Janet Ripley, Tracking Secretary
18711 East Street
Westfield, Indiana 46074
Entries close at the Tracking Secretary’s residence at 3 pm, Thursday, October 22, 2015
after which time entries will not be accepted, canceled, altered or substituted, except as
provided for in Chapter 11, section 6 of the Dog Show Rules.
Events #: 2015155905
PREMIUM LIST
VST TRACKING TEST
(Unbenched – Outdoors)
White River Golden Retriever Club, Inc.
Westfield Washington Schools
322 West Main St., Westfield, Indiana 46074
SUNDAY, November 1, 2015
Test Hours: 7:00 A.M. to 8:00 P.M. – Local Time
Drawing for VST Tracks will be at 9:45 a.m.
Tracks will be run as soon as possible following their respective drawing.
Limited Entry
Variable Surface Tracking Test (VST) Test - 8
AMERICAN KENNEL CLUB CERTIFICATION
Permission is granted by the American Kennel Club for the holding of this event under
American Kennel Club rules and regulations.
James P. Crowley, Secretary
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
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 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
1. (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.
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.
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
CODE:__________________
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?
AEN999 (4/04)
Official American Kennel Club Entry Form
White River Golden Retriever Club, Inc. – (Events - #2015155905)
Westfield Washington Schools 322 West Main St. Westfield, Indiana 46074
Sunday, November 1, 2015
ENTRIES CLOSE: at the residence of Janet Ripley, THURSDAY, October 22, 2015 at 3 pm after which time entries
will not be accepted, canceled, altered or substituted, except as provided for in Chapter 11, section 6 of the Dog
Show Rules.
ENTRY FEES: $130.00 (for VST) (includes $.50 AKC recording fee & $1.50 AKC event service fee) Entry form must
be signed at the bottom by the owner or the owner’s duly authorized agent, otherwise entry cannot be accepted.
MAKE CHECKS and money orders payable to: White River Golden Retriever Club, Inc.
MAIL ENTRIES WITH FEES TO: Tracking Secretary – Janet Ripley, 18711 East St., Westfield, Indiana 46074.
ENTRIES WILL NOT BE ACCEPTED IF RECEIVED WITHOUT FEES I ENCLOSE $ ____________ for entry fees.
IMPORTANT – Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicates sections of the
instructions relevant to the information needed in that box. (PLEASE PRINT)
Breed
1
Dog Show Class 2 3
Tracking Classes (circle one)
VST
Sex
Variety
Obedience
Trial Class
Class Division (Weight, color,
etc.) 3
Jr. Showmanship
Class
Name of (See Back)
Junior Handler (if any)
Full Name
Of Dog
Enter Number Here
(
(
(
(
) AKC Reg No
) AKC Litter No
) ILP No
) Foreign Reg No & Country
Date of
Birth
Place of
Birth
( ) USA ( ) Canada
( ) Foreign
Breeder
Sire
Dam
Actual Owner(s) ____________________________________________________________
4
Owner’s Address ___________________________________________________________
City, State, Zip
Name of Owners 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 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.
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)
___________________________________________________________________________________________________________
OFFICERS
President.................................................................................................. Steve Ripley
First Vice-President .......................................................................... Beth McCormack
Treasurer ................................................................................................. Dave Larson
Secretary ................................................................................................. Laurie Beard
14826 Victory Ct, Carmel, IN 46032-5098 (317) 979-0675
TRACKING TEST COMMITTEE
Trial Secretary .......................................................................................... Janet Ripley
18711 East St., Westfield, IN 46074 (317) 896-2689 sripley2000@msn.com
Trial Chairperson ....................................................... Beth McCormack, Laurie Beard
And the Officers, Board of Directors and Members of White River Golden Retriever Club
Veterinarian On Call – Circle City Veterinary Clinic, 9650 Mayflower Park Dr.
Carmel, IN 46032
317-872-8387
JUDGES
Stephen L. Ripley, 4826
18711 East St.
Westfield, Indiana
(317) 896-2689
Ms. Terri Everwine #5671
219 Beaumont Lane
Barrington, IL 60010-4804
(847) 304-5757
Notice to Exhibitors
White River Golden Retriever Club assumes no responsibility for any loss, damage or injury
sustained by exhibitor, handlers or to any of their dogs or property and further assumes no
responsibility for injury to children not under the control of their parents or guardians. All dogs
must be on leash or crated at all times. (Reference AKC Tracking Regulations Chapter 1,
Section 17.)
The VST test is for dogs that have completed a TD or TDU Title. The VST test will be limited to (8)
Golden Retrievers. Note: if the limit for entries is not reached in Golden’s, other breeds may enter using
the following draw procedure. Draw (1) all Golden’s without a VST title; Draw (2) all Golden’s with a VST
title; Draw (3) all other breeds without a VST title; Draw (4) all other breeds with a VST title. An exhibitor
may enter more than one dog. There will be no actual scores for the VST Test, but the dog will be rated
“Passed” or “Failed” and a VST certificate will be issued by the American Kennel Club confirming all
dogs rated “Passed”.
