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General Event Information
The electronic Agility Test Schedule & Entry Form for this event are not available. Please download the indicated PDF file if shown below.
CLICK HERE to download Agility Test Schedule PDF
file.
Planned Class Schedule:
The following class schedule has been filed for this event but is subject to change without notice.
| Masters Standard Agility |
Robertson, Evelyn
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| Masters Gamblers |
Robertson, Evelyn
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| Masters Jumpers |
Mark, Lois
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| Masters Snooker |
Robertson, Evelyn
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| Masters Pairs Relay |
Mark, Lois
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| Standard Level 3 |
Robertson, Evelyn
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| Gamblers Level 3 |
Robertson, Evelyn
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| Jumpers Level 3 |
Mark, Lois
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| Snooker Level 3 |
Robertson, Evelyn
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| Performance Pairs Relay Level 3 |
Mark, Lois
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| Grand Prix of Dog Agility - Local Qualifier |
Robertson, Evelyn
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| Performance Grand Prix - Local Qualifier |
Robertson, Evelyn
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| Veterans Standard |
Robertson, Evelyn
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| Veterans Gamblers |
Robertson, Evelyn
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| Veterans Jumpers |
Mark, Lois
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| Veteran Snooker |
Robertson, Evelyn
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| Starters Standard Agility |
Robertson, Evelyn
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| Advanced Standard Agility |
Robertson, Evelyn
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| Starters Gamblers |
Robertson, Evelyn
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| Advanced Gamblers |
Robertson, Evelyn
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| Starters Jumpers |
Mueller, David
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| Advanced Jumpers |
Mueller, David
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| Starters Snooker |
Robertson, Evelyn
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| Advanced Snooker |
Robertson, Evelyn
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| Starters Pairs Relay |
Robertson, Evelyn
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| Advanced Pairs Relay |
Robertson, Evelyn
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| Standard Level 1 |
Robertson, Evelyn
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| Standard Level 2 |
Robertson, Evelyn
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| Gamblers Level 1 |
Robertson, Evelyn
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| Gamblers Level 2 |
Robertson, Evelyn
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| Jumpers Level 1 |
Mueller, David
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| Jumpers Level 2 |
Mueller, David
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| Snooker Level 1 |
Robertson, Evelyn
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| Snooker Level 2 |
Robertson, Evelyn
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| Performance Pairs Relay Level 1 |
Robertson, Evelyn
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| Performance Pairs Relay Level 2 |
Robertson, Evelyn
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Back
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A Licensed Event
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Titling Event w/Tournament Classes
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hosted by
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Keystone Agility Club
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Being Held At: Orchard Hills Training Center
Barto, PA
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December 8 - 9, 2012
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Closing Date: Wednesday, November 28, 2012
Secondary Closing Date: Monday, December 3, 2012
(For move up in level only)
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Judges
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Lois Mark - Lewisville, PA
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Evelyn Robertson - Seattle, WA
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David Mueller - Schwenksville, PA
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Declaration of Trademarks & Service Marks
USDAA®, the USDAA logo, CYNOSPORT® the CYNOSPORT logo, DOG AGILITY MASTERS®, GRAND PRIX OF DOG AGILITY®, DOG AGILITY STEEPLECHASE®, SPRING FESTIVAL OF DOG AGILITY®, AGILITY DOG®, ADVANCED AGILITY DOG®, MASTER AGILITY DOG®, AGILITY DOG CHAMPION®, are the registered trademarks of United States Dog Agility Association, Inc. PERFORMANCE GRAND PRIXSM, PERFORMANCE VERSATILITY PAIRSSM, PERFORMANCE SPEED JUMPINGSM, JUMPERS MASTERSM, GAMBLERS MASTERSM, SNOOKER MASTERSM, RELAY MASTERSM, PERFORMANCE DOG SM, ADVANCED PERFORMANCE DOGSM, MASTER PERFORMANCE DOGSM, and PERFORMANCE DOG CHAMPIONSM are trade and service marks may not be used for commercial or other purposes without the express written consent of United States Dog Agility Association, Inc.
