Premium List
Carrie Reynolds
Trial Secretary
1111 Wedgewood Ct.
Decatur, IL
6252662501-6953
Obedience and Rally Trials
Decatur Obedience Training Club, March 28, 2015
Trial #1 Obed Event #2015139902 #1 Rally Event # 2015139901
Trial #2 Obed Event #2015139906 #2 Rally Event # 2015139907
Capitol Canine Training Club, March 29, 2015
In memory of Dee Thrawl
Obed Event #2015012403 Rally Event # 2015012402
Classes offered:
Novice A & B, Open A & B, Utility A & B, UDX, Beginner Novice A & B
Graduate Novice, Graduate Open, Brace, Veterans, Versatility and all regular Rally
classes
This Trial Is Accepting Entries From Mixed Breed Dogs
Obedience rings fenced on all sides
DATED MATERIAL
AKC Licensed
All Breed Obedience and Rally Trials - Unbenched
ORR Building
The Illinois State Fairgrounds
801 E. Sangamon Ave. Springfield, IL 62702
Show Hours: 7:00 am to 6:00 pm
This show will be held indoors.
Entries CLOSE at 5 pm on Wednesday, March 11, 2015; after which time entries cannot
be accepted, cancelled, altered or substituted except as provided for in Chapter 11 Section 6
of the Rules Applying to Dog Shows or Chapter 1, Section 16 of the Obedience Regulations.
TRIAL SECRETARY
Carrie Reynolds, 1111 Wedgewood Ct., Decatur, IL 62526
American Kennel Club Certification
Permission has been granted by the American Kennel Club for the holding of this event under American Kennel
Club Rules and Regulations. James Crowley, Secretary
CLUB OFFICERS
President
Vice President
Treasurer
Secretary
Director Agility
Director Member
Board
ROUTES TO SHOW SITE:
DOTC
CCTC
Ken Michels
Jennifer Seul
Jodi McKean
Marilyn Steward
Cynthia Hollingsead
Kathleen Stevens
Paul Jensen
Joan Rothfuss
Sonnie Moore
Beth Phelps
Ruby Hanshew(Obed)
Michelle Gomez
Suzi Johnson, Dick Light, Pam Lively, Bill Pererman
Heather Woodside, Sue Zientara
From Chicago: Take I55 south to Sangamon Ave West. Continue down Sangamon Ave. to the
Illinois State Fairgrounds. Turn Right on 5th St Right at Gate 9. Orr bldg on left
From St. Louis: Take I55 north to Sangamon Ave West. Continue down Sangamon Ave. to the
Illinois State Fairgrounds Turn Right on 5th St Right at Gate 9. Orr bldg on left
From Decatur/Champaign: Take Interstate 72 west to I55 north to Sangamon Ave West. Continue
down Sangamon Ave. to the Illinois State Fairgrounds Turn Right on 5th St Right at Gate 9. Orr bldg
on left
From Jacksonville/Quincy: Take Interstate 72 east to Veterans Parkway (IL Rt 4). Turn left. Go
approx 9 miles. Turn left on 5th St. Turn right at Gate 9. Orr bldg on left
OBEDIENCE & RALLY TRIAL COMMITTEES
DOTC
CCTC
Obedience & Rally Trial Chair: Jodi McKean
Joan Rothfuss
Obedience & Rally Trial Secretary:
Carrie Reynolds
1111 Wedgewood Ct., Decatur, IL 62526
Phone: Home: (217) 362-0576 Cell: (217) 519-4665 cjreynolds0211@yahoo.com
Judges’ HospitalityTrophy Chairman Chief Ring Steward -
Jodi McKean
Connie Large
Jordan Stoune
Pam Thornburg
Mary Lou Flowers
Rose Hutches & Carol Green
JUDGES
Classes
DOTC (Sat)
CCTC (Sun)
Nov A&B,
Beginner Nov A&B
Ms. Cynthia M. Pischke
1287 Valley Rd.
Oshkosh, WI 54904
Mr. Joseph Caputa
581 Holiday Ln.
Hainesville, IL 60073
Grad Nov,
Open A&B
Ms. Lynn Tamms
509 W. Irving Ave.
Oshkosh, WI 54901
Ms. Edree M. Olson
1749 Vantage Dr.
Shorewood, IL 60404
Mr. Joseph Caputa
581 Holiday Ln.
Hainesville, IL 60073
Ms. Cynthia M. Pischke
1287 Valley Rd.
Oshkosh, WI 54904
Grad Open,
Utility A&B
Brace (SUN), Veterans (SAT& SUN), Versatility (SUN) Judges to be determined
Rally Classes
Nov A&B
Advanced A&B
Excellent A&B
Ms. Edree M. Olson
1749 Vantage Dr.
Shorewood, IL 60404
Ms. Lynn Tamms
509 W. Irving Ave.
Oshkosh, WI 54901
Entrance to
Fairgrounds
Entry fees: $25 first entry per dog, $18 second entry of same dog
Non-regular Veteran class is $15. Brace class is $20 per team.
