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Youngsville Agility Club of North Carolina November 10-11, 2012

Youngsville Agility Club of North Carolina November 10-11, 2012

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Entries Open: Tuesday, August 7, <strong>2012</strong> - 9:00 a.m.<br />

at the Trial Secretary’s address. All entries received before this date/time will be<br />

returned. Limit <strong>of</strong> <strong>10</strong> entries per envelope.<br />

No hand deliveries accepted within the first 24 hours <strong>of</strong> the trial opening.<br />

Volunteer Worker Form<br />

Your help is appreciated. Workers will receive lunch and discount<br />

coupons good toward future YAC trials. Please fill out this form and<br />

return it with your entry.<br />

A copy <strong>of</strong> the worker schedule will be sent by email to all exhibitors<br />

prior to the trial. Volunteer coordinator is Cheryl Motheral-Lynn –<br />

please contact her at: thekicker@nc.rr.com<br />

Name:<br />

E-Mail :<br />

Phone :<br />

I’m willing to do:<br />

___ Timer ___ Gate Steward ___ Course Building<br />

___ Scribe ___ Score Runner ___ Leash Runner<br />

___ Asst. Scribe ___ Ring Crew ___ Anything!<br />

Days I will be able to work SAT SUN<br />

Classes I am entered in and on which days:<br />

___ EXC STD (20”- 26”) ___ EXC JWW (20”- 26”)<br />

___ EXC STD (4” – 16”) ___ EXC JWW (4” – 16”)<br />

___ OPEN STD ___ OPEN JWW<br />

___ NOVICE STD ___ NOVICE JWW<br />

___EXC FAST ___ OPEN FAST ___NOV FAST<br />

Final Closing: Saturday, October 27, <strong>2012</strong> - 5:00 pm<br />

After which time entries cannot be accepted, cancelled, altered or substituted except<br />

as provided for in Chapter <strong>11</strong>, Section 6 <strong>of</strong> the Dog Show Rules.<br />

<strong>Youngsville</strong> <strong>Agility</strong> <strong>Club</strong> <strong>of</strong> <strong>North</strong> <strong>Carolina</strong><br />

www.youngsvilleagilityclub.com<br />

Event #: <strong>2012</strong>625607 & <strong>2012</strong>625608<br />

<strong>November</strong> <strong>10</strong>-<strong>11</strong>, <strong>2012</strong><br />

Three AKC All Breed <strong>Agility</strong> Trials.<br />

All Levels <strong>of</strong> Standard, JWW and FAST both days.<br />

This Event is Accepting Entries for Dogs Listed in the AKC Canine<br />

Partners Program<br />

Trial to be held at:<br />

Teamworks Dog Training, LLC<br />

www.dogtrainingraleighnc.net<br />

195 Robbins Road, <strong>Youngsville</strong>, NC 27596<br />

Show hours: 7:00 am to 7:00 pm<br />

Outdoors in 2 Fully-Fenced <strong>10</strong>0’ x <strong>10</strong>0’ Grass Rings<br />

For each entry received, $1 will be donated to<br />

help fund research by the AKC Canine Health<br />

Foundation.<br />

American Kennel <strong>Club</strong> Certification Permission has been granted by the American<br />

Kennel <strong>Club</strong> for the holding <strong>of</strong> this event under American Kennel <strong>Club</strong> rules and<br />

regulations.<br />

James P. Crowley, Secretary


YOUNGSVILLE AGILITY CLUB OFFICERS<br />

President: Michele Godlevski Vice President: Mark Allemang<br />

Secretary: Greg Godlevski Treasurer: Laura Lankford<br />

Board Members: Cheryl Motheral-Lynn, Joann Burtness, Rae Tanner<br />

TRIAL COMMITTEE<br />

Trial Chair: Michele Godlevski michelegodlevski@gmail.com<br />

Chief Course<br />

Builder: Mark Allemang mallemang1@gmail.com<br />

Worker Coord.: Cheryl Motheral-Lynn thekicker@nc.rr.com<br />

Members:<br />

Joann Burtness, Denise McDonald<br />

TRIAL SECRETARY<br />

Laura Lankford………….…18 Beaver Creek Ln, Durham, NC 27703<br />

Contact: agilitydawgs@earthlink.net …………………...919-270-7929<br />

I acknowledge all emails and confirm receipt <strong>of</strong> all cancellations and move-ups –<br />

