Online Entries
 
ARIZONA COLLIE CLAN, INC.

 Collie_Clan_Logo.jpg

  97th & 98th SPECIALTY SHOWS
 
 
AKC NATIONAL OWNER-HANDLED SERIES

  Friday, March 3rd, 2017

***NEW LOCATION***
ARIZONA STATE FAIRGROUNDS, PHOENIX, AZ

  ENTRIES CLOSE WEDNESDAY, February 15, 2017, 9 PM MST

at the address of the Show Secretary, after which time no entries may be accepted, cancelled, changed, substituted, completed or signed,
and no entry fees refunded. Telephone, FAX or email entries are not accepted. Class changes and cancellations must be received in
writing prior to closing date, except as provided for in Chapter 14, Section 6 of the AKC Dog Show Rules

Show Secretary

Kathy Hand
315 S. 163rd St. 
Gilbert, AZ  85296-9478
(480) 495
-0434
kathy@azdogshows.com

 Please Complete the form below with all REQUIRED fields that are marked with an *

Entry is NOT COMPLETE until on-line payment is complete and verified.
You will receive 2 confirmation emails; One for your registration & one for your payment

DOG ENTRY

Shows

Morning Specialty
Afternoon Specialty
AKC NOHS

BREED: Collie

Variety*

SEX*

DOG SHOW CLASS (2) (3)*

Additional Class

FULL NAME OF DOG*

REGISTRATION NUMBER*

REGISTRATION NUMBER TYPE*

IF FORIEGN REG. NO. ENTER COUNTRY

DATE OF BIRTH*

PLACE OF BIRTH (list country)*

BREEDER*

SIRE*

DAM*

ACTUAL OWNER(S) (4)*

OWNERS ADDRESS*

OWNERS CITY*

OWNERS STATE*

OWNERS ZIP CODE*

NAME OF OWNERS AGENT AT THE SHOW (if any)

CERTIFICATION STATEMENT

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 next to the 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 (Owner/Authorized Agent) Type your full name*

I AGREE TO THE CERTIFICATION STATEMENT

YES NO

Telephone *

Email Address*

JUNIOR SHOWMANSHIP

If this entry is for Junior showmanship, please give the following information. This number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone (919)816-3376 By signing the entry form I (we) certify that the Junior Showman does not now and will not at any time, act as as agent/handler for pay while continuing to compete in Junior Showmanship.

AKC JR. HANDLER NUMBER

JR. DATE OF BIRTH

Address

City

State

ZIP CODE

Note:

If Jr. Handler is not theowner of the dog identified on the face of this form, what is the relationship t the Jr. Handler to the Owner?

Jr Relationship to Owner

Please enter the phrase as it is shown in the box above.  

 

 

 

AGREEMENT

 

I (we) agree that the club hold 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 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 AKC approved judge, judging at this event, harmless form any claim for loss or injury which may be alleged to have 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 calm for loss, injury or damage to this dog.

 

 

 

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 liability imposed by law upon any of the aforementioned parties for damage because of bodily injury, including death at any time resulting  there from sustained by any person or persons, including myself(ourselves) or on account of damage to property, arising out of 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, agent, or any other persons.

 

I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIMARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THIS EVENT BETWEEN THE AKC AND THE EVEN-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTUION, INTERPUETATION AND EFFEECT 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 PRDCEDURED MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHAPTER AND BYLAWS, RULES, REGULATIONS, PUBLIHED POLICIES AND GUIDELINES.

 

 

 

 

 

 

INSTRUCTIONS

 

1.        (Variety) if you are entering a dog breed in which there are varieties for show purposes, please designate the particular variety you are entering i.e. Cocker Spaniel(solid color black, ASCOB, parti-color). Beagles (Not exceeding 13 in. over 13 in. but not exceeding 15 in.). Dachshunds (longhaired, smooth, wirehaired). Bull Terriers(colored, white) Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles ( toy, miniature, standard), Collies (rough, smooth),

 

2.        The following categories of dogs may be entered and shown in Best of Breed competition; Dogs that are Champion of Record and dogs which, according to their owner’s records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dig completed the requirements for a championship.

 

3.        (Event Class) Consult the classification in this premium list. If the event class in which you are entering your dog is divided, then in addition to designating the class, specify the particular division of the class in which you are entering your dog i.e., age division, color division, weight division.

 

4.        A dog must be entered in the same name of the person who actually owned the dog at the time entries for the event closed.  If the registered dog has been acquired by a new owner, it must be entered in the name of the new owner in the event 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 record 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).

 

5.        Mixed breed dogs entering classes for Agility, Obedience and Rally trials should mark Breed as AKC Canine Partners Listed Dog “All-American Dog/Mixed Breed.” Variety, Breeder, Sire and Dam information shall remain blank for mixed breed entrants.