*
Veterans offered in Standard, Gamblers, Snooker and Jumpers Mixed Height Pairs for all levels
**
2013 Qualifiers for Grand Prix of Dog Agility® & Performance Grand PrixSM
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| Organizing Committee |
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The Organizing Committee is the governing body for this event and shall be the sole authority on matters relative to conduct of the event.
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Website
Check www.dognutmom.com for running order and generic final confirmation as well as for any updates and last minute changes.
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| Site Information |
Orchard Hills Training Center
45 Bella Vista Lane
Barto, PA 19504
United States
View on Google Maps
Surface Type:
Indoor Artificial Surface
Ring Configuration:
100 x 100
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Directions to Orchard Hills Training Center
Orchard Hills Training Center
45 Bella Vista Lane
Barto, PA 19504
From I-78 North and points East or West: Take the PA-29 S exit- EXIT #55- toward EMMAUS, turn slightly right onto S CEDAR CREST BLVD /PA-29. Follow Route 29 south for approximately 9.5 miles then merge onto Route 100 south. After 3.7 miles you will see Longacres Electrical Supplies on your left, you make a right there onto North Church Street. **Obey the speed limit in this area or you will be ticketed, continue straight onto Crow Hill Road up a hill to Belle Vista Lane on your left just past a small pond. You can see the white building on top of the hill.
From Philadelphia and points Southeast: I-76 W toward VALLEY FORGE, take the US-202 S / US-202 N / US-422 W exit- EXIT 328B-A- toward WEST CHESTER / KING OF PRUSSIA / POTTSTOWN /SWEDESFORD RD. Merge onto US-422 W for 21.9 miles then take the PA-100 N exit toward ALLENTOWN for about 12.5 miles. You will see Longacres Electrical Supply on your right, make a left onto North Church Street and follow directions from ** in above.
Pa Turnpike/NE Extension: to Quakertown Exit, bear right onto Route 663 South. As you enter Pennsburg you will make a right onto Route 29 North. Follow Route 29 to the town of Hereford (Turkey Hill and Light) Turn Left onto Route 100 South and follow into Barto, you will see Longacres Electrical Supplies on your left, you make a right there onto North Church Street and follow directions from ** in above.
Express & Overnight Entries
Entries sent by Fedex, Express Mail or other courier service will only be accepted if the waiver allowing delivery without signature is signed. The club will not be responsible for deliveries delayed if a signature is required.
No Entry For Exhibition Only
No entry "For Exhibition Only" shall be accepted, except as provided for in Chapter 10 when Intro Program classes are offered. See additional note for club policy regarding dogs that measure up.
General Rule on Eligibility
This event is sanctioned by the United States Dog Agility Association, Inc. ("USDAA").
This test is open to all persons with dogs being at least 18 months of age (14 months of age pursuant to Chapter 10 for Intro Program when offered), regardless of pedigree or absence thereof, who have a current registration with USDAA and whose owners and the dog's handler are currently in good standing with USDAA.
This event will be held under USDAA® Official Rules and Regulations, a copy of which may be viewed and printed online at www.usdaa.com.
Policy on Refusal of Entry
The Organizing Committee of an event may refuse the entry of any competitor or dog for just cause should the Committee view that participation by the competitor or dog could be prejudicial to the sport. However, in such case, the Committee must notify the competitor in writing upon receipt of entry, but in no case, more than three days following the event closing date for acceptance of entries. The burden of responsibility for the appropriateness of such action rests solely with the host group and its Organizing Committee.
NSF Check/Credit Card
Any check or credit card that is charged back by the bank or other financial institution may be assessed a service charge of up to $40 per incident at the discretion of the host group.
Returned checks or credit card returns do not constitute a valid entry. Amounts shall be paid within 30 day of postmarked notice of the returned payment if such date follows the event date. Any fees not received within 30 days of notice will result in cancellation of event results for all classes related to the entry for which payment was made. No reinstatement of results is possible, and all awards must be returned within 10 days of notification or the dog's registration may be suspended pending restitution.
