Enter in Stake*
Qualifying, Entry fee $70
Type of Registration*
AKC Registration
AKC Litter Number
ILP Number
Foreign & List Country
Registration Number or Country *
Retriever Trials ONLY.
This dog is qualified for (check all the apply)
Name of Owner's Agent/Handler*
AKC
Rules, Regulations, Policies and Guidelines are available
on the American Kennel Club website: www.akc.org
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 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 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 clubshall 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 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 are necessary
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 any person 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 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. 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 been caused 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 THE ENTRY, EXHIBITION
OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE
EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN THE 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
By checking this box, you agree to the preceding statement. This is equivalent to your written signature.*