Rally is a separate trial, so the first Rally entry is $25 & the second is $18 per dog
(e.g.: a dog entered in Nov A and Rally Nov A would pay $50)
AKC recording and event fees are included in the entry fee and will be paid by CCTC
and DOTC. Make all entry fees payable to DOTC and mail to Carrie Reynolds, Trial
Secretary.
DOTC CLASS AWARDS (Saturday Trials)
HIGHEST SCORING DOG IN THE REGULAR CLASSES.……..Blue & Gold
Rosette
HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY….Blue & Green
Rosette
A dark green ribbon will be awarded to all dogs receiving a qualifying score in
regular obedience and rally classes.
First Place……….…………………...……………...Blue Ribbon
Second Place………………..……………………....Red Ribbon
Third Place…………………………………………..Yellow Ribbon
Fourth Place………..………………………….…….White Ribbon
Non-Regular Classes
First Place............................................................ Rose Ribbon
Second Place....................................................... Brown Ribbon
Third Place........................................................... Light Green Ribbon
Fourth Place.........................................................Gray Ribbon
The Decatur Obedience Training Club, Inc., through the generosity of
its members and friends, offers the Barb Sheay Memorial Trophy for
competition at its trials only, to be awarded to the Highest Scoring Dog in
Regular Classes. The dog and handler’s names will be engraved on the
trophy to be permanently displayed at DOTC. A separate trophy will be
presented to the award winner.
Qualifying scores are required for all awards, except for those awards
offered for non-regular classes. Awards are offered by DOTC, except where
otherwise noted. Awards list available upon request.
DOTC would like to thank its membership for their generosity in trophy
donations.
Decatur Obedience Training Club offers a special medal for each dog completing
an
Obedience or Rally title.
ALL REGULAR AND NON-REGULAR OBEDIENCE AND RALLY CLASSES:
1st – 4th ……Dog Toy
ALL AWARDS MUST BE CLAIMED THE DAY OF THE TRIAL. NO AWARDS
WILL BE MAILED.
CCTC AWARDS (Sunday Trial)
In loving memory of CCTC Member Dee Thrawl.
Highest Scoring Dog In Trial – CCTC Challenge Cup
Generously donated by Brewer Animal Hospital
Each year the names of the handler and dog winning High In Trial at the CCTC trial
will be engraved on a plate and mounted on the trophy. Should any handler win
High In Trial three times, he or she will be awarded the Challenge Cup. It is not
necessary that the handler win with the same dog. CCTC will present the winner
with an 8 x 10 photograph of the presentation.
Obedience Trial Special Awards
Highest Scoring Dog in Regular Classes- Blue & Gold Rosette - Offered by
Capitol Canine Training Club
Highest Combined Score Dog in Open B and Utility classes- Blue & Green
Rosette - Offered by Capitol Canine Training Club
Capitol Canine Training Club offers a special rosette for each dog completing an
Obedience or Rally title.
OBEDIENCE TRIAL
HIGHEST SCORING DOG IN THE REGULAR CLASSES.……..Blue & Gold
Rosette
HIGHEST COMBINED SCORING DOG IN OPEN B & UTILITY….Blue & Green
Rosette
A dark green ribbon will be awarded to all dogs receiving a qualifying score.
First Place……….…………………...……………...Blue Ribbon
Second Place………………..……………………....Red Ribbon
Third Place…………………………………………..Yellow Ribbon
Fourth Place………..………………………….…….White Ribbon
Non-Regular Classes
First Place............................................................ Rose Ribbon
Second Place....................................................... Brown Ribbon
Third Place........................................................... Light Green Ribbon
Fourth Place.........................................................Gray Ribbon
RALLY TRIAL
A dark green ribbon will be awarded to all dogs receiving a qualifying score.
First Place……………………………...…………….Blue Ribbon
Second Place…………………………………… …Red Ribbon
Third Place…………………………………………..Yellow Ribbon
Fourth Place.…………………………………………White Ribbon
Obedience Class Awards
st th
Novice A, Open A, Utility A - 1 - 4 place
Rally Class Awards
st th
Novice A, Advanced A, Excellent A - 1 - 4 place
ATTENTION EXHIBITORS
Motels that will accept dogs
The Show Site will be available to exhibitors at 7:00 am Saturday. Dogs must be removed
from the building immediately following High In Trial or immediately following the close
of the show on Sunday, March 29, 2015. Adequate parking facilities are available with
parking for self-contained campers. Lunch will be available in the same building as the
show. Space will be provided for unentered dogs.
