WIXLIB

ADDITIONAL EXHIBITOR INFORMATIONTARPS ARE TO BE USED UNDER ALL CRATES1. NO ALCOHOLIC BEVERAGES PERMITTED ON SHOW GROUNDS.2. All dogs must be on leash when not competing in the ring or at thepractice jump.3. Exhibitors, through submission of entry, acknowledge that they are familiar with AKC agilityrules and regulations and that their dogs are familiar with and able to perform all obstaclessafely.4. No entry fee will be refunded if the match cannot open or be completed by reason of riots,civil disturbances, fire, an act of God, public emergency, act of a public enemy, or anyother cause beyond the control of the organizing committee.5. Telegraph, telephone, email, AKC online entries, fax, and unsigned entries will not beaccepted.6. All refund requests received prior to the close of entries will be charged a 3.00 per dogprocessing fee. After closing, a refund of entries minus 5/dog/day for injured dogswill be granted when a veterinarian’s letter is presented as proof to the MatchSecretary prior to the start of the Match. Must use official Vet Letter Head. Refundsfor bitches in season pulled from the trial after the closing date will be charged a 5administrative fee and must provide a veterinarian’s letter as proof as stated forinjured dogs.7. All calls to the Match Secretary must be before 9PM Mon – Fri or 9am-9pm Sat / Sun.8. Entries not on official AKC entry forms or photocopies of entry forms without agreementand rules printed on the reverse side of the Official AKC Entry Form are NOT acceptableand will be returned!9. Postdated checks and returned checks do not constitute a valid entry fee. BVTC will add acollection fee of 30.00 to the amount of each returned check.10. Owners are responsible for errors in making out entry forms. Entry fees do not have to berefunded in event of such error.11. Exhibitors are responsible for cleaning up after their dogs at the show site. Failure to do sowill result in dismissal.12. Dogs may arrive any time prior to their scheduled time of judging. Dogs not required forfurther judging will be excused.13. Judges will not wait for any dog holding up the judging schedule. Owners or agents aloneare responsible for the presence of their dogs in the agility ring when they are called to bejudged.14. It is expressly understood that every dog and child at this Match are in the care, custodyand control of its owner, handler, or parent during the entire time the dog or child is on thetrial premises. Any exhibitor whose dog and/or child create unnecessary disturbances orrepeatedly engage in unsafe or disruptive behavior, may, at the discretion of the TrialCommittee, be asked to leave the show site. In such case, no refund of any fees will bemade.15. Neither HKC nor BVTC are responsible for the loss of, damage to, or death of any dogexhibited, or the possessions of any participant, whether the result of accident or any othercause.16. Declination of Entries: The HKC and BVTC may decline any entries for cause and mayrefuse to receive or may remove dogs on account of disease, viciousness or other causesand no one shall have any claim or recourse against the Northern Virginia Brittany Club orany official thereof.17. Match Secretary is not responsible for incorrectinformation on any entry. Match Secretary is notresponsible for entries or emails not received on time ornot received at all. It is the responsibility of theexhibitor to follow up on unanswered communicationwith the secretary.18. HKC/BVTC will have refunds at the match but if not they will be mailed after thematch.MOVE UPSPer American Kennel Club Regulations for Agility Trials, dogs may be moved up to a higher class, at therequest of the Owner, as a result of qualifying for an agility title.Before the Match, move-ups may be made prior to the move-up deadline via email totrialsec@ptd.net or USPS in writing to Kelly Radcliff at 730 Mt. Airy Rd., Lewisberry, PA 17339.Verbal move ups will not be accepted.Move ups are due in writing by Wednesday, September 2, 2015 at 6 PM.

AGREEMENTI (we) agree that the club holding this event has the right to refuse entry for cause which the club shall deem sufficient. Inconsideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judgedand 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 anyprovider 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 havebeen caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises orgrounds 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.OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRYFORMHarrisburg Kennel ClubOpens:8/5/15 @ 8AM EDT Closes 9/2/15 @ 6 PM EDTDay 1: September 3, 2015 STD JWWDaily Entry Fee per dog: 1st run 10; 2nd run 8; PLEASE LIST “HKC” ON THE ENVELOPEMake checks payable to: BVTC; Mail to: Kelly Radcliff 730 Mt. Airy Rd., Lewisberry, PAIMPORTANT: Carefully read instructions before filling out!17339ENTRY FEE ENCLOSEDChoose Either Regular OR Preferred ClassesCircle one jump height, and circle class selections :: Only one selection per class (STD, JWW,)REGULAR ClassesPREFERRED Classes8” 12” 16” 20” 24” 26”4”8”12” 16” 20”STDExc Master Open NoviceSTD ExcP MasterP OpenP NovicePJWWExc Master Open NoviceJWWExcP MasterP OpenP NovicePAdditionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend, and save the aforementionedparties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon anyof 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 inconsequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, andwhether or not the same may have been caused or may be alleged to have been caused by negligence of theaforementioned parties or any of their employees or agents, or any other persons.I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THEENTRY, 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 THECONSTRUCTION, INTREPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATIONPURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TOARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BEFOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIESAND GUIDELINES.INSTRUCTIONSHandlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than theirproper height division. Dogs entered in the Preferred classes must compete at the required jump height and may notcompete in a jump height division higher or lower than their proper height division.Non-Regular Classes International Sweepstakes STD JWW Select: 14” 18” 26”This Dog Needs To Be Measured Yes NoSEXHEIGHT AT WITHERSBREEDCALL NAMEVARIETYAKC NAME (INCLUDE AKC TITLES ONLY)AKC NO Enter Complete Registration # belowILP NO. PAL NO. FOREIGN REG. NO & COUNTRY DATE OF BIRTHPLACE OF BIRTH (LIST COUNTRY)BREEDERSIREDAMACTUAL OWNERSOWNERS ADDRESSCITY, STATE ZIP 4HANDLERENTER JR. HANDLER # if applicableExhibitor or owner MUST sign on the signature line beneath the instructions.AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org.All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must bemeasured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. Ifmeasured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only. If a measurement isnecessary, it is the exhibitor's responsibility to have their dog(s) measured prior to running.Dogs listed in the AKC Canine PartnersSM program may be eligible to enter all-breed AKC agility trials at the club’s option.These dogs should be listed as All American Dog and must include their AKC number on the entry form and check the AKCNo. box.Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your JuniorHandler number, it may be obtained from the American Kennel Club (919) 233-9767. If the Junior Handler is not the owner ofthe dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner?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 Ihave entered 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 thepremium 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 foracceptance on the forgoing representation and agreement. I (we) agree to conduct myself (ourselves) in accordance with allsuch Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accordwith them.SIGNATURE of owner or his agent duly authorized to make this entry.SIGN HERE XTelephone Number:Email Address: New EmailIn Case of Emergency - Name:Phone #:AEAGL2 (09/12)

Harrisburg Kennel Club (Licensed by the American Kennel) Thursday, September 3, . PA (717) 292-2918 Conewago Isle, 6220 Big Mount Road, Dover, PA (717) 292-1461 Additional accommodations: If the above accommodations don't meet your needs, www.petswelcome.com, . 2nd Place Brown Ribbon 3rd Place Lt Green Ribbon 4th Place Gray Ribbon