2007280701

2007280701 FAX ENTRY FORM 2007280702

2007280701 A.M. [ ] Wednesday, August 1^st., 2007 P.M. [ ] 2007280702

Entry Fees: $28.00 for the first entry of each dog, except Puppy Classes (under 12 mths) and Bred By Exhibitor which are $20.00 (includes $1.50 service fee & $.50 AKC recording fee)). Each additional entry of the same dog is $20.00. Puppy Sweepstakes and Veteran Sweepstakes is $20.00. Entries Close: 12:00 NOON, FRIDAY, JULY 13th., 2007 at the Show Secretary’s Office, after which time entries cannot be accepted, canceled, or substituted, except as provided for in Chapter 11, Section 6 of the Dog Show Rules. [SWEEPSTAKES WITH P.M. SPECIALTY ONLY]

Mail All Entries with Fees to: Janice K. Johnson, Show Sec., 3190 Brown Road, Ashtabula, Ohio 44004 Make All Checks & Money Orders payable to: Janice K. Johnson IN U.S. FUNDS ONLY

I ENCLOSE $______________for entry fees.

FAX ENTRY TO: Janice Johnson [440]-275-1161 ]

I ENCLOSED $________ for entry fees. [FOR FAX ENTRIES ONLY - FEE $4.00 PER ENTRY]

[ ] MASTER CARD [ ] VISA

CARD NO.__/__/__/__ __/__/__/__ __/__/__/__ __/__/__/___EXPIRATION DATE ___/____/_

CARD HOLDER NAME:_______________________________________Date____/_____/_______

_________________________________________________________________

BREED ENGLISH SPRINGER SPANIEL VARIETY (1) SEX

BREED (2) (3) CLASS (3)

SHOW DIVISION

CLASS Weight, Color, etc. _

ADDITIONAL OBEDIENCE JR. SHOWMANSHIP

CLASSES TRIAL [NONE] CLASS [NONE]

CLASS

NAME OF (See Back)

JUNIOR HANDLER (if any)

FULL NAME

OF DOG ____________________________________________________

[ ] AKC REG NO. [Enter Number Here] DATE OF

[ ] AKC LITTER NO. BIRTH __

[ ] ILP NO. PLACE OF [ ] USA [ ] CANADA [ ] FOREIGN

[ ] FOREIGN REG NO. & COUNTRY BIRTH Do not print the above in catalog

BREEDER __

SIRE __

DAM __

ACTUAL

OWNERS __

OWNERS

ADDRESS __

CITY STATE ZIP _

NAME OF OWNERS AGENT

(IF ANY) AT THE SHOW ____________________________________________________

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 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 show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience 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 other dogs. This entry is submitted for acceptance on the foregoing representations and agreement.

SIGNATURE of owner or his agent duly

authorized to make this entry____________________________________________________

Telephone________________________________ Pers. ID Code #___________

Single copies of the latest editions of the “Rules Applying to Dog Shows/Registration and Disipline” and “Obedience Regulations” may be obtained WITHOUT CHARGE from any superintendent at show where they are superintending or from THE AMERICAN KENNEL CLUB, 51 MADISON AVENUE, NEW YORK, NY 10010.

AGREEMENT

I (we) acknowledge that the “Rules Applying to Registration and Dog Shows” and, if this entry is for an obedience trial, the “Obedience Regulations,” have been made available to me (us), and that I am (we are) familiar with their contents. I (we) agree that the club holding this show or obedience 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 of the holding of the show or obedience trial and of the opportunity to have the dog judged and to win prize money, ribbons, or trophies. I (we) agree to hold this club, its 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 of indirectly to any person or thing by the act of this dog while in or upon the show or obedience trial 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 of this dog by disappearance, theft, damage or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, theft, death 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 other person, or any other cause or causes. I (we) assume the full 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 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 show or obedience trial, howsoever such injuries, death or damage to property may be caused, and whether or not the same may have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons.

INSTRUCTIONS

1. (Variety) If you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular variety you are entering i.e., Cocker Spaniel (solid color black, ASCOB, (parti- color), Beagles (not exceeding 13 in. over 13 in. but not exceeding 15 in.), Dachshunds (longhaired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard)

2. The following categories of dogs may be entered and shown in Best of Breed competition; Dogs that are Champions of Record and dogs which according to their owners records, have completed the requirements for a championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a championship.

3. (Dog Show Class) Consult the classification in this premium list. If the dog show class in which you are entering you dog is divided then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e., age division, color division, weight division.

4. A dog must be entered in the name of the person who actually owned it at the time entries for a show closed. If a registered dog has been acquired by a new owner, it must be entered in the name of its new owner in any show for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his name. State on entry form whether application has been mailed to AKC (For complete rule refer to Chapter 11, Sec. 3)

By signing the entry form we certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship.

If this entry is for Jr. Showmanship, please give the following information:

JUNIOR SHOWMANSHIP JR.’S DATE OF BIRTH_______________

AKC JUNIOR HANDLER NUMBER [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ]

The above number must be included. Should you not have your Junior Handler Number, this may be obtained from the American Kennel Club. (Phone) 212-696-8345, 212-696-8240 or 212-696-8281.

ADDRESS_______________________________________________________________________

CITY_________________________________________________STATE___________ZIP______

If Jr. Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Jr. Handler to the owner?____________________________________________