Any unpaid fees or shortfalls must be paid prior to the start of the event, or entry is canceled without recourse.
Refund Policy
There shall be NO REFUNDS for entries withdrawn after the closing date for acceptance of entries, for absentee, dismissal from the event as a result of disciplinary action, dismissal from a class, or for any other reason. Also, no entry fees will be refunded if the event cannot open or be completed by reason of riots, civil disturbances, acts of terrorism, fire, "act of God", public emergency, strike, or any other cause beyond the control of the host organization.
Partial Refund Policy
Partial refunds for bitches in season and injured dogs will be made provided you produce a signed letter from a licensed 3rd party veternarian within 24 hours of the end of the show; this does not include dogs that are injured during or after the trial.
Submission of Entries with Secondary Move-Up Date
All entries or cancellations must be received at the Secretary's address no later than the closing date, after which time no entries will be accepted or cancelled. For entries received by the closing date, the level of entry into a given class may be advanced by notifying the Secretary in writing via email by the "Secondary Closing Date". No other changes, cancellations or additions may be made after the initial closing date.
To be accepted, entries must be complete, signed (by parent or legal guardian if handler is a minor), received by the closing date and accompanied by the correct fees and include a valid USDAA registration number on a completed registration form.
Move Ups Not Allowed During This Event
Neither Day-To-Day nor Move-ups with 24-hour waiting period shall be allowed during this event.
Prohibitions on Aids & Devices
No leads, collars, food, toys or other aids or devices shall be permitted on the course at any time, except as provided for in Chapter 10 when Intro Program classes are offered, or in Chapter 8 when Junior Handler Program classes are offered.
Statement of Responsibility
Competitors alone are responsible for the behavior of their dogs, children or guests. A competitor whose dogs, children or guests create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Event Organizing Committee, be asked to leave the test site.
Policy on Fault Limits
In the event of a larger entry, fault limits may be set at the discretion of the Organizing Committee and/or Judge without pre-event notice.
Spam Blocker
Confirmations will be sent via email using the secretary's address. If you have a spam blocker on your email account, please configure it to allow email from the secretary's address since confirmations will be sent from this account.
Fault Limits
Fault limits may be applied in all classes for which faults are assessed. Limits, if any, shall be announced during the judges' briefings. In the event that entries exceed levels that are deemed manageable for this event, one class each day may be rescheduled for another day or cancelled. If a class should be cancelled, a full refund for the class may be made. USDAA and/or Keystone Agility Club assumes no additional liability related to reschedule or cancellatoin of classes for any reason.
Titling Class Rules & Descriptions
One or more titling classes shall be held at this Event from those described in Chapters 3 - 8 of USDAA Official Rules & Regulations, which are downloadable from www.usdaa.com/rulesReg_eBook.cfm, and any amendments there to, which are downloadable from www.usdaa.com/rulesReg.cfm, each of which are hereby incorporated by reference.
Tournament Class Rules & Descriptions
One or more tournament classes are being held at this event, the rules and description of which may be downloaded on the Internet at www.usdaa.com/gen_formDoc.cfm, and are hereby incorporated by reference. A written copy may be obtained from the Event secretary.
Veterans Program Classes
Veterans level classes offered at this event are open to a competitor with any dog that is at least eight (8) years of age as of the first day of this event. Previous experience in the sport sufficient to establish proficiency and confidence in performance is strongly encouraged. Once a competitor has earned a qualifying score with a dog in a Veterans class, the dog is no longer eligible to enter that class in the Championship or Performance Programs when a Veterans class is offered. Complete program rules can be found at www.usdaa.com/rulesReg_eBook.cfm which are downloadable from www.usdaa.com/rulesReg.cfm
Mixed-Height Pairs Entry Allowed
Dogs entered as partners in pairs relay at this event may be combined without regard to jump height, i.e. a mini dog may be entered as a partner with an open dog. Any pair consisting of at least one open dog must qualify in accordance with the QCT set forth by the judge of record for Open Pairs AND will be considered an open pair for placement purposes.