Telegraph, telephone and unsigned entries cannot be accepted. Entries not on Official AKC Entry
Forms and photocopies of entry forms without Agreement and Rules on the reverse side of the Official
AKC Entry Form are NOT ACCEPTABLE.
Entry fee for the VST test is $130.00 (includes $0.50 for AKC recording fee and $1.50 for the AKC event
service fee) made payable to White River Golden Retriever Club in US funds. A recording fee of $0.50
and an event service fee of $1.50 will be required for each dog entered at any licensed or member club
show, or obedience trial, or tracking test. These fees are to be collected by the show-giving club and
paid to the American Kennel Club. .
AWARDS
Entries cannot be accepted, canceled, altered or substituted after the entries close with the Tracking
Secretary, Janet Ripley.
Every passing dog will be awarded a Rosette Ribbon.
The tracking test will be limited to 8 VST dogs.
MOTELS ACCEPTING DOGS
The following establishments have graciously agreed to accept guests with canine companions.
However, we must rely on YOU to keep this privilege available.
Red Roof Inn Indy North
9520 Valparaiso Ct.
Indianapolis, Indiana
317-872-3030
Pets Allowed - No Charge
Super 8
17070 Dragonfly Lane
Noblesville, Indiana
317-776-7088
$10 Pet Fee per Night
Quality Inn & Suites
16025 Prosperity Dr
Noblesville, Indina
317-770-6772
Bitches in season will be allowed to run in this test as allowed in AKC Tracking Rules, Chapter 2. In
accordance with the AKC Obedience Regulations (AKC Rules, Chapter 1, Section 26a) entries in this
VST test shall be accepted up until the official closing date, even though the advertised limit has been
reached.
The entry participation drawing will be held at the Tracking Secretary’s home on October 22, 2015 at
7:00 p.m. to determine which entries will participate in the tests. This drawing shall be conducted in
accord with the above procedure. When the advertised limited has been drawn, all remaining entries,
subject to the same preference set for above, shall be similarly drawn and assigned a position on the
alternate list. The Tracking Secretary shall then notify all entries of the results of the draw. No entry fee
will be refunded, except that of an alternate who does not participate and whose entry fee will be
refunded within 7 days following the test.
In the event an accepted entry is absent on the day of the test, it shall be the responsibility of the
Tracking Secretary to determine if alternates are present, and to determine, by the position on the
Alternate list, which of the alternates shall participate.
The assignment of dogs to the tracks, by the drawing of lots, is the responsibility of the judges.
Official American Kennel Club Entry Form
WHITE RIVER GOLDEN RETRIEVER CLUB – (Events - #2015155905)
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
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 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
1. (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.
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.
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
CODE:__________________
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?
AEN999 (4/04)
Westfield Washington Schools 322 West Main St. Westfield, Indiana 46074
Sunday, November 1, 2015
ENTRIES CLOSE: at the residence of Janet Ripley, Thursday, October 22, 2015, at 3 pm after which time entries
will not be accepted, canceled, altered or substituted, except as provided for in Chapter 11, section 6 of the Dog
Show Rules.
ENTRY FEES: $130.00 (for VST) (includes $.50 AKC recording fee & $1.50 AKC event service fee) Entry form must
be signed at the bottom by the owner or the owner’s duly authorized agent, otherwise entry cannot be accepted.
MAKE CHECKS and money orders payable to: White River Golden Retriever Club
MAIL ENTRIES WITH FEES TO: Tracking Secretary – Janet Ripley, 18711 East St., Westfield, IN 46074.
ENTRIES WILL NOT BE ACCEPTED IF RECEIVED WITHOUT FEES I ENCLOSE $ ____________ for entry fees.
IMPORTANT – Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicates sections of the
instructions relevant to the information needed in that box. (PLEASE PRINT)
Breed
1
Dog Show Class 2 3
Tracking Classes (circle one)
VST
Sex
Variety
Obedience
Trial Class
Class Division (Weight, color,
etc.) 3
Jr. Showmanship
Class
Name of (See Back)
Junior Handler (if any)
Full Name
Of Dog
Enter Number Here
(
(
(
(
) AKC Reg No
) AKC Litter No
) ILP No
) Foreign Reg No & Country
Date of
Birth
Place of
Birth
( ) USA ( ) Canada
( ) Foreign
Breeder
Sire
Dam
Actual Owner(s) ____________________________________________________________
4
Owner’s Address ___________________________________________________________
City, State, Zip
Name of Owners 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 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.
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)
___________________________________________________________________________________________________________