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PREMIUM LIST
English Springer Spaniel Field Trial Association
Revised 8/5/14 - PACH award
PRESIDENT ......................................................................................................Randy Capsel
FIELD VICE-PRESIDENT .................................................................................Bev Matthews
SHOW VICE-PRESIDENT ........................................................................... Kathryn Hawkins
TREASURER ......................................................................................................Kathy Nestor
MEMBERSHIP SECRETARY ............................................................................. Julie Roberts
CORRESPONDING SECRETARY ................................................................Barbara Granatir
364 Old Wilmington Rd, Coatesville, PA 19320
Board of Governors
Kathryn Hawkins, Randy Capsel, Laurie Green, Marv Miller, Kathy Patregnani, Teresa
Patton, Peggy Presnall, Tom Faust, Marilyn Burke, Laura Burns
English Springer Spaniel Field Trial Association
AKC Delegate
Sue Burgess
Member of the American Kennel Club
2014 National Specialty Agility Trials
Sunday, November 2, 2014
Event #2014166417
Monday, November 3, 2014
Event #2014166418
All Standard/JWW classes and Time 2 Beat
Open to All AKC-Recognzied Breeds and Mixed Breeds listed
in the AKC Canine Partners program
Tuesday, November 4, 2014
Trial Chair
Kathy Patregnani
27220 128th St NW, Zimmerman, MN 55398
612-718-2093
[email protected]
Event Committee
Michelle Gossett, JoAnn Hankemeyer, Courtney Hanson, Jean Hilbig, Kathy Patregnani,
Jon Pidde, Sandy Kucaba
Event #2014166425
All Standard/JWW/FAST classes and Time 2 Beat
Open to English Springer Spaniels only
Purina Farms Event Center
300 Checkerboard Loop, Gray Summit, MO 63039
Trial will be held indoors on soccer turf
Ring size: 85’ x 110’
Limited to 330 runs total per day
Trial Secretary
Carolyn Johnson
Lab Tested Secretary Services
AKC Annually Licensed Agility Trial Secretary
632 N Forest Ave
Webster Groves, MO 63119
http://www.labtestedsecretary.com
314-395-9950 (Tel)
314-222-9212 (FAX)
[email protected]
ENTRIES OPEN at 8:00 am CDT, Monday, August 18, 2014
Entries accepted on a “FIRST RECEIVED” basis
With preference for English Springer Spaniels until September 1 (see page 3)
Accepting ENTRIES ONLINE through LabTestedOnline.com
Photographer
Debbie Christoff
http://www.pawsitiveimpressions.com
[email protected]
ENTRIES CLOSE at 6:00 pm CDT, Saturday, October 18, 2014
After which time entries cannot be accepted, canceled, altered, or substituted
except as provided for in Chapter 11, Section 6 of the Rules Applying to Dog Shows
Certification
Permission has been granted by the American Kennel Club
for holding this event under American Kennel Club Rules
and Regulations.
James P. Crowley, Secretary
Veterinarian On Call
Pacific Animal Hospital
450 West Flier Dr, Pacific, MO
636-257-2100
Directions from show site: At main gate, turn right onto Hwy MM. Turn right on Hwy 100.
Continue on Hwy 100, over I-44. Turn left on US66/Osage St. Turn right on Flier Dr.
Judge & Assignment
Class Description
Tim Verrelli #43941
3337 Beech Log Rd, Watertown, TN
All Classes
Please see the AKC Regulations for Agility Trials for current class descriptions. Dogs must
be entered only in Regular Classes or Preferred Classes with no crossover between
them allowed at the same set of trials.
Entry Fees
First entry per dog per day ........................................................................................... $25.00
Second entry per dog per day ...................................................................................... $15.00
Each additional entry per dog per day .......................................................................... $10.00
Includes AKC Recording Fee of $3.50 for first entry and $3.00 for each additional
entry per dog.
Entry Method
First Received with preference for English Springer Spaniels. All entries will be accepted
on the opening date, but only entries for English Springer Spaniels will be entered into
the trial for the first 2 weeks. All other entries will be put on a waiting list. On September 1,
those entries will be entered in the trial in the order received until the trial limits are reached.
Entries received on or after September 1 will be entered in the trial in order of receipt regardless of breed until the trial limits are reached.
Online Entries
This trial is accepting online entries through LabTestedOnline.com. During the first 48 hours
after opening, the initial limit of entries designated as either online or paper will be as follows. 110
runs online (33%), 220 runs paper (67%). If either form of entry has not filled at the end of the
48 hour time period, the club reserves the right to decrease or increase either one accordingly.
