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MINIATURE AMERICAN SHEPHERD CLUB OF THE USA Two AKC LICENSED HERDING TRIALS

Hosted by the Miniature American Shepherd Club of the USA, Inc. (MASCUSA)

Purina Farms Herding Fields 200 Checkerboard Dr. Gray Summit Mo 63039 HELD OUTDOORS REGARDLESS OF WEATHER.

Handlers Meeting 8:00 AM 1st dog in the Arena 8:30 AM

Saturday, May 22, 2021 ALL BREED, MAS Preferred Event #2021701961 (This event is open to all AKC Registered breeds approved to participate in AKC Herding and ILP/PAL Registered dogs of those breeds, nine months of age or older, six months of age or older for instinct testing)

Trial Classes: A Course Sheep; A & B Course Ducks Limit 20 Duck runs Test Classes: HT, PT, & Instinct Test Stock: Sheep Limit 20 combined runs

Sunday, May 23, 2021 Miniature American Shepherds ONLY Event #2021701962 Trial Classes: A Course Sheep; A & B Course Ducks Limit 20 Duck runs Test Classes: HT, PT, & Instinct Test Stock: Sheep Limit 20 combined runs

FARM Dog Testing -- Sunday May 23, 2021 1st Test begins at 12 Noon (This event is open to all AKC Registered breeds approved to participate in AKC Herding and ILP/PAL Registered dogs of those breeds, nine months of age or older, six months of age or older for instinct testing)

Test 1 ALL BREED Event #2021701956 Farm Dog Certification Limit of 50 tests

Test 2 ALL BREED Event #2021701957 Farm Dog Certification Limit of 50 tests

Day of Show entries will be allowed for Farm Dog Certification Test 1 & 2 if space allows. Day of show entries will close at 1:00pm.

ENTRIES OPEN at 8:00am CDT on Thursday, March 4, 2021. ENTRIES CLOSE at 6:00pm CDT on Friday, May 7, 2021. After which time entriescannot be accepted cancelled, altered, or substituted. Entries received after limits have been met will be placed on Alternates List.

CERTIFICATION Permission is granted by the American Kennel Club for the holding this event under American Kennel Club Rules and Regulations.

Gina M. DiNardo, Secretary

Miniature American Shepherd Club of the USA

PRESIDENT…….……………………………………………………………………………………… Sue Ritter VICE-PRESIDENT……………………………………………………………………….. Karen Keller-Rose TREASURER……………………………….……………………….…….………………………… Lisa Wilson CORRESPONDING SECRETARY……………………….……………………………………… Lisa Grose

7315 Goodwill Church Rd. Kernersville, NC 27284ddress

Board of Directors

Carol Brinson, Ellen Friedman-Smith, Lorri Gordon, Monica Rinehart

Trial Chair

Laura De La Cruz 75 County Road A-074 Chaparral, NM 88081

thetakpen@gmail.com 915-603-0209

Event Committee

Karen Pence, Teresa Hunt, Carol Brinson, Mindy Stevenson Or any members present.

Event Secretary Theresa Corcoran

13985 Le Sabre Drive, Florissant, MO 63034 Theresa@GameOnK9Events.com

314-303-8066www.GameOnK9Events.com

Judges

#ZG207 Larry Painter 25424 S. Westline Rd. Cleveland MO 64734 #100701 Lisa Pruka 10321 Harrison Rd. Rockton, IL 61072 #105406 Katie Fleming 570 Rome Pike Lebanon, TN 37087 #108700 Theresa Hunt 1098 State Rd. E Montreal MO 65591 #108638 Karen Pence 4130 N Ashland Ave. Apt 1 Chicago IL 60613 #104363 Kayla Stearns 3298 Kit Ct. Clifton, CO 81520 #108642 Cynthia Weight-Carter 10704 Palm Row Lakeside, CA 92040 #104667 Loretta Zich 17900 Horton Rd. Kenosha, WI 53142

Recording Secretary.........................................................................................Teresa Hunt

