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OFFICIAL AMERICAN KENNEL CLUB ENTRY FORMSHOW HOURS EACH DAY * 6:00 AM TO 6:00 PM—EDTDogs are not required to be at the show until scheduled time of judging. All dogs not neededfor further judging will be excused.2 ALL– BREED DOG SHOWS—KOKOMO KENNEL CLUB**Saturday, May 22, 2021**Sunday, May 23, 2021SHOW GROUNDS WILL BE AVAILABLE TO EXHIBITORS FRIDAY, MAY 21, 2021 AFTER 1:30 P.M.ENTRY FEES FOR EACH DAY Limited to 1200 entries per dayNOTE: ENTRY FEES MUST BE RECEIVED FOR EACH ENTRY FOR EACH EVENT! IF FEES ARENOT RECEIVED FOR ONLY ONE EVENT, ONLY THE FIRST EVENT WILL BE PROCESSED.ENTRY FEE is 30.00 for the first entry of each dog for each event except Puppy Classeswhich are 24.00 for each event. Each additional Entry of the same dogs is 26.00 for eachevent. JUNIOR SHOWMANSHIP is 18.00 for each event if entered for “Junior ShowmanshipOnly” or if an Additional Entry is 15.00 for each event.Fees include the .50 AKC Recording Fee and the 3.00 AKC Event Service Fee on the first entry of adog and a 3.00 AKC Event Service for each additional entry of the same dog in the regular and nonregular recordable single-entry classes. (There is no recording fee or event fee for junior showmanship,sweepstakes, futurities, brace/team, multi-dog classes, or special attractions.)ENTRIES CLOSE at the Show Secretary’s Office (NOON) WEDNESDAY (EDT), May 5,2021, unless Limits have been reached Prior to this date, after which time Entries will Not beAccepted, Cancelled, Altered or Substituted, Except as Provided For In Chapter 11,Section 6 of the Dog Show Rules.MAKE CHECKS and Money Orders payable to Executive Dog Shows, LLC. (Returned CheckCharge 40.00). All Checks Must Have Show (s) & Breed (s) entered written on the face.THIRD PARTY CHECKS WILL NOT BE ACCEPTED! ALL ENTRIES MUST BE SUBMITTEDON OFFICIAL AKC ENTRY FORMS WITH BOTH SIDES, one dog per entry form.Photocopies of front & back will be accepted only if legible, and official AKC size.MAIL ENTRIES with Fees to Show Secretary, Executive dog Shows, LLC. , 1492 N.Thayer Rd., Lima, Ohio 45801. Entries should be mailed to: Executive Dog Shows,LLC., P.O. Box 478, Lima, Ohio 45801ENTRIES WILL NOT BE ACCEPTED WITHOUT SIGNATURE, FEES AND BACK ON ENTRY FORM WITH AGREEMENT, NOR WILL CREDIT CARDS BE ACCEPTED FOR MAILIN ENTRIES. ALL ENTRIES MUST BE SUBMITTED with checks drawn on U.S. Institution or with International Money Orders in U.S. Funds.ATTENTION OWNERS/EXHIBITORS OF FOREIGN REGISTERED DOGSIf you are the owner/exhibitor of a dog registered with a foreign registry (not yet dualregistered with AKC) please review the eligibility requirement in The Rules Applying to DogShows, Chapter 11, Section 1.The dog show rules are posted on the AKC Web site at ogs found in an unsafe environment, distress or harm’s way (for example left unattended on agrooming table in a noose not attached to a safety clip; left in a vehicle without proper ventilation)will be removed to safety. Exposing a dog to an unsafe environment, distress or harm’s way isconsidered mistreatment.”No dogs that are disqualified for aggression will be allowed to enter these Shows, nor be allowed to be on thegrounds. In addition, no aggression reinstatement procedures will be performed at these ShowsEXHIBITORS PLEASE NOTEExhibitors should follow their Veterinarians’ recommendation to assure their dogs are free of internal andexternal parasites, any communicable diseases, and have appropriate vaccinations.PLAN TO ATTEND * Same Location Independent Specialty Show without SweepstakesPoodle Club of Central Indiana, FRIDAY, May 21, 2021 Starting at 4:00 PM (EDT)Independent Concurrent Specialty Shows - Judge: Mrs. Angela Pickett (100269)Show Chairperson: Dan Kaufman Email: dkaufman1491@comcast.netGreater Indianapolis Brittany Club Saturday, May 22, 2021 & Sunday, May 23, 2021Executive Dog Shows is taking entries for The Greater