Sierra Gold Boston Terrier Club, Inc. Friday, October 29, 2021
OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM
Sierra Gold Boston Terrier Club, Inc. Dixon May Fairgrounds
Friday, October 29, 2021 Dixon, California 95620
Check box(es) to indicate which show to enter and to purchase a specialty catalog.
Morning Specialty Show,
Sweepstakes, Jr Show
Afternoon Specialty
Show
Pre-Ordered Catalog
Include $5 each
ENTRY FEES ARE SHOWN BELOW. Fees shown include all required AKC Recording & Service fees.
First Entry of Dog in Each Show .................. $32.00 Sweepstakes, Veteran Sweepstakes .........$15.00
Each Additional Entry Same Show (except below) .... $25.00 Junior Showmanship .......................FREE
Puppy, Bred-By, Veteran Class as First Entry ........ $25.00 Pre-Ordered Specialty Catalog .............. $5.00
Stud Dog, Brood Bitch, Brace .............. $20.00 for unit
Closing Date for Entries: WEDNESDAY, OCTOBER 13, 2021 at 6:00 PM or when limits are reached. Make checks
payable to Debi Best. Mail entries to: Debi Best, SGBTC, PO Box 478, Georgetown, CA 95634.
I ENCLOSE $______________ for entry fees. IMPORTANT - Read Carefully Instructions on Reverse Side Before Filling Out. Numbers
in the boxes indicate sections of the instructions relevant to the information needed in that box. PLEASE PRINT.
BREED Boston Terrier
VARIETY (1) SEX
DOG (2) (3)
SHOW
CLASS
CLASS (3)
DIVISION
WEIGHT, COLOR, etc.
ADDITIONAL
CLASSES
OBEDIENCE Jump Hgt
CLASS
NOT OFFERED
RALLY Jump Hgt
CLASS
NOT OFFERED
JUNIOR
SHOWMANSHIP
NAME OF JUNIOR HANDLER (see back)
FULL NAME
OF DOG
AKC REG. NO. Enter number below
PAL or ILP NO.
FOREIGN REG. NO.
& COUNTRY
DATE OF
BIRTH
PLACE OF USA
BIRTH
CANADA FOREIGN
Do not print the above in catalog.
BREEDER
SIRE
DAM
ACTUAL
OWNER(S) (4)
OWNER'S
ADDRESS
CITY STATE ZIP CODE
NAME OF OWNER'S AGENT (IF ANY) AT THE SHOW
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 above. 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 show
or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, and further agree to be
bound by the "Agreement" printed on the reverse side of this entry form. I(we) certify and represent that the dog entered is not a hazard to persons or other
dogs. This entry is submitted for acceptance on the foregoing representation and agreement.
SIGNATURE of owner or his agent
duly authorized to make this entry
TELEPHONE OWNER / HANDLER ELIGIBLE? 9 YES 9 NO
EMAIL
Sierra Gold Boston Terrier Club, Inc. Friday, October 29, 2021
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org.
AGREEMENT
I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem
sufficient. 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 for 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 therefrom, 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 persons. 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 ITS 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
AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH
IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
INSTRUCTIONS
1. (Variety) If you are entering a dog of breed in which there are varieties for show purposes, please
designate the particular variety you are entering, i.e., Cocker Spaniel (solid color black, ASCOB, parti-
color), Beagles (not exceeding 13 in, over 13 in. but not exceeding 15 in.), Dachshunds (longhaired,
smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard,
toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and
Prince Charles), Poodles (toy, miniature, standard).
2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are
Champions of Record and dogs which according to their owners records, have completed the
requirements for a championship, but whose championships are unconfirmed. The showing of
unconfirmed Champions in Best of Breed competition is limited to a period of 90 days from the date of the
show where the dog completed the requirements for a championship.
3. (Event Class) Consult the classification in this premium list. If the event class in which you are entering
your dog is divided, then, in addition to designating the class, specify the particular division of the class
in which you are entering your dog, i.e., age division, color division, weight division.
4. A dog must be entered in the name of the person who actually owned it at the time entries for a show
closed. If a registered dog has been acquired by a new owner, it must be entered in the name of its new
owner in any show for which entries close after the date acquirement, regardless of whether the new
owner has received the registration certificate indicating that the dog is recorded in his name. State on
entry form whether transfer application has been mailed to A.K.C. (For complete rule refer to Chapter 11,
Section 3).
5. Mixed Breed dogs entering classes for Agility, Obedience, and Rally trials should mark Breed as “All-American Dog/Mixed Breed.”
Sire and Dam information shall remain blank for mixed breed entrants.
If this entry is for Junior Showmanship please give the following information:
JUNIOR SHOWMANSHIP JR'S DATE OF BIRTH ________________
AKC JUNIOR HANDLER NUMBER ____________________________________________
The above number MUST be included. Should you not have your Junior Handler number, this may be obtained
from the American Kennel Club. Phone: (919) 233-9767.
By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time,
act as an agent/handler for pay while continuing to compete in Junior Showmanship.
JUNIOR’S ADDRESS
CITY
STATE ZIP
I
f Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the JR
Handler to the owner?
click to sign
signature
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