This entry must be filled out in Full (Ch.1, Sec. 14) (Fill in blanks, print out, sign & send with entry fee)
New Jersey Beanfield Earthdog Club
AKC Earthdog Test
Nov. 3, 2007
Dog may be entered in 1 regular test only
(Exception, ME titled dogs may be entered in 2 regular tests.)
Pre-Entries close Oct. 20, 2007 at 5 PM at the Test Secretary's house.
Pre-entries Fees: IQ, $15; JE, SE, ME, $18 Make check to NJBEC
Send entries to :Susan Friedenberg, 55 Marble St., Staten Island, NY 10314
I submit
for entry Fee(s) For Class:
IQ
JE
SE
ME
Name of Dog
:
Sex
Breed
Birth Date:
Call name
AKC
Reg.#
Litter#
ILP#
Number:
or
Foreign Reg. #/Country
Sire
Dam
Breeder
Actual Owner:
Address
City, State, Zip
I certify that I am the actual owner of this dog, or 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 agree to abide by all the Rules and Regulations of the American Kennel Club and the Standard Procedures governing this test and any decisions made in accordance with them; further, I agree that the dog entered in and will be at this Test at my own risk and that I will hold the test-giving club, its members, and agents free from liability for any claims arising out of the entry of the dog or in its presence at this test.
Signature of Owner or Agent duly authorized to make entry ___________________________________________
Tel.
Email
ENTRIES WILL BE CONFIRMED BY EMAIL WHEN POSSIBLE
Do NOT Detach Agreement
Single copies of the latest editions of the "Rules Applying to Dog Shows" and "Earthdog Regulations" may be obtained WITHOUT CHARGE from any Superintendent at any show where they are superintending or from THE AMERICAN CLUB, 5580 Centerview Drive, Raleigh, NC 27606-3390.
AGREEMENT:
I (we), acknowledg
e that the "Rules Applying to Dog Shows" and the "Earthdog Regulations," have been made available to me (us), and that I am (we are) familiar with their contents. I (we) waive any and all claims, causes of action, I (we) might otherwise have against the AKC and any AKC approved judge, judging at this show, under AKC Rules, Regulations and Guidelines. I (we) agree that the club holding this earthdog trial has the right to refuse this entry for cause which the club shall deem to be sufficient. In consideration of the acceptance of this entry and of the holding of earthdog trial and of the opportunity to have the dog judged and to win prize money, ribbons, or trophies, I (we) agree to hold this club, its members, directors, governors, officers, agents, superintendents or show secretary and the owner or lessor of the premises and any employees of the aforementioned parties, 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 upon the earthdog trial 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 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, theft, damage or injury, be caused or alleged to be caused by the negligence of the club or any 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 show or obedience trial, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused or may be alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons.
INSTRUCTIONS
1.
A dog must be entered in the name of the person who actually owned it at the time entries for a show closed. If a registered dog has been acquired by a new owner it must be entered in the name of its new owner in any show 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 recorded 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.)
I (we) agree
that any cause or 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 its premium list) and myself (ourselves) or as to the construction, interpretation and effect of this agreement shall be settled by arbitration puruant to the applicable rules of the American Aribitration 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.
To be valid this entry must be accompanied by a signed copy of the Village Green Farm Release.