PREMIUM LIST AKC Event #’s 2021022711

Entries close: Wednesday October 13, 2021 Show Secretary’s Office

After Which Time Entries Cannot Be Accepted, Cancelled or Substituted EXCEPT as Provided for in Chapter 11, Section 6 of the Dog Show Rules.

Entries open September 8, 2021

Southern New Jersey German Shepherd Dog Club

(Licensed by the American Kennel Club)

14th GSD SPECIALTY/ALL BREED/ MIXED BREED OBEDIENCE TRIAL

(Unbenched)

OFFICIAL SHOW GROUNDS

UP FRONT FARM & DOG TRAINING CENTER 128 Arneystown-Hornerstown Road, Allentown, NJ 08501-1419

Show Hours 08:00 AM to 5:00 PM

SUNDAY, OCTOBER 31, 2021 A Classes judged in the AM B Classes judged in the PM

All judging will be indoors in Air-Conditioned Comfort

Entries are open to All-American Dogs listed in the AKC Canine Partners Program

NO DOBERMANS

No Overnight Parking - Free Day Parking - No Admission Fee NO RV's Allowed – All exhibitors must wear a mask and must maintain a minimum of 6 feet

distance between each other. Also, there will be no indoor crate area and you are not allowed to crate animals under tents outside. Dogs must stay crated in the car.

Mail Entries with Fees to: Lynn Sinclair, Show Secretary

67 S Poplar Ave Maple Shade NJ 08052 609-839-8170

THE AMERICAN KENNEL CLUB CERTIFICATION Permission has been granted by The American Kennel Club for the

holding of this event under American Kennel Club Rules and Regulations. Gina M. Dinardo, Executive Secretary

SPECIAL RULES RELATED TO THE COVID-19 VIRUS If you participate in, enter, or attend any event listed in this premium list, you will be deemed (without having to sign any document) to have agreed to the following indemnification, waiver of liability and assumption of risk agreement. INDEMNIFICATION, WAIVER OF LIABILITY AND ASSUMPTION OF RISK I acknowledge and agree that The Northern New Jersey German Shepherd Dog Club Inc, The German Shepherd Dog Club of America Inc, the American Kennel Club, and each of their members, directors, governors, officers, agents, the superintendents and/or event secretary, and the owner and/or lessor or operator of the premises and any provider of services that are used to hold this event and any employees or volunteers of the aforementioned parties, other participants, and any judge judging at the event (collectively, the “Released Parties”) are participating in the event(s) and allowing me to enter, participate in and/or attend the event(s) in reliance on my agreement to this indemnification, waiver of liability and assumption of risk agreement. I understand that the German Shepherd Dog Club of America and the Northern New Jersey German Shepherd Dog Club have the right to refuse my participation in, or attendance at the event(s). In consideration of permitting my participation in, or attendance at the event(s) and of the holding of this event and of the opportunity to have dogs judged and to win prizes, ribbons, or trophies: 1. I UNDERSTAND THAT PARTICIPATION IN, OR ATTENDANCE AT ANY EVENT(s) LISTED IN THIS PREMIUM LIST INCLUDES POSSIBLE EXPOSURE TO RISK OF SERIOUS ILLNESS AND/OR DEATH AND OTHER RISKS FROM THE COVID-19 VIRUS AND OTHER INFECTIOUS DISEASES. 2. I KNOWINGLY AND VOLUNTARRILY ASSUME SUCH RISKS, BOTH KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF ONE OR MORE OF THE RELEASED PARTIES, OR OTHERS AND ASSUME FULL RESPONSIBILITY FOR MY PARTICIPATION AND/OR ATTENDANCE. 3. I represent that neither I nor, to my knowledge, anyone in my household has had any illness or disease or been diagnosed with any illness or disease relating to the COVID-19 virus or any other infectious disease in the last 30 days. 4. I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin agree and hereby assume the sole responsibility for and agree to indemnify, defend, not to sue, and to hold harmless, the Released Parties from any and all liability, damage, loss, causes of action of any kind, claims, cost and expense (including legal fees) by reason of liability which may be caused or alleged to have been caused directly or indirectly to any person or imposed upon any of the Released Parties for present and future damage, because of illness, personal and bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself, or on account of damage to property, arising out of or in consequence of my participation in, or attendance at, the event(s) listed in this premium list, related to the COVID19 virus or any other infectious disease, or however else 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 any of the Released Parties. 5. I understand that this agreement is intended to be broad and inclusive to the fullest extent permitted by the laws of the state in which the event(s) listed in this premium list will take place. I agree that if any portion of this agreement is invalid or unenforceable the remainder will continue in full force an effect 6. I HAVE READ

