AKC Official Entry Form

Date Day of
the week
Novice Intermediate
5/29/26 Friday   11:00 - 3:00 Outside
 Judge: Lorrie Moule   
 
5/29/26 Friday  4:30 - 7:30 Outside
 Judge: Martha Bailey 
 
5/30/26 Saturday  10:30 - 2:30 Outside
 Judge: Valerie Bilodeau 
 
5/30/26 Saturday  10:30 - 2:30 Inside 
 Judge: Martha Bailey 
 
5/30/26 Saturday    3:30 - 5:00 Outside
 Judge: Lorrie Moule 
5/30/26 Sunday  10:30 - 2:30 Outside
 Judge: Lorrie Moule 
 
5/30/26 Sunday    2:30 - 5:30 Outside
 Judge: Martha Bailey
     I have select my entry above 
 AKC
 Registered Name  
 Registration Number
 AKC/PAL/ILP/CP      
 Call Name   Date of Birth          Sex
 Breed   
 Owner   
 Owners Address   
 City   State   Zip code 
 Phone   email 

 In Case of Emergency
 Name 

 Phone 

 Handler Name (if different from owner)
 
  Junior Handler (if applicable)
 

 Entry fees 25.00 per class  Number of classes   X 25.00 =

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Payment can be made online when submitting this form or you may print and mail it with your check
If you are mailing this form, print this page  before you hit the submit button

Pre-entries must be received by Wednesday, May 27th
(Entries will be taken "day of"  based on availability)

The Smartydog Center
312 East Johnson Avenue
Cheshire, CT 06410

 By submitting this form I acknowledge that I have read and agreed to the Agreement below
 Registrations will not be considered valid without payment

 Signature 

      
 

AGREEMENT

I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual
owner whose name I have entered. In consideration of the acceptance of this entry, I (we) agree
to abide by the rules and regulations of The American Kennel Club in effect at the time of this
event, and any additional rules and regulations appearing in the premium list of this event and
entry form and any decision made in accord with them. I (we) agree that the club holding this
event has the right to refuse this entry for cause which the club shall deem sufficient. I (we) certify
and represent that the dog entered is not a hazard to persons or other dogs. In consideration of the
acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged
and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their
members, directors, governors, officers, agents,superintendents or event secretary and the owner
and/or lessor of the premises and any provider of services that are necessary to hold this event and
any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging
at this event, harmless from any claim for loss or injury which may be alleged to have been caused
directly or indirectly to any person or thing by the act of this dog while in or about the event premises
or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability
for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any
claim of loss, injury or damage to this dog.

Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save
the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason
of the liability imposed by law upon any of the aforementioned parties for damage because of bodily
injuries, including death at any time resulting there from, sustained by any person or persons, including
myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our)
participation in this event, however such, injuries death or property damage may be caused, and whether
or not the same may have been caused or may be alleged to have been caused by the negligence of the
aforementioned parties or any of their employees, agents, or any other person. I (we) agree that the
determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us).

I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF
OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE
AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN THIS PREMIUM LIST)
 AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT
OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE
RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL
APPLICABLE AKCBYLAWS, RULES, REGULATIONS, AND PROCEDURES MUST FIRST BE FOLLOWED
AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES
AND GUIDELINES.