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PREMIUM LIST
Glenbard All Breed Obedience Club
Obedience and Rally Trials
Saturday November 1 & Sunday November 2, 2014
(obedience event #2014064011 & 2014064012 and rally event #2014064013 & 2014064014)
(Licensed by The American Kennel Club)
DuPage County Fairgrounds
Home Economics and Annex Building (3 rings, indoors)
2015 West Manchester Road, Wheaton, Illinois 60187
Show Hours: 7:00am to 5:00pm CST
Entries will be accepted in the order they are received.
Acceptance of entries will close at 12:00 pm on Wednesday, October
15, 2014 at 4048 Nicholson Road, Franksville, WI 53126-9405 or when
judges’ limits are reached if this occurs prior to the specified closing date,
After which entries cannot be accepted, cancelled or substituted.
THIS EVENT IS OPEN TO MIX BREED DOGS THAT ARE
ENROLLED IN THE AKC CANINE PARTNERS PROGRAM
Gail Miller
4048 Nicholson Rd
Franksville WI 53126-9405
Obedience Classes to be offered:
Beginner Novice A & B, Novice A & B, Graduate Novice
Open A & B, Utility A & B
All Rally Classes will be offered
THE AMERICAN KENNEL CLUB CERTIFICATION
Permission has been granted by the American Kennel Club for holding
of this event under American Kennel Club Rules and Regulations.
James P. Crowley, Secretary
OFFICERS
President.................................................................Dawn Parison
Vice President......................................................Donna Darland
Treasurer.............................................................Donna Eichman
Director of Training.....................................................Lynn Weis
Secretary...................................................................Joyce Clarke
134 Addison Rd, Wood Dale IL 60191
The DuPage County Fairgrounds is located at 2015 W Manchester
Road in Wheaton IL. The trial will be held in the Home Economics
and Annex Building. There will be no charge for parking. RV parking is available, both 30 and 50 amp hook ups are available. Contact
the Fairgrounds office for pricing and reservation information at
630-668-6636 or info@dupagecountyfair.org.
BOARD OF DIRECTORS
Chairman............................................................Julie Sjullie - Drmolka
Jim Clarke
Sheila Gardner
Darlene Hayes
Julia Simmons
TRIAL COMMITTEE
Trial Co-Chairmen.................................Donna Eichman, Dawn Parison
Chief Ring Stewards........................................Gina Post, Cris Ballenger
Raffle Co-Chairmen..................................Sheila Gardner, Sue Marshall
Hospitality..........................................................................Dawn Parison
Publicity...........................................................................Donna Darland
Awards....................................................................................Gail Miller
TRIAL SECRETARY
Gail Miller
4048 Nicholson Road, Franksville WI 53126-9405
(262) 497-9294
VETERINARIAN (on call)
Emergency Pet Care Center
530 Dunham Road, St. Charles IL 60174
(630) 584-7447
JUDGES
EACH JUDGE WILL BE LIMITED TO 7 HOURS JUDGING
RALLY ENTRIES WILL BE LIMITED TO 60 DOGS
Joe Caputa, 581 Holiday Lane, Hainesville IL 60073
Saturday: Open A & B, Novice A
Sunday: Utility A & B, Graduate Novice
Bob Self, 2310 US Highway 150 N, Wataga IL 61488
Saturday: Utility A & B, Graduate Novice
Sunday: Open A & B, Novice A
Loretta Lazzara, 263 Fairveiw Drive, St. Charles IL 60174
Saturday: Beginner Novice A & B, Novice B, Rally
Edree Olson, 1749 Vantage Drive, Shorewood IL 60404
Sunday: Beginner Novice A & B, Novice B, Rally
Directions to the site:
From the south, take I-88 to Winfield Road. Exit at Winfield and go
right (north) at the bottom of the ramp. Take Winfield approximately
3.5 miles to Roosevelt Road/Route 38. Turn right on Roosevelt and
go 1 mile east to County Farm Road. Turn left on County Farm and
head north to Manchester. Turn right, and the fairgrounds will be on
your left.
From the Northwest, take I-90 east to Route 59. Exit at Route 59 and
turn right (south) at the bottom of the ramp. Stay on Route 59 for
approximately 10 miles to North Avenue/Route 64. Turn left on
North Avenue and go 3 miles to County Farm Road. Turn right on
County Farm Road and drive 3 miles to Manchester Road. Turn left
and the fairgrounds will be on your left.
From the Northeast, take I-90 to Illinois 53 South. Go south on 53
and stay to the left to continue south on I-355. Take the North
Avenue/Route 64 exit and go right/west. Stay on North Avenue for
approximately 6.5 miles and turn left at County Farm Road.