Titling Class & Tournament Awards
Every dog ENTERED in the trial will receive a toy Competitors must be present with dogs immediately following the class in which an award is earned in order to claim prizes and awards. All prizes and awards must be claimed on the day awarded. No prizes will be mailed. Titling Classes: Maroon ribbons for all qualifying scores. Maroon Rosettes for all Super Q's in Masters/P3 Snooker. 1st-4th Rosettes in each jump height for all classes. Pairs Relay classes will be placed 1st-4th in "mini" and "open". Mixed height pairs will be treated as "open" pairs. Titling rosettes will be available for anyone completing a versatility title, as well as individual class titles at the Masters/P3 level ONLY and generic "new title' rosettes for all others. Grand Prix and Performance Grand Prix Qualifiers: 1st-4th Rosettes in each jump height for Grand Prix 1st-3rd Rosettes in each jump height for Performance Grand Prix Each qualifier shall receive a maroon qualifying ribbon. A Regional Championships bye voucher will be awarded to the first place qualifying handler/dog in each jump height.
Class Running Order
| Judge: Evelyn Robertson | | Saturday | Sunday | Vet/P3/Masters Gamblers Veet/P3/Masters Standard PGP/Grand Prix P3/Masters Pairs Vet/P3/Masters Snooker Vet/P3/Masters Jumpers | P2/Adv then P1/Starters Jumpers P2/Adv then P1/Starters Snooker P2/Adv then P1/Starters Pairs P2/Adv then P1/Starters Standard P2/Adv then P1/Starters Gamblers |
Dog Measurements & Certification
All dogs not jumping 26" in the Championship Program or 22" in the Performance Program must be measured unless they have a permanent USDAA or World Cynosport Dog Registration card or a temporary card with 3 signatures as required by the regulations, making the dog eligible for their jump height (prior to 3 years of age). When not enrolling electronically, please send a copy of one the following items to facilitate the check-in process:
- photocopy of permanent dog registration card,
- printout of the dog-information page from your USDAA® competitor web account, or
- copy of your check-in letter from USDAA indicating your temporary card has been accepted by the USDAA office and your permanent registration card is in process.
A Dog that Measures Up at Check-In - May Run FEO
If a judge's measurement of a dog at check-in establishes that the dog is ineligible for the height class in which entered, the competitor may opt to run the dog in the lower jump height class "For Exhibition Only", and no awards or qualifying scores may be earned. The competitor may not change their entry from one program to another (e.g., from Championship to Performance).
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| Hotel Information |
1846 Catasauqua Road Allentown, PA
(610) 264-5404
View on Google Maps
Rate: $50.99
Code: B110STONE2
Expires: 11/07/2012
Rate above is for 1 person. $55.24 for 2 people. No pet fee. No guarantee of 1st floor room. AAA discount with card. Approx 40 minutes from trial site.
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1905 John Fries Highway Quakertown, PA
(215) 538-3000
View on Google Maps
Rate: $79.00
Expires: 12/01/2012
10 rooms blocked. No pet fee if mention Keystone Agility Club. Approx 25 minutes from site. At Quakertown exit of NE Extension of PA Turnpike.
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78 Robinson Street Pottstown, PA
(800) 466-8356 (610) 819-1288
View on Google Maps
Rate: $70.00
Expires: 12/01/2012
No pet fee. 15 rooms blocked. 1 mile north of route 422, right next to Comfort Inn.
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99 Robinson St Pottstown, PA
(877) 424-6423 (610) 326-5000
View on Google Maps
Rate: $89.00
Expires: 11/27/2012
Rate code: KAC or Keystone Agility. 10 rooms blocked, no pet fee.
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7625 Imperial Way Allentown, PA
(877) 424-6423 (610) 391-0344
View on Google Maps
Rate: $67.00
Expires: 11/23/2012
Rate code: Keystone Agility Club. 10 rooms blocked. $25 one time pet fee. Approx. 25 minutes from trial site.
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On-Site RV Parking
On-site RV Parking is not available for this event.
