*Enter in Test Level:
*Enter one of the following:
AKC Registration #:
AKC Litter #:
ILP Registration #:
Foreign # and List Country:
*Name
of Handler (or Owner's agent):
AKC Rules, Regulations, Policies and Guidelines
are available on the American Kennel Club website:www.akc.org
AGREEMENT
Icertifythat
I am the actual owner of the dog, or that I am the
duly authorized agent of the actual owner whose name
I have
enteredabove.
In consideration of the acceptance of this entry,
I (we) agree to abide by the rules and regulations of
The
American
Kennel Club ineffect at the time of this event, and
any additional rules and regulations appearing in the
premium
list of this
event and entry form and anydecision 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
clubshall deem sufficient. In consideration of the
acceptance of
this
entry and of the holding of this event and of the
opportunity to have thedog 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 anyprovider of services that arenecessary
to hold this
event and any employees or volunteers of the aforementioned
parties, and any AKC approvedjudge, judging at thisevent,
harmless from any claim for loss or injury which
may
be alleged to have been caused directly or indirectly
to anyperson or
thing bythe act of this dog while in or about the
event premises or grounds or near any entrance thereto,
and
I (we)personally
assume allresponsibility 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. Additionally, I (we) hereby assume the sole
responsibility
for and agree to indemnify, defend and save theaforementioned
parties harmless from any and all loss and expense(including
legal fees) by reason of the liability imposed by law
uponany of the aforementioned parties for damage because
of bodily
injuries, including death at any time resulting therefrom,
sustained by anyperson 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 beencaused or
may be alleged
to have been caused by the negligence of the aforementioned
parties or any of their employees, agents, or anyother
persons.
I (WE)
AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM
ARISING OUT OF OR RELATED TO THEENTRY, EXHIBITION OR
ATTENDANCE
AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB
(UNLESSOTHERWISE STATED IN TIS PREMIUM LIST) AND MYSELF
(OURSELVES) OR AS
TO THE CONSTRUCTION, INTERPRETATIONAND EFFECT OF THIS
AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO
THE APPLICABLE
RULES OF THEAMERICAN 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.
*
By checking this box, you agree to the preceding statement.
This is equivalent to your written signature.