CLUB OFFICERS. JUDGES Lisa Rieves (41566) Land O Lakes, FL FRI: T2B, all levels of JWW SAT: All levels of STD with

(1)

ENTRIES OPEN: June 24, 2021,

at 8:00 a.m. (EST)

At 87 Pecan Course Circle, Ocala, FL 34472

Entries Received Prior to OPENING DATE will not be accepted. Please mark OVERNIGHT ENTRIES no signature required

ENTRIES CLOSE: September 24, 2021,

at 6:00 p.m. (EST)

Method of Entry is First Received

Envelopes/transactions cannot have entries for more than the (10) dogs maximum

.

Premium List for Event #s: Fri: 2021282729; Sat: 2021282730; Sun 2021282731

(LICENSED BY THE AMERICAN KENNEL CLUB)

FRIDAY-SATURDAY-SUNDAY

October 8-10, 2021

These events are accepting entries for dogs listed in the AKC Canine

Partners Program

Florida Horse Park

1108 S. Hwy 475, Ocala, FL

OUTSIDE UNDER COVER ON PACKED CLAY/SAND MIX

2 RINGS 100 X 100, 2 JUDGES

ENTRIES ARE LIMITED TO 350 RUNS PER JUDGE

Show Hours: 7:00 a.m. to 8 p.m.

Judging will commence at 8:00 am

Electronic timing will be used at this event.

CERTIFICATION

Permission has been granted by the American Kennel Club for the holding of this event under AKC Rules and Regulations.

Gina Dinardo, Secretary

CLUB OFFICERS

President ... ……….Mary Riley

Vice President………...……..Niki Bouland

Treasurer ... ……….Beverly Vics

Recording Secretary……….Charlotte Trentleman

Corresponding Secretary……….Danette Weaver

Event Committee:

Danette Weaver, Sally Shaw, Hosea Carpenter, Judy Leitzch, Becky

Stewart and other club members to be appointed as needed.

Trial Chairman……… ... Mary Riley

10689 SW 74

th

_{Ave, Ocala, FL 34476}

(406-865-0058)………...………email: marigo1016@yahoo.com

Trial Secretary ... Jacqui O’Neill

87 Pecan Course Circle, Ocala, FL 34472

(570)594-7922 ... email: barc4agility@gmail.com

JUDGES

Cindy Deak (81741)

Lady Lake, FL

Lisa Rieves (41566)

Land O Lakes, FL

FRI: All levels of FAST and STD

FRI: T2B, all levels of JWW

SAT: T2B, all levels of JWW with

Premier

SAT: All levels of STD with

Premier

SUN: All levels of STD with

Premier

SUN: T2B, all levels of JWW

with Premier

MAPS WILL BE POSTED TO MY WEBSITE AFTER 6 PM FOR EACH

TRIAL DAY.

Premiums, confirmations, running orders (after move-ups are

processed) and results will be posted to

www.barc4agility.com

Individual results will be emailed to each competitor after the trial.

VETERINARIAN (“On Call”)

University of Florida Pet Emergency Treatment Services

3200 SW 27

th

_{Ave, Ocala, FL (352)512-0886}

Directions to the Animal Emergency Clinic: Travel west on SW 20

th

_{St and}

turn left onto US 441. Stay on route until US 27 and turn right. At SW 27

th

Ave turn left. After you cross SR 200, it’s approximately ½ mile on right.

"Exhibitors should follow their veterinarians’ recommendation to

assure their dogs are free of internal and external parasites, any

communicable diseases, and have appropriate vaccinations”

(2)

SETUP

Exhibitors can setup after completion of rings being setup,

approximately after 3 pm.

JUDGING PROGRAM

TENTATIVE RUNNING ORDER

FRIDAY

SATURDAY

SUNDAY

RING 1

1

ST

_{dog 8 am}

Cindy Deak

1

ST

_{dog 8 am}

Lisa Rieves

1

ST

_{dog 8 am}

Cindy Deak

ALL FAST

PREMIER STD

M/EX STD

OP STD

NOV STD

RING 2

1

st

_{dog TBD}

Lisa Rieves

1

st

_{dog TBD}

Cindy Deak

1

st

_{dog TBD}

Lisa Rieves

T2B

NOV JWW

OP JWW

M/EX JWW

PREMIER JWW

tall to small

small to tall

tall to small

Thanks for coming – drive safe!

PLEASE READ TRIAL SITE RULES CAREFULLY

Information contained in this premium takes precedence over

information from any other publication.

*You will receive a preliminary confirmation once your entry has been

received and processed. If you do not receive it within a reasonable

amount of time check your SPAM folder, then contact me if it is not there.

Add

barc4agility@gmail.com

to your approved senders list.

MAKE ALL CHECKS & MONEY ORDERS

PAYABLE TO MADTA

PLEASE PLACE DRIVER’S LICENSE NUMBER IN

MEMO SECTION.

ENTRY FEE: $24.00 for the first entry of a dog; $13.00 for each additional

entry for the same dog on the same day.

Jr. Handlers: $20 for the first entry of a dog; $11 for each additional entry

for the same dog on the same day.

(Includes a $3.50 AKC recording for first run and $3.00 for each additional

run.) Envelopes/transactions cannot have entries for more than the (10)

dogs maximum.

