STARTERS ~ NOVICE ~ ADVANCED ~ MASTERS

~ PERFORMANCE I, II & III~

Closing Date: March 24, 2002

1305 Kempsville Road, Chesapeake, VA

Outdoors on grass

JUDGES

Tim Verrelli Lake Worth, FL

Lynn Sigman Lancaster, PA

Return completed and signed entry forms and fees to:

Gloria Smith

P.O. Box 1728, Hayes VA 23072

Entries close at 6:00 p.m., March 24, 2002 at the secretary’s address. No cancellations, additions, or other changes shall be permitted after the closing date.

Gamblers: Masters/PIII, Advanced/PII, Novice/ Starters/PI

Standard Titling: Masters/PIII, Advanced/PII, Novice and Starters/PI

Grand Prix Qualifier

Pairs: Masters, Advanced, Starter/Novice

Standard Titling: Masters/PIII, Advanced/PII, Novice and Starters/PI

Jumpers: Masters/PIII, Advanced/PII, Novice and Starters/PI

First through fourth place rosettes will be awarded for placement in each height division in all the standard. First through fourth place rosettes will be awarded for placement in each height division in the Masters and Advanced non-standard classes. First through fourth place rosettes for Starters / Novice non-standard classes will be combined.

All qualifiers will receive a maroon ribbon.

First through fourth place rosettes will be award for placements in mini (12" & 16") and open (22" & 26") division in the Pair Relay classes.

First through third place rosettes will be awarded to the 12 inch height division.

First through fourth place rosettes will be awarded to the 16 inch height division.

First through fifth place rosettes will be awarded to the 22 and 26 inch height division.

All Grand Prix Qualifiers will receive qualifying rosettes.

Trial Chair: Trial Secretary:

Sherry Bryant Gloria Smith

3220 Meadowbrook LN PO. Box 1728

Chesapeake, VA 23321 Hayes VA 23072

(757)-484-4516 804) 642 - 3748

SherryAB@aol [email protected]

Greenbrier Veterinary Clinic Greenbrier Emergency Center

105 Coastal Lane 1100 Eden Way North Suite 101

Chesapeake VA (Behind Greenbrier Mall)

757-547-0167 757-366-9000

DOG REGISTRATION APPLICATION - $12.00

JUNIOR HANDLER REGISTRATION APPLICATION - $7.00

Dogs must be registered with USDAA in order to compete in USDAA sanctioned events. A registration card and number with a "U" prefix will be issued to facilitate entry at USDAA events and tracking of show results in the regular classes Junior handlers (those 18 years of age and younger) and their dogs must be separately registered for participation in the USDAA Junior Handler Program (UJHP). A registration number with a "J" prefix will be assigned for use in entering UJHP events . A dog that is expected to compete in both programs (regular classes and UJHP) must be registered separately for each program. If registering for both programs at the same time the total fee is $19.00.

Send this completed form with your entry form if you do not have an USDAA registration number

Owner:

Co-Owner:

Handler:

Junior Handler: Telephone: ( )

^{(This line required for junior handler registration only) (Day telephone, if possible)}

Address:

City/State: Postal Code: Country:

Formal Name:

^{(Name to appear on certificates; please print clearly or type)}

Call Name: Birth date:

Merge onto I-664 S. 6.44 miles: Take the I-64 exit- exit number 15B- towards CHESAPEAKE/VA BEACH..: Merge onto I-64 W.. GREENBRIER PKWY exit- exit number 289B (Greenbrier South.) Head SOUTH on GREENBRIER PKWY. 1.57 miles to VOLVO PKWY Turn LEFT onto VOLVO PKWY. 1.42 miles. To KEMPSVILLE RD turn RIGHT onto KEMPSVILLE RD/VA-190 The Family Dog Club is the Third business on the RIGHT. 1305 Kempsville Road

For those of you who wish to be on the beach, it is a 30-45 minute drive to the site.

Thunderbird Motor Lodge 35^th & Oceanfront Virginia Beach 1800-633-6669

The motel has a 25 lb. weight limit with a $10 daily pet fee.

Red Roof Inn: 757 - 523 - 0123 Location I-64, exit 289A Greenbrier Pkwy.

