OFFICIAL ENTRY FORM
CHILLI - DOGS AGILITY & HERDING
BARRIE'S FARMS
Saturday & Sunday, August 23 - 24, 2008
Registration and Familiarization (TBA)
Familiarization for Starters Dogs only
RETURN COMPLETED ENTRY FORM WITH FEES IN CANADIAN FUNDS TO:

Please fill in ALL information:
Owner/Handler Information:
Owner's Name:
Handler's Name:
Address:
City:  
Province:
Postal Code:Phone# with Area Code:
E-mail:

Dog One Information
Call Name:
Breed:
Birth Date:
AAC ID card #:  Make sure you have arrange for this ID card.
Dog's Height at withers:Actual Jump Height:6" 10" 16" 22" 26"
Dog 1:Regular Specials Veterans 
Indicate which for Team Relay - Draw   Partner  
Handler Dog

Dog Two Information
Call Name:
Breed:
Birth Date:
AAC ID card #:  Make sure you have arrange for this ID card.
Dog's Height at withers:Actual Jump Height:6" 10" 16" 22" 26"
Dog 2:Regular Specials Veterans 
Indicate which for Team Relay - Draw   Partner  
Handler Dog

If you do not have your ID# by trial date you can still run but For Exhibition Only. Also if you do not bring your ID#Card with you, you will need to have your dog(s) measured.  If your dog(s) move up in a trial just prior to this one please inform us at least seven (7) days prior for the move up.

Under 8 runs = $12 per run
8 runs or more = $11 per run
One or more dogs combined, one handler
Please check which classes you want to enter and level.  Thank you.

Dog One:
Classes         Starters        Advanced    Masters
Standard 1                 
Standard 2                 
Standard 3          N/A              N/A
Jumpers                     
Gamblers 1               
Gamblers 2    N/A                   N/A
Snooker                     
Team Relay 1             
Team Relay 2  N/A              N/A              
Steeplechase  

Dog Two:  
Classes         Starters        Advanced     Masters
Standard 1                 
Standard 2                 
Standard 3          N/A              N/A
Jumpers                     
Gamblers 1               
Gamblers 2    N/A                   N/A
Snooker                     
Team Relay 1             
Team Relay 2  N/A              N/A              
Steeplechase  

# of runs x  $ =    $
Total fees paid: made payable to “Jacqui Barrie” not post-dated – Cdn funds$  

I will NOT accept forms without the registration/general agreement signed and payment (in Canadian funds) (NO post-dated cheques) included along with your entry form.  

We ask that you please volunteer at least twice during the trial. 
Please advise if you will be camping on site and what size your unit is, including car.  Yes I will be staying: unit size:
Which nights: Friday   Saturday Sunday

GENERAL AGREEMENT / DISCLAIMER

I, the undersigned, (must be of legal age [18 years or older] to sign) CERTIFY that I am the actual owner of the dog, or that I am the authorized agent of the actual owner of the dog entered hereon and agree that the Host Club has the right to refuse my entry for causes, which the organizing committee shall deem to be sufficient.

In consideration of the acceptance of this entry, I (we) have read, understand and will abide by the Official Rules and Regulations of the Agility Association of Canada, Inc. in effect at the time of this entry, and by any additional rules and regulations appearing in the Agility Trial Schedule for this event.  I (we) certify and represent that the dog entered is not a hazard to persons or other dogs.  This entry is submitted for acceptance on the foregoing representation and General Agreement / Disclaimer.  I (we) agree to conduct myself (ourselves) in accordance with such Official Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accordance with them.

I agree to hold the organizing committee, the organization which it represents including its members, officers and directors, the Agility Association of Canada, sponsors of the event, owners of the premises upon which the event is being held and their employees, harmless from any claims for loss or injury which may be alleged to have been caused directly or indirectly to any persons or thing by the act of this dog while in or upon the event premises or grounds or near entrances thereto, and I personally assume all responsibility and liability for any such claim.

I further agree to hold the aforementioned parties harmless from any claim for loss of this dog by disappearance, theft, death or otherwise and from any claim for damage or injury to the dog, whether such loss, disappearance, theft, or otherwise be caused by or alleged to be caused by negligence of the parties aforementioned, or by negligence of any person, or any other cause or causes.

I hereby assume the sole responsibility for and agree to indemnify 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 damages because bodily injuries, including death at any time resulting thereof, 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, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents or any other persons.

I, the undersigned, hereby acknowledge that I have fully read and understood the above and have waived my right to independent legal advice in this matter.

________________________________________________
Signature                                                            

________________________________
Date

A confirmation slip will be forwarded to you by return mail or e-mail, if you do not receive it please contact me. PLEASE read the confirmation as soon as you get it and attached notes carefully to ensure you are in the right class(es) and for all pertinent information.  Looking forward to seeing you and your dog(s).

Once form is completed to your satisfaction, select print, sign agreement, mail form and payment as required.

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