*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.
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By checking this box, you agree to the preceding statement. This is equivalent to your written signature.