No pet fee. Mention Chesapeake Bay Achievers Agility Club

Location I-64, exit 289A Greenbrier Pkwy. One double bed $33.99; two people $39.99. Mention that you are traveling with your pet.

The members of Chesapeake Bay Achievers would like to thank all exhibitors who have signed up to work our trial. We invite you to join us for a cookout. CBA will provide the side dishes and grill. Just bring your favorite meat to cook. CBA will have available a gas grill for exhibitors to use throughout the weekend.

The Starters/Novice level classes shall be for any dogs that have not earned the Agility Dog® title. When offered separately as Starters and Novice Classes, the Starters level classes are for dogs that have also not earned a title in the Performance Program, or a dog that is handled by a person who has not previously earned the Agility Dog® title or a title in the Performance or Veterans Program with any dog.

The Advanced level classes shall be for dogs that have earned the Agility Dog® title and have not earned the Advanced Agility Dog® title.

The Masters level classes shall be for dogs that have earned the Advanced Agility Dog® title. Additionally, a dog that has received two qualifying scores in one Advanced level nonstandard agility class (i.e., Snooker, Jumpers, Gamblers, or Pairs Relay), with scores being earned from two different judges (and with two different partners in pairs relay) shall be eligible for entry into the same Masters level nonstandard class without having earned the Advanced Agility Dog® title.

Performance Program classes are open to dogs not entered in the Championship Dog Agility Program at this agility test. Classes include standard Performance, Gamblers Performance, Jumpers Performance, and Snooker Performance classes as defined in USDAA rules & regulations. Generally, Performance Level I, Level II, and Level III are run on courses used for Starters, Advanced and Masters classes in the Championship Program, with the following exceptions: the A-frame is set at 5’6", jump heights are one height class lower as set forth in Notes to Competitors, no spread hurdles are utilized and time standards in the standard and jumpers classes are extended by up to 3 seconds beyond that utilized in the Championship Program. Eligibility for entry is determined as follows:

The Performance I classes shall be for any dog that has not earned the Performance Dog I title.

The Performance II classes shall be for any dog that has earned the Performance Dog I title, the Agility Dog title® or the Veteran Agility Dog® title, but has not earned the Performance Dog II title.

The Performance III classes shall be for any dog that has earned the Performance Dog II title, the Advanced Agility Dog title® or the Veteran Advanced Agility Dog® title. Additionally, a dog that has received two qualifying scores from two different judges, in either (I) two qualifying scores in Level II nonstandard classes, (2) two qualifying scores in Advanced level nonstandard classes, or (3) two qualifying scores in Veterans level nonstandard classes shall be eligible for entry into the PD III level for that nonstandard class.

Nonstandard Classes: The rules set forth in the USDAA Rules and Regulations shall be followed for conduct of the following classes:

Gamblers Class: The competition consists of a course with no pre-determined route and each obstacle is assigned a point value. In the 'opening' period the handler seeks to accumulate points by performing the obstacles of his / her choice in the time allotted. At the conclusion of the 'opening' the handler attempts the 'gamble', a sequence designated by the judge to be handled from a distance, for additional points. This non-standard class is pursuant to the provisions of Section 6.1 and Section 6.5 of USDAA Rules and Regulations.

Jumpers Class: This class consists of a course of jumps and may include a tire and tunnels. This non-standard class is scored pursuant to the provisions of Section 6.1 and Section 6.5 through 6.6 of USDAA Rules and Regulations.

Pairs Relay: This class consists of a standard course with one dog and handler running a portion of the course, followed by a baton exchange to a second handler and dog who run the second portion of the course. This non-standard class is scored pursuant to the provisions of Section 6.1 and Section 6.5 through 6.6 of USDAA Rules and Regulations.

The following are the jump heights for the Championship Program

(Performance heights in parenthesis):

Dog Height Jump Height Long Jump A-Frame

Over 21" 26" (22") 60" (48") 6’3" (5’6")

21" or less 22" (16") 48" (36") 6’3" (5’6")

16" or less 16"(12") 36"(24") 6’3" (5’6")

12" or less 12" (8") 20"(12") 5’6" (5’6")

The Table height will be 12" and 24"

Dogs jumping 8" to 16" will use the 12" table.