THIS AGREEMENT FULLY AND UNDERSTAND I WILL GIVE UP SUBSTANTIAL RIGHTS BY PARTICIPATING IN OR ATTENDING ANY EVENT(S) IN THIS PREMIUM LIST, REGARDLESS OF WHETHER I SIGN A DOCUMENT.

Additional COVID Guidelines / New Jersey State Guidelines

There are no numerical limits for indoor or outdoor gatherings. To save lives and stop the spread of COVID-19, you should wear a mask and social distance if you are not vaccinated, wash your hands, and stay home if you are sick. COVID-19 remains a threat, particularly at indoor gatherings with unvaccinated individuals. Follow the safety tips from the CDC and the NJ Department of Health to protect yourself and avoid putting your loved ones at risk Safety Tips For Fully Vaccinated Individuals:

• You can resume many activities that you did prior to the pandemic. You can resume activities without wearing a mask or staying 6 feet apart, except where required by law, a business, or a workplace.

• If you've been around someone who has COVID-19, you do not need to stay away fromothers or get tested unless you have symptoms. Note: There are exceptions for those living in high-risk congregate settings like nursing homes and homeless shelters.

• If you are visiting New Jersey or returning home after travel, you do not need to get tested before or after travel or self-quarantine.

• Make hand sanitizer available for guests.• Remind guests to wash their hands before serving or eating food. • Use single-use hand towels or paper towels for drying hands so guests do not share a

towel. • Clean and disinfect commonly touched surfaces and any shared items between use

when feasible. Safety Tips for Unvaccinated Individuals:

• Wear a mask, wash your hands, practice social distancing, and stay home if you are sick.• Indoor gatherings are particularly dangerous places for the virus to spread. Host

outdoor activities rather than indoor activities as much as possible. • If you do host indoors, increase ventilation by opening windows and doors or by placing

central air and heating on continuous circulation. • The smaller the gathering is, the less likely it is that someone is infected and put loved

ones at risk. • Require guests to wear masks when not eating, whether indoors or outdoors. • Plan ahead and ask guests to avoid contact with people outside of their households for

14 days before the gathering. • Delay travel until you are fully vaccinated based on CDC guidance. For more

information, refer to the CDC's guidance for domestic travel. • Guests should avoid direct contact, including handshakes and hugs, with others outside

their household. • Make hand sanitizer available for guests.• Gatherings that last longer pose more risk than shorter gatherings. • Remind guests to wash their hands before serving or eating food. • Use single-use hand towels or paper towels for drying hands so guests do not share a

towel. • Clean and disinfect commonly touched surfaces and any shared items between use

when feasible. • Consider keeping a list of guests who attended for potential future contract tracing

needs. If you are called by a contact tracer, it's critical that you answer the call to protect us all. Your help is the key to stopping the spread of COVID-19 and saving lives.

Southern New Jersey German Shepherd Dog Club Sunday October 31, 2021 AKC Event # 2021022711

OFFICERS President .................................................................................... Patty MacLuckie Vice President ................................................................................. Linda Larsen Treasurer .......................................................................................... Kristen Berk Recording/Corresponding Secretary ........................................ Melody Armstrong

180 Conawaga Trail, Medford Lakes NJ 08055 609-805-5584

BOARD OF DIRECTORS Bob Mazila Lois Larsen Gloria Sinclair Nancy Dole Lynn Sinclair