please allow 24-48 hours for a response. If you do not hear from me within that<br />

time, please call me.<br />

JUDGE<br />

Blair Kelly #18940<br />

1309 Beltram Ct.; Odenton, MD 2<strong>11</strong>13<br />

RUNNING ORDER (all days will run TALL to SMALL)<br />

SATURDAY:<br />

FAST Exc – FAST Open – FAST Nov – Exc Std – Exc JWW – Open Std<br />

– Open JWW – Nov Std – Nov JWW<br />

SUNDAY:<br />

Exc JWW – Exc Std – Open JWW – Open Std – Nov JWW – Nov Std –<br />

FAST Exc – FAST Open – FAST Nov<br />

Preferred Classes will run concurrently with the Regular Classes using the same<br />

course as the Regular Classes. All Standard classes will be in the East (“sand”)<br />

Ring, all JWW and FAST classes will be in the West (“Grass”) Ring.<br />

Saturday & Sunday check-in: 7:30 am; judging begins at 8:30 am.<br />

VETERINARIAN ON CALL:<br />

Quail Corners Animal Hospital and Emergency Care Center<br />

1613 E. Millbrook Road<br />

Raleigh, NC 27609<br />

919-876-0739<br />

Teamworks <strong>Agility</strong> Weather Hotline<br />

919-340-0120<br />

<strong>Agility</strong> trials are held rain or shine. However, in the case <strong>of</strong> severe weather, please<br />

call the Teamworks <strong>Agility</strong> Weather Hotline for updated information. If there is a<br />

need to delay or cancel a trial due to extreme conditions, there will be a message on<br />

this line.<br />

Updated Height Card Process:<br />

Copies <strong>of</strong> height cards no longer need to be sent with your entry. Please check the<br />

appropriate box on the entry form regarding your dog’s measurement status so the trial<br />

secretary knows whether to include you on the “Dogs to Be Measured” List.<br />

Regular Preferred Information<br />

8” 4” For dogs <strong>11</strong>” & under at withers<br />

12” 8” For dogs 14” & under at withers<br />

16” 12” For dogs 18” & under at withers<br />

20” 16” For dogs 22” & under at withers<br />

24” 20” For dogs over 22” at withers<br />

26” --- Dogs may be entered at this<br />

height at their owner’s discretion<br />

WAIT LIST POLICY<br />

Entries for this trial are being accepted on a first-received basis until the<br />

closing date <strong>of</strong> October 27, <strong>2012</strong> at 5:00pm. YAC will be <strong>of</strong>fering a wait list<br />

up until the closing date for those entries received in excess <strong>of</strong> the daily<br />

limits. No more than 25 entries will be included on the wait list. All entries,<br />

including those that are wait listed, must be received by the final closing<br />

date. Any entries withdrawn by the final closing date <strong>of</strong> October 27 th will be<br />

replaced by a wait listed entry (if available) and a full refund will be issued to<br />

the withdrawn entry. Any entry remaining on the waiting list after the final<br />

closing date <strong>of</strong> October 27 th will receive a full refund. YAC will NOT be<br />

allowing move-ups from the waiting list into the trial after the final closing<br />

date.<br />

.


GENERAL INFORMATION<br />

The trial will be held outdoors. Your dogs must remain on leash when they are not<br />

competing or in the warm-up areas. Poop bags are located throughout the premises<br />

for your convenience in picking up after your dog(s). Handlers are responsible for<br />

cleaning up after their dogs on the grounds and at the hotels. Handlers found to be in<br />

violation <strong>of</strong> either <strong>of</strong> these policies may be excused by the Trial Committee without<br />

benefit <strong>of</strong> refund.<br />

ENTRY FEES: $23.00 first entry <strong>of</strong> each dog, each day; $12.00 subsequent<br />

entries <strong>of</strong> same dog, same day. (includes AKC recording fees <strong>of</strong> $3.50 for 1 st entry<br />

and $3.00 for each additional entry <strong>of</strong> the same dog, per day)<br />