Continue on County Farm Road for about 3 miles and turn left on
Manchester Road, the fairgrounds will be on your left.
ENTRY FEES
Obedience: $25.00 for the first entry of a dog. $20.00 for each additional entry of the
same dog, per day.
Rally: $25.00 for the first entry of a dog. $20.00 for each additional entry of the same
dog, per day.
Make checks payable to GABOC. Mail entries with fees to Gail Miller, 4048 Nicholson
Rd, Franksville WI 53126. Entries mailed overnight must waive recipient signature, or
they will be returned. Entries will not be accepted without fees. Returned checks do not
constitute valid entry fees and are subject to an additional service charge. All entries
must be on a signed AKC form with the AKC agreement on back. Entries on an invalid
form will be returned.
The Glenbard All Breed Obedience Club and their Trial Secretary assume no
responsibility for an incorrect entry. Exhibitors are advised to print or type all unusual
words when filling in entry forms. No dog wrongly entered in a class may be transferred
to another class after the closing date, except as provided for in Chapter 11, Section 6 of
the AKC rules and Regulations. No entry may be cancelled unless notice of the change
or cancellation is received in writing by the trial secretary named in the premium list to
receive entries, prior to the closing date and hour for entries, except that a correction
may be made in the sex of the dog. Owners are responsible for errors in the entry form,
regardless of who may make such error. It is strongly suggested that entrants provide an
email address so that a notification of entry may be sent and allow for entrants to review
their entry information for errors.
Pursuant to Chapter 1, Section 3, entries will not be accepted unless submitted with the
required entry fee, be on an official American Kennel Club entry form, be signed by the
owner or his duly authorized agent and must have the required information - name of
trial giving club, date of trial, breed, sex, name of class(es) entered, full/registered name
of dog, name of owner(s)/ co-owner(s), address of owner, one of the following - AKC
registration number or ILP number, if known the following - date of birth, place of birth,
name of breeder(s), name of sire and dam. Entries must be submitted on approved entry
forms with the agreement printed on the reverse side.
Move ups in Obedience and Rally will be accepted provided the next level class and
judge are available and the class has not reached its limit. The request for a move up
must be made in writing and presented to the trial secretary at least 30 minutes prior to
the start of the trial.
Entries will not be refunded in the event a dog is absent, disqualified, excused by a
veterinarian or judge, barred from competition by action of the trial committee or, if
because of riots, civil disturbances or other acts beyond the control of the management,
it is impossible to open or complete this trial.
Refunds of $3.00 or less will not be issued due to the cost of processing. Entry fees will
not be refunded after the closing date or when classes close, whichever comes first, for
any reason. There will be no refund of entry fees for bitches who come into season after
the closing date.
AWARDS: All awards must be claimed at the show, none will be mailed. A qualifying
score is required for all prizes. Flat ribbons will be awarded for first through fourth
place in each class. A dark green flat ribbon will be awarded to all dogs receiving a
qualifying score in each class. The following prizes will also be offered:
Highest Scoring Dog in Regular Classes each day - A rosette and $50
Highest Combined Score in Open B & Utility A or B each day - A rosette and $50
Highest Scoring Junior Handler (16 years or younger) each day - $25
Highest Scoring Senior Handler (60 years or older) each day - $25
No dogs except those properly entered at this trial will be allowed within the trial
precincts.
Dogs are not required to be at the trial until the scheduled time of judging, and may
leave immediately thereafter unless required for further judging. The owner/handler is
solely responsible for having the dog ready at ringside when the class is to be judged.
Conflicts between rings should be discussed with the judge prior to the start of the
class.
There will be a limited number of catalogs available for sale at the trial. If you would
like a catalog, please pre-order a catalog by checking the box on the entry form,
include $3.00 with your entry fees, and one will be reserved for you.
The show giving club, the Trial Secretary, their agents, etc. Assume no responsibility
for any loss, damage or injury sustained by the exhibitors, handlers or to any of their
dogs or property, and assume no responsibility for injury to children, who must be under the control of their parents or guardians.
Please be respectful to others and turn cell phones off or put them on vibrate. No use of
a flash is permitted if taking photos during the judging of any dog.
PRE-TRIAL CORRECTION MATCH
Friday, October 31 2014
Judging starts at 5:00 p.m., Doors open at 4:30 p.m.
LOCATION
DuPage County Fairgrounds, Home Economics & Annex Building
CLASS LIMITS (3 rings, A & B classes combined)
Rally - 30 Novice/Beg Novice - 25 Open/Grad Novice - 35 Utility/Grad Open - 35
Rally will follow Novice at approximately 7:30 p.m.