Paper Entries
Make checks payable to:
ESSFTA
Mail entries and fees to:
Lab Tested Secretary Services
632 N Forest Ave
Webster Groves, MO 63119
Paper entries received within the first 24 hours must include postage or be metered. Entries
must be delivered by multi-state or multi-national postal or carrier service, including but
not limited to USPS, FedEx, UPS, and DHL. You must waive the signature requirement
for delivery services, if applicable.
Limit of 10 dogs per envelope. No hand deliveries can be accepted in the first 24 hours.
All entries must be submitted on official AKC Agility entry forms, one dog per entry form.
Photocopies of entry forms without the AKC Agreement are not acceptable. Unsigned,
incomplete, or illegible entries are not acceptable.
If you would like confirmation that your entry was received before the trial has closed, please
include your email address or enclose a self-addressed stamped postcard.
Entries cannot be changed once the trial has closed. Please check your entries!
“After Closing” Waiting List
A waiting list (30 run maximum) will be maintained for this trial once it has closed on October
18. The waiting list will be active until its deadline — Monday, October 27, 6:00 pm CDT. Any
runs that are entered in this trial at closing and pulled before the waiting list deadline will be
replaced, if possible, by runs in order on the waiting list, and the exhibitor will be reimbursed
in full. If a run is pulled but cannot be replaced, the exhibitor will not receive a refund
and the dog will be considered absent for the run. Entry fees for runs on the waiting list
that do not get into the trial by the waiting list closing date will be refunded in full.
Obstacles
Obstacles will conform to the requirements in the current edition of the AKC Regulations for
Agility Trials. Weave pole spacing is 24”. Contacts are rubberized.
Classes Offered
Regular Agility
STANDARD: Novice A & B, Open, Excellent and Master
JUMPERS WITH WEAVES: Novice A & B, Open, Excellent and Master
TIME 2 BEAT
FAST: Novice A & B, Open, Excellent and Master
Preferred Agility
STANDARD: Novice, Open, Excellent and Master
JUMPERS WITH WEAVES: Novice, Open, Excellent and Master
TIME 2 BEAT
FAST: Novice, Open, Excellent and Master
Dogs Eligible to Enter
November 2-3 trials: Open to all dogs fifteen (15) months of age or older that are registered
with the American Kennel Club or that have AKC Limited Registration, Purebred Alternative
Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine Partners listing number, or
are approved Foundation Stock Service (FSS) breeds.
November 4 trial: Open to all English Springer Spaniels fifteen (15) months of age or older
that are registered with the American Kennel Club or that have AKC Limited Registration or
Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP).
Dogs with a PAL/ILP number must be spayed or neutered in order to compete. Dogs should
be physically sound. Dogs that are blind or deaf, bitches in season, aggressive dogs, or dogs
suffering from any deformity, injury, or illness which may affect a dog’s physical or mental
performance are not eligible to compete. No dog shall compete if it is taped or bandaged in
any way or has anything attached to it for medical purposes. Refer to Chapter 2 of the Rules
Applying to Registration and Discipline for the listing of registerable breeds that may participate.
Wherever the word “dog” is used in these regulations, it includes both sexes.
Tentative Running Order
Class Order - Regular and Preferred will be run together at each height.
Sunday/Monday
Time 2 Beat
Standard — Master/Excellent, Open, Novice
JWW — Master/Excellent, Open, Novice
Tuesday
FAST — Master/Excellent, Open, Novice
Standard — Master/Excellent, Open, Novice
Time 2 Beat
JWW — Master/Excellent, Open, Novice
Jump Order
Sunday/Monday
Short to tall
Tuesday
Tall to short
Notice to Exhibitors
Height Divisions
Owners are responsible for entering their dogs in the proper height divisions.
Height divisions are:
Dogs Measuring
Regular Agility
Preferred Agility
at the withers
May enter in a higher jump
height than required but not
in a lower jump height
MUST enter the AKC
mandated jump height
11” and under
14” and under
18” and under
22” and under
over 22”
at owner’s discretion
8”
12”
16”
20”
24”
26”
4”
8”
12”
16”
20”
----
AKC Jump Height Cards
All dogs competing in agility must possess an official AKC Jump Height Card. An official AKC
Jump Height Card is defined as either a permanent jump height card, a valid temporary jump
height form, copies of two different measuring forms (placing the dog in the same height class)
dated on or after the dog’s second birthday, or copies of three different measuring forms (two
of which place the dog in the same height class) on or after the dog’s second birthday. All
dogs (except those jumping 24” or 26”) without jump height cards/forms must be measured/
wicketed by the Judge of Record PRIOR to running in their class; this measurement will be
valid for the weekend of trials only. If a Volunteer Measuring Official or an Agility Field Rep
is present, all dogs without a valid jump height card/form must be measured at some time
during the trial. If the dog cannot be measured by the VMO prior to running, it must be measured by the judge before its first run. You are not required to show your height card or
send a copy with your entry. You are required to mark on your entry form if your dog
needs to be measured. For more information please visit http://www.akc.org/events/agility/
jump_height_card.cfm
Move-ups
For the Sunday trial: MOVE-UPS close at 6:00 pm CDT, Monday, October 27. Move-ups
may be sent by regular mail or email to the Trial Secretary. If an email address is provided
with your entry, an email confirmation of the move-up will be sent.
