OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR …

PREMIUM LIST

THREE ALL-BREED AGILITY TRIALS

L I C E NS E D B Y TH E AM E RI C AN K E N N E L C L U B

December 4th, 2015 (All Std. & JWW Levels & FAST& T2B)

December 5th, 2015 (All Std. & JWW Levels & FAST & T2B)

December 6th, 2015 (All Std. & JWW Levels) (Event Numbers: 20150240014, 20150240015 & 20150240016)

TRIAL HOURS 6:00 A.M. to 7:00 P.M. Daily

Expo Square Mustang Arena 4101 East 21

st Street, Tulsa, OK 74114

2 RINGS (running concurrently) – ELECTRONIC TIMERS INDOORS – CLIMATE CONTROLLED – PACKED DIRT SURFACES

***** RUBBERIZED EQUIPMENT*****

Judges Craig Josling

326 Stratton Drive Eudora, KS 66025

Dan Butcher 205 SE 74

th Ave

Portland, OR 97215-1446

ENTRIES ARE LIMITED TO 660 RUNS ALL THREE DAYS

330 PER JUDGE Each Day

ENTRIES ACCEPTED ON “FIRST RECEIVED” BASIS ON OR AFTER Friday, October 9, 2015 AT 8:00 A.M.

This Event is Accepting Entries for Mixed Breed Dogs Listed

in the AKC Canine Partners Program

CLOSING DATE: ENTRIES CLOSE 6:00 P.M. Friday, November 20, 2015 after which time entries cannot be accepted, canceled, altered or substituted except as provided for in

Chapter 11, Section 6 of the Dog Show Rules.

AMERICAN KENNEL CLUB CERTIFICATION Permission is granted by the American Kennel Club for the holding of this event under the American Kennel Club rules and regulations.

James P. Crowley, Secretary

T.D.T.C. 2014 OFFICERS & DIRECTORS President Ed Hardesty 10101 S 78th E Ave, Tulsa, OK 74133

1st Vice President Lynda Portiss 24680 Ray Davis Road, Claremore, OK 74019

2nd Vice President Mike DeLorey 1513 S 68th E Ave, Tulsa, OK 74132

Recording Secretary Gisella Klindera 11520 S. 91st E. Ave., Bixby, OK 74008

Corresponding Secretary Lorrie Russ 3401 Hardy Springs Rd., McAlester, OK 74501

Treasurer Dovie Ryan 7224 S Dennis Blvd, Broken Arrow, OK 74014

Member-at-Large Todd Johnson 11416 S. 102 E. Ave, Bixby, OK 74008

Director of Training Sue Shockley 1140 W Ducham, Broken Arrow, OK 74011

Director of Obedience Trials Sally Poindexter 4409 W. Ithica, Broken Arrow, OK 74012

Director of Agility Trials Sandra Wright-Hackler 1214 S Louisville Ave, Tulsa, OK 74112

Director of Publicity Mariann Duca 2740 S 75th E Ave, Tulsa, OK 74129

Director of Agility Tom Kotch 16402 E. 89th St. N., Owasso, OK 74055

Immediate Past President Jerry Mabry 118 S 67 Circle, Broken Arrow, OK 74014

AGILITY TRIAL EVENT COMMITTEE Trial Chairman Sandra Wright-Hackler

(918) 671-8310 [email protected] 1214 S Louisville Ave, Tulsa, OK 74112 Chief Ring Steward Becky Lane Chief Course Builder Bill Spens Ribbons/Trophies Tracy Hendrickson Hospitality Jeri Lynn Hajek Judge’s Host Ann Morrison Committee Member at Large/Vendor Contact Debra Hnath

[email protected]

Trial Secretary Dovie Ryan

7224 S Dennis Blvd., Broken Arrow, OK 74014 Phone: (918) 357-3654

E-Mail: [email protected]

Judges Craig Josling (82890)

Dan Butcher (6999)

Judging Assignments

Craig Josling Dan Butcher

Friday FAST – All classes and all levels JWW – All classes and all levels

T2B – All classes and all levels Standard – All classes and all levels

Saturday T2B – All classes and all levels

Standard – All classes and all levels

FAST – All classes and all levels

JWW – All classes and all levels

Sunday JWW – All classes and all levels Standard – All classes and all levels

CLASSES OFFERED 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 cross-over between them allowed at the same set of trials.

