Pals and Paws Dog Agility Club of North Florida

Pals and Paws, Inc.
Sue McKeever, Trial Secretary
4624 Pecos Court
Saint Johns, FL 32259
IMPORTANT: Express Mail entries MUST include signature waiver permitting them to be left
without recipient signature.
Pals and Paws Dog Agility Club of North Florida
4 All-Breed AKC Licensed Agility Trials
Event #’s 2014528205, 2014528206, 2014528207, 2014528208
Thursday, October 23, 2014
Friday, October 24, 2014
Saturday, October 25, 2014
Sunday, October 26, 2014
This Event is Accepting Entries for Dogs Listed in the
AKC Canine Partners Program.
ENTRY METHOD: FIRST RECEIVED
ENTRY LIMITS: 330 runs per judge per day.
th
OPENING DATE: Fri, Aug. 29 , 2014 at 9:00 AM
th
CLOSING DATE: Thu, Oct 9 , 2014 at 5:00 PM
after which time no entry can be accepted, canceled, altered or substituted except as provided for in
Chapter 11, Section 6 of the Dog Show Rules.
Thursday- All levels of Standard and JWW and Time 2 Beat
Friday and Saturday- All levels of Standard, JWW and FAST classes
Sunday—All levels of Standard and JWW and Time 2 Beat
Trial hours: 7AM to 6 PM
Judges: Cindy Elliot & Cynthia Kean
Trial will be held at :
Jacksonville Equestrian Center Indoors on packed dirt 100x100 rings
13611 Normandy Boulevard Jacksonville, FL 32221
www.jaxevents.com/equestriancenter.php
Permission has been granted by the American Kennel Club for the holding of these events under the American Kennel
Club rules and regulations.
James P. Crowley, Secretary
OFFICERS OF PALS AND PAWS DOG AGILITY CLUB OF NORTH FLORIDA
President………………………..….………….….…….….…..………..Bonnie Pruett
Vice President…………………..…….…………….………………..Sheila Garbecki
Treasurer…………………………..….………………………………....Mark Erikson
Secretary………………………………………………………………Lauren Hansen
Trial Chairperson:
Sheila Garbecki, 2350 Fairfield Court , Fleming Island, FL 32003 904-269-5205
sgtrialchair@yahoo.com
Trial Secretary:
Sue McKeever, 4624 Pecos Court, Saint Johns, FL 32259 904-874-0027
palsandpawsakctrialsecretary@gmail.com
TRIAL COMMITTEE
Sheila Garbecki, Lauren Hansen, Sue McKeever, Cheryl Koehler, Debbie Mosher, Lynne
Wetherell, Christine Putnam, Julie Culhane, Marie Ouellette
JUDGES
Cindy Elliot, # 81741 5030 Lake Griffin Rd Lady Lake, FL 32159-2804
Cynthia Kean, #ZJ363 8020 SE Colony Dr Stuart, FL 34997-7307
VETERINARIANS (on call)
All Animal Clinic, 760 Blanding Blvd., Orange Park FL, 32065
904-272-7875
Fri 8 AM-6 PM; Saturday 8 AM-12 PM
Clay-Duval Pet Emergency Clinic, 275 Corporate Way, Suite 200 (Off Wells Road)
Orange Park FL, 32073
904-264-8281
Friday 6 PM - Saturday 8 AM
Saturday 12 PM – Monday 8 AM
ENTRY FEES are $20 for the first entry and $14 for additional entry of same dog, per day
(includes an AKC recording fee of $3.50 for the first entry and $3.00 for each additional
entry of the same dog). Please make checks payable to Pals and Paws Inc. There will
be a $40 fee for returned checks. Returned checks do not constitute a valid entry.
Incomplete, illegible and unsigned entries will not be accepted. Online entries will not be
accepted at this trial.
Running Order:
Check-in begins at 7:00 AM on Thursday, Friday, Saturday and Sunday. Measuring will be
at the judge’s discretion.
Let the gate steward know as early as possible prior to your run
if you anticipate a conflict and efforts will be made to accommodate you.
Walk- throughs will be split at the judges’ discretion.
