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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.
| Starters Standard Agility |
Reilly, Judy
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| Advanced Standard Agility |
Reilly, Judy
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| Masters Standard Agility |
Reilly, Judy
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| Starters Snooker |
Reilly, Judy
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| Advanced Snooker |
Reilly, Judy
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| Masters Snooker |
Reilly, Judy
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| Standard Level 1 |
Reilly, Judy
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| Standard Level 2 |
Reilly, Judy
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| Standard Level 3 |
Reilly, Judy
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| Snooker Level 1 |
Reilly, Judy
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| Snooker Level 2 |
Reilly, Judy
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| Snooker Level 3 |
Reilly, Judy
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| Veterans Standard |
Reilly, Judy
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| Veteran Snooker |
Reilly, Judy
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| Masters Standard Agility |
Reilly, Judy
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| Masters Challenge - Standard Agility |
Reilly, Judy
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| Masters Gamblers |
Reilly, Judy
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| Masters Challenge - Standard Performance |
Reilly, Judy
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| Masters Jumpers |
Reilly, Judy
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| Masters Snooker |
Reilly, Judy
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| Masters Pairs Relay |
Reilly, Judy
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| Standard Level 3 |
Reilly, Judy
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| Gamblers Level 3 |
Reilly, Judy
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| Jumpers Level 3 |
Reilly, Judy
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| Snooker Level 3 |
Reilly, Judy
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| Performance Pairs Relay Level 3 |
Reilly, Judy
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| Grand Prix of Dog Agility - Local Qualifier |
Reilly, Judy
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| Performance Grand Prix - Local Qualifier |
Reilly, Judy
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| Veterans Standard |
Reilly, Judy
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| Veterans Gamblers |
Reilly, Judy
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| Veterans Jumpers |
Reilly, Judy
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| Veteran Snooker |
Reilly, Judy
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| Starters Standard Agility |
Reilly, Judy
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| Advanced Standard Agility |
Reilly, Judy
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| Starters Gamblers |
Reilly, Judy
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| Advanced Gamblers |
Reilly, Judy
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| Starters Jumpers |
Reilly, Judy
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| Advanced Jumpers |
Reilly, Judy
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| Starters Snooker |
Reilly, Judy
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| Advanced Snooker |
Reilly, Judy
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| Masters Snooker |
Reilly, Judy
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| Starters Pairs Relay |
Reilly, Judy
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| Advanced Pairs Relay |
Reilly, Judy
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| Standard Level 1 |
Reilly, Judy
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| Standard Level 2 |
Reilly, Judy
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| Gamblers Level 1 |
Reilly, Judy
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| Gamblers Level 2 |
Reilly, Judy
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| Jumpers Level 1 |
Reilly, Judy
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| Jumpers Level 2 |
Reilly, Judy
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| Snooker Level 1 |
Reilly, Judy
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| Snooker Level 2 |
Reilly, Judy
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| Snooker Level 3 |
Reilly, Judy
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| Performance Pairs Relay Level 1 |
Reilly, Judy
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| Performance Pairs Relay Level 2 |
Reilly, Judy
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| Dog Agility Steeplechase® - Local Qualifier - Rd 1 |
Reilly, Judy
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| Dog Agility Steeplechase® - Local Qualifier - Rd 2 |
Reilly, Judy
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| Performance Speed Jumping - Local Qualifier - Rd 2 |
Reilly, Judy
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| Performance Speed Jumping - Local Qualifier - Rd 1 |
Reilly, Judy
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| Veteran Snooker |
Reilly, Judy
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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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BARK-NH!
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Being Held At: Gail Fisher's All Dogs Gym and Inn
Manchester, NH
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January 18 - 20, 2013
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Closing Date: Wednesday, January 2, 2013
Secondary Closing Date: Monday, January 14, 2013
(For move up in level only)
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Judges
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Judy Reilly - Amenia, NY
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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.
*
Rubberized Contacts,Weave poles with 24” spacing and Max 200 Break-Away tire will be used. Electronic Timingwill be used.