Judging Assignments

Saturday Sunday Instinct Test Larry Painter Lisa Pruka Herding Test Larry Painter Lisa Pruka Pre-Trial Test Larry Painter Lisa Pruka All Course A Sheep Larry Painter Lisa Pruka All Course A Ducks Larry Painter Lisa Pruka All Course B Ducks Larry Painter Lisa Pruka

Farm Dog Test #1 not offered Kayla Stearns

Cynthia Weight-Carter Karen Pence

Farm Dog Test #2 not offered Teresa Hunt Loretta Zich

Katie Fleming

Entry Fees Sheep Entry $50.00 Duck Entry $50.00 Herding Tested Entry $50.00 Pre-Trial Tested Entry $50.00 Instinct Test Entry $50.00 Farm Dog Certification Entry $25.00 Farm Dog Certification Day of Show: $30.00

Entry Fees in US funds payable to MASCUSA. Mail entries and fees to: Theresa Corcoran 13985 Le Sabre Dr. Florissant, MO 63034 You must waive the signature requirement on all deliveries.

Stock Type Head per Run Replacement Value per Head

Sheep – Kathadin St. Croix Dorper Cross 3-5 $150 Duck – Call 5 $50

Replacement Fees: In the event of death or injury to any duck(s) or sheep, the exhibitor will be responsible for the replacement fee which will be $50.00 per duck and $150 per sheep. Injury Definition: Any injury that caused the duck/sheep not to be able to continue to be used that day or the next day due to the injury.

Veterinarian On Call Pacific Animal Hospital

450 West Flier Dr. Pacific, MO 63069 636-257-2100

Prizes Award Each Day Unless otherwise indicated, the following prizes are offered by MASCUSA

RIBBONS & ROSETTES

Prizes will not be mailed. The Club reserves the right to substitute a prize of equal or greater value.

Saturday and Sunday Trials High in Trial Rosette Reserve High in Trial Rosette HT & PT Qualifiers Rosette Instinct Qualifiers Ribbon New Title Rosette

Sunday MAS Only Trial

Special Award: All First Place Started, Intermediate, and Advanced sheep and duck runs will receive a Sorting Stick

OFFICIAL PHOTOGRAPHER Pix 'n Pages Photography www.pixnpages.com 407.536.7297 Pix 'n Pages Photography is the official photographer for these events. No other photographer will be allowed to

photograph dogs/people without the express consent of Pix 'n Pages Photography and the Show Chairperson. Anyone observed photographing these events, or any portion thereof, without permission will be asked to leave. Pix 'n Pages Photography will also be photographing portrait sessions on request. All photos will be posted at www.pixnpages.com.

First Place ……………………………………………………… Blue Rosette Second Place …………………………………………………. Red Rosette Third Place …………………………………………………. Yellow Rosette Fourth Place ………………………………………………… White Rosette Fifth Place ………………………………………………………. Pink Rosette

High in Trial ……………………………. Blue, Red & Yellow Rosette Reserve High in Trial ……………… Red, Yellow & White Rosette

Qualifying Score …………………………………… Dark Green Ribbon

MASCUSA National Specialty Awards

Sheep and duck runs will be used to calculate Highest Scoring awards.

The following MASCUSA Performance Awards in the Herding Classes will be presented at the conclusion of the herding trial on Sunday May 23, 2021.

MASCUSA Nationals Herding Highest Scoring Miniature American Shepherd All Trials Combined - Overall - Gift ($70)

MASCUSA Nationals Herding Highest Scoring Miniature American Shepherd All Trials Combined - Advanced Level - Gift ($40)

MASCUSA Nationals Herding Highest Scoring Miniature American Shepherd All Trials Combined - Intermediate Level - Gift ($40)

MASCUSA Nationals Herding Highest Scoring Miniature American Shepherd All Trials Combined- Started Level - Gift ($40)

MASCUSA National Herding High Scoring Junior Handler, Combined Trials – Gift ($50)

Only Qualifying scores will be used.

