entry fees shall not be refunded in the event that a dog is absent, disqualified, or excused by the judge or barred from competition by action of the Event
Committee.
No entry fee will be refunded if the trial cannot open or be completed by reason of riots,
civil disturbances, fire, an act of God, public emergency, act of a public enemy, or any
other cause beyond the control of the organizing committee. Returned checks do not
constitute a valid entry fee. There will be a $30.00 service charge for any returned
checks. No post dated checks will be accepted.
WARM-UP AREA: A warm-up area, consisting of one regulation agility jump will be provided for all exhibitors.
Catalog - Please mark your entry form if you wish to pre-pay for a catalog. A limited
number of catalogs will be available for purchase the day of the trial.
The owner or handler of each dog is solely responsible for the behavior of his or her self,
dog(s) and children. Any exhibitor whose dogs or children create unnecessary disturbance may, at the discretion of the Trial Committee, be asked to leave the site. In such
case, no fees will be refunded. The Fond du Lac County Kennel Club, its agents, members, etc. assume no responsibility for any loss, damage, or injury sustained by exhibitors, handlers, or to any of their dogs or property and further assume no responsibility for
injury to children.
Exhibitors should follow their veterinarians’ recommendation to assure their dogs are
free of internal and external parasites, any communicable diseases, and have appropriate vaccinations.
DOGS ELIGIBLE TO ENTER: This trial is open to all dogs15 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) an AKC Canine Partners listing number, or approved Foundation Stock Service (FSS). Not eligible are
bitches in season, aggressive dogs, or dogs suffering from any deformity, injury or illness
which may affect the dog’s physical or mental performance.
VOLUNTEERS are always needed and appreciated, will receive a complimentary lunch.
If you are interested in helping, please fill out the worker form located at the back of this
premium and submit with your entry.
RV’s WILL BE ALLOWED on the far southern edge of the parking area. Advance
notification would be greatly appreciated.
PLEASE BE RESPONSIBLE EXHIBITORS Exhibitors and spectators are expected to
keep the grounds clean. Please pick up after your dogs. ANYONE WITNESSED NOT
PICKING UP AFTER HIS/HER DOGS WILL BE EXCUSED FROM THE TRIAL WITH
NO MONIES REFUNDED
PLEASE EXERCISE DOGS ON CLUB PROPERTY ONLY ! ! !
JUMP HEIGHT POLICY: When filling out an entry there is a new section at the top of the
form for exhibitors to designate whether your dog has a valid jump height card of if your
dog needs to be measured. Please check the appropriate box so that the trial secretary
knows whether to include your dog on the Dogs to be Measured List. It is no longer required that you submit a copy of your dog’s jump height card with your entry form or
show it during the day of trial check in.
It is the sole responsibility of the exhibitor to have their original, official jump
height card or temporary jump height form at each trial to present upon request.
Additionally, if a measurement is necessary, it is the exhibitor’s responsibility to
have their dog measured prior to running. Regulations for Agility Trials, Chapter 2,
Section 4.
HEIGHT DIVISIONS: Owners are responsible for entering the proper height division.
Dogs may jump in higher height class in regular classes, dogs must jump in proper
height class in preferred classes.
Height at Withers
Jump Height Regular
Jump Height Preferred
11” and under
8”
4”
14” and under
12”
8”
18” and under
16”
12”
22” and under
20”
16”
over 22”
24”
20”
over 22”
26” (owners discretion)
CLASS INFORMATION:
Novice Standard, Novice Jumpers With Weaves each A, B, or Preferred
Open Standard, Open Jumpers With Weaves each with Preferred
Excellent/Master Std, Excellent/Master Jumpers With Weaves, each with Preferred
Time 2 Beat, Time 2 Beat Preferred
The Safety of the dogs is our primary concern. By entering this trial, exhibitors acknowledge that they are familiar with the rules of this sport, and that their dogs are familiar with
and able to perform all obstacles safely.
PRIZES AND AWARDS: Qualifying ribbons will be awarded to those dogs receiving
qualifying scores. Rosettes will be awarded to First through Fourth place in each height
division in all Novice and Open classes. Ribbons will be awarded to First through Fourth
place in each height division in all Ex/Master classes. Ribbons will be awarded to First
place and all qualifiers in Time2Beat classes. Only qualifying scores are eligible for rosettes and prizes. Title sashes will be awarded to all new titles. Double Q ribbons and
metal QQ key ring will be awarded to those dogs qualifying in Master Std and Master
JWW on the same day. Any dog fulfilling the requirements for their MACH - PACH or
PAX titles will be awarded a "jump bar", title sash, trophy and rosette.
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.
FOND DU LAC COUNTY KENNEL CLUB
OCTOBER 10,11,12, 2014
FRI, OCT 10, 2014
SAT, OCT 11, 2014
SUN, OCT 12, 2014
Pre-paid catalog
AGREEMENT
Opens 8/20/14, Closes 9/26/14
□ EX STD □ EX JWW
□ STD
□ JWW
□ STD
□ JWW
□ 7.00
□
□
□
I (we) agree that the club holding this event has the right to refuse 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.
T2B
T2B
T2B
Daily Entry Fee: 1st run $18.00, 2ND run $17.00, 3rd run $10.00
Make checks payable to: FdLCKC, Joanne Brault, W2588 Poplar Rd, Fond du Lac, WI 54937
IMPORTANT: Carefully read instructions before filling out!
ENTRY FEE ENCLOSED
Choose Either Regular OR Preferred Classes
Circle one jump height, and circle class selections :: Only one selection per class (STD, JWW, FAST, T2B)
REGULAR Classes
PREFERRED Classes
8” 12” 16” 20” 24” 26”
STD Nov A Nov B Open Exc Master
4”
8”
12” 16” 20”
STD NovP OpenP ExcP MasterP
JWW Nov A Nov B Open Exc Master
JWW NovP OpenP ExcP MasterP
FAST Nov A Nov B Open Exc Master
FAST NovP OpenP ExcP MasterP
T2B T2B
T2B T2BP
Non-Regular Classes
International Sweepstakes
This Dog Needs To Be Measured
BREED
□Yes □No
□STD □JWW
Select:
□14” □18” □26”
SEX
HEIGHT AT WITHERS
VARIETY
CALL NAME
□
ILP NO. □
Enter Complete Registration # below
PAL NO.
□
FOREIGN REG. NO & COUNTRY
BREEDER
PLACE OF BIRTH (LIST COUNTRY)
□
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.
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 forgoing 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.
DAM
ACTUAL OWNERS
SIGNATURE of owner or his agent duly authorized to make this entry.
NEW
ADDRESS
SIGN HERE ______________________________________________________
Telephone Number:
CITY, STATE ZIP + 4
HANDLER
applicable
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, INTREPRETATION 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.
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? _____________________________________________
___________________________________________________________________________________________________
DATE OF BIRTH
SIRE
OWNERS ADDRESS
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 therefrom, 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 negligence of the aforementioned parties or any of their employees or agents, or any other
persons.
Dogs listed in the AKC Canine PartnersSM program 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.
AKC® NAME (INCLUDE AKC TITLES ONLY)
AKC® NO
Exhibitor or owner MUST sign on the signature line beneath the instructions.
ENTER JR. HANDLER # if
□New
Email Address:
Email
In Case of Emergency - Name:
Phone #: