Dedicated to the Memory of Malinda O`Mary Miller

ENTRY METHOD: FIRST RECEIVED
ENTRIES WILL OPEN AT 8 a.m. Monday, February 2, 2015,at the Trial Secretary’s address. All
entries received before this date will bereturned. Overnight or certified mail must be sent with
the “No Signature Required” waiver signed.
ENTRIES CLOSE AT 8 p.m. Wednesday, March 18, 2015 after which time entries cannot be
accepted, cancelled, altered, or substituted except as provided for in Chapter 11, Section 6 of the
Rules Applying to Dog Shows. .Envelopes/transactions containing entries for more than the ten (10)
dog maximum and/or entries received prior to the opening date shall be treated as an invalid entry and
shall be returned to the sender.
PREMIUM LIST -- AKC Agility Trial Open to Flat Coated Retrievers ONLY
Confirmations
A preliminary confirmation will be sent to the email
address on the AKC entry form after your entry has
been processed. Please review the information in
the confirmation for errors and notify the Trial
Secretary of any corrections needed. If you do not
have an email address, please send a stamped,
self-addressed post card for a preliminary
confirmation.
Final confirmations and the judging schedule will be
sent to the email address on your entry form after
the closing date. Final confirmations will be sent via
US mail ONLY if an exhibitor does not have an
active email address or upon specific request.
If the email address provided has not
received a final confirmation within a week of
the trial, please contact the Trial Secretary.
FLAT COATED RETRIEVER SOCIETY OF AMERICA, INC.
Member American Kennel Club
April 5, 2015 – Event #2015146006
Dedicated to the Memory of
Malinda O’Mary Miller
NATIONAL SPECIALTY AGILITY TRIAL
Phyllis Ensley Photography will be the Official
National Photographer, including Agility.
1235 Lower Burris Rd.
Canton, GA 30114
888-DOG-PICS or 770-345-9738
www.phyllisensleyphotography.com
Purina Farms
300 Checkerboard Loop
G r a y S u m m i t , M O 11915
UNLIMITED ENTRY! Indoors on artificial turf. Ring Size 90’ X 120’
Trial Hours: 6:00 am to 6:00 pm
Judge: Kathy Guerra, Lisle, IL
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
$
OFFICERS OF THE FLAT COATED RETREIVER SOCIETY OF AMERICA, INC.
President……………………………………………………………………Maria White
Vice President……………………………………………………………Nikki Runyan
Secretary, Recording……………………………………………….Chris VanByssum
8714 S. New England Ave.,Oak Lawn, IL 60453
Secretary, Membership………………………………………………Mary Ann Abbott
Treasurer………………………………………………………………Monica Stephens
CLASSES OFFERED AND CLASS ORDER
Regular and Preferred Standard & JWW – Novice A & B, Open, Excellent & Master,
Regular and Preferred Time 2 Beat
Regular and Preferred FAST – Novice A & B, Open, Excellent & Master
CLASS ORDER
Jumpers with Weaves – Master/ Excellent, Open and Novice
Time 2 Beat
Standard – Master/Excellent, Open, Novice
FAST – Master/Excellent, Open, Novice
BOARD OF DIRECTORS
Kerry Forni, Neal Goodwin, Ann Gudeczauskas, Cliff Williams
TRIAL CHAIR
Annette Narel
27432 S. Rte. 45
Manhattan, IL60442
(815)922-9667
[email protected]
TRIAL SECRETARY
Donna Slavin
1914 Britt Dr
Snellville, GA 30078
(706) 254-3451
[email protected]
EVENT COMMITTEE
Annette Narel, Donna Slavin, Jimmy Narel, Cheryl Kistner, Marilyn
Wilcox, Dawn Buttion and any other members present
JUDGE AND ASSIGNMENTS
Kathy Guerra, #29949
2385 Bayside Ct..
Lisle, IL 60532-2004
[email protected]
All Levels, All classes
All classes will run Tall to Small (26, 24, 20, 16)
Please consult the AKC Regulations for Agility Trials for a complete description and eligibility for
entry into these classes. The exhibitor is fully responsible for entering the dog in the correct
class(es)/height divisions. Dogs running in a lower height division than they are eligible for will
be eliminated.