Dogs jumping 22" to 26" will use the 24" table.

For competitors from outside North America, they may qualify through a local qualifier, as described above, or by meeting performance standards as follows:

· dogs who are finalists in recognized championship tournaments outside North America meeting competitive standards of USDAA’s Masters classes, FCI’s Agility III classes or The Kennel Club (of Great Britain)’s Intermediate or higher level classes.

· dogs who have two or more zero fault rounds in Intermediate or higher level classes in Great Britain, or

· dogs who have earned a title in Agility III competition outside North America as defined in the FCI class framework

Dogs qualifying through events held outside the United States must register with USDAA and submit proof of qualifying results prior to or along with their entry to the Championships in order to be eligible to compete. Foreign entrants are encouraged to submit their proof of eligibility in advance of entry to provide sufficient time for validation of eligibility.

Dogs that have earned right of entry to the World Championship Finals are not eligible to compete in another Regional Championship final round.

To be eligible for direct entry into the World Championship Finals, dogs must have –

· placed first in one of the Regional Championship events held during the current tournament season with a score of ten (10) or fewer faults.

· placed in the top 15% of the World Championship semifinals, providing a total of up to sixteen (16) dogs in each height class.

· have been recognized as a national champion or winner of another international tournament that have been conducted outside of North America, meeting competitive standards commensurate with Grand Prix performance criteria, involving at least two rounds of competition. Such champions will increase the number of finalist slots.

The following special rules apply:

• All dogs must be entered in Regional Championship and/or the World Championship event (as applicable) in the same height class in which eligibility was earned.
• A person may enter more than one dog in the tournament; however, no dog may be entered by more than one person in an event.
• A dog may be entered in any of the local qualifying trials or Regional Championship events without regard to geographic location, except that dogs having previously qualified for the World Championship Finals shall be ineligible to advance to additional Regional Championship finals.

Entry forms for the World Championship event will be available no later than August 1, 2002 and mailed to each qualifying competitor for events held prior to that date.

Placement rosettes shall be awarded to a minimum of three, four, five and five places in the 12", 16", 22" and 26" height classes, respectively, at local qualifying trials. Dogs with qualifying scores shall receive a maroon qualifying rosette. Special placement rosettes for each height class shall be awarded to first place at the Regional Championship level.

All competitors in each height class who qualify for the final round at a Regional Championship shall receive a USDAA/Grand Prix regional champions screen-printed polo shirt to be worn in the final round of that Regional Championship.

Additionally, the first place dog/handler in each jump height class at a Regional Championship event that competes in the finals shall receive a transportation assistance award not to exceed $300 (subject to limitations) pursuant to USDAA’s 2002 Tournament Transportation Assistance Award Policy, a copy of which shall be provided along with a claim form to all first place winners. A copy of the Award Policy may be obtained from regional event secretaries or by request from USDAA, P.O. Box 850955, Richardson, TX 75085, (972) 487-2200, email to: [email protected], or by visiting the USDAA web site at: www.usdaa.com (see the Administrative page "Forms Library"). A dog and/or handler may only receive one transportation assistance award. World Championship awards shall be announced in the Agility Test Schedule for the event.

GENERAL AGREEMENT

I(we) agree that the Chesapeake Bay Achievers has the right to refuse this entry for cause, which the organizing committee alone shall deem to be sufficient. In consideration of the acceptance of this entry, of the holding of the event and of the opportunity to have the dog participate and/or to be judged, I(we) agree to hold the organizing committee, Chesapeake Bay Achievers, United States Dog Agility Association, Inc., including their members, officers, directors, agents and employees, sponsors of the event, and owners of the premises upon which the event is held and their employees harmless from any claim for loss or injury that may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or upon the event premises or grounds or near any entrance thereto, and I(we) personally assume all responsibility and liability for any such claim. I(we) further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, appearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I(we) hereby assume the sole responsibility for an agree to indemnify 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, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or have been alleged to have been for entry as set forth in the Agility Test Schedule of which this entry form is a part. I acknowledge and represent that the information supplied by me herein is correct to the agent for dog’s owner and shall hold Chesapeake Bay Achievers, USDAA, including their officers, directors, employees and agents and their sponsors harmless from any liability or claims made by dog’s owner. insufficient to establish the validity of my entry, such finding shall render by entry invalid in its entirety, for which there shall be no refund of fees paid. Further, I caused by negligence of the aforementioned parties or any of their employees or agents or any other persons. best of my knowledge; if any portion of this information is found to be invalid or represent that I am the owner of the dog listed hereon, or that I have full authority as I further acknowledge that I have read, understand and will abide by the Official Rules and Regulations of the United States Dog Agility Association, Inc. and the provisions Further, I hereby grant to United States Dog Agility Association, Inc., its representatives, agents and assigns, all rights and permission to use or appropriate my and the dog’s name, biography, likeness, photograph, voice performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media now known or hereafter to become known. I hereby release USDAA, its representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of personality or any similar right.