Standard/Preferred JWW/Preferred FAST/Preferred T2B/Preferred

Novice A/B Novice Novice A/B All Heights

Open Open Open REG

Excellent A/B Excellent A/B Excellent A/B PREF

mailto:[email protected]


HEIGHT DIVISIONS

Regular Preferred 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.

All dogs entering the Preferred Classes for the first time MUST enter at the NOVICE level in both Pref. Std. & Pref. JWW. The following jump heights must be used in all Preferred Classes.

Owners are responsible for entering their dog in the proper height division. For Dogs Measuring …

8 inches: 4 inches: 11” & under at the withers.




24 inches: 20 inches: Over 22” at the withers.

26 inches: Dogs may be entered at this height at their owners’ discretion.

ENTRY FEES $23.00 1

st Entry of Each Dog Each Day (includes $3.50 AKC recording fee)

$13.00 Additional Entry of Same Dog on Same Day (includes $3.00 AKC recording fee)

OBSTACLES Obstacles will meet the specifications for obstacles in the current edition of the Regulations for

Agility Trials.

RIBBONS AND PRIZES Ribbons will be awarded to the 1

st through 4

th place dogs in each jump height in each titling class. A package of

dog treats will be awarded to 1st place in each jump height in each titling class. Qualifying ribbons will be

awarded to all dogs receiving a qualifying score in each titling class. Dogs must qualify to receive placement ribbons or prizes. New title ribbons will be awarded to all dog/handler teams finishing a title. Double Q ribbons will be awarded to all dogs qualifying in both Master STD. and Master JWW in the same trial. A Triple Q ribbon will be awarded for all dogs qualifying in Master STD, Master JWW and Master FAST or T2B in the same trial. Dogs earning a new MACH, PACH and/or PAX title will be awarded a bar and rosette.

MOVE-UPS Pre-Trial move-ups will be accepted prior to 6:00 PM on Monday, November 30, 2015.

Email Move-Ups to [email protected]. Faxes will not be accepted.

Move-Ups forms will be available at the Secretary’s table for Saturday’s and Sunday’s trials.

CHECK IN AND WALK-THROUGHS Friday, Saturday & Sunday: Standard Ring check-in time will begin at 7:00am. Walk-Throughs and first judge’s briefing will be at approximately 7:45am. Judging will begin promptly at 8:00am. Friday, Saturday & Sunday: JWW Ring check-in time will begin at 7:30am. Walk-Throughs and first judge’s briefing will be at approximately 8:15am. Judging will begin promptly at 8:30am.

* * Jump Height Cards-Note New Rules Effective 1/1/10 * * All dogs competing in Agility must possess an official AKC Jump Height Card. An official AKC Jump Height Card is defined as either a permanent jump height card, valid temporary jump height for, copies of two different measuring forms (placing the dog in the same height class) dated on or after the dog’s second birthday, or copies of three different measuring forms (two of which place the dog in the same height class) on or after the dog’s second birthday. All dogs with the exception of those jumping 24” or 26” (unless a VMO or AKC Representative is present) without permanent or temporary height card permanent or temporary height cards must be measured. You are not required to show your height card or send a copy with your entry. You are required to mark on your entry form your dog’s height card status. It is the exhibitor’s responsibility to request measurement. If the dog does not have a valid Jump Height Card or form it must be measured by a VMO, AKC Field Representative or by the judge(s) of record before it runs or qualified runs earned will be disallowed.

SHOW INFORMATION The trial will be held indoors, on two 100’ x 100’ climate controlled packed dirt surfaces on RUBBERIZED EQUIPMENT. Crating will be available on both dirt and concrete. On-site concessions will be provided.