Note for Hotels
Confirm all rates and pet fees before booking!
All dogs should be leashed at all times on hotel grounds; owners are responsible for cleaning up after their dogs and for keeping dogs quiet.
Please, please, do everything possible to keep your hotel rooms neat and orderly, especially in the event of inclement weather. Please use sheets on beds an towels for doggie feet. Every effort will be made to host this trial given inclement weather, however, please keep in mind the possibility of snow and ice and plan accordingly.
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| Media Release & Rights of Privacy Waiver |
Media Rights Release
I HEREBY GRANT TO USDAA and its affiliated companies, representatives, agents and assigns, all rights and permission to use or appropriate his/her and their dog's name, biography, likeness, photograph, voice, performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media known now or in the future.
Waiver of Rights to Privacy, Publicity & Personality
FURTHER, I HEREBY RELEASE United States Dog Agility Association, Inc. and its affiliates, representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of publicity, right of personality, or any similar right.
Site & Other Information
This event will be held indoors in the metal building. A food vendor will be on site for the weekend. There will be baby pools for dogs. Indoor restroom facilities are available, however, no dogs allowed in restrooms. There will be a $10 potty fine for any dog eliminating in any other than designated areas ESPECIALLY in, on or around either of the buildings! Crating is first come, first served. Ex-pens allowed as long as being used for 3 or more dogs. Natting will be required under all crates and xpens. All tenting, kenneling and parking will be restricted to designated areas. Please respect our parking/kenneling assistants. Your cooperation is EXPECTED. No portable propane heaters of any kind allowed in the building. No balloons of any kind allowed in the building. As with all spectator venues, your are encouraged to present yourself and your dog in the best manner possible, including attire and sportsmanship. Help us to preserve such venues by following all show ground rules. Your cooperatin is greatly appreaciated.
Equipment
Rubberized contacts/table, breakaway tire and 24" weave poles will be used at this event.
Volunteers Welcome
I’d like to volunteer!
Name:_____________________________________
Email address:______________________________
Notes (eg: work once per day, scheduling constraints such as leaving early etc)
___________________________________________
I am willing to do the following (please circle jobs you would like to volunteer for)
Timer (manage electronic timer)
Scribe (Record faults/points indicated by judge. Record time)
Gate Steward (Keep competitors queued up)
Course Builder (help set course under supervision of chief course builders and judge)
Score Runner (take scribe sheet to score table)
Leash Runner (Take leash from start to finish line)
Ring Steward (set jump bars/chute)
Score Table (Calculate scores on scribesheet, enter scores onto Ringside posting form, enter into computer)
I am a Keystone club member
Volunteer Coordinator: Donna Hungarter, vols@keystoneagility.com
1.1 - Consideration & Waiver of Liability
IN CONSIDERATION OF the acceptance of this entry and the opportunity to participate and/or to be judged in the event on the dates to which this entry form applies (the "Event"),I AGREE TO HOLD HARMLESS each of the parties listed below (including each of their members, officers, directors, agents and employees), hereinafter collectively referred to as the "Event Organizers", from any claim for loss or injury that may be alleged to have been caused directly or indirectly to any person or thing by the act of myself or the dog listed on the entry form while in or upon the event premises or grounds or near any entrance thereto -
- The Event's Organizing Committee
- The Event Organizer, being the USDAA Affiliated Group (or Groups) hosting or otherwise responsible for conduct of the event
- United States Dog Agility Association, Inc. ("USDAA"), World Cynosport Limited and affiliated companies
- Event Sponsors
- Property Owners of the premises upon which the event is held
I FURTHER AGREE TO HOLD HARMLESS the Event Organizers from any claim for loss or injury of the dog listed on my entry form for the Event as a result of disappearance, theft, death or other act, whether such loss or injury is caused or alleged to be caused for any reason, including negligence.I ASSUME ALL RESPONSIBILITY AND LIABILITY FOR ANY CLAIMS REFERENCED IN THIS "GENERAL AGREEMENT", INCLUDING LEGAL FEES.