Sheep and duck runs will both be used to calculate High in Level MAS awards. Only your top score from either stock, in trial 1 and your top score from either stock in trial 2 will count. (Trial one your high score could be on ducks and trial 2 your high score could come from sheep)

The formula for calculating High in Level will be as follows: Started – Raw Score Trial 1 plus Raw Score Trial 2 Intermediate – Raw Score Trial 1 + 5 points; plus, Raw Score Trial 2 + 5 points Advanced – Raw Score Trial 1 +10 point, plus, Raw Score Trial 2 +10 points

HTC MAS – Highest total score, both trials combined, plus bonus points. Your highest scoring run from either type of stock from Trial 1, plus any bonus points, will be added to your highest scoring run from either type of stock in Trial 2, plus bonus points. In the event of a tie, refer to the tie breaker rules below.

High Scoring Junior Combined Trials will be scored as follows: Your highest scoring run from either type of stock from trial 1, plus any bonus points, will be added to your highest scoring run from either type of stock in Trial 2 plus bonus points. In the event of a tie, refer to the tie breaker rules below.

If there is a tie the dog with the most points for the cross-drive wins, followed by the dog with the most points for the outrun, lift, fetch.

Pre-Trial/Herding Tested/Instinct runs are not eligible for Novice Level or Highest Scoring Miniature American Shepherd.

MINIATURE AMERICAN SHEPHERD Club of the USA, National Specialty May 22-29, 2021

Best of Breed - Purina Pro Plan Best In Show Grooming Bag offered by Purina Best of Opposite - Purina Pro Plan Rolling Cooler Bag offered by Purina Select Dog & Select Bitch - Purina Pro Plan Rolling Duffle offered by Purina Winners Dog & Winners Bitch -Purina Pro Plan Barrel Bag and Grooming Towel offered by

Purina Best Puppy in Sweepstakes & Best Veteran In Sweepstakes & Best Bred-By-Exhibitor in

Sweepstakes- -Purina Pro Plan Barrel Bag and Grooming Towel offered by Purina Best Junior Handler -Purina Pro Plan Grooming Caddy & Grooming Towel offered by Purina All Junior Handler participants (ALL EVENTS) -Purina Pro Plan Small Towel offered by Purina Highest Points – Most Versatile Miniature American Shepherd -Purina Pro Plan Rolling

Overnight bag offered by Purina Ultimate Highest Points Winner-Miniature American Shepherd -Purina Pro Plan Rolling

Cooler offered by Purina Ultimate Junior Handler -Purina Pro Plan Rolling Cooler offered by Purina

Highest In Trial Miniature American Shepherd (Obedience)(2 trials) - Purina Pro Plan Blanket offered by Purina (Trial 2- Barrel Bag and Grooming Towel)

Highest Scoring Triple Q Miniature American Shepherd (Rally)(2 trials) -Purina Pro Plan Barrel Bag and Grooming Towel offered by Purina (Trial 2 – Blanket)

Combined High In Trial Miniature American Shepherd (Herding)(2-Trials) - Purina Pro Plan Rolling Cooler Bag offered by Purina

Highest Scoring Miniature American Shepherd all Trials Combined (Agility) -Purina Pro Plan Rolling Cooler Bag offered by Purina

Highest Scoring Preferred Miniature American Shepherd all Trials Combined (Agility) -Purina Pro Plan Rolling Cooler Bag offered by Purina

High in Level Combined Trial Miniature American Shepherd (Agility- Novice, Open, Master, Excellent) -Purina Pro Plan Barrel Bag and Grooming Towel offered by Purina

Fastest Scoring Miniature American Shepherd (Fast CAT) -Purina Pro Plan Duffle Bag offered by Purina

Longest Jump Miniature American Shepherd (Dock Diving) – (both divisions) -Purina Pro Plan Duffle Bag offered by Purina

Highest Scoring Miniature American Shepherd (Disc Dog-Combined events) -Purina Pro Plan Duffle Bag offered by Purina

Miniature American Shepherd (Scent Work) – Novice, Advance, Excellent, Masters & Detective -Purina Pro Plan Thermal Tote offered by Purina (5 total)

ALL PRIZES, IF NOT AWARDED IN THE RING, MUST BE PICKED UP DURING THE EVENT AT THE PRO PLAN BOOTH. PRESENTATION OF THE WINNING RIBBON IS REQUIRED. PRO PLAN RESERVES THE RIGHT TO MAKE PRIZE SUBSTITUTIONS OF EQUAL OR GREATER VALUE IN THE EVENT A SPECIFIC LISTED PRIZE IS NOT AVAILABLE. **

Notice to Exhibitors Face Mask Policy -- Masks must be worn at all times while on Purina grounds except while you are actively working your dog on stock. You must put your mask back on as you are exiting the arena.