DOGS ELIGIBLE TO ENTER This trial is open to all dogs fifteen (15) months of age or older that are registered with the American Kennel Club or that have AKC Limited Registration, Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number (Mixed breed dogs that have been listed with AKC Canine Partners may participate provided their listing number has been recorded on the entry form) or approved Foundation Stock Service (FSS) breeds. Spayed bitches and neutered males are allowed to participate. Bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect the dog’s physical or mental performance will not be allowed to participate.

ENTRY INFORMATION

Entry fees are $23.00 for the first entry of a dog in either class, (includes a $3.50

AKC recording fee), and $13.00 (includes a $3 AKC recording fee) for any additional entry of the same dog per day. Entries close on Friday, November 20, 2015 at 6:00 P.M., after which time entries cannot be accepted, canceled, altered or substituted, except as provided for in Chapter 11, Section 6 of Dog Show Rules. All entries must be submitted on official AKC Agility entry forms, one dog per entry form. A maximum of 10 dogs may be included in one envelope. Photocopies of front and back will be accepted only if legible and of official AKC size. Entries will NOT be accepted without signature, fees, and back of entry form, with agreement signed.

All Entries, including overnight and express mail are to be mailed with fees payable to “TDTC” to:

Dovie Ryan – Trial Secretary 7224 S Dennis Blvd

Broken Arrow, OK 74014

ENTRIES WILL NOT BE ACCEPTED WITHOUT FEES.

Entries received within the first 24 hours of opening date and time must include postage,

be metered, or be delivered by a multi-state or multi-national postal or carrier service.

NO ENTRIES WILL BE ACCEPTED WHICH REQUIRE A SIGNATURE FOR DELIVERY.

Please be sure to waive signature requirement for any entries sent by an express delivery service!

Confirmation of entry receipt will be sent via E-mail if E-Mail address is provided.

For additional information or premium lists, contact:

Dovie Ryan Phone: (918) 357-3654 or Email: [email protected]


NOTICE TO EXHIBITORS

I. The safety of the dogs 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 the obstacles safely.

II. Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccinations.

III. Building will be available for setup on Thursday, December 3rd, 2015 from 6:00 P.M. to 8:00 P.M. and 6:00 A. M. on Friday, Saturday and Sunday.

IV. 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.

V. 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 Committee, be asked to leave the trial site. In that case, no refund of any fees paid will be made. No one shall have any claim or recourse against the Tulsa Dog Training Club, Inc. or any official thereof.

VI. Puppies under the age of 4 months are prohibited from the show grounds according to AKC regulations.

VII. Exhibitors are responsible for being at the ring gate when it is their turn to run. Judges need not wait for any dog holding up a class. Tulsa Dog Training Club and the Trial Secretary have no obligation or responsibility for providing service through a public address system or stewards for the purposes of calling or locating dogs that are not brought into the ring when required. Conflicts will be handled on an individual basis before a class begins.

VIII. Exhibitors are responsible for picking up after their own dogs. Plenty of space is available outside of the building for walking your dogs. Please clean-up after your dog(s)!!!!

IX. No smoking inside the building. No dogs in the bathrooms. X. Exhibitors must be governed by any rules or regulations of civil authorities, building, and

parking restrictions. Vehicles parked contrary to regulations will be subject to towing at owner’s expense.

XI. The Tulsa Dog Training Club, Inc., and the Tulsa County Fair Board, their agents, employees, etc. assume no responsibility for any loss, damage, or injuries sustained by exhibitors, handlers, their dogs or property and further assume no responsibility for injury to children.

XII. Exhibitors are responsible for complete, accurate, and legible information on their entry forms; illegible or incomplete entries cannot be entered in the show. IF THE ENTRY FORM IS PHOTOCOPIED, THE AGREEMENT ON THE BACK OF THE FORM MUST ALSO BE PHOTOCOPIED AND ATTACHED TO THE ENTRY WHEN IT IS MAILED. Unsigned Entry Forms cannot be accepted as well as entries which specify any conditions as to its acceptance. Changes, Additions, or Corrections to entry forms MUST be received in writing prior to close of entries. Those received by telephone are NOT acceptable.

