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OFFICIAL AMERICAN KENNEL CLUB FIELD TRIAL ENTRY FORM
Note: This Entry Form Must Be Completed in Full
National English Springer Spaniel Field Trial Association
Ogden, Utah
Friday November 4, 2005 until Conclusion
I SUBMIT $ 200.00
for entry fees. EVENT #2005367901
Enter in Stake/Test: X Open All-Age
NAME OF
CALL
DOG (Print) _______________________________ NAME __________________________________
A.K.C. Reg
Or A.K.C. Litter Number
Number _____________________________
(If Dog Not Reg.) ____________________________
Or Foreign Reg. No. _____________________
And Country of Registry USA
Breed - English Springer Spaniel
MALE FEMALE Date of Birth
_______________________
Sire _____________________________________________________________________________
Dam _____________________________________________________________________________
Breeder __________________________________________________________________________
Name of Actual Owner (Print) __________________________________________________________
Owner's Address ___________________________________________________________________
City ___________________________ State ________________
Zip Code _________________
Name of Owners Agent/Handler (Print) __________________________________________________
Phone ___________________________ Email __________________________________________
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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 show 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 therefore,
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/or this club 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 and procedures
must first be followed as set forth in the AKC Charter and Bylaws, rules,
published policies and guidelines. The Rules Applying to Registration
and Discipline, as well as other rules, published policies and guidelines
are available at www.akc.org .
SIGNATURE of Owner or His Agent
Duly Authorized to Make this Entry ___________________________________________________________________
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