By entering or attending this trial you are acknowledging that there is an inherent risk of exposure to Covid-19. Covid-19 exists in any public place where people are present. Covid- 19 is an extremely contagious disease that can lead to severe illness and in some cases death. By entering/attending this trial you voluntarily assume all risks related to exposure to Covid-19 and agree that MASCUSA and/or Purina are not liable for any exposure, risk or illness related to Covid-19.

THE CLUB WILL REFUND TOTAL ENTRY FEES LESS $20.00 PER DAY FOR THAT DAY AND THE FOLLOWING TRIAL DAYS FOR HANDLERS WHO THINK THEY MAY HAVE COVID-19. YOU MUST CONTACT THE TRIAL SECRETARYS BY EMAIL AT LEAST 30 MINUTES BEFORE THE START OF YOUR FIRST CLASS OF THE DAY. NO DOCTORS EXCUSE NEEDED. IF YOU ARE SICK, STAY HOME!!!!!

The Trial Secretary is not responsible for emails not received. If you have not received a response to an email after 24 hours. please call the Trial Secretary by telephone. The safety of the dogs is our primary concern. By entering these trials, exhibitors

acknowledge that they are familiar with the rules and regulations of this sport. Entry fees will not be refunded in the event that a dog is absent, disqualified,

excused, or barred from competition by action of the veterinarian, judge, or Trial Committee.

Entry fees will not be refunded if the trials cannot be opened or completed by reason of riots, civil disturbance, fire, an act of God, public emergency, an act of a public enemy, or any other cause beyond the control of the organizing committee.

Entries must be made on Official AKC Entry Forms or copies and must include the signed Agreement and Rules. Junior Handlers must complete the back of the entry form. Please include only AKC titles on your entries.

No entry shall be made, and no entry shall be accepted which specifies any condition as to its acceptance. Entries will not be accepted without fees or signatures.

Post Dated and Returned checks do not constitute a valid entry fee. There is a $25 returned check fee.

Bitches in season will be permitted to run but will be placed at the end of the running order in Tests and in catalog order for Trial classes.

It is expressly understood that exhibitors alone are responsible for the behavior of their dogs and/or children. Any exhibitor whose dogs and/or children create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Trial Committee, be asked to leave the trial site. In such case, no refund of any fees paid will be made.

Exhibitors are responsible for cleaning up after their dogs at show site and all hotel/motel, and campgrounds where they are staying while competing in these trials.

Exhibitors are responsible for being at the ring gate when it is their turn to run. The judge need not wait for any dog holding up a class. MASCUSA has no obligation or responsibility for providing service through a public address system or steward for the purpose of calling or locating dogs that are not brought to the ring when required.

Notice to Exhibitors (con’t) All dogs must be on lead or crated at all times except when in the arena. Dogs must wear a simple well-fitting buckle, snap lock, or slip collar (no tags)

or may work without a collar at Trial levels. Owners are responsible for errors in making out entry forms, whoever may have made

such errors. No entry will be refunded in the event of such errors or cancellation of entries after the published closing date. Errors in entries made by the exhibitor cannot be corrected after the closing date other than move ups. No refunds for duplicate entries.

Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of internal and external parasites, any communicable diseases, and have appropriate vaccination.

Miniature American Shepherd Club of USA, their Board, Members, and Nestle Purina Farms and its employees will not be liable for any loss or injury which may be sustained through disappearance, loss, theft, communicable disease parasites injury and/or death of dogs entered in this event.

MASCUSA does not agree to arbitrate claims as set forth on the Official AKC entry form for this event. Site available to exhibitors from 6:30 am to 6:00pm or conclusion of events each day

Bring your own chairs and water for your dog.

DIRECTIONS TO Purina Farms From North/East/South: Take I-44 to Gray Summit/Hwy 100 Exit 253. Turn east on Hwy 100. After approximately 1/2 mile, turn left on MM. Entrance to Purina Farms is approximately 1 mile on left. There are small signs directing you to Purina Farms.