EVENT COMMITTEE

Linda Larsen Lynn Sinclair Gloria Sinclair Lois Larsen Nancy Dole

EVENT CHAIR Patty MacLuckie

503 Pine Street National Park NJ 08063 856-217-3165 201-280-9494

EVENT SECRETARY

Lynn Sinclair 67 S Poplar Ave, Maple Shade NJ 08052

Lynnie2974@msncom 609-839-8170

ON-SITE EVENT SECRETARY

Linda Larsen 2823 Burgundy Drive, Cinnaminson NJ 08077

Lindalarsen6299@gmail.com

Chief Ring Steward .............................................................................................. Nancy Dole Trophies ........................................................................................................... Gloria Sinclair Advertising ............................................................................................................ Bob Mazila Catalogs ............................................................................................................. Lynn Sinclair

JUDGES

Ms. Barbara Doering………………………………………3829 Meyer Lane, Hatboro PA 19020 Novice A, Novice Preferred, Open B, Open Preferred, Utility A Ms. Elizabeth Chase…………………………………………126 Wilson Rd, Belchertown MA 01007 Beg Novice A&B, Novice B, Open A, Utility B, Utility Preferred

THE FOLLOWING INFORMATION APPLIES TO ALL EVENTS:

VETERINARY SERVICE ON CALL Columbus Animal Hospital

3075 US Route 206 South Columbus, NJ 08022

609-298-4600

SHOW HOURS – LOCAL TIME 8:00AM – 5:00PM (Eastern Time)

Dogs may arrive any time prior to their scheduled time of judging. Dogs not required for further judging will be excused.

Consult the judging program for the times of judging.

ENTRY FEES First Entry of Each Dog Per Event .............. $34.00 Each Additional Entry of Same Dog ............ $28.00

Fees include the $3.00 AKC Event Service Fee and $.50 AKC Recording Fee on the first entry of each dog. ENTRIES CLOSE at the Show Secretary’s address 6:00 PM CDT, Wednesday, October 13, 2021, after which time entries will not be accepted, cancelled, altered, or substituted, except as provided for in Chapter 14, Section 6 of the AKC Dog Show Rules. MAKE CHECKS and Money Orders payable to SOUTHERN NEW JERSEY GERMAN SHEPHERD DOG CLUB ALL ENTRIES MUST BE SUBMITTED ON OFFICIAL AKC ENTRY FORMS. Photocopies of front and back will be accepted only if legible. PLEASE PRINT LEGIBLY OR TYPE ENTRY FORM. Errors on entry form are owner’s responsibility. ENTRIES WILL NOT BE ACCEPTED without signature, fees, and back of entry form with agreement. NO ENTRIES WILL BE ACCEPTED from persons with outstanding NSF checks from prior shows until such checks are made good and a collection fee of $40.00 is paid. CANADIAN EXHIBITORS: Make fees payable in U.S. Funds.

MAIL ENTRIES with fees to: Southern New Jersey German Shepherd Dog Club

% Lynn Sinclair 67 S Poplar Ave

Maple Shade NJ 08052

TROPHIES – REGULAR CLASSES

RIBBON PRIZES

Obedience Classes First Prize………….………………………………………………………………………………………………. Blue Ribbon Second Prize….………………………………………………………………………………………………….Red Ribbon Third Prize…….…………………………………………………………………………………………………… Yellow Ribbon Fourth Prize.……………………………………………………………………………………………………… White Ribbon Qualifying Score in Regular Classes………………………………………………………Dark Green Ribbon

Sunday, October 31, 2021 – All Breed

HIGHEST COMBINED SCORE IN OPEN B & UTILITY – Blue & Green rosette Small Pillow. HIGHEST SCORING DOG IN REGULAR CLASSES (HIT) – Blue & Gold rosette, Collapsible water dish

Obedience – German Shepherds Only

HIGHEST COMBINED SCORE IN OPEN B & UTILITY – Blue & Green rosette, GSDCA Magnet offered by the GSDCA. Donated by Linda Larsen in Memory of Don Larsen. HIGHEST SCORING DOG IN REGULAR CLASSES (HIT) – Blue & Gold rosette, GSDCA Magnet offered by the GSDCA. Donated by Lois Larsen in Memory of Don Larsen Toy or ball for all entries in Obedience Beginners A & Novice A offered by Melody Armstrong. Red, White & Blue Rosette for a New Title in Obedience – offered by Melody Armstrong and Jon & Joanne Horton

When the same dog is entered in more than one class, only the highest score will be used

for determining top award in trial.

