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PHOENIX FIELD and OBEDIENCE CLUB

143rd & 144th All Breed Obedience Trials

20th & 21st All Breed Rally Trials
Licensed by AKC - Unbenched and held Outdoors

Saturday, January 18, 2020
Obedience & Rally
Event #2020025701, 2020025702

Sunday, January 19, 2020
Obedience & Rally
Event #2020025703, 2020025704

Show Secretary
Kathy Hand
315 S. 163rd St.
Gilbert, AZ 85296-9478
(480) 495-0434
kathy@azdogshows.com

Entries close 10:00 PM, MST, Friday, January 3, 2020

at the address of the Show Secretary, after which time no entries may be accepted, cancelled, changed, substituted, completed or signed, and no entry fees refunded. Telephone, FAX or email entries are not accepted. Class changes and cancellations must be received in writing prior to closing date, except as provided for in Chapter 14, Section 6 of the AKC Dog Show Rules

Please Complete the form below with all REQUIRED fields that are marked with an*

Entry is NOT COMPLETE until Online Payment is complete and verified.
You will receive 2 confirmation emails; One for your registration & one for your payment.

A $6.00 processing fee is required for each DOG entered for use of this service. This covers all events for both days

DOG ENTRY

Shows

Sat., Jan. 19th Obedience
Sat., Jan. 19th Rally
Sun., Jan 20th Obedience
Sun., Jan 20th Rally

BREED: *

Variety

SEX*

Jump Height

Obedience Class

Additional Obedience Class

Additional Obedience Class

Additional Obedience Class

Rally Class

Additional Rally Class

Additional Rally Class

Additional Rally Class

JR. SHOWMANSHIP CLASS

NAME OF JR. HANDLER (if any)

JR. HANDLER AKC NUMBER

FULL NAME OF DOG*

REGISTRATION NUMBER*

REGISTRATION NUMBER TYPE*

IF FORIEGN REG. NO. ENTER COUNTRY

DATE OF BIRTH*

PLACE OF BIRTH (list country)*

BREEDER*

SIRE*

DAM*

ACTUAL OWNER(S) (4)*

OWNERS ADDRESS*

OWNERS CITY*

OWNERS STATE*

OWNERS ZIP CODE*

NAME OF OWNERS AGENT AT THE SHOW (if any)

CERTIFICATION STATEMENT

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 next to the 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 (Owner/Authorized Agent) Type your full name*

I AGREE TO THE CERTIFICATION STATEMENT

YES NO

Telephone *

Email Address*

JUNIOR SHOWMANSHIP

If this entry is for Junior showmanship, please give the following information. This number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone (919)816-3376 By signing the entry form I (we) certify that the Junior Showman does not now and will not at any time, act as as agent/handler for pay while continuing to compete in Junior Showmanship.

AKC JR. HANDLER NUMBER

JR. DATE OF BIRTH

Address

City

State

ZIP CODE

Note:

If Jr. Handler is not theowner of the dog identified on the face of this form, what is the relationship t the Jr. Handler to the Owner?

Jr Relationship to Owner

Please enter the phrase above

AGREEMENT

I (we) agree that the club hold this event has the right to refuse this entry for cause which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold 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 AKC approved judge, judging at this event, harmless form any claim for loss or injury which may be alleged to have 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 calm 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 liability imposed by law upon any of the aforementioned parties for damage because of bodily injury, including death at any time resultingthere from sustained by any person or persons, including myself(ourselves) or on account of damage to property, arising out of in consequence of my (our) participation in this event, however such injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agent, or any other persons.

I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIMARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THIS EVENT BETWEEN THE AKC AND THE EVEN-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTUION, INTERPUETATION AND EFFEECT 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 PRDCEDURED MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHAPTER AND BYLAWS, RULES, REGULATIONS, PUBLIHED POLICIES AND GUIDELINES.

INSTRUCTIONS

1.(Variety) if you are entering a dog breed in which there are varieties for show purposes, please designate the particular variety you are entering i.e. Cocker Spaniel(solid color black, ASCOB, parti-color). Beagles (Not exceeding 13 in. over 13 in. but not exceeding 15 in.). Dachshunds (longhaired, smooth, wirehaired). Bull Terriers(colored, white) Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles ( toy, miniature, standard), Collies (rough, smooth),

2.(Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then in addition to designating the class, specify the particular division of the class in which you are entering your dog i.e., age division, color division, weight division.

3.A dog must be entered in the same name of the person who actually owned the dog at the time entries for the event closed. If the registered dog has been acquired by a new owner, it must be entered in the name of the new owner in the event for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is record in his name. State on entry form whether transfer application has been mailed to A.K.C. (For complete rules refer to Chapter 11, Section 3).

4.Dogs listed in the AKC Canine Partners^SM Program may be eligible to enter all-breed AKC Obedience trials at the clubs 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. Sire and Dam information shall remain blank for mixed breed entrants.

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