JUMP HEIGHT CARDS POLICY
Jump height cards are no longer required to be submitted with the entry form. The
entry form has a check box to indicate if the dog needs to be measured. It is the
owner’s responsibility to understand the rules, and if the dog needs to be measured, it
is the owner’s/handler’s responsibility to ensure that the box on the entry form is
checked, and that the dog is measured prior to running. If you are unsure, contact the
trial secretary for assistance.
REGULAR
PREFERRED
HEIGHT AT WITHERS
Handlers may opt to
run their dog in a
higher height division.
8”
Handlers must run
their dog in their
proper eligible height.
4”
Owners are responsible for entering their dog in the
proper height division.
12”
8”
For dogs 14 inches and under at the withers
16”
12”
For dogs 18 inches and under at the withers
20”
16”
For dogs under 22 inches and over 18 at the withers
24”
20”
For dogs 22 inches and over at the withers
26”
n/a
Dogs may be entered at this height at their owner’s
discretion
For dogs 11 inches and under at the withers
VETERINARIANS
Washington Veterinary Clinic
Dr. John Stoltz
5585 Hwy. 100
Washington, MO 63090
636-239-5445
Pacific Animal Hospital
(24 hr. Emergency Care)
450 West Flier Dr.
Pacific, MO 63069
636-257-2100
EMERGENCY SERVICES - 911
Ambulance Service: Meramec Ambulance District 636-257-3048.
Fire: Boles Fire Protection District 636-742-2313
Police: Franklin County Sheriff Dept. 636-583-2560
DOGS ELIGIBLE TO ENTER
This trial is open to all Flat Coated Retrievers fifteen (15) months of age or older that are
registered with the American Kennel Club or that have AKC Limited Registration. Dogs with
Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) as Flat Coated Retrievers
are also eligible.
Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible. Bitches in
season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may
affect the dog’s physical performance are ineligible to participate. No dog shall compete if it is
taped or bandaged in any way or has anything attached to it for medical purposes. Puppies
under four months of age are strictly prohibited from the trial ground
OBSTACLES AND RING CONDITIONS
Obstacles will meet the specifications for obstacles in the current edition of the
Regulations for Agility Trials. All classes will take place indoors, on
artificial turf. The ring size will be 90’ x 120’.
ENTRY FEES
First entry of each dog (includes the $3.50 AKC recording fee)
Second entry of same dog (includes the $3.00 AKC recording fee)
Third entry of same dog (includes the $3.00 AKC recording fee)
Fourth entry of same dog (includes the $3.00 AKC recording fee)
$30.00
$25.00
$20.00
$20.00
Make checks payable to FCRSA 2015 and mail with entries to:
Donna Slavin, Trial Secretary @ 1914 Britt Dr, Snellville, GA 30078
Express mail entries must include the signature waiver allowing them to be left at the secretary’s address.
No entry shall be made and no entry shall be accepted which specifies any conditions as to its acceptance.
Illegible entries will not be processed and will be returned to the exhibitor. Returned checks do not
constitute a valid entry and the Trial Secretary will add a $30.00 collection fee to the amount of each
returned check.
Move-ups MUST be received in writing (email is acceptable) by the secretary no
later than Wednesday, April 1, 2015 at 6:00 PM
AKC ONLINE ENTRIES!
We are accepting online entries through the AKC Online Entry System. To enter online go to the AKC Agility
Online Entry Services home page at www.akc.org/AgilityEntry Follow the instructions there to use your My
AKC account to enter this event online. For the first 48 hrs. after opening, the initial limit of entries is
designated as follows: 165 online entries, 495 paper entries. After the first 48 hours, if either form of entry
(online or paper) has not filled, the club reserves the right to decrease or increase the number of entries
accepted for either accordingly.