All trophies are offered by the Southern New Jersey German Shepherd Dog Club through the generosity of its members unless otherwise specified.

OBEDIENCE/RALLY TRIAL CLASSES

Per the new AKC Regulations effective January 1, 2014, females in season are NOT

permitted to compete. After the close of entries only refund request for bitches in season can be accepted. Those requests must include a veterinarian’s note and be receive by the Trial Secretary NO LATER than one half hour prior to the start of the first class at the trial.

After the close of entries, a processing fee of $5.00 will be accessed. There will be no refund for injury or illness after entries close.

Please Note: January 1, 2009 Obedience Regulations, Chapter 1, Section 3,

Jump Height requirement with entry.

Include Jump Height on entry form with class Entries with Jump Height will be judged at the end of the class

As per Chapter1, Section 16 of the Obedience Regulations, Move-ups will be

allowed by making the request in writing to the Trial Secretary through mail, email or on site at least 30 minutes prior to the start of the class and will be granted

depending on the space available in the requested class. Move-ups will be judged at the end of the class.

“Dog” means either sex

Obedience Classes Offered

Novice A Open A Utility A Novice B Utility B Open B

Optional Titling Classes Offered

Beginner Novice A Preferred Novice Preferred Open Beginner Novice B Preferred Utility

Pursuant to New Jersey State Health requirements, proof of current rabies vaccination must be available if requested

K9 Blanket Drive

We are collecting blankets, towels, rugs, leashes and really anything that an animal shelter could use. As we all know, shelters really rely on donations from the public. We ask that you bring us your items and help us make a difference in these hopeful

animal’s lives. Cleaning supplies, office stationary, treats and certainly food are always welcome as well.

If you have any questions, please contact Linda Larsen at lindalarsen6299@gmail.com

Thank you in advance for your help!

Exhibitors are reminded that they should follow their veterinarian’s recommendations to assure their dogs are free of internal and external parasites, any communicable diseases, and have all appropriate vaccinations.

ATTENTION EXHIBITORS

Southern New Jersey German Shepherd Dog Club nor anyone connected with the presentation of these events, assumes any responsibility for any loss, damage or injury sustained by spectators, exhibitors, handlers, or to any of their dogs or property and further assumes no responsibility for injury to their families or children. The American Kennel Club Rules and Regulations will govern these Events. Exhibitors must make themselves familiar with the agreement of the American Kennel Club, referred to on the reverse side of the entry form that accompanies this Show Premium List. An Event Service Fee of $3.00 and a Recording Fee of $.50 will be required for each dog entered at any Licensed or Member Club Show. These fees are to be collected by the show-giving club and paid to The American Kennel Club. If a dog is entered in more than one class, the Recording Fee is to be collected on the first entry only (AKC Rule, Chapter 15, Section 2). ENTRIES RECEIVED WITHOUT FEES will not be accepted. RETURNED CHECKS do not constitute a valid entry fee. The Show Secretary will add a collection fee of $40 to the amount of each returned check. TELEGRAPH, TELEPHONE and UNSIGNED ENTRIES CANNOT BE ACCEPTED. ENTRIES NOT ON OFFICIAL AKC ENTRY FORMS AND PHOTOCOPIES OF ENTRY FORMS without the Agreement and Rules on the reverse side of the Official AKC Entry Form are NOT ACCEPTABLE. NO ENTRY SHALL BE MADE AND NO ENTRY SHALL BE ACCEPTED WHICH SPECIFIES ANY CONDITIONS AS TO ITS ACCEPTANCE. ERRORS ON ENTRY BLANKS. Owners are responsible for errors in making out entry forms, whoever may make such errors, and no entry fee will be refunded in event of such errors or cancellation of entries after the published closing date. NO REFUND FOR DUPLICATE ENTRIES. We will make every effort to find all duplicate entries, but if a dog has been processed, no refund will be made. ENTRY FEES shall not be refunded in the event that a dog is absent, disqualified, excused by Veterinarian or Judge, or barred from competition by action of the Show Committee. If because of riots, civil disturbances or other acts beyond the control of the club it is impossible to open or to complete the show, no refund of entry fee will be made. Refunds for cancellations due to judge change or cancellations made prior to entries closing will be mailed to said Exhibitor or Agent AFTER THE SHOW. An administrative fee of $4.00 will be withheld from all refunds for entries cancelled prior to closing. ACKNOWLEDGEMENT OF ENTRIES will be made via email to the email address shown on entry form as soon as practicable with the judging program. SHOULD SUCH ACKNOWLEDGEMENT NOT BE RECEIVED BY THE EXHIBITOR within a reasonable time, please notify the show secretary at lynnie2974@msn.com or 609-839-8170. CONSULT JUDGING PROGRAM FOR TIME OF JUDGING. DOGS MAY ARRIVE any time prior to their scheduled time of judging. DOGS NOT REQUIRED for further judging will be excused. JUDGES WILL NOT WAIT FOR ANY DOG HOLDING UP A CLASS. Owners or agents alone are responsible for the presence of their dogs in the judging ring when their classes are called to be judged. The Show-giving club and the Superintendent have no obligation or responsibility for providing service through a public address system or stewards or runners for the purpose of calling or locating dogs that are not brought into the ring when required. ALL DOGS PRESENT must be held on leash or confined to their crates except when being judged or when in the exercise ring. EXHIBITORS AND HANDLERS will be held responsible for clean conditions in and around their crates and vehicles. LOSS OR DAMAGE – The Show Committee will use due care and diligence for the welfare of dogs and exhibitors, but will not be responsible for, nor assume any liability in the event of any accident or misfortune, to either dogs or exhibitors participating in these Shows. The welfare of an Exhibitor’s child is assumed to be the responsibility of the Exhibitor. It is distinctly understood that Exhibitors will exercise control and restraint over their children.