Baymont Inn ....................................................................................... (217) 529-6655
(Pet fee $10) ...................................................I 55 and Toronto Road Springfield IL
A recording fee of 50 cents will be required for each dog entered at any Licensed or
Member Club Show. There will be a $3.00 event service fee the first entry of a dog and a
$3.00 service fee for each additional entry of the same dog. This recording fee is to be
collected by the show-giving Club and paid to the American Kennel Club. (Chapter 11,
Sect 2). These fees are included in the entry fee.
CANADIAN EXHIBITORS MUST SUBMIT ENTRIES WITH CHECKS DRAWN ON
U.S. ACCOUNTS OR WITH INTERNATIONAL MONEY ORDERS IN U.S. FUNDS.
RETURNED CHECKS do not constitute a valid entry fee. Fees must be paid in guaranteed
funds. There will be no refund for duplicate entries.
Dogs need be present only for scheduled judging and will be released if not needed for
further judging. Dogs allowed in rings during scheduled judging only. Dogs must be ready
for judging. Neither the club nor its Trial Secretary will be responsible or obligated to
furnish any service for notifying exhibitors or their agents of Breed or Class Judging.
Judges need not wait for any dog holding up a class. OWNERS OR AGENTS ALONE
ARE RESPONSIBLE FOR THE PRESENCE OF THEIR DOGS IN THE JUDGING
RINGS.
The Club reserves the right to substitute a prize of equal or greater value. All trophies must
be claimed on the day of the show. None will be mailed.
Entry fee will not be refunded in the event that a dog is absent, disqualified, excused by
Veterinarian or Judge or banned from competition by action of the Show Committee.
Refund of entry fees for bitches that come in season after the closing date of this show may
be obtained by sending a veterinarian’s certificate to the Trial Secretary. This certificate
must be postmarked before the opening day of the show or given to the Trial Secretary
before the start of the show.
No entry fees will be refunded if the Show cannot open or be completed by reason of riot,
civil disturbance, fire, extreme and/or dangerous weather conditions, Act of God, public
emergency, act of a public enemy, strike or any other cause beyond the control of the Club
or the Trial Secretary.
The Show giving Club, the Trial Secretary, their agents, employees, 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 injuries to children.
No entry shall be made and no entry shall be accepted which specifies any condition as to
its acceptance. Entries will not be accepted without fees or signatures. Changes, additions
or corrections to entry forms must be received in writing prior to the close of entries. Those
received by phone are not acceptable. Move-ups will be allowed until 30 minutes prior to
start of trial.
Days Inn ............................................................................................. (217) 529-0171
(Pet fee $5) ................................................. I 55 and Stevenson Drive, Springfield IL
Drury Inn ............................................................................................ (217) 529-3900
(no Pet fee) ................................................. I 55 and Stevenson Drive, Springfield IL
Sleep Inn ............................................................................................. (217) 787-6200
(Pet fee $25) ...................................... I 72 and Rt. 4 at Parkway Point, Springfield IL
Howard Johnson’s (1 mile from fairgrounds) .................................... (217) 541-8762
(Pet fee $10) .............................................. 1701 J. David Jones Pkwy, Springfield IL
Please check with each motel to make sure they still accept dogs. Some charge extra fees
for pets. Please pick up after your dog so we can continue to use these motels.
Show Veterinarian
Emergency Veterinarian Clinic
(ON CALL - Sat 8:00 am - 12 :00 pm) (ON CALL - Sat 12:00 pm - Sun 6:00 pm)
Brewer Animal Clinic
Animal Emergency Clinic of Springfield
971 Clock Tower Dr, Springfield, IL 1333Wabash Ave, Jerome IL (217) 698-0870
(217) 787- 9730
(behind the Value Thrift Store)
Exhibitors should follow their veterinarians’ recommendation to
assure their dogs are free of internal and external parasites, any
communicable diseases, and have appropriate vaccinations.
DOTC will have a rent-a-ring immediately after all classes are
concluded
On Saturday, March 28, 2015
Cost will be $10 for 10 minutes. Signup will be at the secretary
table starting at 10:00 am that morning.
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
OFFICIAL ENTRY FORM
Capitol Canine Training Club Inc. & Decatur Obedience Training Club
Orr Building, Illinois State Fairgrounds
Springfield, IL
Saturday Mar 28, 2015 & Sunday, Mar 29, 2015
DOTC Sat___ Obedience Trial #1 Event #2015139902 & _____#1 Rally Trial Event #2015139901
DOTC Sat___ Obedience Trial #2 Event #2015139906 & _____ #2 Rally Trial Event #2015139907
CCTC Sun___ Obedience Trial Event #2015012403 & _________Rally Trial Event #2015012402
Entry fee is $25 for the first entry and $18 for each additional entry of same dog. All AKC event services ($3 per entry) and
recording fees ($.50) are included in the entry fee. Entries close at 5 pm Wednesday, March 11, 2015 after which time entries
cannot be accepted, changed, cancelled, altered, or substituted, except under Chapter 11, Section 6 of the Rules Applying to
Dog Shows or Chapter 1, Section 16 of the Obedience Regulations. Make all checks payable to DOTC. Mail all entries with check
to: Carrie Reynolds, 1111 Wedgewood Ct., Decatur, IL 62526.
