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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 Gamblers |
Hammond, Peggy
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| Advanced Gamblers |
Hammond, Peggy
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| Starters Jumpers |
Chamberlain, Scott
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| Advanced Jumpers |
Chamberlain, Scott
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| Gamblers Level 1 |
Hammond, Peggy
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| Gamblers Level 2 |
Hammond, Peggy
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| Jumpers Level 1 |
Chamberlain, Scott
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| Jumpers Level 2 |
Chamberlain, Scott
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| Grand Prix of Dog Agility - Local Qualifier |
Hammond, Peggy
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| Performance Grand Prix - Local Qualifier |
Hammond, Peggy
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| Dog Agility Steeplechase® - Local Qualifier - Rd 1 |
Chamberlain, Scott
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| Dog Agility Steeplechase® - Local Qualifier - Rd 2 |
Chamberlain, Scott
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| Performance Speed Jumping - Local Qualifier - Rd 2 |
Chamberlain, Scott
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| Performance Speed Jumping - Local Qualifier - Rd 1 |
Chamberlain, Scott
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| Dog Agility Masters - Team Gamblers |
Hammond, Peggy
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| Dog Agility Masters - Team Snooker |
Chamberlain, Scott
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| Performance Versatility Gamblers |
Hammond, Peggy
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| Performance Versatility Snooker |
Chamberlain, Scott
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| Starters Standard Agility |
Chamberlain, Scott
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| Advanced Standard Agility |
Chamberlain, Scott
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| Masters Challenge - Standard Agility |
Hammond, Peggy
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| Masters Challenge - Standard Performance |
Hammond, Peggy
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| Standard Level 1 |
Chamberlain, Scott
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| Standard Level 2 |
Chamberlain, Scott
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| Dog Agility Masters - Team Standard Agility |
Hammond, Peggy
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| Dog Agility Masters - Team Jumpers |
Chamberlain, Scott
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| Performance Versatility Standard |
Hammond, Peggy
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| Performance Versatility Jumping |
Chamberlain, Scott
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| Regional Grand Prix of Dog Agility Semifinals |
Hammond, Peggy
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| Performance Grand Prix Regional Semifinals |
Hammond, Peggy
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| Dog Agility Steeplechase Regional Semifinals |
Chamberlain, Scott
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| Performance Speed Jumping Regional Semifinals |
Chamberlain, Scott
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| Masters Challenge - Jumpers |
Chamberlain, Scott
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| Masters Challenge - Performance Jumpers |
Chamberlain, Scott
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| Starters Snooker |
Chamberlain, Scott
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| Advanced Snooker |
Chamberlain, Scott
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| Snooker Level 1 |
Chamberlain, Scott
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| Snooker Level 2 |
Chamberlain, Scott
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| Dog Agility Masters Team Qualifier |
Hammond, Peggy
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| Dog Agility Masters - Three-Dog Relay |
Hammond, Peggy
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| Performance Versatility Pairs Tournament |
Hammond, Peggy
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| Performance Versatility Relay |
Hammond, Peggy
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| Regional Grand Prix of Dog Agility Finals |
Hammond, Peggy
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| Performance Grand Prix Regional Finals |
Hammond, Peggy
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| Dog Agility Steeplechase Regional Finals |
Chamberlain, Scott
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| Performance Speed Jumping Regional Finals |
Chamberlain, Scott
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Back
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A Licensed Event
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Regional Championship
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hosted by
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Casa de Canine of Greater Kansas City, LLC
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Being Held At: Sports City
Blue Springs, MO
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August 10 - 12, 2012
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Closing Date: Monday, July 30, 2012
Secondary Closing Date: Monday, August 6, 2012
(For move up in level only)
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Judges
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Scott Chamberlain - Mount Wolf, PA
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Peggy Hammond - Austin, TX
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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.
Timing & Equipment Notes
Electronic timing will be used. The following equipment will be used at this event: Rubberized surfaces on all contact obstacles 24" weave poles Break-away tire
Parking/RV Information
No RV parking will be available on site at this event. Vehicles must fit into marked spaces. On Friday, do not park in the therapy reserved parking spaces on the east end of the parking lot.
