AKC OFFICIAL ENTRY FORM

Columbia-Willamette Beagle Club AKC SCENT WORK Entry Form for Trial 2 - Advanced Classes - May 5 & 6, 2018

PRE-ENTRIES WILL ONLY BE ACCEPTED ONLINE USING THIS FORM

ENTRIES WILL ALSO BE ACCEPTED AT THE TRIAL ON THE DAY OF THE TRIAL. ENTRY FORMS WILL BE AVAILABLE AT THE TRIAL.

DAY-OF ENTRIES MUST BE PAID BY CASH OR CHECK - NO CREDIT CARDS.

A separate entry form is required for each dog you wish to enter.

Dog, Owner, & Handler Information

AKC # must be 2 letters followed by 8 numbers EX: HP12345601 - no /. For ILP/PAL # is 6 numbers. EX: 123456
dd/mm/yyyy
If not known, enter "Unknown"
If not known, enter "Unknown"
If not known, enter "Unknown"
WA, OR, CA, etc
(555)555-5555

All fields are REQUIRED except Junior Handler # if it is not applicable.

Make Your Entries

Calculate Your Entry Fee

$25 for the first entry in each trial; $20 for each additional entry in the same trial.

Calculate Fees for Trial 2 on Saturday, May 5

Enter "0" or "25"
Enter "0" or "20"
Add 1st entry + 2nd Entry

Calculate Fees for Trial 2 on Sunday, May 6

Enter "0" or "25"
Enter "0" or "20"
Add 1st entry + 2nd entry
Add Total Fee at the end of each the four rows above

***Be sure to read the Agreement and sign at the bottom of the form. No form will be processed without your signature!***

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website, www.akc.org

AGREEMENT

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. 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 any additional rules and regulations appearing in the premium list of this event and entry form and any decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim of loss, injury or damage to this dog.

Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other person. I (we) agree that the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS, AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.


Printed Name of owner or his agent duly authorized to make this entry.

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