For the Monday and Tuesday trials: MOVE-UPS close 30 minutes after the end of the
trial on Sunday and Monday respectively and must be submitted at the trial.
Start Times
Sunday
Monday
Tuesday
Walkthrough/judge’s briefing
10:00 am
7:30 am
7:30 am
Judging starts
10:30 am
8:00 am
8:00 am
Trial Information
The site will be open at 6:00 am on Sunday, November 2.
Trial hours are 9:00 am to 30 minutes after the completion of judging on Sunday and 7:00 am
to 30 minutes after the completion of judging on Monday and Tuesday.
Ring size: 85’ x 110’.
The building is air-conditioned. Please bring crates and chairs. All crates must be on mats,
carpet or some other material that will protect the floor.
Concessions are available at the trial site. No outside food or beverage is allowed on Purina
Farms property. Violators will be reported to the AKC.
The safety of the dogs is our primary concern. By entering this trial, exhibitors acknowledge
that they are familiar with the rules and regulations of this sport and that their dogs are
familiar with and able to perform all obstacles safely.
Entry fees will not be refunded in the event that a dog is absent, disqualified, excused, or
barred from competition by action of the Event Committee.
The English Springer Spaniel Field Trial Association may cancel this event in extreme weather
conditions.
Entry fees will not be refunded if the trial 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.
Since bitches in season are not allowed to compete in AKC Agility Trials, the club will refund all
but $10.00 of the entry fee for bitches unable to compete for that reason. The Trial Secretary
must receive written notification of such a claim for refund by letter hand-delivered, emailed,
or postmarked before the trial commences.
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 Event
Committees, be asked to leave the trial site. In such case, no refund of any fees paid will
be made.
All dogs must be on leash or crated at all times except when in the ring or when in the
designated agility warm-up area.
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. The English Springer Spaniel Field Trial
Association 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.
Entries must be made on Official AKC entry forms or copies and must include the signed
Agreement and Rules. Junior Handlers must enter their JH# and complete back of form.
Include only AKC titles on entries.
Owners are responsible for errors in making out entry forms, regardless of 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. No refunds for duplicate entries.
Dogs under 4 months of age are not permitted on the show grounds of AKC Agility Trials.
Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free
of internal and external parasites and any communicable diseases and have appropriate
vaccinations.
Returned checks do not constitute a valid entry fee. There is a $25 returned check fee.
Exhibitors are responsible for cleaning up after their dog(s) at the trial site and the motel
grounds. Any exhibitor failing to do so may be excused without benefit of refund if the Event
Committee deems the exhibitor to be in violation of this requirement.
The English Springer Spaniel Field Trial Association, its Board and Members, and 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.
Purina Event Center is open from 6:00 am to 10:00 pm.
All buildings are NON-SMOKING. Smoking is permitted outside in designated areas.
Dogs cannot be left in the Purina Farms Event Center or the outdoor grooming tent over night.
All crates must be marked with a contact name and phone number. No one is permitted
anywhere that is marked “Employees Only” and/or “No Admittance.” These are separate
divisions of Purina and not part of the show grounds.
No spectators or dogs are allowed on the second floor of the Purina Event Center.
No baby strollers are allowed inside the building.
No firearms are allowed on Purina property.
Electronic timing will be used at these trials.
Ribbons and Awards
Rosettes will be awarded to First Place through Fourth Place in each jump height in each
class. Qualifying ribbons will be awarded to all dogs receiving a qualifying score on Sunday
and Monday. Qualifying rosettes will be awarded to all dogs receiving a qualifying score on
Tuesday. Dogs must qualify to receive placement rosettes.
