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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.
| Grand Prix of Dog Agility - Local Qualifier |
Smorch, Terry
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| Performance Grand Prix - Local Qualifier |
Smorch, Terry
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| Dog Agility Steeplechase® - Local Qualifier - Rd 1 |
Hanson, David
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| Dog Agility Steeplechase® - Local Qualifier - Rd 2 |
Hanson, David
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| Performance Speed Jumping - Local Qualifier - Rd 1 |
Hanson, David
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| Performance Speed Jumping - Local Qualifier - Rd 2 |
Hanson, David
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| Dog Agility Masters Team Qualifier |
Smorch, Terry
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| Dog Agility Masters - Team Standard Agility |
Smorch, Terry
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| Dog Agility Masters - Team Gamblers |
Dean, Becky
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| Dog Agility Masters - Team Jumpers |
Hanson, David
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| Dog Agility Masters - Team Snooker |
Dean, Becky
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| Dog Agility Masters - Three-Dog Relay |
Smorch, Terry
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| Performance Versatility Pairs Tournament |
Smorch, Terry
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| Performance Versatility Standard |
Smorch, Terry
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| Performance Versatility Gamblers |
Dean, Becky
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| Performance Versatility Jumping |
Hanson, David
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| Performance Versatility Snooker |
Dean, Becky
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| Performance Versatility Relay |
Smorch, Terry
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| Starters Standard Agility |
Dean, Kirstie
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| Advanced Standard Agility |
Dean, Kirstie
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| Masters Standard Agility |
Hanson, David
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| Masters Challenge - Standard Agility |
Hanson, David
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| Starters Gamblers |
Dean, Kirstie
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| Advanced Gamblers |
Dean, Kirstie
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| Masters Gamblers |
Hanson, David
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| Masters Challenge - Standard Performance |
Hanson, David
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| Masters Challenge - Jumpers |
Smorch, Terry
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| Starters Jumpers |
Dean, Kirstie
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| Masters Challenge - Performance Jumpers |
Smorch, Terry
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| Advanced Jumpers |
Dean, Kirstie
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| Masters Jumpers |
Smorch, Terry
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| Starters Snooker |
Dean, Kirstie
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| Advanced Snooker |
Dean, Kirstie
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| Masters Snooker |
Dean, Becky
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| Masters Pairs Relay |
Dean, Becky
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| Standard Level 1 |
Dean, Kirstie
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| Standard Level 2 |
Dean, Kirstie
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| Standard Level 3 |
Hanson, David
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| Gamblers Level 1 |
Dean, Kirstie
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| Gamblers Level 2 |
Dean, Kirstie
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| Gamblers Level 3 |
Hanson, David
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| Jumpers Level 1 |
Dean, Kirstie
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| Jumpers Level 2 |
Dean, Kirstie
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| Jumpers Level 3 |
Smorch, Terry
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| Snooker Level 1 |
Dean, Kirstie
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| Snooker Level 2 |
Dean, Kirstie
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| Snooker Level 3 |
Dean, Becky
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| Performance Pairs Relay Level 3 |
Dean, Becky
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| Regional Grand Prix of Dog Agility Semifinals |
Dean, Becky
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| Performance Grand Prix Regional Semifinals |
Dean, Becky
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| Dog Agility Steeplechase Regional Semifinals |
Smorch, Terry
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| Performance Speed Jumping Regional Semifinals |
Smorch, Terry
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| Veterans Standard |
Hanson, David
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| Veterans Gamblers |
Hanson, David
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| Veterans Jumpers |
Smorch, Terry
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| Veteran Snooker |
Dean, Becky
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| Starters Standard Agility |
Dean, Kirstie
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| Advanced Standard Agility |
Dean, Kirstie
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| Masters Standard Agility |
Dean, Becky
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| Starters Gamblers |
Dean, Kirstie
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| Advanced Gamblers |
Dean, Kirstie
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| Masters Gamblers |
Smorch, Terry