From West: Take I-70 to Hwy 47, Exit 193. Take Hwy 47 south to Hwy 100. Continue on 100 to I-44 east. Take I-44 east one exit to Gray Summit. Follow directions above.

Hotels near Purina Farms

Make reservations early, this is a tourist area. Please verify pet policy when making reservations

Please mention that you are attending a Purina Event

Dogs may not be left in rooms unattended

HOST HOTEL - Budget Lodging, 866 South Outer Road, St. Clair MO 63077 https://www.budgetlodging.com/

Room Block from May 21st – May 30th. 2 double Beds - $99.44 plus tax per night

King Mini Suite - $114.44 plus tax per night NO Pet fee

Must call the hotel at 636-629-1000 to book. You Must Reference MASCUSA

Holiday Inn 1-44 & Allenton, 4901 Six Flags Rd, Eureka MO 63025 (636) 938-6661 From $85-100 per night plus $30 pet fee. Very pet friendly with walking trails, grooming room with tubs.

Wildwood 2801 Fountain Place, Wildwood, MO 63040 (636) 733-9100 15 miles North of Purina Farms. $85 per night

Comfort Inn 1320 Thornton St., Pacific, MO 63069 (636)257-4600 $95 plus $40 for pets - 2 max.

Quality Inn 1400 West Osage St., Pacific, MO 63069 (636) 257-8400 $15 per day pet fee.

There is a nightly charge of $40 for use of full-service RV spots on Purina Farms lot. Parking in those areas must be reserved two weeks prior to show date. Only a maximum of two cars may park in the spots allowed for the RV and must be affiliated with that RV.

Overflow spots are booked with MASCUSA and are $25.00

RV Rental Options https://www.byerlyrv.com/rv-rentals

https://www.countrycamperrentals.com/large-campers.html https://mbthomasrvsales.com/rent-a-rv

FIRST TIME EXHIBITOR FIRST TIME EXHIBITOR

AKC FARM DOG TESTS OFFICIAL ENTRY FORM Mail to: Theresa Corcoran

13985 LeSabre Dr, Florissant, MO 63034 Make checks out to: MASCUSA Entries must be paid in full, in US funds only. A collection fee of $25.00 will be charged to you for ISF returned checks. $25.00 per test Day of show entries $30.

Check the following events you wish to enter (2 legs are required for a title): __ May 23, 2021 Event # 2021701956 ____ May 23, 2021 Event # 2021701957 I have enclosed $ for entry fees. Breed _____________________________________ Variety ______________ Sex __________ Registered Name of Dog __________________________________________________________

AKC Registration # ___________________ Date of Birth ___________ Birthplace (country) ____ Breeder _______________________________________________________________________ Sire __________________________________________________________________________ Dam __________________________________________________________________________

Actual Owners(s) ________________________________________________________________ Owners Address ________________________________________________________________ City State Zip ___________________________________________________________________ Handler _______________________________________________________________________

AGREEMENT I, (we) acknowledge that the “rules Applying to Registration and Dog Shows” and the “rules for Herding Tests & Trials” have been made available to me (us) and that I (we) agree that the club holding 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 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 for loss, injury or damage to this dog. I (we) will pay for any injuries or the replacement value in this event of serious injury to the livestock caused by my (our) dog. 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). 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 persons. 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 ITS 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. AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website:www.akc.org Sign Here _________________________________________________________________ Telephone Number _______________ Email Address ______________________________ IN case of Emergency – Name _________________________ phone# _________________ **** Please be sure to read the agreement and sing this form. No form will be processed without your signature!*****

Miniature American Shepherd Club of the USA, Inc. PO Box 722, Santa Maria, CA 93456 | info@mascusa.org | mascusa.org

Membership Application New Memberships are for the current calendar year (or three/five

years), regardless of when the application is submitted, and Renewals are due by January 1.

NEW MEMBERS: Required to print, sign and return the form with payment to MASCUSA for approval.

