This entry must be filled out in Full (Ch. 1, Sec. 14)

                                         (Fill in blanks, print out, sign & send with entry fee. Use one form for each entry and day.)

                                              Border Terrier Club of America, Inc.

            Alabama Earthdog Tests at Auburn Univ. Gulf Coat Sub Station, Fairhope, Al

Select Day of Test: Saturday,Nov. 17 Sunday, Nov 18           AKC Earthdog Test
Pre-Entries close Nov. 2, 2007 at 6:00 PM CST
Pre-entry fees: IQ, $15; JE, SE, ME, $18      Make check to BTCA
Send entries to: Norma Mullins, 7935 Parker Rd. East, Fairhope, AL 36532

I submit  $for entry Fee.  For Class:  IQ   JE SE ME   
Name of Dog: Sex
Breed Birth Date: Call name
AKC Reg.# Litter# ILP#
or Foreign Reg. #/Country
Actual Owner:
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
Do NOT Detach Agreement

AGREEMENT: I (we), acknowledge 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.

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