Please make checks payable to <strong>Youngsville</strong> <strong>Agility</strong> <strong>Club</strong> (YAC). Checks made<br />

out incorrectly do not constitute a valid entry fee and your entry will be returned. No<br />

refunds granted for checks made in excess <strong>of</strong> the correct amount if overage equals<br />

less than $<strong>10</strong>. There will be a $35 fee for returned checks, and the exhibitor may be<br />

asked to submit cash or money order for future events. All express mail must be left<br />

with no acceptance signature required. Entry form changes, additions, corrections<br />

and cancellations MUST be received in writing prior to the October 27, <strong>2012</strong> closing<br />

date, be legible and include the AKC number, or no refund will be issued. No<br />

telephone changes accepted.<br />

SITE INFORMATION: All Standard classes will be outdoors in the East Ring<br />

(formerly the “sand ring”). The JWW and FAST classes will be outdoors in the West<br />

Ring (formerly the “grass ring”). Both rings are fully fenced, on a flat grassy area,<br />

<strong>10</strong>0’ x <strong>10</strong>0’. In case <strong>of</strong> inclement weather, for the safety <strong>of</strong> both dogs and handlers,<br />

the club reserves the right to use only the East Ring.<br />

OBSTACLES: Obstacles will meet the specifications for obstacles in the current<br />

edition <strong>of</strong> the regulations for <strong>Agility</strong> Trials. Rubber surfaced contacts, 24” weave<br />

poles and electronic timing will be used.<br />

WARM-UP AREAS are fully fenced and consist <strong>of</strong> a regulation jump. Exhibitors<br />

may not use the warm up areas to relieve their dogs.<br />

DOGS ELIGIBLE TO ENTER: This trial is open to all dogs over the age <strong>of</strong> 15<br />

months that are registered with the American Kennel <strong>Club</strong> or are registerable breeds<br />

that have obtained AKC ILP or PAL numbers, except bitches in heat, aggressive<br />

dogs, or dogs suffering from any deformity, injury or illness which may affect the<br />

dog’s physical or mental performance. Dogs or registerable breeds with an accepted<br />

foreign registration number are eligible to participate subject to Chapter <strong>11</strong>, Section<br />

1 <strong>of</strong> the Dog Show Rules. Refer to Chapter 2 <strong>of</strong> the Registration and Discipline<br />

Rules for the listing <strong>of</strong> registerable breeds they may participate. The safety <strong>of</strong> the<br />

dogs is our primary concern. By entering this trial, exhibitors acknowledge that they<br />

are familiar with the rules and regulations <strong>of</strong> this sport, and that their dogs are<br />

familiar with and able to perform all obstacles safely.<br />

It is expressly understood that exhibitors alone are responsible for the behavior <strong>of</strong><br />

their dogs and/or children. Any exhibitor whose dogs and/or children create<br />

unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may,<br />

at the discretion <strong>of</strong> the Trial Committee, be asked to leave the show site. In such<br />

cases, no refund <strong>of</strong> any fees paid will be made. <strong>Youngsville</strong> <strong>Agility</strong> <strong>Club</strong> and<br />

Teamworks Dog Training LLC, its agents, members, etc., assume no responsibility<br />

for any loss, damage, or injury sustained by exhibitors, handlers, or to any <strong>of</strong> their<br />

dogs or property and further, assume no responsibility for injury to children.<br />

REFUNDS: Entry fees for bitches that come into season after the closing date will<br />

be refunded (minus a $<strong>10</strong>.00 administrative fee per day) if a veterinarian certificate<br />

is presented to the trial secretary prior to the start <strong>of</strong> judging. Refunds due to illness<br />

or injury <strong>of</strong> either dog and/or handler will be made on a case-by-case basis by the<br />

trial committee and a vet’s and/or physician’s note must be presented prior to the<br />

start <strong>of</strong> judging. No entry fees will be refunded if the Trial cannot open or be<br />

completed by reason <strong>of</strong> riots, civil disturbances, fire, acts <strong>of</strong> God, public emergency,<br />

or any other cause beyond the control <strong>of</strong> the <strong>Club</strong>. Entry fees shall not be refunded<br />

in the event that a dog is absent, disqualified, excused by vet or judge or barred<br />

from competition by action <strong>of</strong> the trial committee.<br />

Dogs are not required to be at the trial until the scheduled time <strong>of</strong> judging. All dogs<br />

not needed for further judging are excused. The owner/handler <strong>of</strong> each dog is solely<br />

responsible for having the dog ready at ringside when it is to be judged.<br />

Dogs under 6 months <strong>of</strong> age are NOT permitted on the show grounds <strong>of</strong> AKC<br />