FEES: $12 for 1st obedience entry, $6 for 2nd entry by the same handler
(same dog or different dog)
FEES: $12 for 1st rally entry, $6 for 2nd entry by the same handler
(same dog or different dog)
Checks should be made payable to GABOC, entries and fees must be mailed to:
Dawn Parison, 31 Oak Leaf Lane, Plano IL 60545
For more information, contact Dawn Parison at
630-273-2605 or goldennewf@comcast.net
Handler’s Name _____________________________________________________________________
Exhibitors and spectators are expected to keep the show grounds clean. Please pick up
after your dogs. Exhibitors should follow their veterinarians’ recommendation to assure
their dogs are free of internal and external parasites, any communicable diseases, and
have appropriate vaccinations.
Address ____________________________________________________________________________
MOTELS ACCEPTING DOGS (please confirm pet policy when making
Email address for entry conformation ____________________________________________________
reservations):
Red Roof Inn: 1698 W Diehl Road, Naperville IL 60563 630-369-2500
Super 8 Motel: 1520 E Main Street, St. Charles IL 60174 630-377-8388
Best Western: 1635 E Main Street, St. Charles IL 60174 630-584-4550
Breakfast and hot lunch will be available on site.
Please visit our website at www.gaboc.org
City, State, Zip ______________________________________________________________________
Breed ______________________________________________________________________________
Class _______________________________ A or B
Additional Class _________________________
Jump Height _______________________________
Amount Enclosed _______________________
I AGREE to indemnify and hold harmless Glenbard All Breed Obedience Club, Inc. and its officers,
directors, employees and members against any and all claims or actions that may at any time be made or
instituted against them or any of them by any person for the purpose of enforcing any cause of action
growing out of or connected with my attendance or my dog’s attendance at any event or class conducted
by Glenbard All Breed Obedience Club, Inc.
SIGNED _______________________________________________
DATE ________________
GLENBARD ALL BREED OBEDIENCE CLUB
KC Rules, Regulations, Policies and Guidelines may be obtained without charge from the America Kennel Club, 5580 Centerview
Drive, Raleigh NC 27606-3390
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 leaser 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 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.
1.
2.
3.
4.
INSTRUCTIONS
(Variety) if you are entering a dog of breed in which there are varieties for show purposes, please designate the
particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not
exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies
(rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat,
long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature,
standard).
The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are Champions of Record and dogs which, according to their owners’ records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed
competition is limited to a period of 90 days from the date of the show where the dog completed the requirements
for a championship.
(Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is
divided, then, in addition to designating the class, specify the particular division of the class in which you are
entering your dog, i.e, age division, color division, weight division.
A dog must be entered in the name of the person who actually owned it at the time entries for an event closed. If
a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any event
for which entries closed after the date of acquirement, regardless of whether the new owner has received the
registration certificate indicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.)
November 1 & 2. 2014 - DuPage County Fairgrounds
Saturday: ___Obedience (event #2014064011) ___Rally (event #2014064013)
Sunday: ___Obedience (event #2014064012) ___Rally (event #2014064014)
___Pre-paid catalog for both days $3.00
Entries close Wednesday, October 15th, 2014 at 12PM at the Show Secretary’s address. Mail entries, with fees made
payable to GABOC, to Gail Miller, 4048 Nicholson Rd, Franksville WI 53126-9405. Entry fee is $25.00 for the first
entry, $20.00 for the second entry, per dog, per day for each event. Dogs entered in Obedience and Rally require two
first fees. Express mail entries must waive the signature requirement permitting them to be left at the secretary’s
address or they will be returned.
IMPORTANT: Read Carefully Instructions on Reverse Side before filing out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box (PLEASE PRINT LEGIBLY).
Breed
Variety (1)
OBEDIENCE CLASS (please circle)
BEG NOV A
BEG NOV B
NOV A
UTILITY A
UTILITY B
UDX
RALLY CLASS
(please circle)
NOV A
NOV B
NOV B
ADV A
Full Name
Of
Dog
AKC REG No.
number here)
AKC Litter No.
ILP No.
Foreign Reg. No. & Country
Breeder
(Enter
Dam
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the
American Kennel Club. Phone: (919) 816-3776.
Actual Owner(s) (Please Print Legibly)
ZIP__________________
If 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?
___________________________________________________
AKC, American Kennel Club, and the American Kennel Club logo are trademarks of The American Kennel Club, Inc.