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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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| Site Information |
Sports City
425 NE Mock Ave
Blue Springs, MO 64014
United States
View on Google Maps
http://sportscitykc.com/home.html
Surface Type:
Indoor Artificial Surface
Ring Configuration:
90 x 120
Directions to the Site:
From the East:
Take I-70 West Exit 21(ADAMS DAIRY PKWY) Turn LEFT onto NE ADAMS DAIRY PKWY. 0.2 mi
Turn RIGHT onto NE CORONADO DR NE CORONADO DR becomes NE MOCK AVE go 0.4 miles to show site.
From the West:
Take I-70 East Exit 20 (MO-7). Turn south (right) onto MO-7, then left onto NW Mock Ave. Continue .7 mile to
show site.
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General Site Details
- Food: There is an on-site concession stand; please do not bring in outside food. There are also fast food restaurants and sit-down restaurants within just a few minutes of the show site.
- Parking: There is plenty of close parking. No parking in the therapy reserved spaces on Friday.
- RV Parking: There will be no RV parking at the show site. A list of nearby RV parks is included in the Hotels section of this premium.
Photographer
Kevin Devine will be available for action photos and portraits. Contact Kevin in advance for details on scheduling photos for your dog.
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.
Casa de Canine Refund Policy
- There will be no refunds under $10.00, for overpayment of fees.
- A portion of entry fees will be refunded (minus USDAA recording fees and other club costs) for bitches that come in season and dogs injured after the closing date, if a veterinarian's certificate is presented to the Secretary prior to the start of judging.
Entry Information
- Confirmation will be sent via email whenever possible. Please put your email address on your entry.
- Entry fees are to be payable in U.S. funds only.
- A separate entry form must be submitted for each dog.
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.
Regional - Provisional GP/PGP/STP/PSJ Entries
Provisional entries will be accepted for competitors who have not earned a qualifying score prior to the closing date, which is required for entry to the Grand Prix, Performance Grand Prix or Steeplechase, Performance Speed Jumping Regional classes. To compete in the class under the provisional entry, a qualifying score must be earned at a local tournament qualifying class for each respective tournament entered prior to the start of the Regional tournament class. A separate payment for provisional entry fees to the tournament classes is required and must be designated on the Entry Form, or such payment will be nonrefundable should the dog not be eligible to run.
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.
Team & Versatility Pairs Measure-up Policy
The handler of a dog entered in Team or Versatility Pairs must notify the secretary immediately should their dog be required to jump a higher height by virtue of the judge's measurement. The dog must jump the higher jump height in order to be eligible to earn a qualifying score in the tournament. If entered in Team, the dog may not be moved to Versatility Pairs. If the handler chooses not to have their dog jump the higher height, their entry is effectively withdrawn. The competitor may or may not run for exhibition only (earning no qualifications) solely at the discretion of the event secretary; there shall be no refund of fees paid.
If the change in height makes the dog ineligible for their team (three jump heights), the secretary will make every effort to form complete teams from dogs available. A move-up in height for dogs in Versatility Pairs does not affect their team composition, but may result in a change in their position in the running order because of the height composition of the Pair.
Masters Challenge Classes
Competitors who have completed the Masters titles in Standard or Jumpers are eligible for entry to the Masters Challenge class. They may also continue to enter the regular classes in Masters and PIII classes, unless stipulated otherwise in the Agility Test Schedule. Competitive placements in the Masters Challenge Standard and Jumpers classes accumulate points for annual ranking for Agility Top TenSM and Performance Top TenSM.