Indianapolis Brittany Club ShowExecutive Dog Shows, LLC, Mail to: PO Box 478, Lima, OH 45801 (567) 289-3890Online Entries @ www.executivedogshows.com ENTRIES CLOSES May 5, 2021 at the office.2Kokomo Kennel Club, Sat., May 22,2021 & Sun., May 23,2021Event # 2021000201Event # 2021000203HOWARD COUNTY 4-H FAIRGROUNDS—610 E. Payton St., Greentown, IN 46936Entries close 12:00 P.M., Wednesday, May 5, 2021, or when the numerical limit has been reached,if reached prior to this date at the Show Secretary’s Office.Mail Entries with fees payable to Executive Dog Shows, LLC., PO Box 478, Lima, Ohio 45801I ENCLOSE . for entry fees (See page 5 for entry fees)IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of theinstructions relevant to the information needed in that box (PLEASE PRINT)VARIETY 1BREEDDOG 2 3SHOWCLASSADDITIONAL CLASSESSEXCLASS 3DIVISIONWeight, color, etc.OBEDIENCE CLASS (Jump Height) RALLY CLASS (Jump Height)JR. SHOWMANSHIPCLASSJR. HANDLERNUMBERNAME OF (see Back)JUNIOR HANDLER (if any)FULLNAMEOF DOGEnter number here AKC* NO. PAL/ILP NO. FOREIGN REG NO. & COUNTRYDATE OFBIRTHPLACE OFBIRTH(list country)BREEDERSIREDAMACTUAL OWNER (S)4(Please Print)OWNER’S ADDRESSCITY STATE ZIPNAME OF OWNER’S AGENT(IF ANY) AT THE SHOWOwner-Handled eligible?YesNoI 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 haveentered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of TheAmerican Kennel Club in effect at the time of this event, and by any additional rules and regulations appearing in the premiumlist for this event, and further agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certifyand represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on theforegoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules andRegulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. SIGNATURE of owner or his agentduly authorized to make this entryTELEPHONE#Check this box if you would like to receive confirmation & judging program by postal mail instead of email.E-MAIL Address (An acknowledgment or receipt of entry will be sent to this email address, postal mail by request):Mail Early-Entries Close Wednesday Noon (EST) , May 5, 2021

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Website, www.akc.orgAGREEMENTI (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deemsufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity tohave the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, theirmembers, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of thepremises and any provider of services that are necessary to hold this event and any employees or volunteers of theaforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injurywhich may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in orabout the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility andliability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim forloss, 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) byreason 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), oron account of damage to property, arising out of or in consequence of my (our) participation in this event, howeversuch, injuries, death or property damage may be caused, and whether or not the same may have been caused or maybe alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, orany other persons.I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF ORRELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THEAKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) ANDMYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THISAGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OFTHE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALLAPPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BEFOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS,PUBLISHED POLICIES AND GUIDELINES.INSTRUCTIONS1. (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 13in. 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 andRuby, 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 ofRecord and dogs which, according to their owners’ records, have completed the requirements for a championship, butwhose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to aperiod 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 aregistered dog has been acquired by a new owner it must be entered in the name of its new owner in any event for whichentries closed after the date of acquirement, regardless of whether the new owner has received the registration certificateindicating that the dog is recorded in his name. State on entry form whether transfer application has been mailed to theAKC. (For complete rules, refer to Chapter 11, Section 3.)5. Mixed Breed dogs entering classes for Agility, Obedience. and Rally trials should mark Breed as AKC Canine PartnersListed Dog “All American Dog/Mixed Breed.” Variety, Breeder, Sire, Dam information shall remain blank for mixed breedentrants.If this entry is for Junior Showmanship, please give the following information:JUNIOR SHOWMANSHIPJR.’S DATE OFAKC JUNIOR HANDLER NUMBERThe above number MUST be included. Should you not have your Junior Handler number, this may beobtained from the American Kennel Club. Phone: (919) 233-9767.By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act asan agent/handler for pay while continuing to compete in Junior Showmanship.ADDRESSCITY 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?30Kokomo Kennel Club, Sat., May 22,2021 & Sun., May 23,2021Officers of the Kokomo Kennel ClubPresident . James HuppVice President . .Ivan StatzerTreasurer. . .Andrea “Andy” ElledgeSecretary . .Andrea “Andy” Elledge1516 South P Street Elwood, IN 46036 765-425-5147 EMAIL: andreaeelledge@gmail.comBOARD OF DIRECTORSMary StatzerRob MyersSHOW COMMITTEEJames Hupp, Show Chairperson2811 S 344 E, Kokomo, IN 46902765-453-9264 (Cell) 765-776-2046JJHyorkie@aol.comJulie Howard, Assistant Show Chairperson1902 S. Bell St., Kokomo, IN 46902-2217 765-437-0075 Cell email: jonel2@comcast.netAll Officers of the Club and Members of the Board DirectorsCommitteesChief Ring Seward . . .Betty Jo BuckTrophies and Vendors .Julie HowardHospitality .Marian Cable & Rob MyersCatalog Sales . . Andrea Elledge & Rob MyersRV Parking . .Steve Feller4314 Opal Ct., Kokomo, IN. 46902(765) 453-7050 Steve110@earthlink.netCerf Clinic . .Mary Statzer & Natallie Littleton2811 S 344 E, Kokomo, IN. 46902JJHyorkie@aol.comGrounds . Ivan Statzer & Don VandercookLegislative Liaison . .Julie HowardFair Public Education Chairpersons . .Members of the Kokomo Kennel ClubClub Education James HuppMedical Greentown Fire Department on Call: Julie Howard MSN RN on siteOn Site AED at Show SecretaryPublic Education .Members of the Kokomo Kennel ClubThe Kokomo Kennel Club retains all rights to photograph or videotape by any means, andtelevise or reproduce these events in any way, now and in the futureEmergency Veterinarian—Available 24 hours a day.VCA Northwood Animal Hospital (765) 649-5218From the show site go South to US-35/E Main Street/IN-22—Turn left (heading East) towardsState Route 9 (39 Miles) Then turn right onto SE 00W/IN 9 (Heading South) Go 44 miles to3255 North State Road 9, Anderson, IN 46012Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of internal andexternal parasites, any communicable diseases, and have appropriate vaccinations.PHOTOGRAPHERSkibinski PhotographyRobert J. Skibinski, 10766 Hanley St., Crown Point, IN 46307(219) 662-7725 skibinski2@aol.com www.skibinskiphoto.com(Only the Official Photographer may take win photos in the ring or at their backdrop)Mail Early-Entries Close Wednesday Noon (EST) , May 5, 20213