Signature:___________________________________________Date:__________________

Day Telephone:______________________________________

PARENT OR LEGAL GUARDIAN SIGNATURE FOR JUNIOR HANDLERS/MINORS:

Signature:____________________________________________Date:___________

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Return this completed form with entry fees made payable in US funds to:

Chesapeake Bay Achievers, c/o Gloria Smith P.O. Box 1728 Hayes, VA 23072. Entries close and must be received by Saturday, March 24, 2002. Express mail entries must include signature permitting them to be left at the Trial Secretary’s address without signature.

DOG'S IDENTIFICATION

Dog ‘s Call Name: USDAA Registration #

Breed __________________________________ ____Birthdate

Dog’s Actual Height at Withers: (to next highest ¼")

Championship Program Division 12" 16" 22" 26"

Performance Program Division 8" 12" 16" 22"

OWNER\HANDLER INFORMATION

Name:

Address:

City, State, Zip:

Telephone: (______)_________________________E-mail

SATURDAY CLASS INFORMATION: Circle class level

Standard Agility Class ($16) Starters Novice Advanced Masters

Performance I Performance II Performance III

Gamblers $8.00 /dog Starters / Novice Advanced Masters

Performance I Performance II Performance III

Grand Prix Qualifier $20.00 / dog.

SUNDAY CLASS INFORMATION: Circle class level

Standard Agility Class ($16) Starters Novice Advanced Masters

Performance I Performance II Performance III

Pairs Relay $8.00 / dog Circle one:

Jumpers $8.00 /dog Starters / Novice Advanced Masters

Performance I Performance II Performance III

TOURNAMENT RULES

USDAA^® Grand Prix of Dog Agility^®

World Championships

USDAA’s 2002 Grand Prix of Dog Agility is designed to showcase the world’s top competitors and to name an annual champion in the sport of dog agility. In North America, the tournament offers more than thirty qualifying trials to be held between September 2001 and October 2002 (the current Grand Prix season), six regional championships, and the World Championship event (the "Championships") to be held in Metairie, Louisiana in mid to late November 2002 (location & specific date awaiting confirmation). The Regional Championships will be held in select cities across North America from January through September, with each event consisting of two rounds - a semifinal round in which all prequalified entrants compete to earn a slot in the final round. The top qualifying winner from each height class of these Regional Championships earn entry to the World Championship Finals, while all finalists earn a bye in the World Championships quarterfinals. The World Championship event in November will consist of a quarterfinals, semifinals and final round.

Rules & regulations of the United States Dog Agility Association, currently in effect at the date of competition shall apply. All dogs must be registered with USDAA in order to compete in tournament competition. The following additional rules shall apply:

· Standard scoring rules for the Masters standard agility class as set forth in Chapter 3 of USDAA rules and regulations shall apply, except that standard course times shall range between 3.50 and 3.75 yards per second for dogs in the 22" and 26" classes, and 2.85 and 3.00 yards per second for dogs in the 12" height class, and 3.00 and 3.20 yards per second for dogs in the 16" height class. Additionally, no credit for other titles shall be awarded for participation in tournament classes.

