Premium List - Tibetan Terrier Club of America

TTCA
℅ Kathleen Rupprecht
710 Springfield Ave.
Cranford, NJ 07016-1815
PLEASE RUSH - DATED MATERIAL
FIRST CLASS
ENTRIES OPEN: March 18, 2015 at 8:00 AM EDT
At 710 Springfield Ave., Cranford, NJ 07016-1815
Early entries will be accepted
ENTRIES CLOSE: April 22, 2015 at 12 PM EDT
MOVE-UPS CLOSE: May 11, 2015 at 6 PM EDT
Method of Entry is First Received.
Premium List
AKC Agility Trial
Event #2015146705
Member of the American Kennel Club, Inc.
TIBETAN TERRIER CLUB of AMERICA
AGILITY TRIAL
Monday, May 18, 2015
SureFire Dogs Training Center
57 Brigham Street
Westborough, MA
ENTRIES ARE LIMITED TO Tibetan Terriers
No limit on Tibetan Terrier entries
Show Hours: 7:30 a.m. to 3:00 p.m.
Trial will be held indoors on rubber mats - Ring Size 90’ x 90’
Measuring of Dogs will begin at 8:15 a.m.
Judges’ Briefing will begin at 8:40 a.m. - Judging will commence at 9:00 a.m.
American Kennel Club Certification
Permission has been granted by the American Kennel Club for
Kennel Club for holding this event under American Kennel Club
Kennel Club Rules and Regulations.
James P. Crowley, Secretary
VOLUNTEER WORKER FORM
Officers and Directors of the Tibetan Terrier Club of America
President: Ron Pankiewicz, 1645 Seaks Run Road, Glen Rock PA 17237
First VP: Betsy Richards
Second VP: Florence Barczewski
Treasurer: Gale Mattison, 12 Sandhurst Dr., West Hartford, CT 06107
Cor. Secretary: Janet Slothower, 7172 Goldview Dr., Aiken, SC 29801
Rec. Secretary: Sharon Hurd
AKC Delegate: Stacy LaForge, 87 Pleasantview Ave., New Providence, NJ 07974
Directors: Claire Coppola, Paul Douglass, Sheryl Getman, David Murray, Rob Smith
Trial Chairperson
Trial Secretary
Joyce Lak
140 Coles Meadow Rd.
Northampton, MA 01060
413-584-0330
[email protected]
Kathleen M. Rupprecht
710 Springfield Ave.
Cranford, NJ 07016-1815
908-875-3397
[email protected]
Trial Committee
Devon Cody Powers
Flossie Barczewski
Kathleen Rupprecht
Volunteers will be needed for the smooth running of this trial. To volunteer
to help, please fill out the form below and return with your entry to Kathleen
Rupprecht, 710 Springfield Ave., Cranford, NJ 07016-1815.
Volunteer
workers will be gratefully appreciated. We will contact you to confirm your
work assignments as far in advance of the trial as possible.
Name: __________________________________________________________
Phone: _________________
Email: _________________________________
I can help with the following jobs:
I am running in the following classes:
___ Course Builder
___ Gate Steward
___ Ring Steward
___ Timer
___ Scribe
___ Score Runner
___ Leash Runner
___ Novice Standard
___ Open Standard
___ Excellent Standard
___ Novice JWW
___ Open JWW
___ Excellent JWW
___ T2B
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
AGILITY TRIAL -- MOVE-UP
Tibetan Terrier Club of America
May 18, 2015
Debbie Griffiths
Gerald Gross
Joyce Lak
Judge (all classes)
Christie Lee McNamara # 34585
28 Brookside Dr
Wilbraham, MA 01095-2121
Trial Veterinarian On Call
MOVE-UPS close on Tuesday May 11, 2015, at 6:00 PM EDT
Mail form to Kathleen Rupprecht, 710 Springfield Ave., Cranford, NJ 07016-1815
AKC REGISTERED NAME (INCLUDE AKC TITLES ONLY)
AKC REG NO
DATE
OF
Westford Veterinary Emergency Referral Center, LLC
11 Cornerstone Sq., Westford, MA 01886 (978) 577-6463
DIRECTIONS: Go Northeast on Adams Place toward Massachusetts Ave. Turn left onto
Massachusetts Ave. Merge onto I-495 N toward Lowell/Lawrence. Take the Boston
Road Exit, Exit 32, toward Westford.
Merge onto Boston Road toward MA
225/Nashoba Valley Tech HS. Turn right onto Littleton Road. Take first right onto
Cornerstone Sq. The Emergency Center is on left. (Distance approximately 10 miles
from show site).
CALL NAME
BIRTH
MOVE STANDARD ENTRY TO: OPEN
MOVE JWW ENTRY TO:
OPEN
EXCELLENT
EXCELLENT
MASTER
MASTER
ACTUAL OWNER(S)
SIGNATURE OF OWNER OR HIS AGENT DULY
PARENT OR GUARDIAN SIGNATURE
AUTHORIZED TO MAKE THIS ENTRY
IF OWNER IS UNDER 18
X
X
For Trial Secretary Use Only:
APPROVED:
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
Notice to Exhibitors
The safety of the dogs is our primary concern. By entering these trials, exhibitors acknowledge
that they are familiar with the rules and regulations of this sport and that their dogs are familiar
with and able to perform all obstacles safely.
Entry fees will not be refunded in the event that a dog is absent, disqualified, excused, or barred
from competition by action of the Trial Committees. Refunds are allowed if requested before
the closing date. Refunds after closing date for bitches in season only. ALL REFUNDS
MUST INCLUDE OWNERS NAME AND MAILING ADDRESS WITH REQUEST.
Entry fees will not be refunded if the trials cannot be opened or completed by reason of riots, civil
disturbance, fire, an act of God, public emergency, an act of a public enemy, or any other
cause beyond the control of the organizing committee.
Since bitches in season are not allowed to compete in AKC Agility Trials, or be on the show
grounds, the TTCA will refund all but $5.00 of the entry fee for bitches unable to compete for
that reason. The Trial Secretary must receive a veterinarian certificate of such a claim before
the start of judging for the trial to be eligible for refund.
It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or
children. Any exhibitor whose dogs and/or children create unnecessary disturbances or
repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial
Committees, be asked to leave the trial site. In such case, no refund of any fees paid will be
made.
All dogs must be on leash or crated at all times except when in the ring or when in the designated
agility warm-up area.
Exhibitors are responsible for being at the ring gate when it is their turn to run. The judge need not
wait for any dog holding up a class. TTCA has no obligation or responsibility for providing
service through a public address system or steward for the purpose of calling or locating dogs
that are not brought to the ring when required.
Entries must be made on Official AKC Entry Forms or copies and must include the Agreement and
Rules. Junior Handlers must complete back of form. Include only AKC titles on entries. CGC
is not an AKC title.
Returned checks do not constitute a valid entry fee. A charge of $25.00 will be made for each
returned check.
Owners are responsible for errors in making out entry forms, whoever may have made such errors.
No entry will be refunded in the event of such errors or in the event of cancellation of entries
after the published closing date. Errors in entries made by the exhibitor cannot be
corrected after the closing date. No refunds for duplicate entries.
Dogs under 4 months of age are not permitted on the show grounds of AKC Agility Trials.
Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of
internal and external parasites, any communicable diseases, and have appropriate
vaccinations.
Hotel Information
The Host Hotel for the TTCA National Specialty is: Holiday Inn Boxborough, 242 Adams
Place, Boxborough, MA 01719. Telephone: (978) 263-8701
Directions to Sure Fire
From Holiday Inn Boxborough, 242 Adams Place, Boxborough, MA 01719: Take I-495
South to Exit 23B, Route 9 West. Once on Rt. 9 go 1.7 miles to Rt. 30 West (exit on right) in .1
mile turn right onto Rt. 30. Go straight on Rt. 30 1.5 miles. At second set of lights turn left into
Bay State Commons. Follow the access road through the shopping center, staying to the left for
.4 miles. Keep Stein Mart on your right and follow the road behind Stein Mart. Turn left onto
Brigham St., * a gravel road, follow for .2 miles, turn right into the parking lot and our building
will be on your left side. Do not drive past the building. SureFire Dogs entrance is on your left
towards the end of the building.
FROM MASS PIKE traveling EAST: Take Exit 11 Route 122 Millbury. After paying toll, go right
off the exit ramp on 122 South for 1.5 miles. Take a left on Bridge St. Rt. 30 East go .1 mile. At
lights, take left following Rt. 30 East for .2 mile. At first light, go right following Rt. 30 East for 6
miles into the Westborough rotary. Take the second right out of the rotary onto Brigham Street.
Continue on Brigham St. for .7 miles, * follow directions above
FROM 135 North: Follow 135 North into the Westborough rotary. Take the first right out of the
rotary onto Brigham Street. Continue on Brigham St. for .7 miles, * follow directions above.
FROM 30 East: Follow 30 East into the Westborough rotary. Take the second right out of the
rotary onto Brigham Street. Continue on Brigham St. for .7 miles, * follow directions above.
SITE INFORMATION
Mats must be placed under all crates in the crating area. No ex-pens allowed. Dogs must be
exercised in designated areas. NO RV PARKING.
No practicing in the rings is allowed at anytime. ALL DOGS MUST BE ON LEASH AT ALL
TIMES EXCEPT WHEN IN THE RING OR IN THE DESIGNATED WARM-UP AREA.
PLEASE ADHERE TO ALL PARKING SIGNS AND INSTRUCTIONS FROM PARKING
ATTENDANT. BUILDING WILL OPEN AT 7:30 A.M.
Dogs Eligible to Enter
This trial is open to Tibetan Terriers over the age of 15 months that are registered with the
American Kennel Club or that have Limited Registration or ILP numbers, except bitches in
season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may
affect a dog’s physical or mental performance.
Obstacles
Obstacles shall meet the specifications for obstacles in the current edition of the Regulations for
Agility Trials.
Course Familiarization
Handlers in all classes are permitted to walk the course, without a dog prior to the start of the
class to plan their running strategy. A warm-up area consisting of a regulation jump shall be
provided for all exhibitors. Exhibitors may not use the warm up area to relieve their dogs.
Trial Information
Prizes and Awards
Rosettes will be awarded to First Place through Fourth Place in each jump height in each class.
Qualifying rosettes will be awarded to all dogs receiving qualifying scores. Dogs must qualify to
receive placement rosettes.
First Place
Second Place
Third Place
Fourth Place
Qualifying
Blue Rosette
Red Rosette
Yellow Rosette
White Rosette
Dark Green Rosette
MACH, PACH and PAX Bars will be provided for competitors earning those titles
Fleece Toy Tugs will be given to all participants by Flossie Barczewski, Sally Birgl, Joanne Gatzen,
Judith Lak, & Devon Powers
A rosette will be given to all agility participants by Debbie Griffiths, Ring Brook Tibetan Terriers.
First through Fourth Place in each Standard and JWW Titling Class will be given Braided Tug Toys
offered by the General Trophy Fund.
First Place in Each Time 2 Beat (T2B) Titling Class will be given Braided Tug Toys offered by the
General Trophy Fund.
Clean Run, LLC, has donated a $25.00 Gift Certificate to their store for the TTCA Agility trial.
A raffle for this gift certificate will be held on May 18, 2015. Tickets will be sold during the trial and
the winner will be pulled at the end of the competition. The TTCA thanks Clean Run LLC for their
generous donation.
GENERAL TROPHY FUND DONORS
Carol Adams, Gamine
Jean Allen, Coshan Tibetan Terriers
Patricia Angus, Ellesmere Tibetan Terriers
Joyce Ayotte, Bootiff Tibetan Terriers
Mark & Eileen Bair, Taibai Tibetan Terriers
Florence Barczewski
Sally Birgl
Sheila Bodine
Travis Brock
Susan & Gary Carr, Salishan Tibetan Terriers
Claire Coppola, Rin Chen Tibetan Terriers
Caryl Crouse, Lyrac Tibetan Terriers
Mikki DeMers, Kimik Tibetan Terriers
Ken & Deany Edmonds
Lynne Fardell, Sunsi Tibetan Terriers
Friends of Dana Wray at Prin-Su
Joanne Gatzen
Sandy Godin & Robin Downey,
Samaya Tibetan Terriers
Joyce Killinger, Snow Shoe
Elise Kind
Nikki Kinziger
Stacey La Forge & Gerald Gross,
Zodi Tibetan Terriers
Joyce Lak
Judi Lak & Devon Powers
Brian Leonard
Kevin MacKenzie
Gale & Donna Mattison, Abacus
Mike McLoughlin, Lukilu Tibetan Terriers
David Murray, Players Tibetan Terriers
Margaret & Ron Pankiewicz, Malishar
Betsy Richards, Maitri Tibetan Terriers
Debbie Shuman
Janet & Jay Slothower, Dreammaker
Karen & Jim Sponable, Chatra TibetanTerriers
Kathleen Stanuch, North Moon
Regina Stier
Gail Toracinta, Tingsha Tibetan Terrier
Charles & Dee Travella
Carol & David Van Pelt
Margie Wikerd
Ron & Marge Wiley, Mystique Tibetan Terriers
Davis & Susanne Wille
PLEASE SEND A PHOTO AND A SHORT BIO OF EACH DOG
ENTERED TO BE INCLUDED IN THE CATALOG.
Mail or email to: Kathleen M. Rupprecht, 710 Springfield Ave.,
Cranford, NJ 07016-1815 or [email protected]
The trial site will be available to exhibitors from 7:30 AM to completion of the trial.
Ring size will be 90’ x 90’. Trial will be held indoors on rubber mats.
Walk throughs and Judge’s briefing for the first class will start at 8:40 AM.
Judging will start at 9:00 AM.
Classes Offered
Regular Agility
STANDARD: Novice A & B, Open, Excellent and Master
JUMPERS WITH WEAVES: Novice A & B, Open, Excellent and Master
T2B
Preferred Agility
STANDARD: Novice, Open, and Excellent and Master
JUMPERS WITH WEAVES: Novice, Open, and Excellent and Master
T2B
AKC Height Cards and Measuring
Dogs that have not been officially measured for an Agility Jump Height Card may still compete.
If your confirmation information states "Needs To Be Measured," your dog must be measured
by the judge of record before he/she can run. That measurement will only be for this trial.
Measuring will begin at 8:15 AM.
Height Divisions
Owners are responsible for entering their dogs in the proper height divisions. Height divisions
are:
Regular
Preferred
Height at the withers
8 inches
4 inches
11 inches and under
12 inches
8 inches
14 inches and under
16 inches
12 inches
18 inches and under
20 inches
16 inches
22 inches and under
24 inches
20 inches
over 22 inches
Class Description
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.
Move-ups
MOVE-UPS close on Tuesday, May 11, 2015 at 6:00 PM EDT. Move-ups must be in writing.
Move ups may be sent by regular mail or email to the Trial Secretary.
Entry Fees
$25.00 for the first entry for each dog in either class and $20.00 for additional entries of the
same dog in each class per day (includes $3.50 AKC recording fee for first run and $3.00 AKC
recording fee for each additional run). Make checks payable to TTCA.
Mail entries and fees to:
Kathleen M. Rupprecht
710 Springfield Ave.
Cranford, NJ 07016-1815
You must waive the signature requirement on all overnight deliveries.
If you would like confirmation that your entry was received before the trial has closed, please
include your email address or enclose a self-addressed stamped postcard.
Entries cannot be changed once the trial has closed. Please check your entries!
Final Confirmations of your entry will be sent out by E-mail. PLEASE read these
and double check that all the information is correct.
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY
TIBETAN TERRIER CLUB AGILITY TRIAL
SureFire Dogs Training Center, Westborough, MA
[ ] STD
[ ] JWW [ ] T2B
1 only $25
2 classes $45
All 3 classes $65
Make All Checks Payable to TTCA
Entry Fees: $25 for first class /$20 for each additional class
((Includes $3.50 AKC recording fee for first run, $3.00 for each additional run)
Trial Opens: 3/18/15 at 8 AM EDT Trial Closes 4/22/15 12PM EDT
Mail to: Kathy Rupprecht, Trial Secretary, 710 Springfield Ave., Cranford, NJ 07016
PLEASE MAIL OR EMAIL A PHOTO AND A SHORT BIO OF EACH DOG ENTERED
TO BE INCLUDED IN THE CATALOG TO: Kathleen M. Rupprecht. 710 Springfield,
NJ 07016-1815 or [email protected]
IMPORTANT: CAREFULLY READ INSTRUCTIONS
ENTRY FEE
BEFORE FILLING OUT
ENCLOSED
$
Choose Either Regular OR Preferred Classes
Circle one jump height, and circle class selections /Only one selection per class (STD, JWW, T2B)
Jump Ht
REGULAR Classes
8” 12” 16” 20” 24” 26”
STD
Nov A Nov B
Open Exc Master
JWW NovP OpenP ExcP
MasterP
Open Exc Master
FAST NovP OpenP ExcP
MasterP
T2B T2BP
T2B T2B
STD
NON -REGULAR AGILITY CLASSES: INTERNATIONAL SWEEPSTAKES CLASS
This Dog Needs To Be Measured
□Yes □No
BREED
JWW
SEX
14” 18” 26”
HEIGHT at Withers
VARIETY
CALL NAME
Tibetan Terrier
AKC Registered Name (Include AKC titles only
AKC REG NO.
Enter Complete Registration Number Below
[ ] ILP. [ ] PAL [ ] FOREIGN REG NO. & COUNTRY
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 lesser 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 there from,
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 person. 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, INTREPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE
SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION.