<strong>Agility</strong> Events. Exhibitors should follow their veterinarian’s recommendation to<br />

assure their dogs are free <strong>of</strong> internal and external parasites, any communicable<br />

diseases, and have appropriate vaccinations<br />

CLASS INFORMATION: All Regular and Preferred Standard, JWW and<br />

FAST classes will be <strong>of</strong>fered each day. Please consult AKC rules and regulations<br />

pertaining to <strong>Agility</strong> Trials for complete description and eligibility for entry in these<br />

classes. The exhibitor is fully responsible for entering the dog in the correct<br />

class/division. IT IS THE EXHIBITOR’S RESPONSIBILITY TO ENTER<br />

THE CORRECT CLASS.<br />

PRIZES AND AWARDS: Each exhibitor will be <strong>of</strong>fered a prize equaling $3-5 for<br />

each dog entered. One prize per dog, per day entered please. Rosettes will be<br />

awarded to the 1 st through 4 th places in each height division. Only qualifying scores<br />

are eligible for ribbons. Qualifying ribbons will be awarded to those dogs receiving<br />

qualifying scores. A special rosette and a MACH or PACH Bar will be <strong>of</strong>fered for all<br />

dogs earning a MACH or PACH. All prizes must be claimed the day <strong>of</strong> the show,<br />

none will be mailed.<br />

MOVE-UP REGULATIONS: If a dog earns an agility title before this event it can<br />

be advanced to the next level <strong>of</strong> competition. Written notice (email is acceptable and<br />

preferred) must be given to the Trial Secretary, no later than Monday, <strong>November</strong> 5,<br />

<strong>2012</strong> by 6:00pm. Day to day move-ups will be <strong>of</strong>fered – written notice must be<br />

provided by close <strong>of</strong> the trial on Friday and Saturday, which will be considered the<br />

awarding <strong>of</strong> the ribbons for the last class on that day. Move-ups will be added to the<br />

end <strong>of</strong> the running order <strong>of</strong> the class they move up to. No verbal changes will be<br />

accepted. Changes from Nov A to Nov B can only be made before the trial closing<br />

date <strong>of</strong> October 27, <strong>2012</strong>.<br />

INITIAL CONFIRMATIONS: If you wish confirmation <strong>of</strong> RECEIPT <strong>of</strong> entries,<br />

provide a valid, unblocked e-mail address or you may enclose a pre-addressed, pre-


paid post card or envelope. Entries will be acknowledged via email when they are<br />

received, after the random draw, and when move-ups or cancellations are requested.<br />

FINAL CONFIRMATIONS: All entries will receive confirmations via e-mail.<br />

Entries without a valid e-mail address will receive confirmations via the US Post<br />

Office. If you provided an e-mail address but wish to receive your final confirmation<br />

via the US Post Office, please contact the trial secretary. If you have not received a<br />

copy <strong>of</strong> your confirmation before the show, contact the Trial Secretary.<br />

COURSE FAMILIARIZATION: Handlers in all classes are permitted to walk the<br />

course, without a dog, prior to the start <strong>of</strong> the class. The walk-through allows<br />

handlers to plan their strategy for running the course. The walk-through period will<br />

be held prior to each class. The judge’s briefing will outline the course and answer<br />

handler questions. There will not be equipment familiarization for Novice dogs.<br />

RV AND TENT CAMPING: Advanced reservations are required for all overnight<br />

RV’s, pop-ups and tent camping. Reservations can be made online at the<br />

Teamworks Dog Training website (http://www.dogtrainingraleighnc.net – under<br />

“Events”). A limited number <strong>of</strong> electrical hookups are available for RV’s. No water<br />

hookups or dumping.<br />

RESERVED PARKING is available only for RV’s, handicapped and trial<br />

committee members. Otherwise, parking is on a first-come, first-served basis.<br />