• Local Qualifying Trials consist of a single round on a standard dog agility course; a qualifying score is ten (10) faults or less.
• The Regional Championship is a two-round format whereby the top 15% of each jump height class (minimum of eight) with ten (10) faults or less in the first round is eligible to compete in the final round of that Regional Championship competition.
• The top 50% of the World Championship quarterfinals (and receiving a qualifying score) will advance to the semifinals, and the top 15% of each height class (minimum of eight) receiving a qualifying score will advance to the finals, to compete for top honors against Regional and overseas national champions.
• The dog with the fewest faults after combining course and time faults shall be the winner. Should a tie of total faults occur, then the dog achieving that result in the fastest time shall be the winner. Should dogs have a tie of both total faults and time on course, then a runoff shall be conducted on the same or similar course until a winner is determined.
• No competitor, steward, judge or other show official shall be permitted to wear or exhibit in or about the ring any insignia of corporations or associations other than that of USDAA or its national and regional sponsors on the day of the tournament.
• Competitors must wear specified attire at all events. Such attire, if any, shall be set forth in the Agility Test Schedule, or otherwise distributed at the event. At each Regional Championship event, and in the World Championship event, no T-shirts are permitted in the main performance rings; shirt-tails must be tucked-in in a neat manner.

· Competitors in the Regional Championship finals and in the World Championship Semifinals and Finals are required to wear official tournament polo shirts that will be distributed at the events, except that Regional Championship finalists are responsible for providing their Regional finalist shirt for the World Championship semifinals, if they so advance.

All dogs whose owners reside within North America must qualify for entry into a Regional Championship event or World Championship Quarterfinals by scoring ten (10) faults or less in a local qualifier sanctioned by USDAA for purposes of meeting standards set forth in these tournament rules.

I(we) agree that the Chesapeake Bay Achievers has the right to refuse this entry for cause, which the organizing committee alone shall deem to be sufficient. In consideration of the acceptance of this entry, of the holding of the event and of the opportunity to have the dog participate and/or to be judged, I(we) agree to hold the organizing committee, Chesapeake Bay Achievers, United States Dog Agility Association, Inc., including their members, officers, directors, agents and employees, sponsors of the event, and owners of the premises upon which the event is held and their employees harmless from any claim for loss or injury that may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or upon the event premises or grounds or near any entrance thereto, and I(we) personally assume all responsibility and liability for any such claim. I(we) further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, appearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I(we) hereby assume the sole responsibility for an agree to indemnify 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, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or have been alleged to have been for entry as set forth in the Agility Test Schedule of which this entry form is a part. I acknowledge and represent that the information supplied by me herein is correct to the agent for dog’s owner and shall hold Chesapeake Bay Achievers, USDAA, including their officers, directors, employees and agents and their sponsors harmless from any liability or claims made by dog’s owner. insufficient to establish the validity of my entry, such finding shall render by entry invalid in its entirety, for which there shall be no refund of fees paid. Further, I caused by negligence of the aforementioned parties or any of their employees or agents or any other persons. best of my knowledge; if any portion of this information is found to be invalid or represent that I am the owner of the dog listed hereon, or that I have full authority as I further acknowledge that I have read, understand and will abide by the Official Rules and Regulations of the United States Dog Agility Association, Inc. and the provisions Further, I hereby grant to United States Dog Agility Association, Inc., its representatives, agents and assigns, all rights and permission to use or appropriate my and the dog’s name, biography, likeness, photograph, voice performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media now known or hereafter to become known. I hereby release USDAA, its representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of personality or any similar right.

Signature:___________________________________________Date:__________________

Day Telephone:______________________________________

PARENT OR LEGAL GUARDIAN SIGNATURE FOR JUNIOR HANDLERS/MINORS:

Signature:____________________________________________Date:___________

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

GENERAL AGREEMENT

I(we) agree that the Chesapeake Bay Achievers has the right to refuse this entry for cause, which the organizing committee alone shall deem to be sufficient. In consideration of the acceptance of this entry, of the holding of the event and of the opportunity to have the dog participate and/or to be judged, I(we) agree to hold the organizing committee, Chesapeake Bay Achievers, United States Dog Agility Association, Inc., including their members, officers, directors, agents and employees, sponsors of the event, and owners of the premises upon which the event is held and their employees harmless from any claim for loss or injury that may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or upon the event premises or grounds or near any entrance thereto, and I(we) personally assume all responsibility and liability for any such claim. I(we) further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, appearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I(we) hereby assume the sole responsibility for an agree to indemnify 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, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or have been alleged to have been for entry as set forth in the Agility Test Schedule of which this entry form is a part. I acknowledge and represent that the information supplied by me herein is correct to the agent for dog’s owner and shall hold Chesapeake Bay Achievers, USDAA, including their officers, directors, employees and agents and their sponsors harmless from any liability or claims made by dog’s owner. insufficient to establish the validity of my entry, such finding shall render by entry invalid in its entirety, for which there shall be no refund of fees paid. Further, I caused by negligence of the aforementioned parties or any of their employees or agents or any other persons. best of my knowledge; if any portion of this information is found to be invalid or represent that I am the owner of the dog listed hereon, or that I have full authority as I further acknowledge that I have read, understand and will abide by the Official Rules and Regulations of the United States Dog Agility Association, Inc. and the provisions Further, I hereby grant to United States Dog Agility Association, Inc., its representatives, agents and assigns, all rights and permission to use or appropriate my and the dog’s name, biography, likeness, photograph, voice performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media now known or hereafter to become known. I hereby release USDAA, its representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of personality or any similar right.

Signature:___________________________________________Date:__________________

Day Telephone:______________________________________

PARENT OR LEGAL GUARDIAN SIGNATURE FOR JUNIOR HANDLERS/MINORS:

Signature:____________________________________________Date:___________

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Return this completed form with entry fees made payable in US funds to:

Chesapeake Bay Achievers, c/o Gloria Smith P.O. Box 1728 Hayes, VA 23072. Entries close and must be received by Saturday, March 24, 2002. Express mail entries must include signature permitting them to be left at the Trial Secretary’s address without signature.

DOG'S IDENTIFICATION

Dog ‘s Call Name: USDAA Registration #

Breed __________________________________ ____Birthdate

Jump Height Division Entered (Circle One Only) Height at withers:__________

Championship Program Division 12" 16" 22" 26"

Performance Program Division 8" 12" 16" 22"

OWNER\HANDLER INFORMATION

Name:

Address:

City, State, Zip:

Telephone: (______)_________________________E-mail

SATURDAY CLASS INFORMATION: Circle class level

Standard Agility Class ($16) Starters Novice Advanced Masters

Performance I Performance II Performance III

Gamblers $8.00 /dog Starters / Novice Advanced Masters

Performance I Performance II Performance III

Grand Prix Qualifier $20.00 / dog.

SUNDAY CLASS INFORMATION: Circle class level

Standard Agility Class ($16) Starters Novice Advanced Masters

Performance I Performance II Performance III

Pairs Relay $8.00 / dog Circle one:

Jumpers $8.00 /dog Starters / Novice Advanced Masters

Performance I Performance II Performance III

Return this completed form with entry fees made payable in US funds to:

Chesapeake Bay Achievers, c/o Gloria Smith P.O. Box 1728 Hayes, VA 23072. Entries close and must be received by Saturday, March 24, 2002. Express mail entries must include signature permitting them to be left at the Trial Secretary’s address without signature.

DOG'S IDENTIFICATION

Dog ‘s Call Name: USDAA Registration #

Breed __________________________________ ____Birthdate

Dog’s Actual Height at Withers: (to next highest ¼")

Championship Program Division 12" 16" 22" 26"

Performance Program Division 8" 12" 16" 22"

OWNER\HANDLER INFORMATION

Name:

Address:

City, State, Zip:

Telephone: (______)_________________________E-mail

SATURDAY CLASS INFORMATION: Circle class level

Standard Agility Class ($16) Starters Novice Advanced Masters

Performance I Performance II Performance III

Gamblers $8.00 /dog Starters / Novice Advanced Masters

Performance I Performance II Performance III

Grand Prix Qualifier $20.00 / dog.

SUNDAY CLASS INFORMATION: Circle class level

Standard Agility Class ($16) Starters Novice Advanced Masters

Performance I Performance II Performance III

Pairs Relay $8.00 / dog Circle one:

Jumpers $8.00 /dog Starters / Novice Advanced Masters

Performance I Performance II Performance III