AEN999 (2/06)
EXC A
OPEN B
EXC B
RAE
Date of Birth
Place of USA
Canada
Birth (Do not print the above in catalog)
AKC JUNIOR HANDLER NUMBER ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
CITY ___________________________________________________ STATE ________________
ADV B
OPEN A
JR. Handler Number
Sire
ADDRESS ___________________________________________________________________________________________
GRAD NOV
Name of (See Back)
Junior Handler (If Any)
If this entry is for Junior Showmanship, please give the following information:
JUNIOR SHOWMANSHIP JR.’S DATE OF BIRTH_________________________
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an
Agent/handler for pay while continuing to compete in Junior Showmanship.
Sex
Foreign
(4)
Owners Address
City
State
Zip
Name of owner’s Agent
(If any) at the show & ID #
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 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
Daytime Telephone #
(Including Area Code)
E-MAIL Address (An acknowledgment or receipt
of entry may be sent to this e-mail address):
AKC Rules, Regulations, Policies and Guidelines may be obtained without charge from the America Kennel Club, 5580
Centerview Drive, Raleigh NC 27606-3390
GLENBARD ALL BREED OBEDIENCE CLUB
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 leaser 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.
Saturday: ___Obedience (event #2014064011) ___Rally (event #2014064013)
Sunday: ___Obedience (event #2014064012) ___Rally (event #2014064014)
November 1 & 2. 2014 - DuPage County Fairgrounds
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 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.
1.
2.
3.
4.
INSTRUCTIONS
(Variety) if you are entering a dog of breed in which there are varieties for show purposes, please
designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti
-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (longhaired,
smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers
(standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby,
Blenheim and Prince Charles), Poodles (toy, miniature, standard).
The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that
are Champions of Record and dogs which, according to their owners’ records, have completed the
requirements for a championship, but whose championships are unconfirmed. The showing of
unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date
of the show where the dog completed the requirements for a championship.
(Event Class) Consult the classification in this premium list. If the event class in which you are
entering your dog is divided, then, in addition to designating the class, specify the particular division
of the class in which you are entering your dog, i.e, age division, color division, weight division.
A dog must be entered in the name of the person who actually owned it at the time entries for an
event closed. If a registered dog has been acquired by a new owner it must be entered in the name
of its new owner in any event for which entries closed after the date of acquirement, regardless of
whether the new owner has received the registration certificate indicating that the dog is recorded in
his name. State on entry form whether transfer application has been mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.)
If this entry is for Junior Showmanship, please give the following information:
JUNIOR SHOWMANSHIP JR.’S DATE OF BIRTH_________________________
AKC JUNIOR HANDLER NUMBER ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
___Pre-paid catalog for both days $3.00
Entries close Wednesday, October 15th, 2014 at 12PM at the Show Secretary’s address. Mail entries, with fees made
payable to GABOC, to Gail Miller, 4048 Nicholson Rd, Franksville WI 53126-9405. Entry fee is $25.00 for the first
entry, $20.00 for the second entry, per dog, per day for each event. Dogs entered in Obedience and Rally require two
first fees. Express mail entries must waive the signature requirement permitting them to be left at the secretary’s address or they will be returned.
IMPORTANT: Read Carefully Instructions on Reverse Side before filing out. Numbers in the boxes indicate
sections of the instructions relevant to the information needed in that box (PLEASE PRINT LEGIBLY).
Breed
Variety (1)
OBEDIENCE CLASS (please circle)
BEG NOV A
BEG NOV B
NOV A
UTILITY A
UTILITY B
UDX
RALLY CLASS
(please circle)
NOV A
Full Name
Of
Dog
AKC REG No.
number here)
AKC Litter No.
ILP No.
Foreign Reg. No. & Country
Breeder
AKC, American Kennel Club, and the American Kennel Club logo are trademarks of The American Kennel Club, Inc.
AEN999 (2/06)
EXC B
RAE
JR. Handler Number
(Enter
Date of Birth
Place of USA
Canada
Birth (Do not print the above in catalog)
Foreign
Actual Owner(s) (Please Print Legibly)
City
If 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?
___________________________________________________
EXC A
OPEN B
Dam
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as
an
Agent/handler for pay while continuing to compete in Junior Showmanship.
ZIP__________________
ADV B
OPEN A
Sire
(4)
Owners Address
CITY ___________________________________________________ STATE ________________
ADV A
GRAD NOV
Name of (See Back)
Junior Handler (If Any)
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained from the
American Kennel Club. Phone: (919) 816-3776.
ADDRESS
___________________________________________________________________________________________
NOV B
NOV B
Sex
State
Zip
Name of owner’s Agent
(If any) at the show & ID #
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
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
Daytime Telephone #
(Including Area Code)
E-MAIL Address (An acknowledgment or receipt
of entry may be sent to this e-mail address):