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July 2008 AB lure premium - Willamette Valley Basenji Club€¦  · Web view3. Handlers may carry...

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PRE-ENTRIES CLOSE 9:00 P.M., WEDNESDAY, SEPTEMBER 27, 2017 74505 Palm Creek Road, Clatskanie, OR 97016 DAY OF TRIAL ENTRIES CLOSE: Last entries for FAST CAT (#1) close at 8:30 AM Last entries for FAST CAT (#2) close at 9:30 AM At the Secretary’s Table: Misty Rivers Plantation, Cathlamet, WA 98612 Licensed by the American Kennel Club Two Days 4 FAST CATs September 30 & October 1, 2017 Misty Rivers Plantation 117 Cross Dike Road, Puget Island, Cathlamet, WA 98612 Saturday, September 30: Event (#1) 2017497417 Event: (#2) 2017497418 Sunday, October 1: Event (#1) 2017497419 Event (#2) 2017497420 PLEASE NOTE THERE IS A LIMIT OF 75 DOGS PER TEST
Transcript
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PRE-ENTRIES CLOSE 9:00 P.M., WEDNESDAY, SEPTEMBER 27, 201774505 Palm Creek Road, Clatskanie, OR 97016

DAY OF TRIAL ENTRIES CLOSE: Last entries for FAST CAT (#1) close at 8:30 AMLast entries for FAST CAT (#2) close at 9:30 AM

At the Secretary’s Table: Misty Rivers Plantation, Cathlamet, WA 98612

Licensed by the American Kennel Club

Two Days4 FAST CATs

September 30 & October 1, 2017Misty Rivers Plantation

117 Cross Dike Road, Puget Island, Cathlamet, WA 98612

Saturday, September 30: Event (#1) 2017497417 Event: (#2) 2017497418

Sunday, October 1: Event (#1) 2017497419 Event (#2) 2017497420

PLEASE NOTE THERE IS A LIMIT OF 75 DOGS PER TEST

PRE-ENTRY IS STRONGLY RECOMMENDED

Entry fees: Pre-Entry: $20.00 each hound Day-of-trial: $25.00 each hound

LICENSED BY THE AMERICAN KENNEL CLUBPermission has been granted by The American Kennel Club for the holding of this event under American

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Kennel Club Rules and Regulations. James Crowley, Secretary

WILLAMETTE VALLEY BASENJI CLUBOFFICERS

President...................................................................................................Terry JonesVice-President...................................................................................Dana MacdonaldSecretary/Treasurer..................................................................................Jackie JonesBoard Members..........................................Teri Cuzzetto, Kathy Britton, Bob Newton

Event Secretary Jackie Jones, 74505 Palm Creek Road, Clatskanie, Or 97016

email: [email protected] or phone: 503-728-9413

Emergency Contact on the field, Kathy @ 503-839-0208

FIELD COMMITTEE:Field Chairman...................................................…………………................Kathy BrittonAsst. Field Chairman..........................................…………………..............Lynna CambellField Secretary.........................................................................................Jackie JonesAsst. Field Secretary..............................................................................Donna LubbeLure Operator..........................................Kathy Britton, Lynna Campbell, Terry JonesHunt Master............................................................... Lynna Campbell, Kathy BrittonPaddock..............................................................................Cindi Gross, Teri CuzzettoInspection Committee........................................................Cindi Gross, Donna Lubbe......................................................................................................Kathy Britton, Lynna Campbell

EventSaturday & Sunday

Hours Day of Test Entries

Accepted

Rolling Inspection

Start

FAST CAT#1 AM

8:00 am to

10:00 AM

Until8:30 AM

Rolling inspection begins at8:15 AM

8:30 AM

FAST CAT#2 PM

8:30 AM to

12:00 PM

Until9:30 AM

Rolling inspection begins at9:15 AM

9:30 AM

** Early inspection may not begin prior to published trial hours **Entries accepted until closing on day of trial. Late, incomplete, unsigned, or conditional entries will not be accepted. Those wishing confirmation must include their email address on their entry forms. Entries WILL NOT be acknowledged by mail or telephone.

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NOTE: Running order will be random selectionFast CAT is open to all dogs 12 months of age or older that are individually registered/listed with the AKC registration as purebreds, Foundation Stock Service (FSS) dogs, Purebred Alternative Listing (PAL) dogs and AKC Canine. Coursing is an athletic activity that can tax a dog’s physical strength. Dogs that are overweight and/or out of condition may be at greater risk for injury and exhaustion. The Inspection Committee has the authority to disallow a dog’s entry into a test, and in such instances, applicable entry fees will be refunded.