XIII. No refunds for duplicate entries. However, care will be taken to find duplicates before processing. Owners are responsible for errors in making out entry forms and no entry fee will be refunded in the event of such errors.

XIV. Checks that have been returned due to insufficient funds do not constitute a valid entry and will have a $25.00 service charge attached. Subsequent returned checks from the same exhibitor may result in their being put on a CASH ONLY BASIS.

XV. 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 Committee, Veterinarian or Judge.

XVI. No entry fee will be refunded if the trial cannot open or be competed by reason of riots, civil disturbances, fire, an act of God, public emergency, an act of a public enemy, or any other cause beyond the control of the organizing committee.

XVII. Bitches in season are not permitted in the trial. After closing, TDTC will refund 75% of the entry fees with a vet’s certificate and written notification for bitches unable to compete for this reason. The Trial Secretary must receive the written notification no later than 6:00 P.M. the day prior to the first day of trials. Refunds will be mailed within 10 working days. After closing, refunds will NOT be given for any other reason.

XVIII. The Tulsa Dog Training Club may decline any entries for cause and refuse to receive or may remove any dog on account of disease, viciousness or other cause, and no one shall have any claim or recourse against TDTC or any official thereof.

XIX. Any exhibitor arguing with show officials, exhibiting unsportsmanlike behavior or violating Cluster or AKC rules will be subject to Event Committee Jurisdiction.

ATTENTION EXHIBITORS

SPECIAL NOTICES - PLEASE READ

All exhibitors should obtain a copy of the Regulations for Agility Trials by contacting the American Kennel

Club, 8051 Arco Corporate Drive, Suite 100, Raleigh, NC 27617-3390, by phone (919) 233-9767, by e-mail

at [email protected] or on their at www.akc.org

Overnight parking is available in the Fairgrounds RV Park approximately 1/4 mile from the show building.

Enter from 15TH St. See page in the premium for reserved parking forms

CONSULT THE JUDGING SCHEDULE FOR CURRENT NOTICES REGARDING

FAIRGROUND ACCESS, PARKING & LOADING OR UNLOADING

UNLOADING & LOADING

The Show Site will be available to exhibitors Thursday, December 3rd, 2015 from 6:00 P.M. to 8:00 P.M

and 6:00 A.M. for Friday, Saturday and Sunday. Please be aware if crates are setup prior to 6:00 P.M on

12/4/15 they are subject to be moved or removed based on the discretion of the TDTC Agility trial committee.

Unloading ONLY will be permitted in the alleyway between the buildings.

No parking in the alleyway between the buildings will be permitted.

BUILDING

Doors will be locked at 7:00 P.M., or the end of the trial whichever occurs first, each night and opened at

6:00 A.M. Each day the primary heating/cooling system will be turned off at midnight and turned on at 6:00

A.M. the following morning.

Every exhibitor is responsible for cleaning up after their own dog no matter where they exercise. The Show Committee will enforce this rule.

VENDORS: Please contact Debra Hnath at

[email protected]

Veterinarian ON-CALL

OPEN 24 HOURS

ANIMAL EMERGENCY CENTER, Inc.

4055 So. 102nd East Ave., Tulsa OK 918-665-0508

DIRECTIONS TO ANIMAL EMERGENCY CENTER, INC: From Show Site go East

on 21st Street to Sheridan Rd; go South on Sheridan to 41

st Street; go East on 41

st

Street for approx. 2 ½ miles to S. 102nd

East Ave. Building located behind the Popeye Chicken on the left. Building will have a big red cross with a paw print on it.


OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY TRIAL

Tulsa Dog Training Club PLEASE ENTER ME IN THE FOLLOWING TRIAL(s):

DAILY FEES

1 CLASS $23.00 2 CLASSES $36.00 3 CLASSES $49.00 4 CLASSES $62.00

Friday, Dec 4, 2015 [ ] Std [ ] Std-P [ ] JWW [ ] JWW-P [ ] T2B [ ] T2B -P [ ] FAST [ ] T2B -P

[ ] FAST-P

Saturday, Dec 5,2015 [ ] Std [ ] Std-P [ ] JWW [ ] JWW-P [ ] T2B [ ] T2B -P [ ] FAST [ ] FAST-P

Sunday, Dec 6, 2015 [ ] Std [ ] Std-P [ ] JWW [ ] JWW-P

Single Entry, one dog/one day…………. $23.00 (Includes $3.50 AKC recording fee) Additional Entry, same dog/same day… $13.00 (Includes $3.00 AKC recording fee)

ENTRIES CLOSE 6:00 P.M. Friday November 20, 2015 Make checks payable to TDTC. Mail entries with all fees to: TDTC Agility Trial Secretary, 7224 S Dennis Blvd, Broken Arrow, OK 74014

IMPORTANT: Carefully read instructions before filling out!

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” 4” 8” 12” 16” 20”

STD NOV A NOV B Open Exc Master 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 T2B T2BP

Non-Regular Classes International Sweepstakes □STD □JWW Select: □14” □18” □26”

This Dog Needs to be Measured □Yes □No Sex Height at Withers

Breed Variety Call Name

AKC® Name (Include AKC® Titles Only)

AKC® No □ ILP No. □ PAL No. □ Foreign Reg. NO & Country □

Enter Complete Registration # below Date of Birth

Place Of Birth (List Country)

Breeder

Sire

Dame

Actual Owners

Owner’s Address □New Address

City, State, Zip +4

Handler Enter Jr. Handler # if applicable

Exhibitor or owner MUST sign on the signature line beneath the Instructions.

ENTRY FEE ENCLOSED

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 entry for cause which the club shall deem sufficient. In consideration of 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 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, 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. 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 enrolled in the AKC Canine Partners ProgramSM 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 front of this form, what is the relationship is 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 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. 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.

■SIGNATURE of owner or his agent duly authorized to make this entry.

SIGN HERE X__________________________________________________________________ Telephone Number: ____________________________

Email Address: ________________________________________________________________________□New Email

In Case of Emergency—Name: _____________________________ Phone #:___________________________

AEAGL2 - (09/12)

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR AGILITY TRIAL

Tulsa Dog Training Club PLEASE ENTER ME IN THE FOLLOWING TRIAL(s):

DAILY FEES

1 CLASS $23.00 2 CLASSES $36.00 3 CLASSES $49.00 4 CLASSES $62.00

Friday, Dec 4, 2015 [ ] Std [ ] Std-P [ ] JWW [ ] JWW-P [ ] T2B [ ] T2B -P [ ] FAST [ ] T2B -P

[ ] FAST-P

Saturday, Dec 5,2015 [ ] Std [ ] Std-P [ ] JWW [ ] JWW-P [ ] T2B [ ] T2B -P [ ] FAST [ ] FAST-P

Sunday, Dec 6, 2015 [ ] Std [ ] Std-P [ ] JWW [ ] JWW-P

Single Entry, one dog/one day…………. $23.00 (Includes $3.50 AKC recording fee) Additional Entry, same dog/same day… $13.00 (Includes $3.00 AKC recording fee)

ENTRIES CLOSE 6:00 P.M. Friday November 20, 2015 Make checks payable to TDTC. Mail entries with all fees to: TDTC Agility Trial Secretary, 7224 S Dennis Blvd, Broken Arrow, OK 74014

IMPORTANT: Carefully read instructions before filling out!

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” 4” 8” 12” 16” 20”

STD NOV A NOV B Open Exc Master 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 T2B T2BP

Non-Regular Classes International Sweepstakes □STD □JWW Select: □14” □18” □26”

This Dog Needs to be Measured □Yes □No Sex Height at Withers

Breed Variety Call Name

AKC® Name (Include AKC® Titles Only)

AKC® No □ ILP No. □ PAL No. □ Foreign Reg. NO & Country □

Enter Complete Registration # below Date of Birth

Place Of Birth (List Country)

Breeder

Sire

Dame

Actual Owners

Owner’s Address □New Address

City, State, Zip +4

Handler Enter Jr. Handler # if applicable

Exhibitor or owner MUST sign on the signature line beneath the Instructions.