2012 Regional Tournament Awards
Titling Classes 1st through 4th place ribbons will be awarded in each jump height. Maroon ribbons will be awarded to all competitors earning a qualifying score. Tournaments GRAND PRIX & PERFORMANCE GRAND PRIX Local Qualifier: Maroon ribbons will be awarded to all competitors earning a qualifying score of zero faults. 1st through 3rd place rosettes in each jump height. First place qualifier in each jump height will receive a bye voucher which may be used at this event. Regional Championship Round 1: 1st - 4th placement ribbons in each jump height. Maroon ribbons will be awarded to all competitors earning a qualifying score of zero faults. Round 2: Semifinalist rosettes will be awarded to all competitors having zero faults and earning a bye (top 50% in each jump height) into the semifinals at the Cynosport World Games. 1st through 3rd place in each jump height will receive a rosette and medallion. The first place competitor in each jump height shall be named the Regional Champion and will receive a trophy. STEEPLECHASE & PERFORMANCE SPEED JUMPING Local Qualifier: 1st - 4th placement ribbons. Maroon ribbons will be awarded to all competitors earning a qualifying score as outlined in the rules. There will be no round 2 at this event. Regional Championship Round 1:1st - 4th placement ribbons in each jump height. Maroon qualifying ribbons will be awarded to all competitors earning a qualifying score as outlined in the rules. Round 2: Semifinalist rosettes awarded to competitors earning a bye into the semifinals at the Cynosport World Games. 1st through 3rd place in each jump height will receive rosettes and medals. Prize money will be awarded in accordance with tournament rules. First place competitor in each jump height shall be named the Regional Champion and will also receive a trophy. TEAM & VERSATILITY PAIRS Overall: Plaque to each member of the first place overall team/pair. Gold, Silver and Bronze medals for overall for each tournament. 1st - 4th placement ribbons in each jump height in each class along with a prize for qualifying scores.
Daily Schedule
TENTATIVE SCHEDULE Please check final confirmation for any changes. | Friday | Saturday | Sunday | | Check-in and Measure | 7:00 am | 7:00 am | 7:20 am | | Judges Briefing | 8:00 am | 7:30 am | 7:30 am | | Judging Begins | 8:30 am | 8:00 am | 8:00 am |
Check-in is required. You must have your temporary measurement card, USDAA issued check-in letter, or permanent USDAA height card to check in.
Class Schedule
| | Ring 1 | Ring 2 | | Friday | Peggy Hammond Advanced/PII Gamblers Starters/PI Gamblers Team/PVP Gamblers Local Grand Prix/PGP | Scott Chamberlain Starters/PI Jumpers Advanced/PII Jumpers Team/PVP Snooker Local Steeplechase/PSJ | | Saturday | Scott Chamberlain Masters Challenge Standard Team/PVP Standard Regional Grand Prix/PGP | Peggy Hammond Advanced/PII Standard Starters/PI Standard Team/PVP Jumpers Regional Steeplechase/PSJ | | Sunday | Peggy Hammond Team Relay Regional Grand Prix/PGP Final | Scott Chamberlain Advanced/PII Snooker Starters/PI Snooker Regional Steeplechase/PSJ Final Masters Challenge Jumpers |
Group Rotation
A Group Rotation method will be used for the tournament classes at this event. Each handler and their dogs will be assigned to one of two groups. If you are handling a dog for another owner, this must be indicated on the entry form so that all of the dogs you are running will be assigned to the same group. The group rotation, walk-through and class schedule will be available with your final confirmation.
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.
Regional - Special Measuring
Competitors whose dog has a temporary height card MUST have the dog measured prior to checking in at any Regional Championship event or Cynosport® World Games in order to confirm that the dog is eligible for the height entered.
If the dog measures up, the competitor must jump the dog at the higher jump height in all classes regardless of the jump height in which the dog earned its qualifications. If the competitor had a bye at the lower height, the bye is forfeited, and the competitor must compete in all rounds that may have been bypassed as a result of the bye.
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).
RV Camping
- There will be no RV parking at the show site. The following RV parks are within approximately 15 minutes from the show site.
KC East KOA Country Gardens RV Park 303 NE 3rd Street 7089 Outer Road Oak Grove, MO 64075 Odessa, MO 64076 Reserve: 800-562-7507 Exit 37, Interstate 70 Info: 816-690-6660 Phone: 816-633-8720 http://koa.com/campgrounds/kansas-city/ http://www.countrygardensrv.com/
Trailside RV Park & Campground 1000 R D Mize Rd Grain Valley, MO 64029 Phone: 816-229-2267 or 800-748-7729 http://trailsidervpark.com/
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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.