FAST CAT The FAST CAT is a timed straight race of 100 yards where a dog chases a lure. Dogs are run singularly and earn points based on their handicapped speed. There are no placements. Titles are issued at designated benchmarks. The dog’s time to complete the 100 yard dash is converted into MPH. Dogs earn points based on their handicapped speed. A handicap system is applied to a dog’s MPH to determine the number of points earned. The handicap system is based on the height of the dog at its withers: 18” or greater = handicap is 1.0 12” up to less than 18” = handicap is 1.5 Below 12” = handicap is 2.0 Points = MPH multiplied by the dog’s handicap

Titles are earned by accumulating points. The following titles will be awarded: BCAT = 150 points DCAT = 500 points FCAT = 1,000 points FCAT# = every addl. 500 pts. Top 20 by Breed by Year: The AKC Fast CAT website will feature the Top 20 Fastest Dogs by Breed by Year national standings. The standings will be updated as event results are processed.

RIBBONS: Qualifying Course = Light Blue Ribbon

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ALL DOGS RUN AT OWNERS SOLE RISK All entries must be 12 months of age or older on the day of the test. Each dog requires an individual entry form for each event in which it is entered Entries will not be accepted without fees, signatures, or the “Agreement” found on the Official AKC Entry Form Bitches in season and lame dogs will be excused. Entries will be refunded Mixed breeds must be spayed or neutered to be eligible to run. AKC registered dogs with breed disqualifications may be entered. Coursing is an athletic activity that can tax a dog’s physical strength. Dogs that are overweight and/or out of condition may be at greater risk for injury and exhaustion. The Inspection Committee has the authority to disallow a dog’s entry into a test, and in such instances, applicable entry fees will be refunded A $5.00 fine will be assessed for any loose dog on the field that is not competing in the course in progress Battery powered, continuous loop equipment will be used. Lures consist of white plastic Exhibitors should follow their veterinarian’s recommendation to assure their dogs are fee of parasites, any communicable diseases and have appropriate vaccinations. The Huntmaster is responsible for field safety and therefore he/she is in complete charge of all dogs and handlers on the field. In service to this responsibility, he/she has the authority to stop the lure in any potentially dangerous situation and signal the handler to retrieve a testing dog. The field committee reserves the right to bar known aggressive dogs from the trial site. Persons exhibit conduct detrimental to the AKC/WVBC/any dog(s)/other person(s) will be asked to leave the trial site. Bring your own shade and water No entry fees will be refunded if the event cannot be started or completed by reason of riots, civil disturbances, fire, extreme and/or dangerous weather conditions, an act of God, public emergency, act of a public enemy, strikes or any other cause beyond the control of the Club or its members and representatives. The event-hosting club, its agents, members, representatives, volunteers, etc, assume no liability or responsibility for any loss, damage or injury sustained by exhibitors, handlers, or to any of their dogs or property and further assumes no responsibility for injury to children or spectators before, during, or after this event.

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Enroll your AKC Canine PartnerMixed-breed dogs, or dogs that are otherwise ineligible for AKC registration, can be enrolled with the AKC Canine Partners listing. Payment for this listing is in addition to the CAT entry fee. WVBC Event Secretary will have forms available at the event or they can be found on the AKC website at: http://images.akc.org/pdf/mixedBreed/ADM001.pdf

ACCOMMODATIONS THAT ACCEPT WELL BEHAVED DOGS : Full service RV park: Marv’s RV Park & Mobile Home Court,

266 State Route 4, Cathlamet, WA. (360)795-3453o Along Hwy. 4 just East of Cathlamet

Aladdin Motor Inn (Best Western), 310 Long Avenue, Kelso, WA. (360) 425-9660

Rob’s Retreat, Cathlamet (360) 849-4145o Two quaint little cabins just up the road!

Budget Inn, 1808 Hemlock Street, Longview, (360) 423-6980 Motel 6, 106 N Minor Rd, Kelso, (360) 425-3229 Westport Motel, 49238 Hwy 30, Westport, OR (503) 455-

2212o Take a short ferry ride across the river into Oregono HIGHLY RECOMMENDED BY THE BRAWNS and dog-

friendly!