RENEWALS ONLY: Electronic signatures may be submitted by returning completed PDF via email to info@mascusa.org.

qNew Membership q Membership Renewal q Junior Membership (complete pg 3)

Member Name:

Joint Member Name:

Address:

City: State: Zip:

Country: Phone:

Member Email:

Joint Member Email*: * Two email addresses are required for both parties of a joint membership to participate in online surveys.

Members will receive the bi-weekly e-newsletter, Tuesday Talk. Visit the MASCUSA website at mascusa.org for club information and forms. MASCUSA encourages all members to get involved by serving on a committee: mascusa.org/club/committees. MASCUSA encourages all members to join or start a local affiliate club: mascusa.org/club/affiliates. Please indicate your interests and activities with your Miniature American Shepherd:

qBreeding q Service Dog q Disc Dog q Obedience/Rally qRanch Dog q Conformation q Tracking q Therapy Dog qFlyball q Agility q Herding q Other:

I/we agree to abide by the Constitution, Bylaws, and the Code of Ethics of the Miniature American Shepherd Club of the USA and I am in good standing with the American Kennel Club. I/we agree to receive club communications, surveys, and ballots, electronically. I understand that membership is not granted automatically and will be published before being approved in accordance with the Bylaws.

Signature: ____________________________________________ Date: ______________

Signature: ____________________________________________ Date: ______________

Membership Application (page 2)

Membership Types & Dues qIndividual: $25 1 yr / $65 3 yrs / $100 5 yrs (circle one)

Individual: Open to all persons eighteen years of age or older, residing in the United States. Individual memberships are entitled to one (1) vote and are eligible to hold office.

qJoint: $40 1 yr / $100 3 yrs / $160 5 yrs (circle one) Joint: Open to persons eighteen years of age or older residing in the United States and residing in the same household. Joint memberships are entitled to two (2) votes and are each eligible to hold office, but not simultaneously.

qAssociate: $20 1 yr / $50 3 yrs / $80 5 yrs (circle one) Associate: Open to all persons 18 years of age or older, residing in the United States or in a foreign country. These members are non-voting/non-office holding memberships

Make check or money order for USD payable to: MASCUSA. Mail application and fee to: MASCUSA Secretary, PO Box 722, Santa Maria, CA 93456. Registration fee must accompany the application unless paying by PayPal. If making payment by PayPal, please check the box below and initial. PayPal invoices will include a 6% charge for domestic applications and a 8% charge for International applications. A $25.00 fee will be charged for all returned checks. qI request a PayPal invoice be sent to email: qI understand there are charges added for this service. (Please check the box and initial here )

Miniature American Shepherd Club of the USA, Inc. PO Box 722, Santa Maria, CA 93456 | info@mascusa.org | mascusa.org

Junior Membership Application

Open to children under 18 years of age and must be sponsored by at least one member in good standing. Junior memberships are non-voting/non-office holding memberships. Junior membership may automatically convert to regular at the age of 18. Junior memberships require an adult member to sponsor and a parent or guardian’s signature. Adult sponsors may apply for membership at the same time as the Junior Member using the application on the previous page. The adult sponsor must pay for their membership. Junior memberships are free and do not have voting privileges, but they may participate in membership surveys. Junior members may participate in the Championship and Merit programs and will receive discounts on special events hosted by MASCUSA.

JUNIOR MEMBERSHIP IS FREE!

Junior Member Name:

Address:

City: State: Zip:

Country: Phone:

Email:

Date of Birth: Please indicate your interests and activities with your Miniature American Shepherd:

qBreeding q Service Dog q Disc Dog q Obedience/Rally qRanch Dog q Conformation q Tracking q Therapy Dog qFlyball q Agility q Herding q Other: I/we agree to abide by the Constitution, Bylaws, and the Code of Ethics of the Miniature American Shepherd Club of the USA and I am in good standing with the American Kennel Club. I/we agree to receive club communications, surveys, and ballots, electronically. I understand that membership is not granted automatically and will be published before being approved in accordance with the Bylaws. Junior Signature: _____ ________________________________ Date: ______________ Sponsor Signature: ____________________________________ Date: ______________ Parent/Guardian Signature: _____________________________ Date: ______________

Membership Dues: FREE for Junior Membership