TENTING is also on a first-come, first served basis. Any cones or flagging tape left<br />

in an attempt to save a parking or tenting spot will be removed and thrown away.<br />

The grounds will be available on Friday after 3:00pm for set up (absolutely no<br />

earlier). There are signs clearly indicating where parking and tenting are. Anyone<br />

caught driving past barriers or disobeying the ground rules will be asked to leave the<br />

site without a refund. <strong>Youngsville</strong> <strong>Agility</strong> <strong>Club</strong> and Teamworks Dog Training will<br />

not be responsible for any lost or damaged items left at the show site.<br />

FOOD: Food and drinks will be available on the grounds. Nearby restaurants are<br />

located in Raleigh, Rolesville, Wake Forest and <strong>Youngsville</strong>.<br />

DIRECTIONS TO TEAMWORKS AGILITY FIELD<br />

195 ROBBINS ROAD, YOUNGSVILLE, NC<br />

From Points South/East: Take I-40 West to I-440 (Beltline) to Exit <strong>11</strong> (Route 1 <strong>North</strong><br />

/ Capital Blvd). Continue on Route 1 <strong>North</strong>/Capital Blvd. until it splits at US-401.<br />

Follow US-401 <strong>North</strong>, which splits to the right. You will go through town <strong>of</strong> Rolesville<br />

and enter Franklin County. Pass Rte 96; turn right on 98 East (second light past Rte<br />

96). Pass Spencer's Gate development. At first major road, turn right on Bethlehem<br />

Church Rd (road called Clifton Pond Rd on other side). Turn left onto Robbins Rd.<br />

Look for white fence on left. Turn left into second gravel driveway at Teamworks Dog<br />

Training sign.<br />

From I-40 Headed East: Exit I-40 onto I-540 East. Continue on I-540 and take the<br />

exit for 401 north (Louisburg). Go through town <strong>of</strong> Rolesville. Pass Rte 96; enter<br />

Franklin County. Turn right onto 98 East (second light past Rte 96). Pass Spencer's<br />

Gate development. At first major road, turn right on Bethlehem Church Rd (road called<br />

Clifton Pond Rd on other side). Turn left onto Robbins Rd. Look for white fence on<br />

left. Turn left into second gravel driveway at Teamworks Dog Training sign.<br />

From Virginia and Points <strong>North</strong> <strong>of</strong> Raleigh: Take I-95 South to I-85 South. Follow<br />

Rte 1 South toward Raleigh. Take Rte 98 East. Follow signs to stay on route 98 East.<br />

Pass 401. Pass Spencer's Gate development. At first major road, turn right on<br />

Bethlehem Church Rd (road called Clifton Pond Road on other side). Turn left onto<br />

Robbins Rd. Look for the white fence on the left. Turn left into second gravel<br />

driveway at Teamworks Dog Training sign.<br />

From Durham and Points West <strong>of</strong> Raleigh: Take I-85 <strong>North</strong>. Take US-70 East to<br />

Raleigh. Stay in the right hand lane. Watch for small sign for Rte 98 East to Wake<br />

Forest (it comes up fast). Take Rte 98 East to Wake Forest. You will be on this road<br />

for about 40 minutes. Pass Route 50; pass Rte 1. Go through Wake Forest, following<br />

signs stay on Rte 98 East. Pass Rte 96. Pass Rte 401. Pass Spencer's Gate<br />

development. At first major road, turn right on Bethlehem Church Rd (called Clifton<br />

Pond Rd on other side). Turn left onto Robbins Rd Look for white fence on left.<br />

Turn left into second gravel driveway at Teamworks Dog Training sign<br />

ACCOMMODATIONS<br />

The following motels located in <strong>North</strong> <strong>Carolina</strong> have accepted pets in the past.<br />

Please contact the hotel directly to verify their pet policies.<br />

Candlewood Suites at 12050 Retail Drive, Wake Forest, NC 27587 – phone<br />

919-554-6901. Approximately 20 minutes to trial site<br />

Day’s Inn Raleigh at 3201 Wake Forest Road, Raleigh, NC 27609 – phone<br />

919-878-93<strong>10</strong>. Approximately 30 minutes to trial site.<br />

Day’s Inn Glenwood-Crabtree at 6329 Glenwood Avenue Raleigh NC<br />

27612 – phone 919-781-7904. Approximately 40 minutes to trial site.<br />

La Quinta Inn and Suites Raleigh Crabtree at 22<strong>11</strong> Summit Park Lane,<br />