Running Order for Thursday, Oct 23, 2014 (tall to small)
Ring One (Judge: Kean)
Ring Two (Judge: Elliot)
Judging begins @ 8:00 AM
Excellent/Masters Standard
Open Standard
Novice Standard
Judging begins @ 8:30 AM
Time 2 Beat
Novice JWW
Open JWW
Excellent/Masters JWW
Running Order for Friday, Oct 24, 2014 (small to tall)
Ring One (Judge: Elliot)
Ring Two (Judge: Kean)
Judging begins @ 8:00 AM
Excellent /Masters FAST
Excellent/Masters Standard
Open Standard
Novice Standard
Judging begins @ 8:00 AM
Novice FAST
Open FAST
Novice JWW
Open JWW
Excellent/Masters JWW
Running Order for Saturday, Oct 25, 2014 (tall to small)
Ring One (Judge: Kean)
Ring Two (Judge: Elliot)
Judging begins @ 8:00 AM
Excellent /Masters FAST
Excellent/Masters Standard
Open Standard
Novice Standard
Running Order for Sunday, Oct 26, 2014
Ring One (Judge: Elliot)
Judging begins @ 8:00 AM
Excellent/Masters Standard
Open Standard
Novice Standard
Judging begins @ 8:00 AM
Novice FAST
Open FAST
Novice JWW
Open JWW
Excellent/Masters JWW
(small to tall)
Ring Two (Judge: Kean)
Judging begins @ 8:00 AM
Novice JWW
Open JWW
Excellent/Masters JWW
Time 2 Beat
HEIGHT DIVISION : Owners are responsible for entering the proper height division.
Handlers may opt to run in a higher height division in Regular Classes, but not in a
division lower than their proper height division. Dogs that run in a height lower than their
proper division in the regular classes will be eliminated. In the Preferred Classes, Dogs
MUST run at the listed jump heights.
Regular Classes
Classes
8 Inches
12 Inches
16 Inches
20 Inches
24 Inches
26 Inches
Preferred
For dogs 11” and under at the withers
For dogs over 11” and up to 14 “ at the withers
For dogs over 14” and up to 18” at the withers
For dogs over 18” and up to 22” at the withers
For dogs over 22” at the withers
Dogs may be entered at their owner’s discretion
4 inches
8 inches
12 inches
16 inches
20 inches
ENTRY FORM
As a competitor, you have 1
or 2, maybe 3-4 entries to complete. The Trial Secretary
has over 250 entries to read. Please be considerate and
write clearly and legibly, check your math, indicate the
Handler, check the correct boxes, etc.
Entries that are
incomplete, incorrect or unreadable will be returned to you.
NOTICE TO EXHIBITORS
VALIDITY OF ENTRY FORM : The instructions for submitting an application state that including the sire,
dam and breeder are required if known. AKC is taking the position that information is known in the case of dogs
with AKC registration numbers, and thus is required for the entry to be valid.
TRIAL SITE: The trial site is an indoor arena with packed dirt ring surfaces. Each ring is 100’ x 100’. The
arena has permanent bleachers & indoor restrooms. There is ample space in the arena to set up crates
There is also space available outside the arena if you chose to set up a tent.
FOOD: There will be a food vendor at the trial site.
ELIGIBILITY: This trial is open to all dogs over the age of 15 months that are registered with the American
Kennel Club, or that have obtained AKC Limited Registration, Indefinite Listing Privileges (ILP), or Approved
FSS Breeds, except bitches in season, aggressive dogs, blind or deaf dogs, or dogs suffering from any
deformity, injury or illness which may affect the dog’s physical or mental performance. Refer to Chapter 2 of the
Registration and Discipline Rules for the listing of registerable breeds that may participate. Dogs under 6
months of age are prohibited at AKC Agility Trials.
PRIZES & AWARDS: Rosettes or flat placement ribbons will be awarded to 1st – 4th places in each jump height
in each class. Qualifying ribbons will be awarded to all receiving a qualifying score. Dogs must qualify to
receive placement ribbons. Each dog entered will get a toy valued at $2.00. Any dog that finishes a title will
receive a special rosette. A MACH bar will be awarded for teams earning their MACH at these trials. PLEASE
let us know, in advance, if there is a chance your team will be earning a MACH this weekend! Contact
the Trial Chairpersons.
MISCELLANEOUS INFORMATION:.
Pinch/prong collars and electric collars (dummy or not) are prohibited on the trial grounds.
Single copies of the latest edition of “Rules for Agility Trials” and “Rules Applying to Registration and Dog
Shows” may be obtained from the American Kennel Club. Electronic timers will be used at this trial.
COURSE FAMILIARIZATION AND WARM UP: A walk-through period will be held prior to each class,
following the judge’s briefing. The walk-through is restricted to handlers entered in that class. A warm-up
area, consisting of a regulation agility jump, shall be provided for all exhibitors.
OBSTACLES: All obstacles will meet the specifications for obstacles in the current Regs of Agility Trials.
VENDOR INFORMATION: Vendors are welcome at our trial. The vendor fee is $75 for the weekend if
using electric. $25 for no electric. Vendor fees must be paid on the first day of the trial. For further
information, please contact the trial chairpersons.