ENTRY FEE ENCLOSED

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 entry for cause which the club shall deem sufficient. In consideration of 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 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, 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. 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 enrolled in the AKC Canine Partners ProgramSM 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 front of this form, what is the relationship is 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 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. 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.

■SIGNATURE of owner or his agent duly authorized to make this entry.

SIGN HERE X__________________________________________________________________ Telephone Number: ____________________________

Email Address: ________________________________________________________________________□New Email

In Case of Emergency—Name: _____________________________ Phone #:___________________________

AEAGL2 - (09/12)

VOLUNTEER SIGN-UP SHEET

PLEASE VOLUNTEER TO HELP OUT AT OUR TRIAL!

We want to keep things running smoothly so everyone enjoys this trial. To do this, we are welcoming help from exhibitors. We appreciate any help, experienced or not. Experienced timers, course builders, and ring staff, please lend us your expertise. We will make sure that your duties do not interfere with running your dog. To volunteer to help, please fill out the form below and return it with your entry to: TDTC Agility Trial Secretary, 7224 S Dennis Blvd, Broken Arrow, OK 74014 OR e-mail your preferences to [email protected] OR 918-519-3988

I am willing to help at the TDTC Agility Trial in the following Areas:

JOB DAY EXPERIENCED

[ ] Scribe Fri. Sat. Sun. Yes / No

[ ] Timer Fri. Sat. Sun. Yes / No

[ ] Assistant Timer Fri. Sat. Sun. Yes / No

[ ] Gate Steward Fri. Sat. Sun. Yes / No

[ ] Ring Steward Fri. Sat. Sun. Not required

[ ] Course Builder Fri. Sat. Sun. Yes / No

[ ] Leash Runner Fri. Sat. Sun. Not required

[ ] Scribe Sheet Runner Fri. Sat. Sun. Not required

[ ] Load / Unload Equipment

Thurs. Sun. Not required

I am showing in the following class(es):

Level Friday Saturday Sunday

Novice [ ] [ ] [ ]

Open [ ] [ ] [ ]

Excellent [ ] [ ] [ ]

Number of dogs entered:_____________ While we will do our best to accommodate your choice of jobs, please understand that we can give no guarantees. We will notify you if you are given one of the worker slots. Training will be provided for those who are inexperienced at their assigned jobs. Name: ____________________________________________________________________ PHONE NUMBER: ____________________________________________________________ E-MAIL: ___________________________________________________________________


AGILITY TRIAL MOVE-UP FORM

(Do Not Send this form to AKC. Send it to the Trail Secretary)

USE THIS ENTRY FORM TO MOVE UP TO A HIGHER AGILITY CLASS ONLY

It is the option of the club to allow day-to-day move-ups. Exhibitors should refer to a club’s premium list to verify the club’s policy for moving a dog up. If offered, dogs shall be moved up to a higher class at the request of the owner, as a result of the dog qualifying for an agility title. The request for moving up must be made to the Trial Secretary according to the club’s published policy. All move-up entries are subject to availability of the class and payment of any difference in entry fee. Dogs so moved-up will be entered at the end of the running order. Refer to Chapter 1, Section 20 of the Regulations for Agility Trials for additional move-up requirements.

Name of Club

Date

Breed: ____________________________________ Sex: ___________

Dog’s AKC® Registered Name Dog’s AKC®#

Dog’s Call Name Move Entry to Agility Class: (Circle One) Jump Height Division: (Circle One) Regular Standard

Open Excellent Master 8” 12” 16” 20” 24” 26”

Regular JWW


Regular FAST


Preferred Standard

Open Excellent Master 4” 8” 12” 16” 20”

Preferred JWW


Preferred FAST


Owners Name: _________________________________________________

Handlers Name:________________________________________________________

(If Applicable)

Signature of owner or agent

duly authorized to make this entry: ________________________________

Signature of Trial Secretary

If Approved: ________________________________Date: _____________

Time Received:_______________________

(09/12)

IMPORTANT HOTEL & MOTEL INFORMATION

These hotels and motels will accept dogs. Please respect their property.