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| Starters Jumpers |
Dean, Kirstie
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| Advanced Jumpers |
Dean, Kirstie
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| Masters Jumpers |
Hanson, David
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| Masters Snooker |
Dean, Becky
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| Starters Pairs Relay |
Dean, Kirstie
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| Advanced Pairs Relay |
Dean, Kirstie
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| Standard Level 1 |
Dean, Kirstie
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| Standard Level 2 |
Dean, Kirstie
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| Standard Level 3 |
Dean, Becky
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| Gamblers Level 1 |
Dean, Kirstie
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| Gamblers Level 2 |
Dean, Kirstie
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| Gamblers Level 3 |
Smorch, Terry
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| Jumpers Level 1 |
Dean, Kirstie
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| Jumpers Level 2 |
Dean, Kirstie
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| Jumpers Level 3 |
Hanson, David
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| Snooker Level 3 |
Dean, Becky
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| Performance Pairs Relay Level 1 |
Dean, Kirstie
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| Performance Pairs Relay Level 2 |
Dean, Kirstie
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| Regional Grand Prix of Dog Agility Finals |
Smorch, Terry
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| Performance Grand Prix Regional Finals |
Smorch, Terry
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| Dog Agility Steeplechase Regional Finals |
Hanson, David
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| Performance Speed Jumping Regional Finals |
Hanson, David
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| Veterans Standard |
Dean, Becky
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| Veterans Gamblers |
Smorch, Terry
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| Veterans Jumpers |
Hanson, David
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| Veteran Snooker |
Dean, Becky
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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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Good Dog Agility Club
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Being Held At: ASU West
Glendale, AZ
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February 22 - 24, 2013
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Closing Date: Monday, February 11, 2013
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Judges
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David Hanson - Kerrville, TX
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Terry Smorch - Lake Elmo, MN
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Becky Dean - Dublin, OH
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Kirstie Dean - Rochester Hills, MI
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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.
Use of Electronic Timing Systems
One or more electronic timing systems may be utilized for measuring performance times at this event.
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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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Treasurer
Marlene Rezac
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Chief Ring Steward
Howard Weiner
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Chief Scorekeeper
Kim O'Connor
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Equipment Manager
Dan Fisk
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Volunteer Coordinator
Marissa Smith
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| Site Information |
ASU West
4701 W. Thunderbird Rd.
Glendale, AZ 85306
United States
View on Google Maps
Surface Type:
Outdoor on Field Grass
Ring Configuration:
100 x 100
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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.
Good Dog Refund Policy
Bitches that come into season or competitors that can provide a valid letter from a veterinarian for injured/ill dogs after the closing date shall be refunded the full amount of their entry fees, less the amount owed USDAA.
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.
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.
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.
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
Masters Challenge Classes - Championship & Performance
EFFECTIVE FOR SHOWS CLOSING AFTER JANUARY 1, 2013
All dogs - regardless of level of competition - are eligible for entry in the Masters Challenge classes and to earn qualifying scores. These qualifying scores will remain on the dog's record and calculate toward Masters Challenge titles once the dog achieves the Masters Standard / Masters Performance Standard and Masters Jumpers / Masters Performance Jumpers titles.
Additionally, these dogs continue to be eligible for their appropriate level in the regular classes at all levels, 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.
Regional Masters Challenge Biathlon Tournament
As outlined above, all dogs - regardless of level of competition - are eligible to enter Masters Challenge classes at shows closing after January 1, 2013.
A new tournament, the Handlers Challenge Biathlon, will be offered at the 2013 Cynosport World Games. Eligibility to enter the Handlers Challenge Biathlon at Cynosport requires a qualification in either MC Standard or MC Jumpers (Championship or Performance). As an alternative to Masters Challenge qualification, dogs earning a semfinalist bye for Cynosport in both Grand Prix and Steeplechase or Performance GP and Speed Jumping will be eligible to enter the Handlers Challenge Biathlon at Cynosport.