SAFETY AT THE SHOW SITE: The safety of the dogs is of primary importance. By entering this trial,
exhibitors acknowledge that they are familiar with the rules and regulations of this sport and that their dogs are
familiar with and able to perform all of the obstacles safely. It is expressly understood that exhibitors alone
are responsible for the behavior of their dogs and/or children. Any exhibitor whose dog and/or children create
unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior, may, at the discretion of the
Trial Committee, be asked to leave the show site. There will be no refund of entry fees if a person is asked to
leave the trial site. Dogs must be kept on leash except when in the ring or the designated warm-up area.
Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of internal and
external parasites, any communicable diseases and have appropriate vaccinations.
EVENT CANCELLATION: Pals and Paws Inc. reserves the right to cancel all or any portion of this trial. 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.
REFUNDS: Entry fees will not be refunded in the event that a dog is absent, disqualified, excused or barred
from competition by action of the Trial Committee. Pals and Paws Inc. has no obligation to refund duplicate
entries. No entry fee will be refunded if the trial cannot open or be completed for any reason beyond the
control of the organizing committee.
Bitches in season are not permitted in the Trial. For bitches that come into season after the closing date, a
refund will be made, less $5.00. Written notification to claim this refund must be received by the Secretary
before the start of the trial.
MOVE UPS: For Thursday, dogs may be moved up to a higher class at the written request of the owner, as a
result of qualifying for an agility title, provided that the request is made to the Trial Secretary in writing (e-mail is
accepted) no later than 6:00 PM on the Monday before the trial. Requests made after that time will NOT be
accommodated.
E-mail move-ups will not be official unless acknowledged by the Trial Secretary. Dogs so moved up will
be entered at the end of the running order. For Saturday and Sunday, requests for move ups must be made
in writing to the Trial Secretary prior to the close of the previous days’ events.
SET UP: No crate set up will be permitted on Wednesday until the rings have been squared and the
equipment has been unloaded.
•••••••••••••••••••••••••
MOTEL INFORMATION
RV RESERVATION
RV parking available through the equestrian center. They will check
you in and give you your parking pass. Reservations can be made
at (904) 573-4895
30 amp and 50 amp available (78 total sites available).
30 or 50 amp spaces - (water/sewer & electric)
Generator Parking: (showers & portable water)
Be sure to confirm the motel’s pet policy when making reservations. Please be
considerate of others and clean up after your dog at the trial site and motel facilities.
La Quinta (at I-295 and San Jose Blvd) (904) 268-9999
3199 Hartley Road, Jacksonville, FL 32257
La Quinta (at I-295 and Blanding Blvd) (904) 778-9539
8555 Blanding Blvd, Jacksonville, FL 32244
Best Western (at 301 in Baldwin) (904) 266-9759
1088 US Highway 301 S, Baldwin, FL 32234
Holiday Inn Express (at Chaffee Rd on I10) (904) 652-2782
537 Chaffee Point Boulevard, Jacksonville, FL 32221
Mention Pals & Paws for room discount
*We will be having our annual Halloween Costume Contest at this
trial. More info to come soon!*
Volunteer Workers for Trial
No crate set up will be permitted on Wednesday until the
rings have been squared and the equipment has been
unloaded.
We really appreciate our volunteer helpers! If you decide to volunteer, enclose this
form with your trial entry.
Discount coupons for food vendor or future trial entries will be provided to all volunteers.
We will have several Worker Raffles during each day. The names of all workers will be
entered into the Raffle.
I prefer to work in the following position(s):
___ Course Builder
___ Gate Steward
___ Scribe
___ Scribe Sheet Runner
___ Chute Setter
___ Timer
___ Leash runner
___ Jump Setter
DIRECTIONS TO TRIAL SITE
I will work the following days:
Thurs___________ Fri ___________
Coming Into Florida From The North:
Take 95 SOUTH to 295 SOUTH, 14.5 miles to Interstate 10 WEST, 4.8 miles to
the Chaffee Road Exit # 351. Turn right off the ramp, go 3 miles and turn right
on Normandy Blvd. (State Road 228
Coming North From South Florida:
Take 95 NORTH, 77.2 miles to 295 NORTH, 15.6 miles to the 103rd. Street (State
Road 134) Exit 16. Turn left off the ramp, go 7.8 miles and turn right on New World
Ave. Go one block and turn left on Normandy Blvd. (State Road 228).
Coming From The Ocala Area:
Take US 27 NORTH, 0.5 miles to US 301. Keep straight onto US 301, 22.5 miles. Turn
right onto US 301 NORTH, 51.3 miles, turn right onto Normandy Blvd. (State Road 228).