COURSE WALK-THROUGHS AND WARM-UP INFORMATION
Handlers in all classes are permitted to walk the course, without a dog, during a walk-through period
held prior to the start of their class. The walk-through is restricted to handlers entered in that class only.
Handlers with multiple dogs may request to walk with a height group other than the one their dog is
entered in if a conflict is imminent.
A warm-up area, consisting of a regulation agility jump, will be provided for exhibitors. The
warm-up area is to be used exclusively for warming up the dog and not for training or relieving of the dog.
RIBBONS, AWARDS, AND PRIZES
A rosette will be awarded for all qualifying scores. Rosettes will be awarded in each jump height division,
as follows:
First Place……………………………………...……………...……………………….……….…..Blue
Second Place……………...……………………..…………………………………………………Red
Third Place……………………………………..…………………………………...……………Yellow
Fourth Place………………………………………………......…………………………..………White
Qualifying Score………………………………..………………………..……………...…...….. Green
First place in each class: 6 foot slip leash with specialty logo
Second - 4th place in each class: 1 quart water bucket with specialty logo
A MACH rosette and MACH bar will be awarded to dogs that achieve a MACH title. A PACH rosette
and PACH bar will be awarded to dogs that achieve a PACH title.
All awards and rosettes, unless specified otherwise, are offered through the generosity of FCRSA
club members, a list of whom will be presented in the agility catalog.
Purina will offer a Purina Pro Plan 6 pack cooler for all qualifiers
All awards offered by Purina, if not presented in the ring, must be
picked up during the event at the Pro Plan booth. Presentation of
the winning ribbon is required. Purina reserves the right to make
award substitutions of equal or greater value if listed award is not
available.
NOTICE TO EXHIBITORS
SAFETY, BEHAVIOR and LIABILITY
The safety of the dog is our primary concern. By entering this trial, 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. All exhibitors should obtain a copy of the Regulations
for Agility Trials by downloading them from the American Kennel Club website at
http://www.akc.org/rules/.
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 an unnecessary disturbance
or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the event
committee, be asked to leave the show site. In such case, no refund of any fees paid will be
made. The FCRSA and its agents, employees, etc., will assume no responsibilities for any loss,
damage or injury sustained by exhibitors or handlers, or to any of their dogs or property and
further assumes no responsibility for injury to children. The FCRSA reserves the right to decline
entries for cause and may remove any dog on account of aggression. No one shall have any
recourse or claim against the FCRSA or any official thereof.
All dogs must be on leash at all times when on trial grounds except when in the designated
warm-up area or competing on the course.
REFUNDS
No entry fee will be refunded if the trial cannot open or be completed by reason of riots, civil
disturbances, fire, an act of God, public emergency, act of a public enemy, or any other cause
beyond the control of the organizing committee. No entry fee will be refunded in the event a
dog is absent, disqualified, excused, or barred from competition by the action of the Event
Committee.
Bitches in season are not permitted to compete in Agility Trials. As such, the club will refund
the entry fee paid for bitches unable to compete for this reason, minus $5.00 per run, upon
presentation of a veterinarian certificate on the clinic’s letterhead. This certificate must be
presented with the refund request
to the Trial Secretary prior to the start of judging
on the day of the trial.
RINGSIDE
Dogs may arrive any time prior to judging if the dog has a valid temporary or permanent jump
height card. Otherwise, they must be available for measuring prior to the start of their class. All
dogs not needed for further judging will be excused.
Judges are not required to wait for dogs. The Owner of each dog is solely responsible for
having it ready at ringside when it is to be judged. The Club has no responsibility for providing
service through a public address system or stewards or runners for the purpose of calling or
locating dogs that are not brought into the ring when required.
This club does not agree to arbitrate claims as set forth on the Official AKC
Entry Form for this event.
CALLING ALL VOLUNTEERS!