HOWEVER, PRIOR TO ARBIRATION 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.
Jump Ht
Exc Master
JWW Nov A Nov B Open
FAST Nov A Nov B
PREFERRED Classes
4” 8” 12” 16” 20”
STD NovP OpenP ExcP MasterP
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org
DATE
OF BIRTH
PLACE OF BIRTH
USA CANADA
FOREIGN
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. 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.
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, an Agility Field Representative, or a Volunteer Measuring Official, prior to
running. If measured by the Judge of record, that 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.
Dogs listed in the AKC Canine Partners SM 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 AKC No. box.
Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior
Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the 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?
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
above on this 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.
Breeder
SIGNATURE of owner or his agent duly authorized to make this entry
Sire
SIGN HERE
Dam
Telephone Number: _________________________________
ACTUAL OWNERS
Email Address: (□New Email) _________________________________
OWNERS ADDRESS
NEW ADDRESS ? [ ]
X ___________________________________________
In Case of Emergency: Name: __________________________ Phone #: ______________
CITY, STATE & ZIP + 4
AEAGL2 (09/12) V8.3P Ed
HANDLER
(if junior handler please enter # below)
Exhibitor or owner MUST sign on the signature line beneath the instructions..
Exhibitor or owner MUST sign on the signature line beneath the instructions..
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY
TIBETAN TERRIER CLUB AGILITY TRIAL
SureFire Dogs Training Center, Westborough, MA
[ ] STD
[ ] JWW [ ] T2B
1 only $25
2 classes $45
All 3 classes $65
Make All Checks Payable to TTCA
Entry Fees: $25 for first class /$20 for each additional class
(Includes $3.50 AKC recording fee for first run, $3.00 for each additional run)
Trial Opens: 3/18/15 at 8 AM EDT Trial Closes 4/22/15 12PM EDT
Mail to: Kathy Rupprecht, Trial Secretary, 710 Springfield Ave., Cranford, NJ 07016
PLEASE MAIL OR EMAIL A PHOTO AND A SHORT BIO OF EACH DOG ENTERED
TO BE INCLUDED IN THE CATALOG TO: Kathleen M. Rupprecht. 710 Springfield,
NJ 07016-1815 or [email protected]
IMPORTANT: CAREFULLY READ INSTRUCTIONS
ENTRY FEE
BEFORE FILLING OUT
ENCLOSED
$
Choose Either Regular OR Preferred Classes
Circle one jump height, and circle class selections /Only one selection per class (STD, JWW, T2B)
Jump Ht
REGULAR Classes
8” 12” 16” 20” 24” 26”
STD
Nov A Nov B
Open Exc Master
Exc Master
JWW NovP OpenP ExcP
MasterP
Open Exc Master
FAST NovP OpenP ExcP
MasterP
JWW Nov A Nov B Open
FAST Nov A Nov B
PREFERRED Classes
4” 8” 12” 16” 20”
STD NovP OpenP ExcP MasterP
Jump Ht
T2B T2BP
T2B T2B
STD
NON -REGULAR AGILITY CLASSES: INTERNATIONAL SWEEPSTAKES CLASS
This Dog Needs To Be Measured
□Yes □No
BREED
JWW
SEX
14” 18” 26”
HEIGHT at Withers
VARIETY
CALL NAME
Tibetan Terrier
AKC Registered Name (Include AKC titles only
AKC REG NO.
Enter Complete Registration Number Below
[ ] ILP. [ ] PAL [ ] FOREIGN REG NO. & COUNTRY
DATE
OF BIRTH
PLACE OF BIRTH
USA CANADA
FOREIGN
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 lesser 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 there from,
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 person. 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, INTREPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE
SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION.
HOWEVER, PRIOR TO ARBIRATION 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. 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.
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, an Agility Field Representative, or a Volunteer Measuring Official, prior to
running. If measured by the Judge of record, that 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.
Dogs listed in the AKC Canine Partners SM 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 AKC No. box.
Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior
Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the 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?
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
above on this 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.
Breeder
SIGNATURE of owner or his agent duly authorized to make this entry
Sire
SIGN HERE
Dam
Telephone Number: _________________________________
X ___________________________________________
Email Address: (□New Email) _________________________________
ACTUAL OWNERS
In Case of Emergency: Name: __________________________ Phone #: ______________
OWNERS ADDRESS
NEW ADDRESS ? [ ]
CITY, STATE & ZIP + 4
HANDLER
AEAGL2 (09/12) V8.3P Ed
(if junior handler please enter # below)