1st place ........................................................................................................... Blue
2nd place ...........................................................................................................Red
3rd place........................................................................................................ Yellow
4th place ......................................................................................................... White
Qualifying ...................................................................................................... Green
New MACH title ..............................................................................................Rosette and bar
New PACH title ...............................................................................................Rosette and bar
High Scoring Junior Handler in Agility ......................................................................... Rosette
Tuesday, November 4
1st - 4th place in each class/jump height....................................ESSFTA Necklace Medallion
High Scoring Dog in Agility ................................................................... ESSFTA Revere Bowl
High Scoring Junior Handler in Agility ................................................ESSFTA Pewter Trophy
High Scoring Dog and High Scoring Junior Handler will be awarded based on runs from the
Standard classes using score, seconds under SCT, and bonus points based on the dog’s
Standard class. First consideration will be given to dogs qualifying in both Standard and
JWW. A height adjustment factor of 1.09 will be used.
High Scoring Junior Handler requires qualifying scores in both Standard and JWW.
Purina is pleased to be the official sponsor.
Purina. ® Chosen by Champions. ®
Tuesday, November 4
1st place in each class/jump height ................................................ Purina Pro Plan Slip Lead
All prizes, if not awarded in the ring, must be picked up during the event at the Purina booth.
Presentation of the winning ribbon is required. Purina reserves the right to make prize substitutions of equal or greater value in the event a specific listed prize is not available.
Lodging
HOST HOTEL
Holiday Inn at Six Flags, 4901 Six Flags Rd, Eureka, MO 63025 (I-44, Exit 261)
800-782-8108, 636-938-6661
$99/night; $159/night for family suite; $35 pet fee charged per pet
Wildwood Hotel and Event Center, 2801 Fountain Pl, Wildwood, MO 63040
636-733-9100
$82/night
Travelodge Diamond Inn, 2875 Highway 100, Villa Ridge, MO 62039 (I-44, Exit 253)
636-742-3501
Eureka Super 8, 1744 West Fifth St, Eureka, MO 63025 (I-44, Exit 261)
636-938-4368
Quality Inn, 1400 West Osage St, Pacific, MO 63069 (I-44, Exit 257)
636-257-8400
Comfort Inn, 1320 Thornton St, Pacific, MO 63069 (I-44, Exit 257)
636-257-4600
Drury Inn, I-44 and Hwy 141, Valley Park, MO 63088 (I-44, Exit 272)
800-378-7946, 636-861-8300
Drury Inn, 1-44 and Bowles Ave, Fenton, MO 63026 (I-44, Exit 274)
800-378-7946, 636-343-7822
Budget Lodging, 866 S Outer Road, St Clair, MO 63077 (I-44, Exit 240)
636-629-1000
NOTE: Some motels may charge a pet fee or have limits on size.
RV Hookups
RV Hookups are available at Purina Farms near the Event Center. Rate is $35/night. Reservations are taken on a first-come, first-serve basis. RV Reservation information and form
are available on the the National Specialty website, http://www.essftanational.com/.
Directions
From North/East/South: Take I-44 to Gray Summit/Hwy 100 Exit 253. Turn east on Hwy 100.
After approximately ½ mile, turn left on MM (in front of gas station). Entrance to Purina Farms
is approximately 1 mile on left.
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.
OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM
English Springer Spaniel Field Trial Association
November 2-4, 2014
Sunday
____ Standard
____ JWW
____ Time 2 Beat
(not offered)
Monday
____ Standard
____ JWW
____ Time 2 Beat
(not offered)
Tuesday
____ Standard
____ JWW
____ Time 2 Beat
____FAST
Entry fee: $25.00 for the first entry, $15 for the second entry and $10 for each additional entry of the same dog each day. Entries open 8:00
am, August 18, 2014. Entries close at 6:00 pm, October 18, 2014, at the Agility Trial Secretary’s office. Make checks payable to ESSFTA.
Mail entries with fees to Lab Tested Secretary Services, 632 N Forest Ave, Webster Groves, MO 63119. Express mail entries must include
signature permitting them to be left at the Trial Secretary’s address without recipient signature. Checks must be payable in US funds.
PLEASE PRINT CLEARLY.
ENTRY FEE ENCLOSED
IMPORTANT: Carefully read instructions before filling out!
for this dog
$
Choose Either Regular or Preferred Classes
Check one jump height, and check class selections – Only one selection per class (STD, JWW, FAST, T2B)
REGULAR Classes
8”
12”
16”
PREFERRED Classes
20”
24”
26”
4”
8”
12”
16”
20”
STD
Nov A
Nov B
Open
Exc
Master
STD
Nov P
Open P
Exc P
Master P
JWW
Nov A
Nov B
Open
Exc
Master
JWW
Nov P
Open P
Exc P
Master P
FAST
Nov A
Nov B
Open
Exc
Master
FAST
Nov P
Open P
Exc P
Master P
T2B
T2BP
T2B
T2B
Non-Regular Classes International Sweepstakes
ISC Jump Height - Select:
14”
This dog needs to be measured:
BREED
18”
Yes
STD
26”
Jump Height Same as Regular/Preferred
SEX
HEIGHT AT WITHERS
VARIETY
CALL NAME
No
(Enter Complete Registration # below) DATE OF BIRTH
PAL NO.