Sat _______________ Sun___________
Name:__________________________________________________
Phone:___________________________________________________
E-Mail:____________________________________________________
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY TRIAL
AGREEMENT
Pals and Paws Agility Club of North Florida
Opens August 29, 2014 at 9:00 AM – Closes October 9, 2014 at 5:00 PM
Thursday Oct
23, 2014
STD
JWW
T2B
Friday Oct 24, 2014
STD
JWW
FAST
Saturday Oct 25, 2014
STD
JWW
FAST
Sunday Oct 26, 2014
STD
JWW
T2B
Daily Entry Fees: 1st run $20; $14 each additional run. Please make checks payable to: Pals & Paws, Inc.
Mail entries to Sue McKeever, 4624 Pecos Court, Saint Johns, FL 32259.
IMPORTANT: Carefully read instructions before filling out!!
ENTRY FEE ENCLOSED
ALL OVER-NIGHT ENTRIES MUST WAIVE SIGNATURE!!!!!!
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
JWW
FAST
T2B
Nov A
Nov A
Nov A
T2B
Nov B
Nov B
Nov B
Open
Open
Open
Exc
Exc
Exc
Master
Master
Master
4”
STD
JWW
FAST
T2B
8”
12”
16”
20”
NovP
NovP
NovP
T2BP
OpenP
OpenP
OpenP
ExcP
ExcP
ExcP
MasterP
MasterP
MasterP
I (we) agree that the club holding this event has the right to refuse this 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.
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 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 EVENTGIVING 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
THIS DOG NEEDS TO BE OFFICIALLY MEASURED • YES.
• NO
BREED
SEX
HEIGHT AT WITHERS
VARIETY
CALL NAME
AKC REGISTERED NAME (Include AKC titles only)
AKC REG. NO. •
ILP NO. •
Enter Complete Registration # Below
PAL NO. •
DATE OF BIRTH
PLACE OF BIRTH
FOREIGN REG. NO. & COUNTRY •
BREEDER
SIRE
DAM
ACTUAL OWNERS
OWNERS ADDRESS
•
NEW ADDRESS
CITY, STATE, ZIP + 4
HANDLER (JUNIOR
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 listed in the AKC Canine Partners
SM 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. 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.
Signature of owner or his agent duly
authorized to make this entry_________________________________________________________
HANDLER # if applicable)
TELEPHONE : ____________________________________________________________________
EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM.
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
E-MAIL ADDRESS:
___________________________________________
____________________PHONE #: _________________
IN CASE OF EMERGENCY – NAME:
AEAGL2 - (01/11)
AGREEMENT
I (we) agree that the club holding this event has the right to refuse this 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.
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 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 EVENTGIVING 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 listed in the AKC Canine Partners
SM 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. 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.
Signature of owner or his agent duly
authorized to make this entry_________________________________________________________
TELEPHONE : ____________________________________________________________________
___________________________________________
IN CASE OF EMERGENCY – NAME: _____________________ PHONE #: _______________
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY TRIAL
Pals and Paws Agility Club of North Florida
Opens August 29, 2014 at 9:00 AM – Closes October 9, 2014 at 5:00 PM
Thursday Oct
23, 2014
STD
JWW
Friday Oct 24, 2014
T2B
STD
JWW
FAST
Saturday Oct 25, 2014
STD
JWW
FAST
Sunday Oct 26, 2014
STD
JWW
T2B
Daily Entry Fees: 1st run $20; $14 each additional run. Please make checks payable to: Pals & Paws, Inc.
Mail entries to Sue McKeever, 4624 Pecos Court, Saint Johns, FL 32259.
IMPORTANT: Carefully read instructions before filling out!!
ENTRY FEE ENCLOSED
ALL OVER-NIGHT ENTRIES MUST WAIVE SIGNATURE!!!!!!
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
JWW
Nov A
Nov B
Open
Exc
Master
FAST
Nov A
Nov B
Open
Exc
Master
T2B
T2B
THIS DOG NEEDS TO BE OFFICIALLY MEASURED • YES
4”
STD
JWW
FAST
T2B
• NO
BREED
8”
12”
16”
20”
NovP
NovP
NovP
T2BP
OpenP
OpenP
OpenP
ExcP
ExcP
ExcP
MasterP
MasterP
MasterP
SEX
HEIGHT AT WITHERS
VARIETY
CALL NAME
AKC REGISTERED NAME (Include AKC titles only)
AKC REG. NO. •
ILP NO. •
Enter Complete Registration # Below
PAL NO. •
DATE OF BIRTH
PLACE OF BIRTH
FOREIGN REG. NO. & COUNTRY •
BREEDER
SIRE
DAM
ACTUAL OWNERS
OWNERS ADDRESS
•
NEW ADDRESS
CITY, STATE, ZIP + 4
E-MAIL ADDRESS:
AEAGL2 - (01/11)
HANDLER (JUNIOR
HANDLER # if applicable)
EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM.
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org