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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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Chairperson
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Secretary
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Trophy & Awards
Lauri Baker
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Chief Scorekeeper
Valori Duff
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Confirmations
"Please read your Confirmation Letters." ANY corrections made after the Secondary closing date of Monday January 14th will incur a $25.00 fee, payable in cash prior to the running of your dog(s).
Contact Organizing Committee
Email is preferred - Please no calls before 9AM or after 9PM
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| Site Information |
Gail Fisher's All Dogs Gym and Inn
505 Sheffield Rd.
Manchester, NH 03103
United States
View on Google Maps
Surface Type:
Indoor on Rubber Matting
Ring Configuration:
85'x100'
Directions to the Site:
From the North:
of Manchester on Route 93S, take 293/101W and exit at South willow St. for the Mall of NH. Go 3/4 miles past the mall, stayin gin the left lane. At the fork, bear left. At the blinking yellow light, turn left onto Sheffield Rd. The site is ahead on the right.
From the South:
Route 93N, take exit 5. Turn left at the bottom of the exit toward Manchester. Go 3.5 miles to the blinking yellow light (pass The Yard Restaurant). At the blinking yellow light, turn right onto Sheffield Rd. The site is ahead on the right.
From the West:
Route 293/101; take 293/101W and exit at South willow St. for the Mall of NH. Go 3/4 miles past the mall, stayin gin the left lane. At the fork, bear left. At the blinking yellow light, turn left onto Sheffield Rd. The site is ahead on the right.
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*
*Spectator Space is limited,only small chairs will be allowed. * Dogs are NOT allowed in the front row of chairs. Cleaning up after your dog at the show site is a MUST. A single warm up jump will be set up in the arena. No other obstacles may be set up and/or used.
City Ordinance
PER CITY ORDINANCE: the building will not be unlocked prior to 7:00 am on Saturday and Sunday Mornings.
Crating
On Friday evening crating will be in the vendor area. You must move your crate(s) before you leave on Friday to the large crate room for Saturday and Sunday.
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.
New BARK Refund Policy - Bitches In Season
BITCHES IN SEASON shall not be eligible to participate per USDAA rules. There will be a refund of entries for bitches coming in season after the trial has closed. Refund requests along with a veterinarian’s note/receipt must be received by the trial secretary within five days of the event. Refunds are subject to all non-refundable fees incurred by the club.
Next-Day Move-Ups Allowed At This Event
Competitors earning a qualification during the Event that is needed to complete a title may advance their level THE NEXT DAY at the same event, i.e. move-ups on consecutive days ARE allowed.
Competitors are responsible for keeping accurate records of their qualifying scores and the judges from whom these scores were earned prior to this event to ensure that the dog is eligible to move up based upon scores earned at this Event. Competitors are advised to confirm scores earned with the scorekeeper and judge at the conclusion of a class to ensure the qualifying score has been accurately calculated and awarded in accordance with regulations. If for any reason it is determined that the score or previous scores were inaccurate, making the entry ineligible for the higher level class, any results (including awards) shall be forfeited and the entry will be deemed invalid without refund or other recourse.
Move-up forms supplied by this event must be used to notify the secretary BEFORE she leaves the site the day on which you earn your title.
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.
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.
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.
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.
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
Tournament & Test Class Awards
TEST CLASSES Each dog earning a qualifying score will receive a maroon qualifying ribbon. Separate 1st, 2nd, 3rd and 4th place Rosettes will be awarded in each jump height for all classes, except Pairs which will be awarded to mini and open divisions. Title Rosettes will also be awarded for completion of AD, PD, AAD, APD, MAD, MPD, ADCH, PDCH and Lifetime Achievements. TOURNAMENTS: Grand Prix & PGP: 1st through 4th place Rosettes will be awarded in each jump height. Regional bye vouchers will be awarded at this trial. Special qualifying ribbons will be awarded for each qualifying score. Steeplechase/PSJ: Special qualifying ribbons will be awarded in Round 1. 1st through 4th place Rosettes will be awarded in each jump height. Go to www.usdaa.com for prize money payout chart.