Emergency Services
EMERGENCY VETERINARIAN Blue Pearl Veterinary Partners 3495 NE Ralph Powell Rd Lee's Summit, MO 64064 816-554-4990 Directions from Sports City: I-70 West to I-470 South to Woods Chapel Road Exit; West on Woods Chapel Road to Ralph Powell Rd; South on Ralph Powell Rd to Blue Pearl Veterinary Partners on left. HOSPITAL St. Mary's Medical Center of Blue Springs 201 NW R D Mize Rd Blue Springs, MO 64014-2513 816-228-5900 Directions from Sports City: East on ME Mock Ave.; take 1st right on NE Sunnyside School Rd; take 3rd right on NE R D Mize Rd; St. Mary's Medical Center will be on the right. Fire/Ambulance/Police: 911
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 - Casa de Canine of Greater Kansas City, LLC
- Blue Springs, MO
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August 10 -
12, 2012
- Closing Date: Monday, July 30, 2012
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Return to: Karen Nenow, 5012 NW 87th St.
Kansas City, MO 64154 - Make check payable to:
Casa de Canine of Greater Kansas City, LLC
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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: |
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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. Aug 10, 2012 |
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Championship |
Performance |
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$15.00 |
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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$25.00 |
Tournaments |
Grand Prix of Dog Agility® |
Performance Grand Prix |
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$0.00 |
Tournaments |
Dog Agility Steeplechase® |
Performance Speed Jumping |
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$60.00 |
Tournaments |
Dog Agility Masters® Team |
Versatility Pairs
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Versatility Pairs list only one partner; if blank or incorrect, entry will be for draw team:
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#1: Handler:
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Dog:
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USDAA#:
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Jump Height:
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#2: Handler:
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Dog:
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USDAA#:
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Jump Height:
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Team / Pair Name:
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| Saturday. Aug 11, 2012 |
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Championship |
Performance |
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$15.00 |
Standard |
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ADV |
STR |
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PII |
PI |
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$15.00 |
Gamblers |
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$35.00 |
Regional |
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Grand Prix Regional Rd 1 |
Perf. Grand Prix Regional Rd 1 |
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$35.00 |
Regional |
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Steeplechase Regional |
Performance Speed Jumping Regional |
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$15.00 /ea |
Masters Challenge |
Standard Agility |
Standard Performance |
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| Sunday. Aug 12, 2012 |
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Championship |
Performance |
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$15.00 |
Jumpers |
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$15.00 |
Snooker |
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ADV |
STR |
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PII |
PI |
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$35.00 |
Regional |
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Grand Prix Regional Rd 2 (bye req'd) |
Perf. Grand Prix Regional Rd 2 (bye req'd) |
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$15.00 /ea |
Masters Challenge |
Jumpers |
Performance Jumpers |
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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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Tournament Entry at Regional
Dogs may NOT be entered in a combination of Championship and Performance TOURNAMENTS at this event regardless of eligibility.
Print & Sign Page 2
This entry form is two pages. Print, complete and sign Page 2 for valid entry.
NT Regional Qualification Information
PRE-QUALIFICATION INFORMATION FOR REGIONAL CHAMPIONSHIP CLASSES
A dog must be entered in EITHER Championship OR Performance tournaments based upon qualification throughout the year - see tournament rules.
I am entering: [_] Grand Prix OR [_] Perf. GP and earned my qualification at:
Event Group:____________________________________ Event Date:_________________ Jump Ht: _______
I am entering: [_] Steeplechase [_] Speed Jumping and earned my qualification at:
Event Group:____________________________________ Event Date: _________________ Jump Ht: _______
[_] Enclosed is a bye voucher. Enter EITHER Round 1 or Round 2, but NOT BOTH. Pay for a single round only.
[_] My dog has not qualified as of the closing date, but is entered in local qualifiers offered after closing OR in this event. Enclose a separate check for each class entered provisionally and indicate which class(es) below for:
[_] GP [_] PGP [_] STP [_] PSJ
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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