Southern New Jersey German Shepherd Dog Club will not be responsible for the loss of, damage to, or death of any dog at the show or in transit to the show, or for the possessions of any exhibitor, whether the result of accident or any other cause. It is expressly understood that every dog at the show is in the care and custody and control of its owner or handler during the entire time the dog is on the show premises. Exhibitors should follow their veterinarians' recommendation to assure their dogs are free of internal and external parasites, any communicable diseases and have appropriate vaccinations. Refund and Cash award checks are void after 180 days and will NOT be re-issued. If veterinary attention is required, the exhibitor is responsible for the veterinarian’s emergency fee and medical expenses incurred. Pursuant to New Jersey State Health requirements, proof of current rabies vaccination must be available if requested. ALL videotaping or photography during the show requires permission from the show-giving club. To find out about any AKC event cancellations call the AKC Event Cancellation Hotline 877-252-3229.

PLEASE BE A COURTEOUS AND RESPONSIBLE DOG GUEST.

ACCOMMODATIONS

Best Western Burlington Inn – Limit 2 pets/room 110 Hancock Lane Westampton NJ 08060 609-261-3800 Motel 6 – Limit 2 pets/room 10 Western Drive, Westampton NJ 08060 609-702-1000 Days Inn – Additional Fees for Dogs 507 East Main Street, Wrightstown NJ 08562 609-723-6900 Days Inn Bordentown – Additional Fees for Dogs 1073 Route 206 North, Bordentown NJ 08505 609-298-6100 Best Western Bordentown – Additional Fees for Dogs 1068 Route 260 Bordentown NJ 08505 609-298-8000

DIRECTIONS TO THE SHOW

From the North: Take I-95 E to Route 526. Make a right on Route 526 to Main Street. Make right on Main Street to Route 539. Make left on Route 539 to Hornerstown-Arneytown Road. Make right on Hornerstown-Arneytown Road. Show Site is 3rd driveway on the left with building at the end of a long driveway. From NJ Turnpike, Exit 7 - Take Route 206 North to Route 528 (Crosswicks Road) and turn right onto Route 528. Travel approximately 6 miles until Route 528 turns right - DO NOT TURN RIGHT - CONTINUE STRAIGHT (road is now Route 664). Stay on Route 664 (it will turn right). Hornerstown-Arneyville Road is approximately 2 miles on the left. Show site is 3rd driveway on the left with building at end of a long driveway. From Freehold - Follow Route 537 West. Turn right on Route 539 then left onto Hornerstown-Arneytown Road. Show site is 3rd driveway on the left with building at end of a long driveway. From Mount Holly - Follow Route 537 East. Turn left on Route 539 then left onto Horne

