Official AHBA Entry Form

NAME OF CLUB      CHILLI-DOGS AGILITY & HERDING
                                 AHBA LICENSED HERDING TEST AND TRIAL

                               BREED                                                                 VARIETY                               SEX       

class        place an X in what you are entering.
Saturday, October 3, 2009

HTCH:   __________

Sunday, October 4, 2009

HTCH:   __________

FULL NAME OF DOG_____________________                                                                                                                               

CALL NAME OF DOG___________________________________________________________________________

 [  ] AHBA reg no                                                  DATE OF BIRTH__________________                                         

[  ] AHBA litter no.                                                Place of Birth

[  ] Foreign reg. no & country                             [  ] USA    {  } CANADA   [   ] FOREIGN

BREEDER                                                                                                                                       .

SIRE                                                                                                                                                 .

DAM                                                                                                                                                  .

ACTUAL OWNER(S)                                                                                                                       .

ADDRESS                                                                                                                                         .

CITY                                                                      STATE                                       ZIP                     

email address:                                                                         TELEPHONE NO:                                                  
I CERTIFY that I am the actual owner of the dog or that I am the duly authorized agent of the actual owners 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 AHBA in effect at the time of this Herding Test or trial or both, and further agree to be bound by the agreement printed on the reverse side of this entry form.  I(we) certify and represent that the dog entered is not a hazard to persons or their dogs.  The entry is submitted on the foregoing representation and agreement.

Signature of Owner &/or agent:______________________________________________
 

ELIGIBILITY

All dogs nine months of age or older are eligible to participate in Herding trials and JHD.  Dogs classified as Herding Dogs in AHBA are eligible for HERDING TEST (HCT).   No dog may be entered in two classes on the same course with the same kind of stock under the same judge at any Test/trial. Bitches in season shall run in drawn running order without adjustment.

                                             AGREEMENT

I (We) acknowledge that the “Rules Applying to Registration and Dog Shows” and the “Regulations for Herding Tests and Herding Trials” have been made available to me (us) and that I (we) agree that the club holding this herding test or trial has the right to refuse this entry for cause which the club shall deem to be sufficient.  In consideration of the acceptance of this entry and the holding of the Herding test or Trial and opportunity to have the dog tested or judged and to win prize money, ribbons or trophies, I (we) agree to hold this club, it’s members, directors, governors, officers, agents, superintendents, or show secretary and the owner or lessor of the premises and any employees of the aforementioned parties 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 upon the herding test or trial premises or grounds or near nay entrance thereto, and I (we) personally assume all responsibility and liability for any such damage or injury, be caused or alleged to be caused by the negligence of the club or any of the parties aforementioned, or by the negligence of any person or any other causes.   I (we) hereby assume the sole responsibility for and agree to indemnify and hold the aforementioned parties harmless from any and all losses 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 herefrom, 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 the Herding Test or trial, howsoever such injuries, death or damage to property may be caused, and whether the negligence of the aforementioned parties or any of their employees or agents, or any other persons.

  I (we) will pay for any livestock injuries or replacement value in the event of death of any livestock by the dog entered, I (we) will assume total responsibility for any damage.  I (we) agree to pay the full market value of the injured animal in case of serious injury, or the veterinarian bill if the injury is slight.