Raleigh NC 27612 – phone 919-785-0071. Approximately 40 minutes to<br />

trial site.<br />

Howard Johnson at 3120 New Bern Avenue Raleigh, NC 276<strong>10</strong> – phone<br />

919-231-3000. Approximately 30 minutes to trial site.<br />

Comfort Suites at 4400 Capital Boulevard, Raleigh NC 27604 – phone 919-<br />

876-22<strong>11</strong>. Approximately 30 minutes to trial site.<br />

.


AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel <strong>Club</strong> Web site – www.<br />

AGREEMENT<br />

I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall<br />

deem sufficient. In consideration <strong>of</strong> the acceptance <strong>of</strong> this entry and <strong>of</strong> the holding <strong>of</strong> this event and <strong>of</strong> the<br />

opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC,<br />

the event-giving club, their members, directors, governors, <strong>of</strong>ficers, agents, superintendents or event<br />

secretary and the owner and/or lessor <strong>of</strong> the premises and any provider <strong>of</strong> services that are necessary to<br />

hold this event and any employees or volunteers <strong>of</strong> the aforementioned parties, and any AKC approved<br />

judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been<br />

caused directly or indirectly to any person or thing by the act <strong>of</strong> this dog while in or about the event<br />

premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and<br />

liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any<br />

claim for loss, injury or damage to this dog.<br />

Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the<br />

aforementioned parties harmless from any and all loss and expense (including legal fees) by reason <strong>of</strong> the<br />

liability imposed by law upon any <strong>of</strong> the aforementioned parties for damage because <strong>of</strong> bodily injuries,<br />

including death at any time resulting therefrom, sustained by any person or persons, including myself<br />

(ourselves), or on account <strong>of</strong> damage to property, arising out <strong>of</strong> or in consequence <strong>of</strong> my (our)<br />

participation in this event, however such, injuries, death or property damage may be caused, and whether<br />

or not the same may have been caused or may be alleged to have been caused by the negligence <strong>of</strong> the<br />

aforementioned parties or any <strong>of</strong> their employees, agents, or any other persons. I (WE) AGREE THAT ANY<br />

CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY,<br />

EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB<br />

(UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE<br />

CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY<br />

ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION.<br />

HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND<br />

PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES,<br />

REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.<br />

INSTRUCTIONS<br />

Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a<br />

division lower than their proper height division. Dogs entered in the Preferred classes must compete<br />

at the required jump height and may not compete in a jump height division higher or lower than<br />

their proper height division.<br />

All dogs that have not been <strong>of</strong>ficially measured for an <strong>Agility</strong> Jump Height Card may still compete;<br />

however, they must be measured by a Judge <strong>of</strong> record, an <strong>Agility</strong> Field Representative, or a Volunteer<br />

Measuring Official, prior to running. If measured by the Judge <strong>of</strong> record, that measurement will be valid<br />

for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor's responsibility<br />

to have their dog(s) measured prior to running.<br />

Dogs enrolled in the AKC Canine Partners Program may be eligible to enter all-breed AKC agility<br />

trials at the club’s option effective April 1, 20<strong>10</strong>. These dogs should be listed as All American Dog and<br />

must include their AKC number on the entry form and check the AKC No. box.<br />

Junior Handlers should enter their Junior Handler number on the front <strong>of</strong> this form. Should you not have<br />

your Junior Handler number, it may be obtained from the American Kennel <strong>Club</strong> (919) 816-3776. If the<br />

Junior Handler is not the owner <strong>of</strong> the dog identified on the face <strong>of</strong> this form, what is the relationship <strong>of</strong><br />

the Junior Handler to the Owner<br />

I CERTIFY that I am the actual owner <strong>of</strong> the dog, or that I am the duly authorized agent <strong>of</strong> the actual owner whose name I<br />

have entered above. n consideration <strong>of</strong> the acceptance <strong>of</strong> this entry, I (we) agree to abide by the rules and regulations <strong>of</strong> The<br />