EMERGENCY VETERINARY SERVICES:Valley Vet Ocean Beach Veterinary Clinic26072 Hwy 30 4011 Ocean Beach Hwy.,Rainier, WA Longview, WA(503) 556-3084 (360) 425-0850

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HOME OF MISTY RIVERS PLANTATIONThe lure coursing field at Misty Rivers Plantation is flat and mown. It is surrounded on two sides by a slough and fenced on the other two sides. Non-potable water is available at the site. Local food services are limited to small grocery stores and a few local restaurants. Come prepared with SHADE and WATER.

DIRECTIONS TO MISTY RIVERS PLANTATIONBy Way of I-5 North and South

Off of I-5 take Exit 39 West toward Kelso/Longview 0.2 miles. Turn LEFT onto Allen St/WA-4. Continue on Allen St 0.9 miles. Allen

St. becomes W Main St. 0.2 miles. Turn Left onto W. Cowlitz Way / Wa 4 less than 0.1 mile. Turn

Slightly Right onto Ocean Beach Hwy / Wa 4 go .25.2 miles. Turn Left onto Main St / WA 409. Continue to follow WA 409 for 2.0

miles. Turn Right onto W. BERNIE

SLOUGH RD 0.8 miles. Turn Left onto Cross Dike Rd after

0.7 miles. End at 117 Cross Dike Rd.

Off of Highway 30 West from Portland Wahkiakum Ferry In Westport Turn SLIGHT RIGHT

onto WESTPORT FERRY RD. 0.3 miles. WESTPORT FERRY RD becomes WAHKIAKUM FERRY (Check ferry schedule/fares) 1.3 miles. WAHKIAKUM FERRY becomes WA-409 1.7 miles.

Turn Left onto W. BERNIE SLOUGH RD. 0.8 miles. Turn Left onto CROSS DIKE RD. 0.7 miles. Left at 117 Cross Dike Rd.

Times for taking the ferry to/from the field: Westport Puget Island = 15mins AFTER THE HOUR

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Puget Island Westport = ON THE HOUR

THERE WILL BE LIMITED CAMPING ON SITE.

All persons with onsite overnight parking MUST park in designated parking area. Stop at the gate for instructions.

ANYONE DRIVING OR PARKING IN A NON-DESIGNATED AREA WILL BE FINED.

THERE WILL NOT BE ELECTRICAL HOOK-UPS ON-SITE.

The overnight and day parking is a privilege extended by the WVBC, Inc. and Howard & Judy Brawn. They reserve the right to withdraw this privilege from any person(s) who feel they cannot abide by the rules or resort to abusive language and/or other tactics. Any vehicle whose driver or occupant uses abusive language, argues with parking personnel or attempts to circumvent the rules and regulations will be asked to leave and is subject to an Events Committee hearing. All parking is at your own risk. If you park in a no parking area you will be towed at the owner’s expense. The Willamette Valley Basenji Club, Inc., Howard & Judy Brawn, and the Parking agents assume no responsibility for theft, fire and/or damage to any vehicle or its cargo.

THIS IS NOT A GUARANTEE OF A PARKING SPACE.

NAME:

ADDRESS:

CITY: STATE: ZIP:

EMAIL:

HOME PHONE: [ ]

CELL PHONE: [ ]

VEHICLE TYPE [ ] CAR [ ] VAN/TRUCK & TRAILER [ ] MH

[ ] THURS. NIGHT [ ] FRI. NIGHT [ ] SAT. NIGHT

BREEDS:

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TIPS FOR HANDLERS

1. The field is fenced. However, it is strongly recommended that prior to running your dog, you have good “recall” control over your dog, as the dogs will be off leash.

2. Handlers should wear comfortable, sturdy shoes (no sandals or flip flops, please!) and be physically able to hold and release their dogs, as well as catch them.

3. Handlers may carry toys or treats on their persons to assist with retrieving their dog at the completion of their run.

4. Dogs will be brought to the start line on leash and released only upon a verbal signal (“Tally-Ho!”) from the Huntmaster. Dogs may be released by hand, folded leash or using a traditional lure coursing slip lead,

5. The Huntmaster will instruct the handler to “Retrieve your dog” upon completion of the run. The handler is expected to promptly secure the dog and leave the field with the dog on leash. 6. Handlers are advised to warm up their dogs prior to their run and walk them for about 10 minutes afterwards.

7. Lure coursing is a physically demanding sport so please make sure your dog is in good shape. If you are not sure, make an appointment with a veterinarian to get an opinion.