At this regional event the Masters Challenge Standard and Jumpers scores in both the Championship & Performance Programs will be converted to time plus faults. These scores will be combined to determine placements for special Masters Challenge Biathlon awards. No separate entry for the Biathlon is necessary; entering the MC classes automatically makes the dog eligible for the MC Biathlon awards outlined elsewhere in this document.
Titling Class & Tournament Awards
Titling Classes and Local GP/PGP and STP/PSJ: - First through fourth place rosettes will be awarded in each jump height for all classes, except Pairs where ribbons will be awarded to mini and open classes.
- A maroon qualifying ribbon will be awarded to those achieving a qualifying score in a test class.
- Titling ribbons will be awarded to those finishing a title.
- Grand Prix/Perf. Grand Prix: First through sixth place rosettes will be awarded in each jump height. A maroon ribbon will be awarded to those achieving a qualifying score in the Grand Prix and Performance Grand Prix. A Regional Championships bye voucher will be awarded to the first place qualifier in each jump height.
- Steeplechase/PSJ: Maroon qualifying ribbons will be awarded to those who earn a qualifying score.
Regional Classes - Grand Prix/Perf. Grand Prix Round 2, first through third placements for each jump height. Rosettes for each semifinalist. Regional Champion trophy for each 1st place for each jump height.
- Steeplechase/Perf. Speed jumping, first through third placements for each jump height. Rosettes for each semifinalist. Regional Champion trophy for each 1st place for each jump height. Prize money shall be awarded based on 40% of entry fees from BOTH Round 1 of the local Steeplechase/PSJ and Round 1 of the Regional Steeplechase/PSJ.
- Team/PVP, first through third placements/medal for overall in each tournament. Trophy for 1st place overall for each tournament.
- Masters Challenge Biathlon Award: first through third place awards are provided for the top 3 placements in Championship and Performance for both MC Jumpers and MC Standard combined.
Tentative Schedule
Competitors will be grouped into 4 groups which will rotate between the 3 Masters rings. There will always be 1 group that is "off" and therefore, available to work. Friday, February 22, 2013 (Small to Tall, PVP First) |
Ring 1 - Terry Smorch PVP/Team Standard Local Perf. Grand Prix Local Grand Prix PVP/Team Relay | Ring 2 - Dave Hanson PVP/Team Jumpers Local Perf. Speed Jumping Local Steeplechase
| Ring 3 - Becky Dean PVP/Team Gamblers PVP/Team Snooker
| Ring 4 - Kirstie Dean IDLE
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Saturday, February 23, 2013 (Tall to Small, Champ. First) |
Ring 1 - Terry Smorch Regional Steeplechase Rd1 Regional Perf. Speed Jumping Rd 1 Mast/PIII/Vet Jumpers Mast. Challenge Jumpers Perf. Mast. Challenge Jumpers | Ring 2 - Dave Hanson Mast./PIII/Vet Standard Mast./PIII/Vet Gamblers Mast. Challenge Standard Perf. Mast. Challenge Standard | Ring 3 - Becky Dean Regional Grand Prix Rd 1 Regional Perf. Grand Prix Rd 1 Mast/PIII/Vet Snooker Mast/PIII Pairs | Ring 4 - Kirstie Dean Adv/PII Standard Starters/PI Standard Adv/PII Gamblers Starters/PI Gamblers Adv/PII Snooker Starters/PI Snooker Adv/PII Jumpers Starters/PI Jumpers |
Sunday, February 24, 2013 (Small to Tall, Vet/Perf. First) |
Ring 1 - Terry Smorch Vet/PIII/Mast. Gamblers Regional Perf. Grand Prix Rd 2 Regional Grand Prix Rd 2
| Ring 2 - Dave Hanson Vet/PIII/Mast. Jumpers Regional Perf. Speed Jumping Rd 2 Regional Steeplecahse Rd 2 | Ring 3 - Becky Dean Vet/PIII/Mast. Standard Vet/PIII Mast. Snooker | Ring 4 - Kirstie Dean Adv/PII Standard Starters/PI Standard Adv/PII Gamblers Starters/PI Gamblers Adv/PII Pairs Starters/PI Pairs Adv/PII Jumpers Starters/PI 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.