RV PARKING
Please see the Specialty website, www.2015flatcoat.com, for RV
parking information. Fill out and send in the RV form for RV
reservations.
We need volunteers to help make this trial a success. If you
can donate some time, please fill out the following, and send
it in with your entry.
All workers will receive a lunch ticket.
MOTEL INFORMATION
FCRSA National Host Hotel
Holiday Inn @ Six Flags
4901 Six Flags Road
PO Box 999
Eureka, MO 63025
636-938-6661
Travel Lodge Diamond Inn
581 Highway 100
Villa Ridge, MO 63089
636-742-3501
When you make reservations, tell them you’re with the Flat-Coated
Retriever Society of America to get the group rate at each motel.
DIRECTIONS TO THE TRIAL SITE
Name:
Email:
Phone:
Jobs I would consider working and which classes:
Job
Timer
Scribe
Gate Steward
Ring Crew
Scribe Sheet
Runner
Leash Runner
Course Builder
ADDITIONAL SITE INFORMATION
Purina Event Center, Purina Farms is an indoor facility. Concessions are
available on site.
Score Table
Unload or Load
All aisles and roadways around the arena must be kept open at all times due
to fire regulations. Violators risk being towed at owner’s expense or fined or
both.
All dogs must be on a leash at all times except when in the ring or when in
the designated agility warm-up area.
Classes and Jump Heights Entered: ___________________________________
Exhibitors are responsible for cleaning up after their dog(s). Any exhibitor
failing to do so may be excused without benefit of refund if the Event
Committee deems the exhibitor to be in violation of this requirement.
________________________________________________________________
THANK YOU VERY MUCH!
S
u
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d
a
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OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site www.akc.org.
AGREEMENT
FLAT COATED RETRIEVER SOCIETY OF AMERICA, INC.
Opens: 2/1/15 ● Closes: 3/18/15
April 5, 2015
STD
JWW
FAST
T2B
Entry Fees: First: $30.00/dog; Second: $25.00/dog; Third: $20.00/dog; Fourth
$20.00/dog. Make checks payable to FCRSA 2015; Mail to: Donna Slavin,
1914 Britt Dr, Snellville, GA 30078
IMPORTANT: Carefully read instructions before filling out!
ENTRY FEE ENCLOSED
$
Choose Either Regular OR Preferred Classes
Circle one jump height, and circle class selections :: Only one selection per class (STD, JWW, FAST, T2B)
REGULAR Classes
PREFERRED Classes
8” 12” 16” 20” 24” 26”
STD Nov A Nov B Open Exc Master
4”
8”
12” 16” 20”
STD NovP OpenP ExcP MasterP
JWW Nov A Nov B Open Exc Master
JWW NovP OpenP ExcP MasterP
FAST Nov A Nov B Open Exc Master
FAST NovP OpenP ExcP MasterP
T2B T2B
This Dog Needs To Be Measured
BREED
T2B T2BP
Yes
SEX
HEIGHT AT WITHERS
VARIETY
CALL NAME
No
Enter Complete Registration # below
ILP NO.
PAL NO.
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 negligence of the aforementioned 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 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 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. 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 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 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?
AKC® NAME (INCLUDE AKC TITLES ONLY)
AKC® NO
I (we) agree that the club holding this event has the right to refuse 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.
DATE OF BIRTH
PLACE OF BIRTH (LIST COUNTRY)
FOREIGN REG. NO & COUNTRY
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 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 forgoing 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
SIRE
DAM
ACTUAL OWNERS
SIGNATURE of owner or his agent duly authorized to make this entry.
OWNERS ADDRESS
NEW ADDRESS
CITY, STATE ZIP + 4
SIGN HERE
X
Telephone Number:
HANDLER
ENTER JR. HANDLER # if applicable
Email Address:
In Case of Emergency - Name:
Exhibitor or Owner MUST sign the form at the bottom of the facing page for a valid entry.
New Email
Phone #: