Support the 2016 UBSDA National Specialty · Support the 2016 UBSDA National Specialty ... Dermott...

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Support the 2016 UBSDA National Specialty Specialty shirts — The pictured design is printed in on tee shirts.

Short sleeve tee-shirts 100% pre-shrunk cotton

Sizes Mens S-XXL Womens S-XXL

Colors available HOT Pink, LT Grey, Teal, Green and Black $17

Also available Magnets $6 Totes $10

Name__________________________________________________________

Address ________________________________________________________

Phone _________________________________ e-mail: ________________

See all of the UBSDA 2016 merchandise in the Merchandise photo album at

http://www.facebook.com/UBSDA2016

QTY ITEM COLOR SIZE

Make checks in US funds payable to: UBSDA

Mail to Mary Byrkit 4755 Dexter-Pinckney Rd

Dexter MI 48130-8536

Subtotal

Shipping (add $5 per shirt)

TOTAL

Order Form Deadline for merchandise orders, banquet reservations, and prepaid catalogs October 8th

ITEM QTY PRICE

Banquet Reservations Please Circle Vegetarian $33.00

Pre-Paid Catalog 8.00

GRAND TOTAL

Make checks payable to UBSDA

Mail to: Michael Herrin 3599 Bradford Square Dr. Ann Arbor MI 48103

Email: [email protected]

Your address_____________________________________________________________

List names of those attending the banquet:______________________________________

Volunteer Sign Up Mail to: Lynn Brandenburg 625 Hulon Howard Rd Landrum SC 29356

Name_____________________________________________________________________

Address___________________________________________________________________

Phone_____________________________________________________________________

___________________________________________Email_________________________ I can help with HOSPITALITY GROUNDS CONFORMATION ANYWHERE

http://www.facebook.com/UBSDA2016

mailto:[email protected]

HOW TO USE THIS ENTRY FORM: Do not complete this form until you have read and signed the waiver. Entry is invalid without signature. EXHIBITOR INSTRUCTIONS for completing this form

EXHIBITOR INSTRUCTIONS for completing this form

1. All entries must be submitted on the current "Official UKC Entry Form". You may use one entry

form to enter the same dog in more than one activity on the same weekend. 2. Use a separate entry form for each dog entered in a club's event. 3. Dog not UKC registered? Apply for a Temporary Listing Number (TL) online at

www.ukcdogs.com or call the Dog Events Department at (269) 343-9020. (TL fees are

nonrefundable, non-transferable and do not apply to the cost of permanent registration.) 4. Mail all completed entry forms to the Event Secretary listed under the event, unless otherwise

specified. 5. Obedience Trials, Agility Trials, Rally Obedience Trials, Weight Pull events and Dog Sport Trial

events are open to all UKC recognized breeds and mixed-breed dogs with a valid Limited

Privilege number. 6. Obedience only: Check the box provided to request either the Veteran or Special Jump height

option. Veteran dogs must be 8 years or older. Eligible dogs for Special Jump Heights are

outlined in the current rules and regulations. 7. Conformation classes consist of: Puppy (6 mos., under 1 yr.); Junior (1 yr., under 2 yrs.); Senior

(2 yrs., under 3 yrs.); Adult (3 yrs. and up); Breeder/Handler (6 mos. and up, handled by breeder

or member of breeder's family); Champion; and Grand Champion.

We want you to keep the points earned at UKC Licensed events. Important things to

remember. All dogs entering UKC events must be permanently registered, have a

valid Temporary Listing Number, or a Limited Privilege number. All entry forms must be completed and signed. Incorrect information submitted on the entry form

may invalidate your wins. To be eligible to enter into the Breeder/Handler class, you must be one of the breeders of record, or a member of the immediate family of one of the breeders of record. Immediate family includes: spouse, parent, stepparent, child, step-child or brother or sister.

WAIVER

All events are held under the Official Rules and Regulations of the United Kennel Club, Inc.

Absolutely no alcoholic beverages, illegal drugs or firearms will be allowed on the grounds or in the buildings on the day

of a UKC Licensed event. UKC, its agents and employees, and the host club assume no responsibility for any loss,

damage, or injury sustained by spectators or by exhibitors and handlers, or to any of their dogs or property, and further

assume no responsibility for injury to children not under the control of their parents or guardians. UKC and the host club

are not responsible for loss, accidents or theft. By signing this form, I hereby agree to waive any claim, action, or lawsuit and further agree to indemnify and hold

UKC, the host club and any approved UKC Judge harmless from any claims, actions or lawsuits resulting from my

participation in this event, and any action, decision or judgment made by any UKC or host club representative or

approved Judge under the official UKC Rules and Regulations governing this event. I acknowledge that the current

Official UKC Rules and Regulations (Agility, Conformation, Dog Sport, Junior Showmanship, Obedience, Terrier Race,

Weight Pull) have been made available to me, and that I am familiar with their contents. My signature indicates that I

understand and agree to the above and to abide by all of the current Official UKC Rules and Regulations.

25

th Annual

National Specialty

October 28th

- 30th

2016 Chelsea, Michigan

Information and Premium List

Celebrate UBSDA’s Silver Anniversary

Entries close October 8th

2016

National & Regional Specialty premiums available online at

www.ubsda.com

https://www.facebook.com/UBSDA2016

UNITED BELGIAN SHEPHERD

ASSOCIATION ASSOCIATION

http://www.ubsda.com/

25th Annual UBSDA National Specialty October 27

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Show Site & Host Hotel The Chelsea Comfort Inn and Village Conference Center 1645 Commerce Park Dr. Chelsea, MI 48118 Phone 734 433-8000

Conformation judging will be outdoors. Each room booked with the Comfort Inn comes with "FREE HOT" breakfast. Eggs, waffles, danish, fruit, etc. 100% smoke

free, indoor swimming pool & hot tub, business center, wi-fi access, jacuzzi rooms available, lots of space for walking dogs.

All for $114 + taxes, no dog deposit. Reservations must be made by phone.

Motel 6 (19 miles away from show site) 3764 South State Street Ann Arbor MI. 48108 Phone 734-665-9900

Schedule of Events

Thursday, October 27th 12:00 – FOUR SEASONS BSDC Regional Specialty

Dermott Young JR SHOW, BSD-All variety class males Dermott Young BSD-All variety class females Dermott Young CH GR CH & BOB FOLLOWED BY ALTERED

Friday, October 28th 25th Annual UBSDA National

Sweepstakes Dennette Prawdzik – Youth males, Elder and Working females Kate Kinnane-Souza – Youth females, Elder and Working males Regular Conformation Jean-Louis Vandenbemden - Regular class males, Best Male, Veteran males, Veteran females, Best Veteran

Saturday, October 29th 25th Annual UBSDA National

Jean-Louis Vandenbemden - Regular class females, Best Female, Best of Winners, Breeder Owner Handled,

Male, Female Altered Classes, Best Altered

Annual Meeting at lunchtime, pizza will be served. **Lunchtime is at judge’s discretion

Join us for appetizers /cash bar 6:30, banquet 7:30 Village Conference Center on hotel grounds

Sunday, October 30th 25rd Annual UBSDA National

Sandy Shaw — Novice male and female puppy, Best Novice Puppy Jean-Louis Vandenbemden - Junior Showmanship (BSD only) Stud Dog, Brood Bitch, Lot d'Elevage , Champion, Grand Champion, Best of Breed

Show Photographer J & C Photography Email [email protected] Website www.jcphotography-mi.com

586.703.6483 On-site digital photography photos printed in seconds while you wait

Regional Specialty Committee

President Steve Sanchez Vice President Jeff Simchak Secretary Cindy Fellows Treasurer Lauren Paul

Board Members Colleen Cashman Karen Simchak Pennie Jackson

United Belgian Shepherd Dog Association

President Lisa Kingsley Vice-President Carole Corbin Treasurer Dan Pflume Recording Secretary Bonnie Krieder Corresponding

Secretary Cindy Fellows Directors Becky Burgess Patty Naulty Susan Geer-Meiners Wynell Brush

UBSDA SPECIALTY COMMITTEE Show Chair Lynn Brandenburg Hospitality P Mondozzi/C Royal Show Secretary Susan Geers-Meiners Host Hotel Liaison Cynthia Royal Artwork/Logo Cynthia Royal/Mary Byrkit Judges Hospitality Lynn Brandenburg Banquet Michael Herrin/Mary Falcone Merchandise Mary Byrkit Basket Raffle Peg Mondozzi Ombudsman George Byrkit Catalog Lisa LaFrance Premium List Lisa LaFrance Chief Scribe/Ring Steward Sandy Deatrick Ribbons Mary Byrkit/Cynthia Royal Emergency Veterinarian Chelsea Animal Clinic Show Photographer J & C Photography Excellent Certificates Susan Geers-Meiners Trophies Mary Byrkit/Cynthia Royal Fundraising L Brandenburg/C Royal Website/Advertising Mary Byrkit Grounds G Byrkit/J Simchak

Lot d'Elevage/Kennel Group Entry Form

Please print or type all information.

Entries close October 8th 2016 Entry fee $15.00 (each kennel group)

Make checks payable to: UBSDA (US FUNDS) Mail to : UBSDA National Specialty Secretary

Susan Geers-Meiners PO BOX 252 Bethel, OH 45106

An entry will consist of a grouping of 3-5 dogs produced by the same breeder to be judged on quality and

consistency of type. The dogs need not have the same owner, but must have the same breeder. The dogs to be

presented may be determined the day of the show. All dogs must be UKC registered/listed and must also be

exhibited in a licensed conformation class. If a kennel breeds more than one variety it may enter more than one

group (e.g., a Groenendael group and a Tervuren group). A dog may only compete in one kennel grouping. The

following awards will be presented: Best Groenendael Kennel, Best Laekenois Kennel, Best Malinois Kennel, Best

Tervueren Kennel and Best Kennel in Show.

Class: □ Groenendael □ Laekenois □ Malinois □ Tervueren

Breeder(s)___________________________________________________________________________________________

Kennel Name________________________________________________________________________________________

Address____________________________________________________________________________________________ City

_________________________________________________ State _________________ ZIP __________________

Telephone (Days) ___________________________________ Email: _______________________________________

Signature ___________________________________________________________ Date __________________________

Total entry fee $___________________________________


http://www.jcphotography-mi.com/

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HOW TO USE THIS ENTRY FORM: Do not complete this form until you have read and signed the waiver. Entry is invalid without

signature.


1. All entries must be submitted on the current Official UKC Entry Form. You may use one entry form to enter the same dog in more than one activity on the same weekend.

2. Use a separate entry form for each dog entered in a club's event. 3. Dog not UKC registered? Apply for a Temporary Listing Number (TL) online at www.ukcdogs.com. TL numbers are valid

for 60 days* (Fees are non-transferable and do not apply to the cost of permanent registration.) *Call the Dog Events Department at (269) 343-9020 for current fee.

4. Mail all complete entry forms to the Event Secretary listed under the event, unless otherwise specified. 5. Obedience Trials, Agility Trials, Weight Pull events and Dog Sport Trial events are open to all UKC recognized breeds

and mixed-breed dogs with a valid Limited Privilege number 6. Obedience only: Check the box provided to request either the Veteran or Special Jump Height option. Veteran dog

must be 8 years or older. Eligible dogs for Special Jump Heights are outlined in the current rules and regulations. 7. Conformation classes consist of: Puppy (6 mos., under 1 yr.); Junior (1 yr., under 2 yrs.); Intermediate

(2 yrs., under 3 yrs.) Adult (3 yrs. and up); Breeder/Handler (6 mos. and up, handled by breeder or member of

breeder's family); Champion; and Grand Champion 8. Junior Showmanship classes consist of: Pee Wee (over 2 yrs., under 4 yrs.); Sub-Junior (4 yrs., under 8 yrs.); Novice

Junior, Open Junior (8 yrs., under 13 yrs.); Novice Senior, Open Senior (13 yrs.; under 18 yrs.)

We want you to keep the points earned at UKC Licensed events. Important things to remember. All dogs

entering UKC events must be permanently registered, have a valid Temporary Listing Number, or a

Limited Privilege number. All entry forms must be completed and signed. Incorrect information submitted on the entry form may invalidate your

wins. To be eligible to enter into the Breeder/Handler class, you must be one of the breeders of record, or a member of the

immediate family of one of the breeders of record. Immediate family includes: spouse, parent, stepparent, child, step-

child, brother or sister.

WAIVER


Absolutely no alcoholic beverages, illegal drugs or firearms will be allowed on the grounds or in the buildings on the day of a UKC Licensed event.

UKC, its agents and employees, and the host club assume no responsibility for any loss, damage, or injury sustained by spectators or by exhibitors

and handlers, or to any of their dogs or property, and further assume no responsibility for injury to children not under the control of their parents or

guardians. UKC and the host club are not responsible for loss, accidents or theft. By signing this form, I hereby agree to waive any claim, action, or lawsuit and further agree to indemnify and hold UKC, the host club and any

approved UKC Judge harmless from any claims, actions or lawsuits resulting from my participation in this event, and any action, decision or

judgment made by any UKC or host club representative or approved Judge under the official UKC Rules and Regulations governing this event. I

acknowledge that the current Official UKC Rules and Regulations (Agility, Conformation, Dog Sport, Junior Showmanship, Obedience, Terrier Race,

Weight Pull) have been made available to me, and that I am familiar with their contents. My signature indicates that I understand and agree to the

above and to abide by all of the current Official UKC Rules and Regulations.

Special Note on UKC Registration All dogs entered in junior showmanship and conformation classes (except Elder Sweeps) must be UKC registered by the closing date

of the show. Dogs who do not have primary registration may apply for a Temporary Listing Number (TL) which is valid for 60 days. Any points

won will be held for that time, but will be lost if permanent registration is not completed by the end of the 60 days. Contact the UKC at:

www.ukcdogs.com, 100 East Kilgore Road, Kalamazoo, MI 49001-5598, 616/343-9020.

Judges Conformation Jean -Louis Vandenbemden van de Hoge Laer and High Clearings Kennel

Fleetaway Temple Gardens Staines, Middx TW183NQ

Junior Showmanship Jean -Louis Vandenbemden van de Hoge Laer and High Clearings Kennel

Sweepstakes Dennette Prawdzik Sumerwynd P.O. Box 354 Stratham CT 03885

Kate Kinnane-Sousa Beauvoir 41 Campville Rd Northfield CT 06778

Novice Sandy Shaw PO BOX 986 Stanton MI 48888

Entry Fees & Information PRE-ENTRY ONLY

Conformation ........................................................... $30.00 Non-licensed (Stud Dog, Brood Bitch, Junior Showmanship ................................................. $10.00 Altered, Veteran) ................................................. $15.00 Sweepstakes ............................................................. $20.00 Non-licensed Novice Puppy ......................................... $5.00 Lot d'Elevage (each kennel entry) .............................. $15.00

Entries close with the Show Secretary, October 8, 2016 after which entries will no longer be accepted. Conformation Licensed Classes — Entries close October 8

th

JUDGING ASSIGNMENT ENTRY FEE $30.00 Jean-Louis Vandenbemden - Groenendael/Laekenois/Malinois/Tervuren males/Best male

Groenendael/Laekenois/Malinois/Tervuren females, Best female, Best of Winners, Champions, Grand Champions, Best of Breed , Non Licensed Classes and Special Exhibition

UKC CHAMPIONSHIP 100 points; Points won under at least three different judges; Three times awarded Best Male/Female under three different judges. Point Schedule: First in each class 5 points

Best Male/Female 10 points

Best Male/Female of Variety 8 points Best of Winners 12 points UKC GRAND CHAMPIONSHIP Five Champion class wins (at least three entered in class) won at five different shows under three different judges. CLASSES & JUDGING The following classes are offered for each sex in each of the four varieties—Groenendael, Laekenois, Malinois and Tervueren: Puppy 6

months to under 1 year of age • Junior 1 year to under 2 years of age • Senior 2 years to under 3 years of age • Adult 3 years of age and

over Breeder/Handler 6 months of age and over; dog is handled by a breeder of record at UKC or by a member of the immediate family

(spouse, parent, step-parent, child, step-child, brother, sister) of the breeder of record. Altered Dog Classes This class consists of Belgian Shepherd Dogs six months of age or older that have been spayed or neutered. This class

shall be divided by sex. The Judge shall select a single winner in each class. The Best Altered Male shall compete with the Best Altered

Female for Best Altered Dog of Breed. Dogs must be permanently registered with the UKC or have a valid TL number by the closing

date of the show in order to be eligible for this class. Champion class: This class is comprised of Belgian Shepherd Dogs that have earned the UKC Champion title. It includes both sexes and all

four varieties. Grand Champion class: This class is comprised of Belgian Shepherd Dogs that have earned the UKC title of Grand Champion. It includes both

sexes and all four varieties. Best of Breed Competition is comprised of the Best of Winners and the winners of the Champion of Champions and Grand Champion classes. Belgian Shepherd Dogs will be judged using assisted animation. The judge will write a critique of each dog presented and give each a

rating (excellent, very good, acceptable or not rated). See the UBSDA website, www.ubsda.com, for descriptions of assisted animation and

ratings. For official rules and regulations and registration information contact the United Kennel Club, Inc., 100 East Kilgore Road, Kalamazoo, MI

49001-5598; 616/343-9020; www.ukcdogs.com

Junior Showmanship BSD ONLY- Entries close October 8th

Sunday, October 30th ENTRY FEE $10.00 JUDGE: Jean -Louis Vandenbemden

SubJunior—For children four years & under eight years, parents are allowed to accompany the child, class is not placed. Junior—Ages eight

years & under thirteen years of age, class is placed. It is subdivided into Novice Junior, for any Junior who has never earned a Best Junior


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Handler Award with competition or who has not earned three first place wins from the Novice Junior class and Open Junior, for any Junior who has

earned the Best Junior Handler award with competition from the Novice Junior class or three first place wins from the Novice Junior class. Senior - Ages 13 & under 18 years of age, class is placed. It is subdivided into Novice Senior, for any Senior who has never earned a Best Junior

Handler Award with competition or who has not earned three first place wins from the Novice Junior class and Open Senior, for any Senior

who has earned a Best Junior Handler award with competition or who has earned three first place wins from the Novice class. For more detailed

information see Official UKC Rules and Regulations. The age of the junior as of January 1st shall determine the division in which the junior competes for that entire year, with the exception of a

Sub-Junior who turns 8 years old within the year. All dogs entered in Junior Showmanship must be UKC registered (permanently, limited

privilege or temporary registered). Spayed/neutered dogs may be shown.

Conformation UKC Non-Licensed Classes — Entries close October 8th Veteran Dog Classes Friday, October 28

th ENTRY FEE $15.00 JUDGE: Jean-Louis Vandenbemden This class consists of Belgian

Shepherd Dogs eight years of age or older and shall be divided by sex. The Judge shall give up to four placements, where possible, in this class. The

Best Veteran Male shall compete with the Best Veteran Female for Best Veteran of Breed. Dogs must be permanently registered with the UKC or

have a valid TL number by the closing date of the show in order to be eligible for this class. Spayed and neutered dogs are eligible for this class. Stud Dog & Brood Bitch Classes Sunday, October 30

th ENTRY FEE $15.00 JUDGE: Jean-Louis Vandenbemden Classes will be

judged separately by sex. These classes shall be judged on the quality of the progeny and not the individual stud dogs and brood bitches. Stud dogs

and brood bitches must be permanently registered with UKC by the closing date of the show to be eligible for this class. Progeny may compete

if they are permanently registered with UKC, are out of UKC Registered litters, or have a valid TL number by the closing date. Spayed bitches and

neutered dogs are eligible to compete in these classes but not as progeny. The Judge shall give up to four placements, where possible, in these

classes. Only the exhibitors of the stud dogs and brood bitches are required to wear armbands in these classes. Stud Dog: Each entry in this class

shall consist of a stud dog and at least two but not more than four dogs sired by that dog. The progeny must be at least three months of age and may

include both sexes. At least two of the progeny must be entered in the licensed classes. Stud dogs entered in this class may not be counted as progeny

for their sires in the same class. Entries shall be made in the name of the stud dog. Brood Bitch: Each entry in this class shall consist of a brood bitch and at least two but not more than four dogs produced by that bitch. The progeny must be at least three months of age and may include both sexes. At least two of the progeny must be entered in the licensed classes. Brood bitches

entered in this class may not be counted as progeny for their dams in the same class. Entries shall be made in the name of the brood bitch. Novice

Puppy Classes Sunday, October 30th ENTRY FEE $5.00 JUDGE: Sandy Shaw The classes will be divided by sex. For intact dogs three months

of age and under six months of age that are permanently registered with UKC, or that have a valid Temporary Listing (TL) number by the closing

date of the show, or that are not yet permanently registered but that are from litters registered with UKC by the closing date of the show. The judge

shall give up to four placements, where possible, in these classes. Best of Breed Novice Puppy class shall consist of the winners of the Novice Male

class and Novice Female class. The judge shall select a single winner in this class. Lot d’Elevage Sunday, October 30

th ENTRY FEE $15.00 per kennel group JUDGE: Jean-Louis Vandenbemden

Lot d'Elevage is a breeder's group. The purpose of this class is to honor those kennels who are producing consistently high-quality Belgian

Shepherds of uniform type.. All dogs must also be entered in a licensed conformation class. The following awards will be presented: Best Groenendael Kennel, Best Laekenois Kennel, Best Malinois Kennel, Best Tervuren Kennel and Best Kennel in Show.

Sweepstakes – Entries close October 8th

There will be classes for Youth, Elder and Working Dog Sweepstakes. Dogs will be judged using assisted animation and will receive a written

critique from the judge. The varieties will be shown together in each class. Neutered dogs may compete in Elder and Working Sweepstakes

only.

JUDGING ASSIGNMENTS Saturday October 28th

Dennette Prawdzik - Youth males, elder and working females - both judges will do Best in all Sweepstakes

Kate Kinnane-Souza - Youth females, elder and working males - both judges will do Best in all Sweepstakes

Sweepstakes entry fees will be divided among the placing entries. After expenses are deducted club will retain 25% of the fees. The remaining fees

will be awarded for each class as follows: 1st place, 40%; 2nd place, 30%; 3rd place, 20%; 4th place, 10%. Youth Sweepstakes All dogs entered in Youth Sweepstakes must also be entered in a regular class and must be UKC registered. Classes for males & females: 6-9months, 9-12 months, 12-18 months, 18-24 month, Best in Youth Sweepstakes, BOS in youth Sweepstakes Elder Sweepstakes Dogs entered in Elder Sweepstakes do not need to be entered in a regular class and do not need to be UKC registered. Neutered males and spayed

females may compete. Classes for males & females: 8-10 years, 10-12 years, 12-14 years, over 14 years, Best & Best Opposite in Elder Sweepstakes

Official United Kennel Club, Inc.

.Armband # _________________

Entry Form Please print or type all information

Four Seasons Belgian Shepherd Dog Club October 27, 2016 Pre-Entry Deadline: October 15, 2016 Entry Fees: DOS Conformation $30, Pre-Entry $20 Junior Showmanship $10 Make checks payable to: Four Seasons BSD Club Mail to Event Secretary: JEFF SIMCHAK 2507 N. Lima Center Rd Dexter MI 48130 Dog must not be entered without a permanent UKC registration number, a UKC Temporary Listing number or a UKC Limited Privilege number. Check one of the boxes below and enter your dog's number. If your dog's permanent registration is pending at UKC, and you do not have a valid TL number, your entry will be invalid. U.K.C. Number ___________________________________________ □ Permanent Reg. □ UKC LP □ UKC TL Breed of Dog Belgian Shepherd Sex__________ Variety _________________________________________________ Date of Birth ____________________ Dog's UKC Reg. Name____________________________________________________________ _________ Breeder________________________________________________________________________ _________ Sire ____________________________________________________________________________ ________ Dam ____________________________________________________________________________________ Owners name(s)___________________________________________________________________________ Address__________________________________________________________________________________ City ______________________________________________ State ____________ ZIP_________ _________ Telephone: Day ( ______ ) ___________________________ Eve ( ______ ) _________________ __________ E-mail ___________________________________________________________________________________ CONFORMATION ALTERED

□ Puppy (6 months-under 1 year) □ Puppy (6 months-under 1 year)

□ Junior (1 year-under 2 year) □ Junior (1 year-under 2 year)

□ Intermediate (2 years-under 3 year) □ Intermediate (2 years-under 3 year)

□ Adult (3 + years ) □ Adult (3 + years )

□ Breeder & Handler (6 months and over

shown by breeder)


shown by breeder)

□ Champion (CH) □ Champion (CH)

□ GR Champion (GRCH) □ GR Champion (GRCH)

Junior showmanship

PEE WEE SUB JUNIOR (4-6 YRS) PRE-JUNIOR (6-8 YRS) NOVICE JUNIOR (8-13 YRS) OPEN JUNIOR (13-18 YRS) NOVICE SENIOR (13-18 YRS) OPEN SENIOR (13-18 YRS)

____________________________________________________________________________________________ NAME of JUNIOR JUNIOR BIRTHDATE JUNIOR NUMBER I have read and agreed to this waiver on the back of this form. I swear this dog is not being handled by a professional

handler.

Signature of owner/handler __________________________________________________Date______________

Total entry fee $

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HOW TO USE THIS ENTRY FORM: Do not complete this form until you have read and signed the waiver. Entry is invalid without signature.


1. All entries must be submitted on the current "Official UKC Entry Form". You may use one entry form to enter the same

dog in more than one activity on the same weekend. 2. Use a separate entry form for each dog entered in a club's event. 3. Dog not UKC registered? Apply for a Temporary Listing Number (TL) online at www.ukcdogs.com or call the Dog

Events Department at (269) 343-9020. (TL fees are nonrefundable, non-transferable and do not apply to the cost of

permanent registration.) 4. Mail all completed entry forms to the Event Secretary listed under the event, unless otherwise specified. 5. Obedience Trials, Agility Trials, Rally Obedience Trials, Weight Pull events and Dog Sport Trial events are open to all

UKC recognized breeds and mixed-breed dogs with a valid Limited Privilege number. 6. Obedience only: Check the box provided to request either the Veteran or Special Jump height option. Veteran dogs

must be 8 years or older. Eligible dogs for Special Jump Heights are outlined in the current rules and regulations. 7. Conformation classes consist of: Puppy (6 mos., under 1 yr.); Junior (1 yr., under 2 yrs.); Senior (2 yrs., under 3 yrs.);

Adult (3 yrs. and up); Breeder/Handler (6 mos. and up, handled by breeder or member of breeder's family); Champion;

and Grand Champion. 8. Junior Showmanship classes consist of: Pee Wee (over 2 yrs., under 4 yrs.); Sub-Junior (4 yrs., under 8 yrs.); Novice

Junior, Open Junior (8 yrs., under 13 yrs.); Novice Senior, Open Senior (13 yrs., under 18 yrs.)

We want you to keep the points earned at UKC Licensed events. Important things to remember. All dogs

entering UKC events must be permanently registered, have a valid Temporary Listing Number, or a

Limited Privilege number. All entry forms must be completed and signed. Incorrect information submitted on the entry form may invalidate your

wins. To be eligible to enter into the Breeder/Handler class, you must be one of the breeders of record, or a member of

the immediate family of one of the breeders of record. Immediate family includes: spouse, parent, stepparent, child, step-

child, brother or sister.

WAIVER


Absolutely no alcoholic beverages, illegal drugs or firearms will be allowed on the grounds or in the buildings on the day of a UKC Licensed event.

UKC, its agents and employees, and the host club assume no responsibility for any loss, damage, or injury sustained by spectators or by exhibitors

and handlers, or to any of their dogs or property, and further assume no responsibility for injury to children not under the control of their parents or

guardians. UKC and the host club are not responsible for loss, accidents or theft. By signing this form, I hereby agree to waive any claim, action, or lawsuit and further agree to indemnify and hold UKC, the host club and any

approved UKC Judge harmless from any claims, actions or lawsuits resulting from my participation in this event, and any action, decision or

judgment made by any UKC or host club representative or approved Judge under the official UKC Rules and Regulations governing this event. I

acknowledge that the current Official UKC Rules and Regulations (Agility, Conformation, Dog Sport, Junior Showmanship, Obedience, Terrier Race,

Weight Pull) have been made available to me, and that I am familiar with their contents. My signature indicates that I understand and agree to the

above and to abide by all of the current Official UKC Rules and Regulations.

Working Dog Sweepstakes

The purpose of the Working Dog Sweepstakes is to recognize and honor dogs that possess verified working abilities that most

closely resemble the UKC standard for the Belgian Shepherd Dog. Best and Best Opposite in Working Sweeps will be chosen

from the winners of the male and female classes. Classes are divided by working level and gender. Each dog, regardless of age or

variety, is entered in the class appropriate for the level/titles earned.

Disciplines: obedience, agility, herding, tracking, schutzhund, ring sport (Belgian, French or Mondio), KNPV, service work

(assistance, police, SAR). Discipline titles earned in multiple venues for the same level count as one title (i.e., and AKC CDX and

UKC CDX counts as one CDX title). The highest of progressive titles counts as one title (i.e., FR1 and FR2 equals one FR2). If a

discipline or title is not listed that you feel makes a dog eligible for a certain level class, you may submit that title's

documentation along with your reasoning and request the sweepstakes chair consider the entry eligibility. The sweepstakes chair

will make the sole and final determination of eligibility. Photocopies of certificates and/or score books of all titles are

required for class/eligibility and must be submitted along with the entry form. Dogs entered in Working Dog Sweepstakes

do not need to be entered in a regular class , but must be UKC registered. Neutered males and spayed females may

compete.

Classes, Working Dog Sweepstakes for males and females (this list is being updated—contact Susan Geers-Meiners for the

latest list at [email protected])

Level One—Dogs must have at least one of the following titles: CD, OB1, AG1, AG2, NA, NAJ, NAC, USDAA AD, TR1, DVG

RH, PT, JHD, BH, WH

Level Two—Dogs must have at least one of the following titles: CDX, OB2, UATCH, OA, OAJ, OAC, AAD, TD, TR2, HS,

STD, HTD1, SchHA, SchH1, BTr, Ring 1, KNPV ObH OR two level one titles in different disciplines.

Level Three—Dogs must have at least one of the following titles: UD, OB3, UACHX, AX, AXJ, EAC, MAD, TDX, TR3, FH1,

SpH, K, NPV RH, HI, OTD, HTD2, SchH2, Ring 2, KNPV PH1, PD, Service or SAR OR two level two titles in different

disciplines. Level Four—Dogs must have at least one of the following titles: UDX,

OTCH,MACH,MX,MXJ,NATCH,ADCH,VST, RH2, HX, ATD, HTD3, SchH3, Ring 3, KNPV PH2, PSD or SAR-cross trained

OR two level three titles in different disciplines.

October 27th 12:00 FOUR SEASONS BELGIAN SHEPHERD DOG CLUB REGIONAL SPECIALTY

Chelsea (O) CONF ALT JS Pre-Entry due OCTOBER 15th $20, DOS entry $30 Juniors $10

DOS registration 10:00 a.m.11:00 a.m. Judge Dermott Young Box 2 Site 9 RR1 MillarvilleAB TOL 1KO CANADA

Mail with entries to: Event Secretary: Jeff Simchak 2507 N. Lima Ctr Rd Dexter MI 48130 (248) 252 4397 [email protected] Entries may

NOT be faxed or e-mailed. Overnight/Express Mail entries must have the signature waived. Entries received without fees will not be accepted.

Acknowledgement of entries will be made as soon as practicable after closing date. Should such acknowledgement not be received by the exhibitor

within a reasonable time, please notify the Show Secretary. E-mail confirmation will be made upon receipt of your entry if you include your e-mail

address on the entry. Such notification does not take the place of an official entry. Entry fees shall not be refunded in the event that a dog is absent,

disqualified, excused by Veterinarian or Judge, or barred from competition by action of Show committee. If because of riots, civil disturbances or

other acts beyond the control of the management it is impossible to open or to complete the show, no refund of entry fees will be made. Extreme

weather conditions, such as, but not limited to snow storms, tornadoes, lightning, extreme heat, must be considered for the health and safety of the

dogs, exhibitors and spectators. The well-being of dogs, exhibitors and spectators is of paramount importance, and, in the event it is necessary to

cancel or stop the show before completion, no refund of entry fee will be made. No substitution of dogs, UKC or UBSDA is not responsible for loss,

accident or theft. Move-up/Entry Correction Policy—A correction to any entry, or in the event that a dog needs to be moved up to the Champion

or Grand Champion class due to the completion of title requirements, must be made in writing to the Show Secretary one half hour prior to the

scheduled start of any judging at the show. Owners/exhibitors are responsible for correcting any errors following these guidelines.

Annual Meeting Saturday, October 29th at lunchtime. Complimentary pizza and beverages will be served. Lunchtime is at

judges discretion.

Banquet Reservations deadline October 8th

(see inside front cover) Dont stand in line on a Saturday night in the quaint and very popular little town of Chelsea, MI! You are way too cool (or hot,

stressed or tired) for that!! Come to a complimentary Welcome Reception with hors d'oeuvres , and cash bar from 6:30 to 7:30 at

the Village Conference Center right on the property of the Comfort Inn, host hotel for the 2016 UBSDA National Specialty on

Saturday October 29th 2016. Close to your room and dogs! At 7:30 you can partake of our legendary banquet consisting of a

buffet prepared at the Village Centers own award winning chef. The entrees will be Michigan Cherry Chicken or Roasted Strip

Loin Bordelaise along with a Tossed Salad Bar with Assorted Toppings, Freshly Baked Bread, Roasted Redskin Potatoes,

Summer Squash, Zucchini and Tomatoes with Fresh Herbs, Cherry Pie, Apple Pie, fresh brewed regular and decaffeinated coffee,

iced tea, lemonade. Price $33 (includes taxes and gratuity).



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Catalog Advertising deadline October 8th

Picture advertisings need to be done to size considered camera ready 300 dpi resolution.

Rates are as follows: Full page (ad size 41/2" x 7

1/2") $35. Half page (ad size 4

1/2" x 3

3/4") $25 .

Two-page spread $60 Rates include one photo; additional photos to scan, $10

Commercial Rates: Full page $75 Half page $35

Send catalog advertisements with check (in US funds) payable to

UBSDA C/O: Lisa LaFrance 25650 McCrory Lane South Lyon MI 48178-1564 or [email protected]

This is an official UBSDA publication so ad guidelines must be followed. Ads that feature breeding or litter

announcements, dogs for sale or dogs at stud must include hip clearances of pertinent dogs ( OFA, PENN hip or foreign registry only) and current eye clearances of pertinent dogs (OFA, CERF, and foreign registry only, no more than two calendar years old). No such advertisements are accepted for dogs who are under two years of age. Send SASE for the return of photos.

Catalog Sales— Prepaid discount deadline October8

th (inside front cover)

Pre-paid catalogs will be available beginning Saturday October 28-29. To order pre-paid, pick up at the show $8 Purchased at the show $10

A limited number will be available at the show for the UBSDA National October 28th and 29

th

Special Basket Raffle Show Me your Basket Challenge represent your

kennel, state, team, you pick the theme!. Bring your basket of goodies to the specialty

as a raffle fundraiser. Contact Peg Mondozzzi @ [email protected] If you are bringing

a basket. Drawing before breed on Sunday!

Directions From I-94 take Exit 159,M-52. Go north towards Chelsea. Hotel: Turn left at

Brown Dr., turn right on Commerce Dr.

Chelsea is a picturesque community located 15 min West of Ann Arbor. Enjoy the

spectacular downtown area where there is plenty of dining, entertainment, and shopping options to choose from, all within a short

enjoyable stroll. Take the Sculpture Walk that features 12 large scale three-dimensional works of art. The walk is designed to

take you across the downtown area.

You can pick up a map at The River Gallery. Sculptures are noted on the downtown map with an S. Large maps are found

around town to better help you find your new favorite spots. The walk takes you from the south side of town, all of the way north

to the heart of down town where you will find the majority our shopping and dining options, as well as The Chelsea District

Library, The Purple Rose Theater, and Jiffy Mix.

Trophy Donations Deadline to be listed in the catalog is October 8th Name _______________________________________________________________________________________________ Specific class listed below OR General Fund Specific class/award __________________________________________________________________ Amount ________ Specific class/award __________________________________________________________________Amount ________ Catalog acknowledgement should read: Make checks in US funds payable to UBSDA Mail to Lynn Brandenburg 625 Hulon Howard Rd Landrum SC 29356 Email [email protected]

.

Official United Kennel Club, Inc. . Armband # _________________

Entry Form Please print or type all information

Four Seasons Belgian Shepherd Dog Club October 27, 2016 Pre-Entry Deadline: October 15, 2016 Entry Fees: DOS Conformation $30, Pre-Entry $20 Junior Showmanship $10 Make checks payable to: Four Seasons BSD Club

Mail to Event Secretary: JEFF SIMCHAK 2507 N. Lima Center Rd Dexter MI 48130 Dog must not be entered without a permanent UKC registration number, a UKC Temporary Listing number or a UKC. Limited Privilege number. Check one of the boxes below and enter your dog's number. If your dog's permanent registration is pending at UKC, and you do not have a valid TL number, your entry will be invalid. U.K.C. Number ___________________________________________ □ Permanent Reg. □ UKC LP □ UKC TL Breed of Dog Belgian Shepherd Sex___ Variety _____________ ________________________________Date of Birth ______________________ Dog's UKC Reg. Name____________________________________________________________________ Breeder________________________________________________________________________________ Sire ___________________________________________________________________________________ Dam___________________________________________________________________________________ Owners name(s)__________________________________________________________________________ Address_________________________________________________________________________________ City ______________________________________________State ____________ ZIP _________________ Telephone: Day ____________________ Eve _________________________________________________ E-mail ___________________________________________________________________________

CONFORMATION ALTERED




□ Adult (3 + years) □ Adult (3 + years)


shown by breeder)


shown by breeder)



Junior showmanship PEE WEE SUB JUNIOR (4-6 YRS) PRE-JUNIOR (6-8 YRS) NOVICE JUNIOR (8-13 YRS) OPEN JUNIOR (13-18 YRS) NOVICE SENIOR (13-18 YRS) OPEN SENIOR (13-18 YRS)

__________________________________________________________________________________________ NAME OF JUNIOR JUNIOR BIRTHDATE JUNIOR NUMBER I have read and agree to the waiver on the back of this form. I swear that this dog is not being handled by a professional handler in Conformation. Signature of owner/handler _________________________________________________________________

Total entry fee $ _____________________________________________________Date___________________


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HOW TO USE THIS ENTRY FORM: Do not complete this form until you have read and signed the waiver. Entry is invalid without signature. EXHIBITOR INSTRUCTIONS for completing this form

1. All entries must be submitted on the current "Official UKC Entry Form". You may use one entry


www.ukcdogs.com or call the Dog Events Department at (269) 343-9020. (TL fees are

nonrefundable, non-transferable and do not apply to the cost of permanent registration.) 4. Mail all completed entry forms to the Event Secretary listed under the event, unless otherwise

specified. 5. Obedience Trials, Agility Trials, Rally Obedience Trials, Weight Pull events and Dog Sport Trial

events are open to all UKC recognized breeds and mixed-breed dogs with a valid Limited

Privilege number. 6. Obedience only: Check the box provided to request either the Veteran or Special Jump height

option. Veteran dogs must be 8 years or older. Eligible dogs for Special Jump Heights are

outlined in the current rules and regulations. 7. Conformation classes consist of: Puppy (6 mos., under 1 yr.); Junior (1 yr., under 2 yrs.);

Senior (2 yrs., under 3 yrs.); Adult (3 yrs. and up); Breeder/Handler (6 mos. and up, handled by

breeder or member of breeder's family); Champion; and Grand Champion. 8. Junior Showmanship classes consist of: Pee Wee (over 2 yrs., under 4 yrs.); Sub-Junior (4

yrs., under 8 yrs.); Novice Junior, Open Junior (8 yrs., under 13 yrs.); Novice Senior, Open

Senior (13 yrs., under 18 yrs.)


remember.

All dogs entering UKC events must be permanently registered, have a valid Temporary

Listing Number, or a Limited Privilege number for performance events. All entry forms must be completed and signed. Incorrect information submitted on the entry form

may invalidate your wins. To be eligible to enter into the Breeder/Handler class, you must be one of the breeders of record,

or a member of the immediate family of one of the breeders of record. Immediate family includes:

spouse, parent, step-parent, child, step-child, brother or sister.

WAIVER All events are held under the Official Rules and Regulations of the United Kennel Club, Inc.

Absolutely no alcoholic beverages, illegal drugs or firearms will be allowed on the grounds or in

the buildings on the day of a UKC Licensed event. UKC, its agents and employees, and the host

club assume no responsibility for any loss, damage, or injury sustained by spectators or by

exhibitors and handlers, or to any of their dogs or property, and further assume no responsibility

for injury to children not under the control of their parents or guardians. UKC and the host club

are not responsible for loss, accidents or theft. By signing this form, I hereby agree to waive any claim, action, or lawsuit and further agree

to indemnify and hold UKC, the host club and any approved UKC Judge harmless from any

claims, actions or lawsuits resulting from my participation in this event, and any action, decision or

judgment made by any UKC or host club representative or approved Judge under the Official UKC

Rules and Regulations governing this event. I acknowledge that the current Official UKC Rules

and Regulations (Agility, Conformation, Dog Sport, Junior Showmanship, Obedience, Terrier

Race, Weight Pull) have been made available to me, and that I am familiar with their contents. My

signature indicates that I understand and agree to the above and to abide by all of the current

Official UKC Rules and Regulations.

United Kennel Club, Inc. Entry Form Please print or type all information.

United Belgian Shepherd Dog Association National Specialty October 28-30 2016 Entries close October 8th 2016 Pre-entry only Make checks payable to: UBSDA (US FUNDS) Mail to: UBSDA National Specialty Show Secretary

Susan Geers-Meiners PO BOX 252 Bethel, OH 45106

FOR CLUB USE ONLY

Armband # _____________

Entry Fees: All licensed classes $30.00

Junior Showmanship $10.00 Sweepstakes $20.00

Non-licensed classes $15.00 Novice Puppy $ 5.00

Dog must not be entered without a permanent UKC® registration number, a UKC Temporary Listing number or a UKC Limited Privilege number. Check one of the three boxes below and enter your dog's number. If your dog's permanent registration is pending at UKC, and you do not have a valid TL number, your entry will be invalid. Breed of Dog Belgian Shepherd Variety_____________________________________

Full Name of Dog (UKC titles only)______________________________________________________ U.K.C. Number ______________________________________________□Permanent Reg.□ UKC LP □ UKC TL Date of Birth (Mo. Day Yr.) _____________________________________________ Sex__ ________________ Breeder ___________________________________________________________________________________ Sire _______________________________________________________________________________________ Dam ______________________________________________________________________________________ Owners name(s) _______________________________________________________________________________ Address ______________________________________________________________________________________ City ______________________________________________ State ________ Zip Code ____________________ Telephone: Days ( _____ ) _________________________ Evenings ( ______ ) __________________________ E-mail: _______________________________________________________________________________________





□ Adult (3 + years) □ Adult (3 + years)


shown by breeder)


shown by breeder)



Non-Licensed Class

SWEEPSTAKES PUPPY ELDER WORKING

□6-9 MONTHS □8-10 YEARS □LEVEL 1



□18-24 MONTHS □LEVEL 4

Working Sweeps: Include documentation of eligibility with all titles________________________________________________ Junior Showmanship□ Pee-Wee□ Sub-Junior □ Novice Junior□ Open Junior □ Novice Senior □ Open Senior __________________________________________________________________________________________ Name of Junior Junior Birthdate Junior Member Number I have read and agree to the waiver on the back of this form. I swear that this dog is not being handled by a

professional handler in Conformation. Signature of Owner/Handler ________________________________________________ Date _____________ Total entry fee $ ________________


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HOW TO USE THIS ENTRY FORM: Do not complete this form until you have read and signed the waiver. Entry is invalid without signature EXHIBITOR INSTRUCTIONS for completing this form

1. All entries must be submitted on the current Official UKC Entry Form. You may use one entry


www.ukcdogs.com. TL numbers are valid for 60 days* (Fees are non-transferable and do not

apply to the cost of permanent registration.) *Call the Dog Events Department at (269) 343-9020

for current fee. 4. Mail all complete entry forms to the Event Secretary listed under the event, unless otherwise

specified. 5. Obedience Trials, Agility Trials, Weight Pull events and Dog Sport Trial events are open to all

UKC recognized breeds and mixed-breed dogs with a valid Limited Privilege number 6. Obedience only: Check the box provided to request either the Veteran or Special Jump Height

option. Veteran dog must be 8 years or older. Eligible dogs for Special Jump Heights are outlined

in the current rules and regulations. 7. Conformation classes consist of: Puppy (6 mos., under 1 yr.); Junior (1 yr., under 2 yrs.);

Intermediate (2 yrs., under 3 yrs.) Adult (3 yrs. and up); Breeder/Handler (6 mos. and up,

handled by breeder or member of breeder's family); Champion; and Grand Champion 8. Junior Showmanship classes consist of: Pee Wee (over 2 yrs., under 4 yrs.); Sub-Junior (4 yrs.,

under 8 yrs.); Novice Junior, Open Junior (8 yrs., under 13 yrs.); Novice Senior, Open Senior (13

yrs; under 18 yrs.)


remember. All dogs entering UKC events must be permanently registered, have a valid

Temporary Listing Number, or a Limited Privilege number for performance events. All entry forms must be completed and signed. Incorrect information submitted on the entry

form may invalidate your wins. To be eligible to enter into the Breeder/Handler class, you must be one of the breeders of

record, or a member of the immediate family of one of the breeders of record. Immediate

family includes: spouse, parent, step-parent, child, step-child, brother or sister.

WAIVER All events are held under the Official Rules and Regulations of the United Kennel Club,

Inc. Absolutely no alcoholic beverages, illegal drugs or firearms will be allowed on the grounds

or in the buildings on the day of a UKC Licensed event. UKC, its agents and employees, and

the host club assume no responsibility for any loss, damage, or injury sustained by spectators

or by exhibitors and handlers, or to any of their dogs or property, and further assume no

responsibility for injury to children not under the control of their parents or guardians. UKC and

the host club are not responsible for loss, accidents or theft. By signing this form, I hereby agree to waive any claim, action, or lawsuit and further agree

to indemnify and hold UKC, the host club and any approved UKC Judge harmless from any

claims, actions or lawsuits resulting from my participation in this event, and any action, decision

or judgment made by any UKC or host club representative or approved Judge under the Official

UKC Rules and Regulations governing this event. I acknowledge that the current Official UKC

Rules and Regulations (Agility, Conformation, Dog Sport, Junior Showmanship, Obedience,

Terrier Race, Weight Pull) have been made available to me, and that I am familiar with their

contents. My signature indicates that I understand and agree to the above and to abide by all of

the current Official UKC Rules and Regulations.

United Kennel Club, Inc. Entry Form Please print or type all information.

United Belgian Shepherd Dog Association National Specialty October 28-30, 2016

Entries close October 8, 2016 Pre-entry only Make checks payable to: UBSDA (US FUNDS) Mail to: UBSDA National Specialty Show Secretary

Susan Geers -Meiners PO BOX 252 Bethel, OH45106

FOR CLUB USE ONLY

Armband # _____________

Entry Fees: All licensed classes $30.00 Junior Showmanship $10.00 Sweepstakes $20.00

Non-licensed classes $15.00

Novice Puppy $ 5.00 Dog must not be entered without a permanent UKC® registration number, a UKC Temporary Listing number or a UKC Limited Privilege number. Check one of the three boxes below and enter your dog's number. If your dog's permanent registration is pending at UKC, and you do not have a valid TL number, your entry will be invalid. Breed of Dog Belgian Shepherd Variety____________________________ Full Name of Dog (UKC titles only)_______________________________________________________ U.K.C. Number _____________________________________ □ Permanent Reg. □ UKC LP □ UKC TL

Date of Birth (Mo. Day Yr.) _______________________________________ Sex ___________________________

Breeder ______________________________________________________________________________________

Sire _________________________________________________________________________________________

Dam ________________________________________________________________________________________

Owners name(s) _______________________________________________________________________________

Address ______________________________________________________________________________________

City ______________________________________________ State ________ Zip Code ____________________

Telephone: Days ( _____ ) _________________________ Evenings ( ______ ) __________________________

E-mail:____________________________________________________________________________________





□ Adult (3 + years ) □ Adult (3 + years )

□ Breeder & Handler (6 months and

over shown by breeder)

□ Breeder & Handler (6 months and

over shown by breeder)



Non-Licensed Class

Sweepstakes Puppy Elder Working




□18-24 MONTHS □LEVEL 4

Working Sweeps: Include documentation of eligibility with all titles______________________________________

Junior Showmanship □Pee-Wee □ Sub-Junior □ Novice Junior □ Open Junior □ Novice Senior □ Open Senior _________________________________________________________________________________________ Name of Junior Juniors Birthdate Junior Member Number I have read and agree to the waiver on the back of this form. I swear that this dog is not being handled by a professional handler in Conformation. Signature of Owner/Handler ______________________________________________ Date ______________ Total entry fee $ ________________

Support the 2016 UBSDA National Specialty · Support the 2016 UBSDA National Specialty ... Dermott...

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