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM2 ALL– BREED DOG SHOWS—KOKOMO KENNEL CLUB**Saturday, May 22, 2021Event # 2021000201**Sunday, May 23, 2021Event # 2021000203HOWARD COUNTY 4-H FAIRGROUNDS—610 E. Payton St., Greentown, IN 46936Entries close 12:00 (Noon) (EST), Wednesday, May 5, 2021, or when the numerical limit has been reached,if reached prior to this date at the Superintendent’s Office.Mail Entries with fees payable to Executive Dog Shows, LLC. PO Box 478, Lima, Ohio 45801As a courtesy to exhibitors, Show Chairman orPresident will not enter or handle dogs owned orco-owned by them at shows.I ENCLOSE . for entry fees (See page 5 for entry fees)IMPORTANT-Read Carefully Instructions on Reverse Side Before Filling Out. Numbers in the boxes indicate sections of theinstructions relevant to the information needed in that box (PLEASE PRINT)VARIETY 1BREEDSEXDOG 2 3SHOWCLASSADDITIONAL CLASSESCLASS 3DIVISIONWeight, color, etc.(Jump Height)RALLY CLASS (Jump Height)JR. SHOWMANSHIPCLASSJR. HANDLERNUMBERNAME OF (see Back)JUNIOR HANDLER (if any)FULLNAMEOF DOGEnter number here AKC* NO. PAL/ILP NO. FOREIGN REG NO. & COUNTRYDATE OFBIRTHPLACE OFBIRTH(list country)BREEDERSIREDAMACTUAL OWNER (S)(Please Print)OWNER’S ADDRESSSERVICES AND EQUIPMENTFURNISHED BY EXECUTIVE DOG SHOWS, LLC.Mailing Address for entries: PO Box 478, Lima, OH 45801Online entries: www.executivedogshows.comPhone (567) 289-3890Email: executivedogshows@yahoo.comDelivery Address: 1492 N. Thayer Rd., Lima, OH 45801Show Secretary- Deborah Cooper(312)-848-5527CITY STATE ZIPNAME OF OWNER’S AGENT(IF ANY) AT THE SHOWOwner-Handled eligible?YesNoI 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 haveentered above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of TheAmerican Kennel Club in effect at the time of this event, and by any additional rules and regulations appearing in the premiumlist for this event, and further agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certifyand represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on theforegoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules andRegulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. SIGNATURE of owner or his agentduly authorized to make this entryTELEPHONE#Deborah Cooper’s email: Cooper.deborahj@gmail.comCheck this box if you would like to receive confirmation & judging program by postal mail instead of email.E-MAIL Address (An acknowledgment or receipt of entry will be sent to this email address, postal mail by request):4Kokomo Kennel Club, Sat., May 22,2021 & Sun., May 23,2021Mail Early-Entries Close Wednesday Noon (EST) , May 5, 2021

Notice to ExhibitorsTelephone Entries and Unsigned Entries Cannot Be Accepted. Entries Not On Official AKC EntryForms and Photocopies of Entry Forms without Agreement and Rules on the reverse side of theOfficial AKC Entry Form are NOT ACCEPTABLE.Mail All Entries With Fees to Executive Dog Shows, LLC., PO Box 478, Lima, Ohio 45801Entries received without fees will not be accepted. Acknowledgement of entries will be made assoon as practicable after closing via mail or email. Should acknowledgement not be received by theexhibitor within a reasonable time. Please notify our office.Special Delivery & Overnight Delivery Mailing Address:Executive Dog Shows LLC 1492 N. Thayer Rd., Lima, Ohio 45801Online Entries accepted online at www.ExecutiveDogShows.com for entries made with MasterCard/Visa. A 3.00 charge will be added to each entry.No Faxed Entries AcceptedCANADIAN EXHIBITORS MUST SUBMIT ENTRIES WITH CHECKS DRAWN ON U.S. ACCOUNTS OR WITHINTERNATIONAL MONEY ORDERS IN U.S. FUNDS.A Recording Fee of 50 cents for each dog and an AKC Event Service Fee of 3.00 will be required foreach recordable single entry class at any Licensed or Member Club Show or Obedience Trial.