1.2 - Acknowledgment & Acceptance of Regulations
I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND USDAA® Official Rules and Regulations and rules for competition (e.g., tournament rules) that relate to the Event, whether incorporated in this General Agreement by reference or as stipulated herein for the Event to which this entry form pertains.
I ACCEPT AND AGREE TO ABIDE BY any and all rulings of the Organizing Committee (and its members), the Event's Disciplinary Action Committee and/or USDAA relative to matters related to the Event.
1.3 - Acknowledgment & Representation of Accuracy
I ACKNOWLEDGE, REPRESENT AND WARRANT that the information supplied by me in the entry form is correct and complete. If any portion of this information is found to be invalid or insufficient to establish the validity of my entry, such finding shall render my entry invalid in its entirety, for which there shall be no refund of fees paid or other recourse against the Event Organizers. Any acceptance of additional information or corrections to information after the closing date shall be at the sole discretion of the Event secretary.
1.4 - Representation of Ownership or Agency
I HEREBY REPRESENT AND WARRANT that I am the owner of the dog listed hereon, or that I have full authority from the dog's owner as their agent to enter the dog in competition and to assume their responsibilities for the care, custody and control of the dog for entry to the Event, and I AGREE TO HOLD HARMLESS the Event Organizers listed in paragraph 1.1
from any liability or claims, including legal fees, related to such ownership or agency status.
1.5 - Media Release, Grants & Waivers of Rights to Broadcast & Promote
COMPETITOR HEREBY GRANTS TO USDAA and its affiliated companies, representatives, agents and assigns, all rights and permission to use or appropriate his/her and their dog's name, biography, likeness, photograph, voice, performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media known now or in the future.
1.6 - Waiver of Rights to Privacy, Publicity & Personality
FURTHER, COMPETITOR HEREBY RELEASES United States Dog Agility Association, Inc. and its affiliates, representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of publicity, right of personality, or any similar right.
1.7 - Signature/Electronic Submission Execution
THROUGH MY PHYSICAL SIGNATURE ON THE PAPER ENTRY FORM, OR THROUGH MY SUBMISSION OF AN ELECTRONIC ENTRY TO THE EVENT, I ACKNOWLEDGE, ACCEPT AND AGREE TO ABIDE by the provisions of this General Agreement, and all policies, rules, regulations and conditions of entry to the Event
FURTHER, IF ENTRY IS FOR A MINOR, THROUGH MY PHYSICAL SIGNATURE ON THE PAPER ENTRY FORM, OR THROUGH MY SUBMISSION OF AN ELECTRONIC ENTRY TO THE EVENT, I REPRESENT AND WARRANT THAT I AM THE PARENT OR LEGAL GUARDIAN OF THE COMPETITOR/HANDLER entered in the Event, and I ACKNOWLEDGE that I have reviewed all provisions of this General Agreement, policies, rules, regulations, and conditions of entry to the Event with the Minor and I SHALL BE SOLELY RESPONSIBLE FOR THEIR ACTIONS AND COMPLIANCE WITH ALL RULES, REGULATIONS, POLICIES AND PROVISIONS FOR THE EVENT, AND ASSUME FULL LIABILITY FOR MINOR'S ACTIONS AND ACTIONS OF THEIR DOG.
