OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
NOTE: This entry must be completed in full
FOR FIELD TRIALS
Club:
Location:
Date:
Event #:
I Submit ____________ in Entry Fees For
Entry in _____________ Stake |
| Name of Dog: |
Call Name: |
| AKC Reg #: |
OR: |
| OR Foreign # |
Country: |
| Breed: ESS
Male____ Female____ D.O.B __________ |
| Sire: |
| Dam: |
| Breeder: |
| Name of Actual Owner: |
| Owners Address: |
| City:
State:
Zip: |
| Name of Handler: |
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
therefrom, 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:_________________________________________ |
Address of Agent
(if any signs above line for owner):__________________________________________ |
| Street: _______________________________________ Phone:____________________ |
| City:________________________________________State:______Zip:________________ |
|