American Kennel <strong>Club</strong> in effect at the time <strong>of</strong> this event, and by any additional rules and regulations appearing in the premium list<br />

for this event, and further agree to be bound by the "Agreement" printed above on this entry form. I (we) certify and represent that<br />

the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and<br />

Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions<br />

applying to discipline) and to abide by any decisions made in accord with them.<br />

SIGNATURE OF OWNER OR HIS AGENT<br />

OFFICIAL ENTRY FORM FOR AGILITY TRIALS<br />

Opening Date: August 7, <strong>2012</strong> PLEASE PRINT OR TYPE your entry.<br />

Closing Date: October 27, <strong>2012</strong> Incomplete and/or illegible entries will be returned.<br />

Entries accepted on a first-received basis Limit <strong>10</strong> entries per envelope.<br />

(IMPORTANT: CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE BEFORE FILLING OUT) HEIGHT AT<br />

BREED/VARIETY SEX [ ] MY DOG NEEDS TO BE MEASURED<br />

[ ] MY DOG HAS A TEMPORARY JUMP HEIGHT FORM<br />

[ ] MY DOG HAS A PERMANENT JUMP HEIGHT CARD<br />

REGULAR STANDARD AGILITY REGULAR JUMPERS W/ WEAVES REGULAR FAST<br />

(circle one) (circle one) (circle one)<br />

WITHERS<br />

NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B NOV-A NOV-B OPEN EXC-A EXC-B<br />

JUMP HEIGHT (circle one) 8 12 16 20 24 26<br />

PREFERRED STANDARD AGILITY PREFERRED JWW PREFERRED FAST<br />

(circle one) (circle one) (circle one)<br />

NOVICE-P OPEN-P EXC-AP EXC-BP NOVICE-P OPEN-P EXC-AP EXC-BP NOV-P OPEN-P EXC-AP EXC-BP<br />

JUMP HEIGHT (circle one) 4 8 12 16 20<br />

TIME TO BEAT (CHECK ONE) NON-REGULAR AGILITY CLASSES (if <strong>of</strong>fered): JUMP HEIGHT (circle one) 14 18 26<br />

T2B T2B-P INTERNATIONAL SWEEPSTAKES CLASS (circle class) STD JWW<br />

AKC® NAME (Include AKC titles only) CALL NAME OF DOG<br />

(Enter number below)<br />

DATE OF BIRTH<br />

[ ] AKC® NO.<br />

[ ] ILP [ ] PAL PLACE OF BIRTH (LIST COUNTRY)<br />

[ ] FOREIGN REG. NO.<br />

BREEDER<br />

SIRE<br />

DAM<br />

<strong>Youngsville</strong> <strong>Agility</strong> <strong>Club</strong> <strong>of</strong> <strong>North</strong> <strong>Carolina</strong> – <strong>November</strong> <strong>10</strong>-<strong>11</strong>, <strong>2012</strong><br />

ACTUAL OWNERS<br />

OWNERS ADDRESS<br />

CITY, STATE, ZIP + 4<br />

Entry Fees: $23.00 1 st class $12.00 2 nd /3 rd class per dog, per day<br />

Sat <strong>11</strong>/6 ___STD ___JWW ___FAST ___All Three ($47)<br />

Sun <strong>11</strong>/7 ___STD ___JWW ___FAST ___All Three ($47)<br />

$1 will be donated to the AKC Canine Health Foundation for each entry received.<br />

Mail entries with fees payable to YAC to: Laura Lankford, 18 Beaver Creek Ln, Durham, NC 27703.<br />

NEW ADDRESS<br />

DULY AUTHORIZED TO MAKE THIS ENTRY<br />

TELEPHONE :<br />

HANDLER (IF DIFFERENT THAN OWNER)<br />

IF JUNIOR HANDLER, PLEASE ENTER # BELOW FEE ENCLOSED<br />

E-MAIL ADDRESS:<br />

AEAGL2 (03/<strong>10</strong>) OLAV6.5P<br />

EXHIBITOR / OWNER MUST READ AND SIGN THE REVERSE SIDE OF THIS FORM

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