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USDAA® Official Entry Form - Keystone Agility Club
- Barto, PA
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December 8 -
9, 2012
- Closing Date: Wednesday, November 28, 2012
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Return to: Helen McNenly, 2265 Sand Trap Road
Jamison, PA 18929 - Make check payable to:
Keystone Agility Club
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| Dog and Handler Information |
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Dog's Call Name:
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USDAA#:
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Breed:
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Height:
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Birthdate:
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Address:
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City, St/Pr/Region:
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Postal Code:
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Day Phone:
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Night Phone:
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Class Entry Information
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| Jump Height: |
Veterans: 4" 8" 12" 16"
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Championship: 12" 16" 22" 26" |
Performance: 8" 12" 16" 22" |
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| If entering classes at DIFFERENT HEIGHTS in the SAME PROGRAM, submit a SEPARATE ENTRY FORM for each height class in that program. |
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| Saturday. Dec 8, 2012 |
Veteran |
Championship |
Performance |
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$14.00 |
Standard |
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MST |
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PIII |
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$14.00 |
Gamblers |
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MST |
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PIII |
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$14.00 |
Jumpers |
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MST |
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PIII |
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$14.00 |
Snooker |
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MST |
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PIII |
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$14.00 |
Pairs Relay |
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MST |
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PIII |
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If blank or incorrect, entry will be for draw team:
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Partner:
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Dog:
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USDAA#:
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Jump Height:
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$24.00 |
Tournaments |
Grand Prix of Dog Agility® |
Performance Grand Prix |
| Sunday. Dec 9, 2012 |
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Championship |
Performance |
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$14.00 |
Standard |
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ADV |
STR |
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PII |
PI |
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$14.00 |
Gamblers |
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ADV |
STR |
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PII |
PI |
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$14.00 |
Jumpers |
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ADV |
STR |
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PII |
PI |
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$14.00 |
Snooker |
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ADV |
STR |
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PII |
PI |
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$14.00 |
Pairs Relay |
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ADV |
STR |
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PII |
PI |
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If blank or incorrect, entry will be for draw team:
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Partner:
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Dog:
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USDAA#:
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Jump Height:
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SUB-TOTAL |
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$25.00 |
Dog Registration (if not previously registered) - ATTACH SEPARATE FORM or Register Online |
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Discount (see footnote below for terms, if any discount is offered) |
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Add my voluntary contribution of $1.00 or more to support USA participation in IFCS events. |
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TOTAL FEES |
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GENERAL AGREEMENT ACCEPTANCE: Through my signature, I declare that I have read USDAA Official Rules & Regulations and the General Agreement and Test Schedule provisions set forth for entry to this event, and I acknowledge that I understand and agree to abide by all such rules, regulations, policies and provisions stipulated therein, including any provisions incorporated by reference.
Signature:____________________________________________________ Date:___________________
Signature of Parent or
Legal Guardian, if a Minor:____________________________________________________ Date:___________________
*No discounts offered at this event.
PAIRS PARTNER INFORMATION: I've entered pairs as a draw. When selecting a partner for me, please do not select the following dogs:
1___________________________ 2__________________________ 3___________________________ 4__________________________
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USDAA® Official Dog and Junior Handler Registration form
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DOG REGISTRATION - $25.00
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FOR USDAA USE ONLY
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REG #
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UJHP #
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______________
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______________
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JUNIOR HANDLER REGISTRATION - $25.00
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Dogs must be registered with USDAA in order to compete in USDAA sanctioned events. A registration card
and number with a "U" prefix will be issued to facilitate entry at USDAA events and tracking of show
results in the regular classes.
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Junior handlers (those 18 years of age and younger) and their dogs must be separately registered for
participation in the USDAA's Junior Handler Program (UJHP). A registration number with a "J" prefix
will be assigned for use in entering UJHP events. A dog competing in both programs (regular classes
and UJHP) must be registered separately for each program, for which the total fee is $50.00. Register online at www.usdaa.com and save more than 10%.
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You must complete ALL information for a valid registration:
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OWNER/HANDLER INFORMATION:
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Primary Owner: ___________________________________________________________________________________________________
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Name(s) to appear on awards:_____________________________________________________________________________________
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Junior Handler: _______________________________________ DOB:_____________ Telephone: _____________________________
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Address: _________________________________________________________________________________________________________
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City / State: _______________________________ Postal Code: _________________ Country: ____________________________
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Email Address: ___________________________________________________________________________________________________
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DOG INFORMATION:
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Formal Name: ________________________________________________________Call Name: _________________________________
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(Dog name to appear on certificates; please print clearly or type)
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Breed: ____________________________________________ DOB: _____________________ Height @ Withers: ___________________
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(Specify breed or state "All American to denote mix-breed)
(Estimate if unknown)
(To nearest 1/4")
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