8. Any person, upon reasonable complaint, may be asked to leave the grounds of the test by the Field Committee and may be disciplined by the AKC.

Children must be under control of their parents or guardian(s) at all times Neither Willamette Valley Basenji Club (WVBC) nor its members, will be responsible for any accidents at these coursing ability tests.

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Saturday/Sunday Course Diagram

The FAST CAT course is a 100-yard straight race.

NOTE—NOT DRAWN TO EXACT SCALE

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WVBC reserves the right to alter the course as required by weather and/or field conditions on the day of the trial. Any

changes would be posted at the Trial Secretary table.OFFICIAL AMERICAN KENNEL CLUB LURE COURSING ENTRY FORM

Club: WILLAMETTE VALLEY BASENJI CLUB Date: ______/_______/______ Location:MISTY RIVERS, CATHLAMET, WA

Event type: SUN tests

SAT tests

I Enclose Entry fees in the amount of: $____________

Class: FAST CAT #1 CAT #1 FAST CAT #2 CAT #2

Breed:

Size/Type Dog: Under 12” Over 12” & less than 18” Over 18” Breeder: Reg. No: Sex: D.O.B.:

AKC No. AKC Canine Partner PAL/ILP No Foreign #

(list country) ____________________

Full Name of Dog: Call Name:

Sire:

Dam:

Actual Owner(s):

Owner’s Address:

City: State: Zip:

Name of Owner’s Agent/Handler (if any at Trial:

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.orgAGREEMENT

I CERTIFY that I am the actual owner of this 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 by any additional rules and regulations appearing in the premium list for this trial, and entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. The entry is submitted for acceptance on the foregoing representation and Agreement. 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 prize money, 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 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 form any claim 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 the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, 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 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 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

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BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. Signature of Owner or his Agent duly authorized to make the entry:Telephone: E-mail Address:

E

(for club use only)

Enrollment ApplicationOwner Name:

Address:

City: State: ZIP:

Phone: Alternate Phone:

Email:

Dogs must be Spayed or NeuteredDog Name: Sex: Male Female

Dog Date of Birth (Month/Day/Year): Date Dog Joined Your Family:

Breed 1: Breed 2 (if applicable):

Color:Black Orange Gray Blue Red White

Brown Tan Tri Color

Yellow

Markings: Brindle Merle

Speckled Spotted

Parti-Color Solid

Three ways to pay!Submit this completed enrollment form, along with your $19.00 payment (made payable to AKC), to your Event Organizer. Payment for Canine Partners enrollment must be separate from event fees for competition.

Credit Card (be sure to complete the Credit Card authorization below)

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Cash Check (make checks payable to American Kennel Club)--------------------------------------------------------------------------------------------Visa MasterCard American Express Discover Account Number (no dashes) Exp. Date

/

Signature:

Printed Name of Cardholder:

**ONE ENTRY** REQUIRED FOR EACH TEST EACH DAY !!~ ~ ~ Make checks payable to WVBC ~ ~ ~

We are now able to take credit cards for D.O.T. entries.

ENTRY FEE: All pre-entries in which a dog is entered is $20.00. All Day-of-Trial entries are $25.00. CLOSING DATE for pre-entries is 6:00 p.m., Weds., September 27, 2017.

PAYPAL WVBC is now able to accept completed and signed entries via email with a PAYPAL entry fee conformation.

Please include a $1.00 fee for EACH PAYPAL ENTRY.Send entry via email PRIOR to closing along with PAYPAL confirmation number. Email entries will not be accepted without PAYPAL confirmation. For all PAYPAL entries fees, use the email address: [email protected]

EMAIL ENTRY FORMS WITH PAYPAL CONFORMATION NUMBER TO: [email protected]

MAIL ALL ENTRIES WITH FEES to: WVBC, Field Secretary; 74505 Palm Creek Road, Clatskanie, OR 97016

Email questions: [email protected] Telephone: [503] 728-9413.

HAND DELIVERIES ONLY WILL BE ACCEPTED ON CLOSING DATE, AT: 74505 Palm Creek Road, Clatskanie, OR 97016

Overnight or Priority delivery MUST have the signature waiver signed, so they can be left without a signature. NO SPECIAL TRIPS TO THE POST OFFICE WILL BE MADE TO PICK UP MAIL THAT REQUIRES A SIGNATURE.

