PREMIUM LIST
Mt. Nittany Dog Training Club
C/O Jennifer Eger
948 Bear Wallow Road
Duncansville, PA 16635
Mt. Nittany Dog Training Club
AKC Licensed Agility Trials
February 20, 21, 22 - 2009 - Random Draw
Penn State, Snider Agricultural Arena
400 Porter Road, University Park, PA 16802
Trial will be Indoors on Packed Dirt
Trial hours 7:00am to 7:00pm
INDOOR /all breeds/
Friday: EXCELLENT CLASSES ONLY
Saturday: ALL STD, JWW
Sunday: ALL STD, JWW
FAST CLASS NOT OFFERED
PROOF OF RABIES NEEDED FOR ENTRY – NO EXCEPTIONS
Limit : 330 Runs Each Day
Entries Open: December 13, 2008, 8:00 AM RANDOM DRAW METHOD
Draw Period Closes: January 2, 2009, 12:00 PM
Draw Date: January 3, 2009, 2:00 PM St. Paul Lutheran Church
Entries Close: January 24, 2009, 5:00 PM at the Trial Secretary’s home, after
which time entries cannot be accepted, cancelled, or submitted except as
provided for in Chapter 14, Section 6 of the Dog Show Rules.
FRI: 10:45 AM Judges Briefing/Walk thrus – Judging Starts 11:00 AM
SAT, SUN: 8:15 AM Judges Briefing/Walk thrus - Judging Starts 8:30 AM
ENTRY FEES
The entry fees are $22 for the first class and $11 second entry same dog same day (includes AKC
recording fee - $3 per entry.) All express mail must be marked “NO SIGNATURE REQUIRED”.
Maximum of ten entries per envelope.
Event # 2009219101
Event # 2009219102
Event # 2009219103
American Kennel Club Certification
Permission is granted by the American Kennel Club for holding this event under
American Kennel Club Rules and Regulations. James P. Crowley, Secretary
OFFICERS OF THE MT NITTANY DOG TRAINING CLUB
P.O. Box 315, Boalsburg, PA 16827
President: Craig Bohren: PO Box 887, Boalsburg, PA 16827 (814) 466-6264
Vice Pres.: Kim Blyler: PO Box 32, Millmont, PA 17845 (570) 922-4114
Secretary: Laura Kuterbach: 1361 Valley View Road, Bellefonte PA 16823 (814) 3554605
Treasurer: Kathy Huey: 145 Huey Lane, Spring Mills, PA 16875 (814) 364-1296
TRIAL SECRETARY
Jennifer Eger
948 Bear Wallow Road
Duncansville, PA 16635
(814) 696-0774
agilitysecretary@atlanticbb.net
TRIAL CHAIR
Trish Alexander
1806 Upper Brush Valley Road
Centre Hall, PA 16828
814-364-1467
talexander@psu.edu
VOLUNTEER FORM
We need your help to continue the success of our trials. If you can
volunteer and are experienced in any of the following positions, please
fill out the form below and send it in with your entry forms.
Name:
Phone:
E-MAIL:
Assistant Secretary
Howard Etzel
BOARD OF DIRECTORS:
Tracey Dooms, Roberta Horner, Mark McBride, Trish Alexander
AGILITY TRIAL COMMITTEE
Trish Alexander, Jen Dreese, Elaine Swancer, Kathy Huey and Tracey Dooms
JUDGE:
Jacqueline M. O’Neill: 110 Sherwood Drive, Bloomsburg, PA 17815-3072
JUDGE:
Jacqueline
O’Neill
Friday
STD – Excellent
JWW - Excellent
Saturday
JWW – Exc, Open,
Novice
STD – Exc, Open,
Novice
Sunday
STD – Exc, Open,
Novice
JWW – Exc, Open,
Novice
VETERINARIAN ON CALL:
Centre Animal Hospital
1518 West College Avenue
State College, PA 16801
814-238-5100
Visit our club’s website for trial information:
www.mndtc.org
Please list each class you are entered in :
CLASS
LEVEL
Ex, Op, Nov
DAYS
ENTERED
FRI SAT SUN
JUMP HEIGHT
4
8
12
16
20
24
26
FRI SAT SUN
4
8
12
16
20
24
26
STD
JWW
Please check which jobs you have experience in and are willing to help with:
Job Description
SCRIBE
ASSISTANT SCRIBE
TIMER
GATE STEWARD
RING CREW
COURSE BUILDER
LEASH RUNNER
SCORE SHEET RUNNER
SET-UP
CLEAN-UP
OTHER (please specify)
Experienced
Willing To Learn
Thank you to all who have volunteered their time to help our trial run efficiently.
Worker questions contact Kathy Huey
kxhuey@yahoo.com
Accommodations
Refunds
Hotels:
Days Inn Penn State – 240 S Pugh St, State College, PA 16801 (814) 238-8454
Selgate House Bed & Breakfast – 176 Armagast Rd., Bellefonte, PA 16823 (814) 3531102, (877) 313-1102
Super 8—1663 S. Atherton and Branch Rd. (Business Rte. 322), State College, PA
16801 (814) 237-8005.
Autoport Motel – 1405 S. Atherton St. (Business Rte. 322), State College, PA 16801
(814) 237-7666
Motel 6—1274 N. Atherton (Business Rte. 322), State College, PA 16801 (814) 2341600
Nittany Budget Motel – 2070 Cato Avenue, State College, PA 16801
(814) 238-0015
Holiday Inn Milesburg 971 North Eagle Valley Rd., Milesburg PA 16853
(814) 355-7521
BOOK EARLY AS THERE MAY BE OTHER EVENTS IN AREA
DUE TO ACTIVITIES OF PENN STATE UNIVERSITY.
No entry fees will be refunded if the trial cannot open or be completed by reasons of
riots, civil disturbance, fire, act of God, public emergency, act of a public enemy, or any
other causes beyond the control of the organizing committee. Entry fees shall not be
refunded in the event that a dog is absent, disqualified or excused by a judge, or barred
from competition by action of the Trial Committee.
No overnight camping on site. All RVs must be moved off site each evening.
Random Draw
Entries accepted no sooner than December 13, 2008 at 8 a.m.; finish date for
entry into the random draw opening period is January 2, 2009 at 12:00 p.m.
Random draw will be held on January 3, 2009 at 2 p.m., at the St. Paul
Lutheran Church, 277 W. Pine Grove Road, Pine Grove Mills, PA 16868.
Entries close January 24, 2009 at 5 p.m. If entry limits are not reached during
the opening period, they will be filled on a “first received” basis until the closing
date.
Entries for a maximum of ten (10) dogs are allowed in each envelope
submitted to the Trial Secretary for the random draw. Envelopes containing
entries for more than 10 dogs shall be treated as an invalid entry and will be
returned.
In the event an envelope is drawn that contains entries that would exceed the
entry limit, there will be a random draw of the individual entries contained
therein to fill the specified entry limit.
If the entry limit is reached during the draw, all remaining entries shall be drawn
for a position on the waitlist.
All Random Draw rules and regulations as they appear in Chapter 1, Section
16 of the Regulations for Agility Trials shall apply.
REFUNDS FOR BITCHES IN SEASON OR INJURED DOGS OR HANDLERS,
Less $6.75 per run, will be given. Request must be submitted to trial secretary
one half (½) hour or more prior to judging. A written physician excuse or vet
excuse on official letterhead will be the only acceptable method.
CLASSES AND DIVISIONS
CLASS
REGULAR
PREFERRED
STANDARD
Novice A & B, Open, Exc A & B
Novice, Open, Exc A & B
JUMPERS WITH WEAVES
Novice A & B, Open, Exc A & B
Novice, Open, Exc A & B
Please see the AKC Regulations for Agility Trials for current class descriptions. Dogs
must be entered only in Regular Classes or Preferred Classes with no crossover
between them allowed at the same set of trials.
FOR MORE INFORMATION ABOUT CLASSES, RULES ETC.:
GO TO: http://www.akc.org/pdfs/rulebooks/REAGIL.pdf
HEIGHT DIVISIONS
Owners / Agents are responsible for entering the proper height divisions. All Height
divisions will be offered in both the Standard classes and the Jumpers With Weaves
classes.
Regular Exhibitors may choose to enter their dog in a higher height division than
required by AKC, but not in a height division lower than the AKC mandated height.
Preferred The following jump heights specified for Preferred must be used in all
Preferred Classes.
Dogs 11 inches and under at the withers
Dogs 14 inches and under at the withers
Dogs 18 inches and under at the withers
Dogs 22 inches and under at the withers
Dogs over 22 inches at the withers
Dogs may be entered at owner discretion
Regular
8 inches
12 inches
16 inches
20 inches
24 inches
26 inches
Preferred
4 inches
8 inches
12 inches
16 inches
20 inches
There will be NO contact familiarization for Novice classes
VENDORS:
Contact Jen Dreese,
717-543-5693 aglpbgv@hughes.net
RING SIZE
75’ X 110’
PRIZES
We give ribbons for placements, MACH, PAX, new titles, and qualifying runs. Those
placing MUST earn qualifying scores.
Move up Regulations
If a dog earns an agility title before this event, it can be advanced to the next level of
competition. However, written notice (Email preferred) MUST be given to the Trial
Secretary no later than 6PM, the Monday BEFORE the trial. Move-ups will be added to
the end of the running order of the class they move up to and every effort will be made
to accommodate handlers running multiple dogs in the same class. Day to Day moveups will be accepted. Mail or E-Mail Move-Ups to:
TRIAL SECRETARY: Jennifer Eger, 948 Bear Wallow Road, Duncansville, PA 16635.
(814) 696-0774
EMAIL (preferred): agilitysecretary@atlanticbb.net
Agility Trial Move-UP
PLEASE MOVE-UP TO :
STD:
Open
Excellent A
Excellent B
Preferred
JWW:
Open
Excellent A
Excellent B
Preferred
8”
DAYS ENTERED:
12”
16”
SAT ____
20”
NOTE TO EXHIBITORS:
Exhibitors should follow their veterinarians’ recommendation to assure their
dogs are free of internal and external parasites, any communicable diseases,
and have appropriate vaccinations.
NOTICE TO DOG OWNERS/EXHIBITORS
OWNER:
Jump Height division: 4”
RULES AND REGULATIONS
Obstacles used by the Mt. Nittany Dog Training Club meet the specifications in
the current edition of Regulations for Agility Trials.
FOOD AVAILABLE ON SITE SATURDAY AND SUNDAY
Use this form to move up to a higher agility class only
CALL NAME:
Dogs Eligible to Enter
This trial is open to all dogs age 15 months or older that are registered with the
AKC, have AKC Limited Registration, Indefinite Listing Privilege (ILP), or are
approved Foundation Stock Service (FSS) breeds. For further information on
eligibility, refer to Rules and Regulation for Agility Trials and Rules Applying to
Dog Shows.
24”
From the South: Use Interstate 83 or 81 to get to Harrisburg. Take Rt. 322 West toward State
College. Exit at the Innovation Park/Penn State Univ. Exit. Make a right onto Park Avenue, Ag
Arena is located on the right just before the third stop light. Look for sign.
SUN____
From Interstate 80, Exit 161: Take Rt. 26/Rt. 220 South towards Bellefonte/State College. Stay on
Rt. 220 South at Exit 81. Take Exit 74 Innovation Park/Penn State Univ. Stay in Left Lane for
PSU/Beaver Stadium. This lane becomes Park Avenue. Ag Arena is located on the right just
before the fourth stop light. Look for sign.
Dogs AKC Registered Name:
AKC / ILP Reg. No.
Handlers Name (if different from owner):
Date:
Signature of owner or agent duly authorized to make this entry)
WORKER VOLUNTEERS
Thank you to all the people who have sent in volunteer forms to help us run the
trials successfully. Without volunteers we would not be able to continue to hold
these events.
Directions to Trial Site
26”
Signature:
Exhibitors MUST respect the property of any accommodations listed in this
premium or any others used by exhibitors during these trials. Any damage to a
Hotel/Motel may result in an Event Committee Hearing.
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY
Mt. Nittany Dog Training Club @ PSU Snider Ag Arena,
State College, PA
Day of Week
Friday – Exc Only
Saturday
Sunday
Actual Date
February 20, 2009
February 21, 2009
February 22, 2009
STD
JWW
Entry fees (includes AKC recording fee - $3 per entry): $22 first entry / $11.00
each additional entry of same dog/day. Make Checks Payable to: MNDTC
Mail to Trial Sec.: Jennifer Eger, 948 Bear Wallow Road, Duncansville, PA 16635
Express Mail must waive signatures. $36 fee for returned checks.
BREED
VARIETY(1)
Regular Standard Class (Circle One)
Nov A Nov B Open Ex A Ex B
Preferred Standard Class (Circle One)
Nov P
Open P Ex AP Ex BP
SEX
HT AT WITHERS
Regular Jumpers w/Weaves (Circle One)
Nov A Nov B Open Ex A Ex B
Preferred Jumpers w/Weaves (Circle One)
Nov P
Open P Ex AP Ex BP
NOV-A
NOV-P
JUMP HEIGHT (circle one)
NOV-B OPEN EXC-A EXC-B
OPEN-P
EXC-AP EXC-BP
NON-REGULAR AGILITY CLASSES: IF OFFERED INTERNATIONAL SWEEPSTAKES
CLASS
STD
Preferred Jump Ht (Circle One)
4” 8” 12” 16” 20”
FAST CLASS: (effective. 01/01/07) NOT OFFERED (circle one)
REGULAR:
PREFERRED:
Regular Jump Ht (Circle One)
8” 12” 16” 20” 24”” 26”
8 12 16 20 24 26
4 8 12 16 20
ISC Jump Ht (Circle One if class is offered)
JWW
14” 18” 26”
AKC Registered Name (Include AKC title only
Enter Number Here
CALL NAME
DATE OF BIRTH
AKC Junior Handler #
AKC REG NO.
.
AKC LITTER NO .
ILP NO.
FOREIGN REG NO. & COUNTRY
Breeder
PLACE OF BIRTH
USA
CANADA
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.
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, and Agility Field Representative, or a Volunteer Measuring Official, prior to running. The
Judge's 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.
ACTUAL OWNERS
OWNERS ADDRESS
JUNIOR HANDLER If this entry is for Junior Showmanship, please give the following:
AKC JUNIOR HANDLER NUMBER
JR’S DATE OF BIRTH
__ __ __ __ __ __ __ __ __ __ __ __ __/ __ __/__ __
CITY, STATE & ZIP + 4
FEE ENCLOSED
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
agility trial, and by any additional rules and regulations appearing in the premium list for this agility trial, 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, Parent or Guardian Signature if duly authorized to make this entry Owner is Under 18
____________________________________________________________________________________
E-Mail
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.
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.
Dam
TELEPHONE NUMBER (Include Area Code)
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.
FOREIGN
Sire
HANDLER
Single copies of the latest edition of the “Rules Applying to Dog Shows/Registration and Discipline”, “Agility
Regulations” and “Obedience Regulations” may be obtained WITHOUT CHARGE from any Superintendent at shows
they are superintending or from THE AMERICAN KENNEL CLUB, 5580 CENTERVIEW DRIVE, SUITE 200,
RALEIGH, NC 27606-3390.
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
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.
Name of Jr Handler _________________________________________________________________
ADDRESS _____________________________________________________________
CITY________________________________STATE_________ ZIP ______________
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?________________________________________________
THIS FORM IS VALID FOR ALL AGILITY TRIALS HELD ON OR AFTER JANUARY 1, 2007.
AEAGL2 – 01/01/07 (03/06)
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY
Mt. Nittany Dog Training Club @ PSU Snider Ag Arena,
State College, PA
Day of Week
Friday – Exc Only
Saturday
Sunday
Actual Date
February 20, 2009
February 21, 2009
February 22, 2009
STD
JWW
Entry fees (includes AKC recording fee - $3 per entry): $22 first entry / $11.00
each additional entry of same dog/day. Make Checks Payable to: MNDTC
Mail to Trial Sec.: Jennifer Eger, 948 Bear Wallow Road, Duncansville, PA 16635
Express Mail must waive signatures. $36 fee for returned checks.
BREED
VARIETY(1)
Regular Standard Class (Circle One)
Nov A Nov B Open Ex A Ex B
Preferred Standard Class (Circle One)
Nov P
Open P Ex AP Ex BP
SEX
HT AT WITHERS
Regular Jumpers w/Weaves (Circle One)
Nov A Nov B Open Ex A Ex B
Preferred Jumpers w/Weaves (Circle One)
Nov P
Open P Ex AP Ex BP
NOV-A
NOV-P
JUMP HEIGHT (circle one)
NOV-B OPEN EXC-A EXC-B
OPEN-P
EXC-AP EXC-BP
NON-REGULAR AGILITY CLASSES: IF OFFERED INTERNATIONAL SWEEPSTAKES
CLASS
STD
Preferred Jump Ht (Circle One)
4” 8” 12” 16” 20”
FAST CLASS: (effective. 01/01/07) NOT OFFERED (circle one)
REGULAR:
PREFERRED:
Regular Jump Ht (Circle One)
8” 12” 16” 20” 24”” 26”
8 12 16 20 24 26
4 8 12 16 20
ISC Jump Ht (Circle One if class is offered)
JWW
14” 18” 26”
AKC Registered Name (Include AKC title only
Enter Number Here
CALL NAME
DATE OF BIRTH
AKC Junior Handler #
AKC REG NO.
.
AKC LITTER NO .
ILP NO.
FOREIGN REG NO. & COUNTRY
Breeder
CANADA
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, 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.
PLACE OF BIRTH
USA
Single copies of the latest edition of the “Rules Applying to Dog Shows/Registration and Discipline”, “Agility
Regulations” and “Obedience Regulations” may be obtained WITHOUT CHARGE from any Superintendent at shows
they are superintending or from THE AMERICAN KENNEL CLUB, 5580 CENTERVIEW DRIVE, SUITE 200,
RALEIGH, NC 27606-3390.
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
FOREIGN
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.
Sire
Dam
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, and Agility Field Representative, or a Volunteer Measuring Official, prior to running. The
Judge's 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.
ACTUAL OWNERS
OWNERS ADDRESS
JUNIOR HANDLER If this entry is for Junior Showmanship, please give the following:
AKC JUNIOR HANDLER NUMBER
JR’S DATE OF BIRTH
__ __ __ __ __ __ __ __ __ __ __ __ __/ __ __/__ __
CITY, STATE & ZIP + 4
HANDLER
FEE ENCLOSED
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
agility trial, and by any additional rules and regulations appearing in the premium list for this agility trial, 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, Parent or Guardian Signature if duly authorized to make this entry Owner is Under 18
____________________________________________________________________________________
TELEPHONE NUMBER (Include Area Code)
E-Mail
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.
Name of Jr Handler _________________________________________________________________
ADDRESS _____________________________________________________________
CITY________________________________STATE_________ ZIP ______________
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?________________________________________________
This form is valid for all agility trials held on or after January 1, 2007.
AEAGL2 – 01/01/07 (03/06)
Proof of Rabies Vaccination
Please submit this form with entry(ies) and Copy of Rabies
Certificate
Name: ________________________________________________________________
Address: ______________________________________________________________
______________________________________________________________
Telephone Number: ______________________________________________________
______________________________________________
Dog’s Name
_______________
Cert. Exp. Date
______________________________________________
Dog’s Name
_______________
Cert. Exp. Date
______________________________________________
Dog’s Name
_______________
Cert. Exp. Date
I/We hereby certify that the information provided above is accurate and
may be verified by the attached certificate.
________________________________________________
Signature
If the Rabies Certificate expires between the opening date and the date
of the trial, you may mail your new certificate as soon as it is received.
This will avoid any delays on the morning of the trial.
Thank you for your cooperation in this matter.