THIS PAGE INTENTIONALLY LEFT BLANK

SOUTHERN NEW JERSEY GERMAN SHEPHDER DOG CLUB Up Front Farm & Dog Training Center

128 Arneystown-Hornerstown Rd, Allentown NJ 08501-1419

Sunday October 31,2021 CHECK APPLICABLE BOX FOR EACH EVENT ENTERED

SUNDAY OBEDIENCE Event# 2021022711

Entry fees: $34 per entry, $28 each additional entry of same dog per event. Entries close at 6:00PM Eastern Time, October 13, 2021. Make checks payable to Southern New Jersey German Shepherd Dog Club (US funds only) and mail to: Lynn Sinclair, Event Secretary 67 S Poplar Ave, Maple Shade NJ 08052 I enclose $ for entry fees. IMPORTANT: Read carefully the instructions on the reverse side before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. PLEASE PRINT LEGIBLY

NAME OF OWNER’S AGENT (IF ANY) AT THE SHOW

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 above. 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 by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them.

SIGNATURE of owner or his/her agent Duly authorized to make this entry

TELEPHONE #

Are you a new exhibitor? Yes No

EMAIL Address (An acknowledgement or receipt of entry will be sent to this email address)

BREED 5 VARIETY 1 SEX

DOG SHOW CLASS

CLASS 3 DIVISION Weight, color, etc.

ADDITIONAL CLASSES OBEDIENCE CLASS JUMP HEIGHT

JR. SHOWMANSHIP CLASS

NAME OF (See Back) JUNIOR HANDLER (If any)

JR. HANDLER NUMBER

FULL NAME OF DOG

Enter number here AKC REG NO.

FOREIGN REG. NO. & COUNTRY

DATE OF BIRTH

BREEDER

SIRE

DAM

ACTUAL OWNER4

OWNER’S ADDRESS

CITY STATE ZIP

SOUTHERN NEW JERSEY GERMAN SHEPHDER DOG CLUB Up Front Farm & Dog Training Center

128 Arneystown-Hornerstown Rd, Allentown NJ 08501-1419

Sunday October 31,2021 CHECK APPLICABLE BOX FOR EACH EVENT ENTERED

SUNDAY OBEDIENCE Event# 2021022711 Entry fees: $34 per entry, $28 each additional entry of same dog per event. Entries close at 6:00PM Eastern Time, Wednesday, October 13, 2021 Make checks payable to Southern New Jersey German Shepherd Dog Club (US funds only) and mail to: Lynn Sinclair, Event Secretary, 67 S Poplar Ave, Maple Shade NJ 08052 I enclose $ for entry fees. IMPORTANT: Read carefully the instructions on the reverse side before filling out. Numbers in the boxes indicate sections of the instructions relevant to the information needed in that box. PLEASE PRINT LEGIBLY

NAME OF OWNER’S AGENT (IF ANY) AT THE SHOW 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 above. 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 by any additional rules and regulations appearing in the premium list for this event, and further agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the foregoing representation and Agreement. I (we) agree to conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord with them. SIGNATURE of owner or his/her agent Duly authorized to make this entry TELEPHONE # Are you a new exhibitor? Yes No EMAIL Address (An acknowledgement or receipt of entry will be sent to this email address)

BREED 5 VARIETY 1 SEX

DOG SHOW CLASS

CLASS 3 DIVISION Weight, color, etc.

ADDITIONAL CLASSES OBEDIENCE CLASS JUMP HEIGHT

JR. SHOWMANSHIP CLASS

NAME OF (See Back) JUNIOR HANDLER (If any)

JR. HANDLER NUMBER

FULL NAME OF DOG Enter number here AKC REG NO.

FOREIGN REG. NO. & COUNTRY

DATE OF BIRTH

BREEDER

SIRE

DAM

ACTUAL OWNER4 OWNER’S ADDRESS CITY STATE ZIP