(American Kennel Club Rule, Chapter 11, Section 2). A 3.50 AKC Recording Fee will be required forthe first entry in Rally and 3.00 for each additional entry in Rally. (American Kennel Club RallyRegulation, Chapter 1, Section 5). A 2.00 Event Service Fee will be required for each entry in 4-6Month Beginner Puppy. These Fees are paid to the American Kennel Club.RETURNED CHECKS / INVALID CREDIT CARDS do not constitute a valid entry. The Show Secretary willadd a collection fee of 25 to the amount of each returned check and credit card. Subsequentreturned checks and credit card from the same exhibitors may result in their being put on a cash-onlybasis.Entry Fee will not be refunded in the event that a dog is absent, disqualified, excused by Veterinarianor judge, or barred from competition by action of the Show Committee.No entry fees will be refunded if the Show cannot open or be completed by reason of riots, civil disturbances, fire, extreme and or dangerous weather conditions, an Act of God, public emergency, actof public enemy, strikes or any other cause beyond the control of the Club or the Superintendent.No Refund for Duplicate Entries. Every effort to find all duplicate entries will be made; however, ifentry has been processed, no refund will be made.Refunds made for cancellation of entries before the closing date will be subject to a 3.00 administrative/processing fee per entry.No Entry shall be made and no entry shall be accepted which specifies any conditions as to itsacceptance.Changes, additions or corrections to entry forms must be received in writing prior to close of entries.Those received by telephone are not acceptable.To find out about any AKC event cancellations, call the AKC Event Cancellation Hotline 877-252-3229.Dogs need be present only for scheduled judging and will be released if not needed for further judging. Dogs must be ready for judging. Neither the club nor the Show Secretary will be responsible orobligated to furnish any service for notifying exhibitors or their agents of Breed or Class judging.Judges need not wait for any dog holding up the class. Owners or agents alone are responsible forthe presence of their dogs in the judging rings.Exhibitors should follow their veterinarian’s recommendation to assure their dogs are free of internaland external parasites, any communicable diseases and have appropriate vaccinations.The show giving club, the Show Secretary, their agents, employees, etc., assume no responsibilityfor any loss, damage, or injury sustained by exhibitors or handlers to any of their dogs or property,and further assume no responsibility for injury to children.ENTRY FEES(Entry Fees Includes 3.00 AKC Event Service Fee Per Entry & .50 AKCRecording Fee on the first entry.First entry of a dog unless otherwise specified . 30.00Each Additional entry of the same dog . . 26.00Puppy (6-9 & 9-12) as a First entry . 24.00Junior Showmanship Only 18.00RV & CAMPING RESERVATIONSKokomo Kennel Club Back-to-Back ShowsSATURDAY, May 22, 2021 & SUNDAY, May 23, 2021Campsites are available with or without hookups for RV’s, Trailers & Tents. First come first serve basis.Sites will be approx. 20' x 40'; sites will be regulated. Self-contained RV’s and Trailers will be parked inspecific areas. “Day camping” will be charged for RV’s running off their own generators OR box trucksusing electricity for grooming. Most sites have 50- amp service; limited water hook-ups available so youwill have to share. There is a dump station on site; no charge.30 AMP SERVICE DOES NOT ALWAYS SUPPORT ELECTRIC HEATERS OR A/C UNITS.HANDICAPPED SITES AVAILABLE.And will be assisted by Steve Feller 765-453-7050."DAY GROOMING" IN DESIGNATED AREAS ONLY; YOU WILL PAY DAY CAMPINGRATE. 35.00/NIGHT WITH ELECTRIC HOOK-UP AND WATER 30.00/NIGHT WITH ELECTRIC HOOK-UP ONLY 20.00/NIGHT WITHOUT ELECTRIC HOOK-UP 15.00/DAY FOR "DAY"CAMPING NOTICE: ALL RV CAMPERS, BRING WOOD

ON OFFICIAL AKC ENTRY FORMS WITH BOTH SIDES, one dog per entry form. Photocopies of front & back will be accepted only if legible, and official AKC size. MAIL ENTRIES with Fees to Show Secretary, Executive dog Shows, LLC. , 1492 N. Thayer Rd., Lima, Ohio 45801. Entries should be mailed to: Executive