Occupants will be held responsible for any damage.

HOTEL/MOTEL RULES 1. Do Not let your dog damage or foul the room.

2. Dogs must be crated when left unattended in the room. Please keep dogs quiet.

3. Use designated exercise area.

Clean up after your dog inside and outside.

4. Keep all dogs in crates or on a tight lead while in halls, elevators, or the lobby.

Keep the dogs away from walls, posts and lobby furniture.

5. Cancellation policy is at the discretion of the individual hotel/motel.

* Call for Current Rates *

Clarion Broken Arrow ………………………………………….……...……….. (918) 258-7085

2600 N. Aspen, Broken Arrow, OK 74012

Radisson Tulsa Hotel.…………………………………………………………… (918) 627-5000

10918 E. 41st St., Tulsa OK 74146

Red Roof Inn -Tulsa………………………………………………….………….. (918) 622-6776

4717 S Yale Ave, Tulsa OK 74135

Super 8 Motel (Airport)……………..……………………………...…………… (918) 836-1981

I-244 & Sheridan Rd, Tulsa OK 74115

Hyatt Regency Tulsa (918) 582-9000

100 East Second St., Tulsa, OK 74103

For additional motels check www.hotels.com.

Help us keep our dog friendly hotels & motels by acting responsibly!

Expo Square RV Park Reservation

E-mail or Mail to: Expo Square RV Park

3900 East 15th

Street * Tulsa, OK 74114

(918) 744-1113 ext. 2154

Personal Information: Please Print

Company Name_________________________________________________________

Last Name________________ First Name_____________________________

Mailing Address _________________________________________________

City_________________________ State_________ Zip__________________

Phone: (____)_________________________ Cell: ______________________

E-Mail:_________________________________________________________

Services Information:

Event Attending_______________________________________________________________

First Night____________ Arrival Time:__________ Last Night:_____________

Fifth Wheel _______ft Travel Trailer _________ft Motor Home: ___________ft

Livestock Trailer _______ft Horse Trailer ________ft

Electric 30 Amp_______________ 50 Amp ____________ (Check One)

Special Request: _________________________________________________

Do you travel with a pet(s)? Yes ________ No ____________

(PLEASE KEEP YOUR PETS ON A LEASH AND CLEANUP AFTER THEM)

Payment Information: (M/C, VISA and AMEX Accepted)

Credit Card #____________________________ Expiration Date___________

Card Type ______________ Name on Card ____________________________

(Disc, M/C or Visa) Last 3 Digits on back of Card_____________

(AMEX) 4 Digits on front of card; located right of the Card Number____________

Signature______________________________________ Date____________________

Policy Information:

Please visit www.exposquare.com Go to Facilities then to RV Park for current

policies and prices.

http://www.exposquare.com/

MAP & DIRECTIONS

For detailed map of the Show site please go to

www.exposquare.com then to Facilities then to Grounds Map

Directions to Show Site From I-44,take exit 229 (Yale Exit) and travel north on South Yale Avenue then west (left) on East 15 Street then turn south (left) at Gate 7 or 6. From I-244, take exit 10 (Yale Exit) travel south on South Yale Avenue then turn west (right) on East 15 Street then turn south (left) at Gate 7 or 6. From US-75, take the I-44 east exit, merge on I-44 east, From I-44 take exit 229 (Yale Exit) travel north on South Yale Avenue then west (left) on East 15 Street then turn south (left) at Gate 7 or 6. From US-169, exit on to OK-51 US-64 west. Travel west to East 31 Street exit, turn west (left) on east 31 street, turn north (right) on South Yale Avenue then turn west (left) on East 15 street then turn south (left) at Gate 7 or 6. From OK-51, travel west to East 31 Street exit turn west (left) on east 31 street turn north (right) on south Yale avenue then turn west (left) on East 15 street then turn south (left) at Gate 7 entrance on Sandusky.

http://www.exposquare.com/

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OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM FOR …

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