I ENCLOSE $___________.for entry fees
Please reserve a catalog for me ______ $3.00
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 (PLEASE PRINT)
BREED
DOG
SHOW
CLASS
ADDITIONAL CLASSES
VARIETY
SEX
CLASS
DIVISION
Weight, color, etc.
OBEDIENCE CLASS
RALLY CLASS
JR. SHOWMANSHIP
CLASS
(Jump Height)
NAME OF (See Back)
JUNIOR HANDLER (if any)
FULL
NAME
OF DOG
JR. HANDLER
NUMBER
INSTRUCTIONS
Enter number here
®
4.
 AKC REG NO.
 PAL Number
 ILP Number.
 FOREIGN REG NO & COUNTRY
 AKC Canine Partner Listing Number
DATE OF
BIRTH
PLACE OF
BIRTH
 USA
 Canada
 Foreign
BREEDER
DAM
3. (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.
ACTUAL OWNER(S)
(Please Print)
OWNER’S ADDRESS
CITY
(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).
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.
SIRE


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 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, REGULA-TIONS, PUBLISHED POLICIES AND
GUIDELINES.
STATE
ZIP
NAME OF OWNER’S AGENT
(IF ANY) AT THE SHOW
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
TELEPHONE#
E-MAIL Address (An acknowledgment or receipt of entry may be sent to this e-mail address):
4. 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
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.
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.
ADDRESS:
CITY
STATE
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?
OFFICIAL ENTRY FORM
Capitol Canine Training Club Inc. & Decatur Obedience Training Club
Orr Building, Illinois State Fairgrounds
Springfield, IL
Saturday Mar 28, 2015 & Sunday, Mar 29, 2015
DOTC Sat___ Obedience Trial #1 Event #2015139902 & _______#1 Rally Trial Event #2015139901
DOTC Sat___ Obedience Trial #2 Event #2015139906 & _______#2 Rally Trial Event #2015139907
CCTC Sun___ Obedience Trial Event #2015012403 & ______________Rally Trial Event #2015012402
Entry fee is $25 for the first entry and $18 for each additional entry of same dog. All AKC event services ($3 per entry) and
recording fees ($.50) are included in the entry fee. Entries close at 5 pm Wednesday, March 11, 2015 after which time entries
cannot be accepted, changed, cancelled, altered, or substituted, except under Chapter 11, Section 6 of the Rules Applying to
Dog Shows or Chapter 1, Section 16 of the Obedience Regulations. Make all checks payable to DOTC. Mail all entries with check
to: Carrie Reynolds, 1111 Wedgewood Ct., Decatur, IL 62526.
I ENCLOSE $___________.for entry fees
Please reserve a catalog for me ______ $3.00
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 (PLEASE PRINT)
BREED
DOG
SHOW
CLASS
ADDITIONAL CLASSES
VARIETY
SEX
CLASS
DIVISION
Weight, color, etc.
OBEDIENCE CLASS
RALLY CLASS
JR. SHOWMANSHIP
CLASS
(Jump Height)
NAME OF (See Back)
JUNIOR HANDLER (if any)
FULL
NAME
OF DOG
JR. HANDLER
NUMBER
Enter number here
®
 AKC REG NO.
 PAL Number
 ILP Number.
 FOREIGN REG NO & COUNTRY
 AKC Canine Partner Listing Number
INSTRUCTIONS
DATE OF
BIRTH
PLACE OF
BIRTH
5.
 USA
 Canada
 Foreign
BREEDER
DAM
ACTUAL OWNER(S)
3. (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.
(Please Print)
OWNER’S ADDRESS
CITY
(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).
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.
SIRE


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 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, REGULA-TIONS, PUBLISHED POLICIES AND
GUIDELINES.
STATE
ZIP
NAME OF OWNER’S AGENT
(IF ANY) AT THE SHOW
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
TELEPHONE#
E-MAIL Address (An acknowledgment or receipt of entry may be sent to this e-mail address):
4. 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
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.
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.
ADDRESS:
CITY
STATE
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 Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
This trial is accepting entries from mixed breed dogs. You must
be registered with AKC to enter.
To sign up or get more information go to:
www.akccaninepartners.org
Move ups will be allowed until 30 minutes before the first class
of the trial.
If you finished a title the previous weekend, please get the move
up to the trial secretary as soon as possible so it can get corrected
in the catalog.
Cjreynolds0211@yahoo.com