OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM

TDU Event 2017566803

VST Event 2017566804

Big Sky Tracking Dog Club of Montana

University of Montana

Sunday – August 13, 2017

ENTRY FEE: TDU: $85.00 per dog. VST: $125 per dog.

Fees in US Funds ($.50 AKC Recording Fee is included)

Entries OPEN June 20, 2017

ENTRIES CLOSE Thursday, August 3, 2017 at 6:00 PM at Trial Secretary’s address.

MAIL ENTRIES WITH FEES TO:Susan Novotny, 4535 Cottonwood Ranch Trail, Bozeman, MT 59718.

Make checks payable to BSTCM.

Enclosed $

BREEDVARIETYSEX

CLASS TDU [ ]VST [ ]______

FULL NAME

OF DOG

Enter number hereDATE OF

[ ] AKC REG NOBIRTH

[ ] AKC LITTER NO

[ ] ILP NO PLACE OF

[ ] FOREIGN REG NO & COUNTRYBIRTH [ ] USA [ ] Canada [ ] Foreign

BREEDER

SIRE

DAM

ACTUAL OWNER(S)

OWNER’S ADDRESS

CITYSTATEZIP

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 trial, 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.

SIGNATURE of owner or his agent

duly authorized to make this entry

TELEPHONE #

E-MAIL

AKCRules,Regulations,Policies andGuidelines areavailableon theAmericanKennelClubWebsite,

AGREEMENT

I (we)agreethattheclubholdingthis event has therightto refusethis entryforcausewhichtheclubshalldeem sufficient.Inconsiderationoftheacceptanceofthis entryandoftheholdingofthis eventandoftheopportunityto havethedogjudgedandtowinprizes,ribbons,ortrophies,I (we)agreetoholdtheAKC,theevent-givingclub, theirmembers,directors,governors,officers,agents,superintendentsoreventsecretaryandtheownerand/or

lessorofthepremisesandanyproviderofservicesthatarenecessarytoholdthis event andanyemployeesor volunteersoftheaforementionedparties,andanyAKCapprovedjudge,judgingatthisevent,harmlessfromany claimforloss orinjurywhichmaybe allegedtohavebeencauseddirectlyorindirectlytoanypersonorthingby theactofthis dogwhileinorabouttheeventpremisesorgroundsornearanyentrancethereto,andI (we)person- allyassumeall responsibilityandliabilityforanysuchclaim;andI (we) furtheragreetoholdtheaforementioned parties harmlessfromanyclaimforloss,injuryordamagetothis dog.

Additionally,I (we) herebyassumethesoleresponsibilityforandagreetoindemnify,defendandsavetheafore- mentionedparties harmlessfromanyandallloss andexpense(includinglegalfees)by reasonoftheliability imposedbylawuponanyoftheaforementionedpartiesfordamagebecauseofbodilyinjuries,includingdeathat anytime resultingtherefrom,sustainedbyanypersonorpersons,includingmyself(ourselves),oronaccountof damagetoproperty,arisingoutoforinconsequenceofmy (our)participationinthisevent,howeversuch,inju- ries, deathorpropertydamage maybe caused,andwhetherornotthesamemayhavebeencausedormaybe allegedtohavebeencausedbythenegligenceoftheaforementionedpartiesoranyoftheiremployees,agents,or anyotherpersons.

I (WE)AGREE THATANYCAUSEOFACTION,CONTROVERSYORCLAIMARISINGOUTOFOR RELATEDTOTHEENTRY,EXHIBI-

TIONORATTENDANCEATTHEEVENTBETWEENTHEAKCANDTHEEVENT-GIVINGCLUB (UNLESSOTHERWISESTATEDIN ITS PREMIUMLIST)ANDMYSELF (OURSELVES)OR ASTOTHE CONSTRUCTION,INTERPRETATIONAND EFFECTOFTHISAGREE- MENTSHALL BESETTLED BYARBITRATION PURSUANTTOTHEAPPLICABLE RULESOFTHEAMERICAN ARBITRATIONASSOCIA-

BEFOLLOWED ASSETFORTH INTHEAKC CHARTER AND BYLAWS, RULES, REGULATIONS,PUBLISHED POLICIESAND GUIDELINES. INSTRUCTIONS

1.(Variety)ifyouareenteringa dogofbreedinwhichtherearevarietiesforshowpurposes,pleasedesignate

(notexceeding13in., over13in.butnotexceeding15in.), Dachshunds(longhaired,smooth,wirehaired), Collies(rough,smooth),BullTerriers(colored,white),ManchesterTerriers(standard,toy),Chihuahuas (smoothcoat,longcoat),EnglishToySpaniels(KingCharlesandRuby,BlenheimandPrinceCharles), Poodles(toy,miniature,standard).

2.Thefollowingcategoriesofdogsmaybe enteredandshownin BestofBreedcompetition:Dogsthatare

ChampionsofRecord anddogswhich,accordingtotheirowners’records,havecompletedthe requirements

fora championship,butwhosechampionshipsareunconfirmed.TheshowingofunconfirmedChampionsin

BestofBreedcompetitionislimitedtoa periodof90 daysfromthedateoftheshowwherethedogcom- pletedthe requirements fora championship.

3.(EventClass)Consulttheclassificationinthis premiumlist. Iftheeventclassinwhich youareentering yourdogisdivided,then,inadditiontodesignatingtheclass,specifytheparticulardivisionoftheclassin which youareenteringyourdog, i.e, agedivision,colordivision,weightdivision.

4.Adogmustbe enteredinthenameofthepersonwhoactuallyowneditatthetimeentriesforanevent closed.Ifa registereddoghas beenacquiredbya newowneritmustbe enteredinthenameofitsnew ownerinanyevent forwhichentriesclosedafterthedateofacquirement,regardlessofwhetherthenew ownerhas receivedthe registrationcertificateindicatingthatthedogisrecordedin his name. Stateonentry formwhethertransferapplicationhas beenmailedtotheAKC.(Forcompleterules, refertoChapter11, Section3.)

JUNIORSHOWMANSHIPJR.’SDATEOFBIRTH

AKCJUNIORHANDLERNUMBER:

AmericanKennelClub.Phone:(919)816-3776.

BysigningtheentryformI (we)certifythattheJuniorShowmandoesnotnow,andwillnotatanytime,actas

Anagent/handlerforpaywhilecontinuingtocompeteinJuniorShowmanship.

ADDRESS

CITY STATE ZIP

IfJuniorHandleris nottheowner ofthedogidentifiedonthefaceofthisform,

whatis the relationshipoftheJuniorHandlertotheOwner?