Acknowledgements of entries will be made as soon as possible after entries have closed. Should such acknowledgement not be received by the exhibitor within a

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reasonable time please notify the Show Secretary at the address noted above, or telephone [503] 728-9413, email: [email protected].

MAKE ALL CHECKS payable, in US Funds, to the WVBC.WVBC INSUFFICIENT FUNDS POLICY - Any checks to the WVBC and/or Show Secretary returned for Insufficient Funds, must be paid in cash or money order for the NSF amount plus bank fees. If the debt is not paid in full within 60 days of bank processing, the check writer will be unable to enter any WVBC events until the debt is cleared. Entries will NOT be accepted from any exhibitor that owes any amount of monies to the Club.

OFFICIAL AMERICAN KENNEL CLUB LURE COURSING ENTRY FORM Club: WILLAMETTE VALLEY BASENJI CLUB Date: ______/_______/______ Location:MISTY RIVERS, CATHLAMET, WA

Event type: SUN tests

SAT tests

I Enclose Entry fees in the amount of: $____________

Class: FAST CAT #1 CAT #1 FAST CAT #2 CAT #2

Breed:

Size/Type Dog: Under 12” Over 12” & less than 18” Over 18” Breeder: Reg. No: Sex: D.O.B.:

AKC No. AKC Canine Partner PAL/ILP No Foreign #

(list country) ____________________

Full Name of Dog: Call Name:

Sire:

Dam:

Actual Owner(s):

Owner’s Address:

City: State: Zip:

Name of Owner’s Agent/Handler (if any at Trial:

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.orgAGREEMENT

I CERTIFY that I am the actual owner of this 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 by any additional rules and regulations appearing in the premium list for this trial, and entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. The entry is submitted for acceptance on the foregoing representation and Agreement. 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 prize money, 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 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

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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 form any claim 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 the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, 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 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 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. Signature of Owner or his Agent duly authorized to make the entry:Telephone: E-mail Address:

PLAN TO ATTEND IN 2018

WVBC Winter Specialty Show*Multnomah County Exposition Center

Portland, ORFRIDAY, January 21, 2018

Entries close: Wednesday, 01/03/18

Spring All-Breed AKC CATs & FAST CATs*TWO CATs and FAST CATs EACH DAY !!

Puget Island, Cathlamet, WADATE: May 26-27, 2018

Pre-Entries close: Weds., 05/23/18

Spring All-Breed AKC JC/QC TESTS & LURE TRIALS*

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Basenji Specialty AKC JC/QC TESTS & LURE TRIALS*

Puget Island, Cathlamet, WASATURDAY/SUNDAY, June 9-10, 2018

Pre-Entries close: Weds., 06/06/18

WVBC Summer Specialty Show*Red Sunset Park

Gresham, ORFRIDAY, July 20, 2018

Entries close: Wednesday, 07/04/18

See www.Basenji-Club.com for more details. *Pending AKC approval.

OFFICIAL AMERICAN KENNEL CLUB LURE COURSING ENTRY FORM Club: WILLAMETTE VALLEY BASENJI CLUB Date: ______/_______/______ Location:MISTY RIVERS, CATHLAMET, WA

Event type: SUN tests

SAT tests

I Enclose Entry fees in the amount of: $____________

Class: FAST CAT #1 CAT #1 FAST CAT #2 CAT #2

Breed:

Size/Type Dog: Under 12” Over 12” & less than 18” Over 18” Breeder: Reg. No: Sex: D.O.B.:

AKC No. AKC Canine Partner PAL/ILP No Foreign #

(list country) ____________________

Full Name of Dog: Call Name:

Sire:

Dam:

Actual Owner(s):

Owner’s Address:

City: State: Zip:

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WVBC FIELD SECRETARY

Jackie Jones 74505 Palm

Creek Road Clatskanie, O

R 97016

Name of Owner’s Agent/Handler (if any at Trial:

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.orgAGREEMENT

I CERTIFY that I am the actual owner of this 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 by any additional rules and regulations appearing in the premium list for this trial, and entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. The entry is submitted for acceptance on the foregoing representation and Agreement. 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 prize money, 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 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 form any claim 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 the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, 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 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 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. Signature of Owner or his Agent duly authorized to make the entry:Telephone: E-mail Address:

DATED MATERIAL—

PLEASE RUSH! Pre-Entries EN

TRIES CLOSE SEPTEM

BER 27, 2017!


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