Tentative Schedule
FRIDAY: Check-in and measuring - 2:45pm to 3:15pm. Judges briefing - 3:15pm. Judging begins upon completion of walk-through SATURDAY: Check-in and measuring - 7:00am to 7:45am. Judges briefing - 7:45am. Judging begins upon completion of walk-through
SUNDAY: Check-in and measuring - 7:15am to 7:45am. Judges briefing - 7:45am. Judging begins upon completion of walk-through (Times are subject to change - please refer to the final confirmation) Please note starting jump heights will vary
Friday
PI/S/PII/Adv/PIII/Vet/Masters Snooker PI/S/PII/Adv/PIII/Vet/Masters Standard Saturday Masters/PIII/Vets Gambler Masters/PIII Pairs Masters/PIII/Vets Standard Grand Prix/PGP Masters/PIII/Vets Snooker Masters/PIII/Vets Jumpers Sunday
PIII/Vet/Masters/PII/Adv/PI/Starters Snooker
PSJ/ Steeplechase PSJ/Steeplechase FINALS PII/Adv/PI/Starters Gamblers Starter Advanced- See late Check in time in the final Confirmation letter.PII/Adv/PI/Starters Pairs PII/Adv/PI/Starters Standard PII/Adv/PI/Starters Jumpers
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.
Self Check In
Self Check In will be available for competitors who have submitted a copy of their dogs "Plastic Permanent Height Card". Please see note above for eligibility.
Hotel Courtesies
Please Contact the hotels to CONFIRM their pet policies. Please give BARK your feedback on your stay.Hotel Courtesies ALL POOP IS TO BE PICKED UP Bring a sheet to cover the beds. Bring a towel to put under the water bowl and to dry your dogs if needed DO NOT LEAVE YOUR DOG ALONE IN THE ROOM AT ANY TIME
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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.
Food
Nikki's Grill will be serving her delicious food on Saturday and Sunday.
Volunteer Workers
Please sign up to work the job of your choice when you arrive each day. A poster board will be set-up for this purpose.Volunteers will receive raffle tickets for our famous CASH raffle and a lunch voucher good at Nikki's Grill.Our trial is only as good as our awesome volunteers.Thank you in advance for all your help!
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 - BARK-NH!
- Manchester, NH
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January 18 -
20, 2013
- Closing Date: Wednesday, January 2, 2013
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Return to: Valori Duff, 252 Boynton St.
Manchester, NH 03102 - Make check payable to:
BARK-NH
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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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| Friday. Jan 18, 2013 |
Veteran |
Championship |
Performance |
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$0.00 |
Standard |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$15.00 |
Snooker |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
| Saturday. Jan 19, 2013 |
Veteran |
Championship |
Performance |
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$0.00 |
Standard |
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MST |
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PIII |
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$0.00 |
Gamblers |
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MST |
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PIII |
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$15.00 |
Jumpers |
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MST |
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PIII |
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$15.00 |
Snooker |
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MST |
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PIII |
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$15.00 |
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 |
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$0.00 /ea |
Masters Challenge |
Standard Agility |
Standard Performance |
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| Sunday. Jan 20, 2013 |
Veteran |
Championship |
Performance |
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$0.00 |
Standard |
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ADV |
STR |
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PII |
PI |
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$0.00 |
Gamblers |
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ADV |
STR |
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PII |
PI |
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$15.00 |
Jumpers |
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ADV |
STR |
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PII |
PI |
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$15.00 |
Snooker |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$15.00 |
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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$24.00 |
Tournaments |
Dog Agility Steeplechase® |
Performance Speed Jumping |
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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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Volunteers
Please sign up to work the job of your choice when you arrive each day. A poster board will be set-up for this purpose. Volunteers will receive raffle tickets for our famous CASH raffle and a lunch voucher good at Nikki's Grill. Our trial is only as good as our awesome volunteers. Thank you in advance for all your help!
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__________________________
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:___________________
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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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