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 FEO Not Allowed
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 MUST run the dog at the height jump height. The dog shall be placed first in the running order for all classes entered. The competitor may not change their entry from one program to another (e.g., from Championship to Performance).
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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.
Regional T-Shirts
If you would like to order a t-shirt for the Regional, please fill in the following form and send with your entry. See www.gooddog.org for t-shirt design options. NAME: ______________________________________________
ADDRESS: __________________________________________________________________________________________ PHONE #: ( ) ______________________________________ EMAIL: ______________________________________________ | Shirt Color | Description | Size | Quantity | Price Each | Total | | | S - XL | | | | | | | $20.00 | | | | | | | $20.00 | | | | 2XL - 4XL | | | | | | | $25.00 | | | | | | | $25.00 | | | | TOTAL | |
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Tentative Time Schedule
Tentative Time Schedule Friday 6:15 - 7:00 AM Check-in and measure in 7:30 Walk-throughs start...all courses in each ring will be walked, and then ran 8:15 AM First dog on the line Saturday 6:45 - 7:30 AM Check-in and measure in 7:30 AM Walk-throughs start...all coursees in each Masters ring will be walked, and then ran 8:15 AM First dog on the line Sunday 7:00 - 7:30 AM Check-in and measure in 7:30 AM Walk-throughs start...all courses in each Masters ring will be walked, and then ran 8:15 AM First dog on the line
Regional Information
Friday Night Barbeque. Good Dog is hosting a BBQ at the show site Friday night. Please see the Good Dog website (www.gooddog.org) for information on food offerings and on how to sign up! A Twitter feed has been set up for this regional. The feed name is gdaswregional. A Facebook page has been set up for this regional. The page name is GDASWRegional. TEAM NAME CONTEST!! Get your creative juices flowing and come up with a fun and fantastic team name!! Judges will decide the top Team and top PVP names and prizes will be awarded. Be creative and have FUN with it! :) A food vendor will be onsite, serving breakfast and lunch items. This vendor has provided food for many shows in our area for a few years. She serves a variety of food that is super yummy. Please some ready to support her efforts!
RV Parking
RVs are permitted at at a cost of $15 per night. Reservations are required as you must have an assigned space. Contact Wendy Hultsman (whultsma@asu.edu) for details.
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 - Good Dog Agility Club
- Glendale, AZ
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February 22 -
24, 2013
- Closing Date: Monday, February 11, 2013
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Return to: Karen Gloor, 1611 E. Shannon St.
Chandler, AZ 85225 - Make check payable to:
Good Dog Agility
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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. Feb 22, 2013 |
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Championship |
Performance |
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$22.00 |
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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$64.00 |
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. Feb 23, 2013 |
Veteran |
Championship |
Performance |
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$13.00 |
Standard |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$13.00 |
Gamblers |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$13.00 |
Jumpers |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$13.00 |
Snooker |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$13.00 |
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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$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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$13.00 /ea |
Masters Challenge |
Jumpers |
Performance Jumpers |
Standard Agility |
Standard Performance |
| Sunday. Feb 24, 2013 |
Veteran |
Championship |
Performance |
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$13.00 |
Standard |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$13.00 |
Gamblers |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$13.00 |
Jumpers |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$13.00 |
Snooker |
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MST |
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PIII |
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$13.00 |
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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$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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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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Discount
****POLICY CHANGE!!!!****You may use Doggie Dollars or ribbon coupons towards your entry; however, you can only pay up to HALF of your entry with these items. YOU MAY NOT USE DOGGIE DOLLARS OR COUPONS FOR TOURNAMENT CLASSES!! Be sure to include these with your entry form.
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
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:___________________
Self Check-In
[ ] Check box at left if you have included a copy of your dog's permanent registration card or a printed copy of your dog's record from usdaa.com that shows his height has been certified.
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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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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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