ࡱ> vu~E@ B^bjbj NNNNV V V 801,+  $2>&L'*******$o,R.*2(T#"2(2(*NNs+R)R)R)2((N8*R)2(*R) R)\*\*1 Ps8V Z(\**+0+\*g/(Xg/\*NNNNg/\*02(2(R)2(2(2(2(2(**V R)V OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM Name of Club:!  FORMTEXT        Date:  FORMTEXT       I ENCLOSE $ FORMTEXT       FOR ENTRY FEES. IMPORTANT Read carefully instructions on reverse side before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. BREED!  FORMTEXT       VARIETY  FORMTEXT       SEX  FORMTEXT       DOG [2][3] CLASS [3] SHOW!  FORMTEXT       DIVISION  FORMTEXT       CLASS Weight, Color, Etc. ADDITIONAL OBEDIENCE CLASS RALLY CLASS JR. SHOWMANSHIP CLASSES!  FORMTEXT        FORMTEXT        FORMTEXT       Jump Height CLASS  FORMTEXT        FORMTEXT       NAME OF (See Back) JR. HANDLER JUNIOR HANDLER!  FORMTEXT       AKC#  FORMTEXT       FULL NAME OF DOG!  FORMTEXT        Enter number here DATE OF  FORMCHECKBOX  AKC REG. NO.!  FORMTEXT       BIRTH  FORMTEXT        FORMCHECKBOX  AKC LITTER NO.  FORMCHECKBOX  ILP NO. PLACE OF  FORMCHECKBOX  USA  FORMCHECKBOX  CANADA  FORMCHECKBOX  FOREIGN  FORMCHECKBOX  FOREIGN REG. NO. & COUNTRY BIRTH Do not print the above in catalog BREEDER!  FORMTEXT       SIRE!  FORMTEXT       DAM!  FORMTEXT       ACTUAL OWNER(S) [4]!  FORMTEXT       OWNER S ADDRESS!  FORMTEXT       CITY!  FORMTEXT       STATE  FORMTEXT       ZIP  FORMTEXT       NAME OF OWNER S AGENT (IF ANY) AT THE SHOW!  FORMTEXT       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 show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, 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! Telephone!  FORMTEXT        E-MAIL Address (An acknowledgment or receipt of entry may be sent to this e-mail address):  FORMTEXT       AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org AGREEMENT I (WE) ACKNOWLEDGE THAT THE Rules Applying to Dog Shows and, if this entry is for an obedience trial, the Obedience Regulations, have been made available to me (us), and that I am (we are) familiar with their contents. I (we) waive any and all claims, causes of action, I (we) might otherwise have against the AKC and any AKC-approved judge, judging at this show, under AKC Rules, Regulations and Guidelines. I (we) agree that the club holding this show or obedience trial has the right to refuse this entry for cause which the club shall deem to be sufficient. In consideration of the acceptance of this entry and of the holding of the show or obedience trial and of the opportunity to have the dog judged and to win prize money, ribbons, or trophies, I (we) agree to hold this club, its members, directors, governors, officers, agents, superintendents or show secretary and the owner or lessor of the premises and any employees of the aforementioned parties, 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 upon the show or obedience trial 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 of this dog by disappearance, theft, death, or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the club or any of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I (we) hereby assume the sole responsibility for and agree to indemnify 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 show or obedience trial, howsoever such injuries, death or damage to property 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. INSTRUCTIONS [1] (Variety) If you are entering a dog of a 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). [2] 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. 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Ѽ|iѼUKhCJ OJQJ&jhCJ OJQJUmHnHu$jhr:5CJOJQJUhr:CJOJQJhr:B*CJOJQJphh{vCJ OJQJhr:CJ OJQJ&jhr:CJ OJQJUmHnHu)jhr:5CJOJQJUmHnHujhr:5CJOJQJU$jhr:5CJOJQJUhr:5CJOJQJ ##~ $R]R^a$$Vx]V^a$ $R]R^a$$ Vx]V^a$ ]^gdT]gd ]^gd xdx $<]<a$ ]  ##'PdSeSS𵡗yeZVZTB"jhr:OJQJUmHnHuUhr:hr:5CJ OJQJ&jhr:CJOJQJUmHnHuhhr:CJ OJQJaJ hhCJ OJQJaJ hr:CJ OJQJ&jh,nCJ OJQJUmHnHuhOJQJ)jh,n5CJOJQJUmHnHu$j h,n5CJOJQJUh,n5CJOJQJjh,n5CJOJQJU##&'BQdSS^TTTUV^^f^v$Vx]V^a$Vx]V^gd{v$ x]^a$gd Vx]V^ Vx]V^ Vx]V^ V]V^$Vx]V^a$ $R]R^a$ [3] (Dog Show Class) Consult the classification in this premium list. If the dog show 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. [4] A dog must be entered in the name of the person who actually owned it at the time entries for a show 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 show 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. AKC JR. HANDLER #!  FORMTEXT       JR's DATE OF BIRTH  FORMTEXT       NAME OF JUNIOR HANDLER!  FORMTEXT       ADDRESS!  FORMTEXT       CITY!  FORMTEXT       STATE  FORMTEXT       ZIP  FORMTEXT       By signing the entry form I (we) certify that the Junior Showmanship does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship. If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Jr. Handler to the owner?  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