FOREIGN REG. NO.
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
the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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 THIS 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.
INSTRUCTIONS
Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than
their proper height division. Dogs entered in the Preferred classes must compete at the required jump height and
may not compete in a jump height division higher or lower than their proper height division.
All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they
must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to
running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back trials only.
If a measurement is necessary, it is the exhibitor’s responsibility to have their dog(s) measured prior to running.
AKC NAME (Include AKC titles only)
ILP NO.
AGREEMENT
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. 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 any additional rules and regulations appearing in the premium list of this event and entry form and any
decision made in accord with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the
club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. 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.
JWW
- OR -
®
AKC NO.
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site,www.akc.org
Dogs listed in the AKC Canine Partners ProgramSM may be eligible to enter all-breed AKC agility trials at the
club’s option. These dogs should be listed as All American Dog and must include their AKC number on the entry
form and check the AKC No. box.
PLACE OF BIRTH (List Country)
BREEDER
Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior
Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the Junior Handler is not
the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner?
SIRE
DAM
________________________________________________________________________________________
________________________________________________________________________________________
ACTUAL OWNERS
OWNERS ADDRESS
NEW ADDRESS
STATE
CITY
ZIP + 4
SIGNATURE of owner or his agent duly authorized to make this entry.
SIGN HERE X
Telephone Number:
HANDLER
ENTER JR HANDLER # if applicable
Exhibitor or owner MUST sign on the signature line beneath the instructions.
Email:
In Case of Emergency - Name:
New Email
Phone #:
AEAGL2 - (12/13)
ESSFTA VOLUNTEER WORKER FORM
Volunteers will be needed for the smooth running of this trial. To volunteer to help, please fill
out the form below and return with your entry to the Trial Secretary or contact the Volunteer
Coordinator - Kathy Patregnani, [email protected]
Name: __________________________________________________________________
Phone: ____________________
Email: ______________________________________
I can help with the following jobs during the following classes / jump divisions
Jobs
Sun
Mon
Tue
Classes
4-8-12 16
20
24-26
Course builder
____
____
____
Nov Std
___
___
___
___
Gate steward
____
____
____
Open Std
___
___
___
___
Scribe
____
____
____
M/X Std
___
___
___
___
Timer
____
____
____
Nov JWW
___
___
___
___
Combiner
____
____
____
Open JWW
___
___
___
___
Ring crew
____
____
____
M/X JWW
___
___
___
___
Other
____
____
____
Nov FAST
___
___
___
___
____
____
____
Open FAST
___
___
___
___
____
____
____
M/X FAST
___
___
___
___
____
____
____
T2B
___
___
___
___
NOTE:
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
AGILITY TRIAL -- MOVE-UP
ESSFTA - November 2-4, 2014
FOR:
___ Sunday
___ Monday
___ Tuesday
Mail form to Carolyn Johnson, 632 N Forest Ave, Webster Groves, MO 63119
AKC REGISTERED NAME (INCLUDE AKC TITLES ONLY)
AKC REG NO
CALL NAME
So are your weight circles.
DATE
OF
BIRTH
MOVE STANDARD ENTRY TO:
MOVE JWW ENTRY TO:
NOVICE B
OPEN
EXCELLENT
MASTER
NOVICE B
OPEN
EXCELLENT
MASTER
MOVE FAST ENTRY TO:
NOVICE B
OPEN
EXCELLENT
MASTER
ACTUAL OWNER(S)
SIGNATURE OF OWNER OR HIS AGENT DULY
AUTHORIZED TO MAKE THIS ENTRY
PARENT OR GUARDIAN SIGNATURE
IF OWNER IS UNDER 18
X
X
For Trial Secretary Use Only:
APPROVED:
DATE:
Your dog is a
credit to his breed.
Make a difference for your breed by joining Purina® Pro Club® and participating
in the Purina® Parent Club Partnership Program. You’ll help support breed-specific health
studies through the Canine Health Foundation, educational outreach and rescue efforts that
help enable your breed to live long,
healthy and strong.
Join today. Call 877-776-2582, 7 a.m. to 5 p.m. CT,
Mon.-Fri. or visit purinaproclub.com