Make all checks payable to MADTA and mail with entries to:

Jacqui O’Neill, Trial Secretary

87 Pecan Course Circle, Ocala, FL 34472

.

IMPORTANT ENTRY INFORMATION

OPENING DATE: June 24, 2021, 8 am.

CLOSING DATE: September 24, 2021, 6 pm, after which time entries cannot be

accepted, cancelled or substituted except as provided for in Chapter 11, Section

6 of the Dog Show Rules and in Chapter 1, Section 13 of the AKC Agility Trial

Rules and Regulations.

CANCELLATION OF ENTRIES BEFORE CLOSING: Entries cancelled before

closing will not be charged any processing fees. Entry checks will be shredded.

REFUNDS: If, because of riots, civil disturbances or other acts beyond the control

of management it is impossible to open or complete the show, no refund of entry

fee will be made. If a waitlist exists, and your entry could be replaced, then a full

refund would be given for the runs that can be replaced, no fees taken.

BITCHES IN SEASON are not eligible to participate. Refunds will be given minus

an $8/day fee upon submission of veterinary certificate. Notification for refund

of bitches in season must be RECEIVED no later than one half hour prior

to the start of the first day the dog is entered. Requests can be mailed to the

trial secretary or emailed to

barc4agility@gmail.com

as well as handed in person

at the trial before the deadline noted above.

Obstacles will conform to the requirements in the current edition of the AKC

Regulations For Agility Trials.

This club does not agree to arbitrate claims as set forth on the

Official AKC entry form for this event.

(3)

HOTELS

Sleep Inn, Ocala……….….……..(352)347-7830

13600 SW 17

th

_{Ct., Ocala, FL 34473}

La Quinta, Ocala……….………...…………(352)861-1137

3530 SW 36

th

_{Ave, Ocala, FL 34474}

Microtel Inn & Suites………...………..(352)261-0024

1770 SW 134

th

_{Ave, Ocala, FL 34473}

There are numerous other hotels in the area.

Please contact the hotels for their

pet policy and rates.

Information may have changed after publication of this

premium, we cannot be held liable for this.

Please do not leave your pet alone

in the room; clean up after your pets at all times.

ONLINE ENTRIES

This trial is accepting online entries through LabTestedOnline.com. Go to

http://www.labtestedonline.com to create a user account and add your

dogs. Then look for the trial on your My Local Events page or search by

state for (state). Click on the "i" information icon to the right of the club’s

name to create your entry.

During the first 48 hours after opening, the initial limit of entries designated

as either online or paper will be as follows: 50 runs online, 300 runs paper

each day/judge. If either form of entry has not filled at the end of the 48

hour time period, the club reserves the right to decrease or increase either

one accordingly.

MOVE-UPS

As per Chapter 1, Section 20, American Kennel Club Regulation for Agility Trials,

dogs may be moved up to a higher class, at the request of the Owner, as a result of

qualifying for an agility title. Dogs so moved up will be entered at the end of the

running order or otherwise at the secretary’s or Judges discretion.

EMAILED MOVE-UPS: When emailing a move-up please provide the following

information: TRIAL NAME, Owner Name. Dog Call Name, Move up for what days

(Saturday, Sunday, etc.), Moving from, Moving to (PLEASE include STD or JWW).

Before the trial move-ups may be made prior to the move-up deadline via email to

barc4agility@gmail.com or in writing to Jacqui O’Neill, trial secretary, 87 Pecan

Course Circle, Ocala, FL 34472. Verbal move-ups cannot be accepted.

Move-ups for the first day are due in writing (email or snail mail) by Monday at 6

pm the week of the trial. Day-to-Day Move-ups must be submitted in writing at the

trial within ½ hour of the last run of the trial day for the following day(s) and cannot

be conveyed via fax, email, or verbally to the trial secretary.

JUMP HEIGHT CARDS

You are no longer required to send a copy of your dog’s height card/form with your

entry. Check the box on the entry form that states you need to be measured if this

is necessary. If you need to have your dog measured, this must be done BEFORE

you run! (Regulations for Agility Trials, Chapter 2, Section 4)

TRIAL SITE RULES

Crating is not allowed closer than 20’ from the rings.

There will be a food vendor on site.

Exhibitors are responsible for cleaning up after their dogs. Any exhibitor failing to

follow this guideline may be excused without refund.

A warm-up jump will be provided on the same turf surface as the ring.

**ALL DOGS ARE TO BE EITHER ON LEASH OR CONTAINED IN A SECURE

LOCATION AT ALL TIMES UNLESS THEY ARE IN THE RING. PER AKC RULES

NO DOGS ARE TO BE RUNNING FREE ON THE ENTIRE PREMISES UNLESS

THEY ARE IN THE RING. THIS WILL BE STRICTLY ENFORCED AND THOSE

FOUND IN VIOLATION ARE SUBJECT TO BEING ASKED TO LEAVE WITHOUT

ANY REFUNDS**

The safety of the dogs is our primary concern. By entering this trial, exhibitors

acknowledge that they are familiar with the rules and regulations of this sport, and

that their dogs are familiar with and able to perform all obstacles safely.

It is expressly understood that exhibitors alone are responsible for the behavior of

their dogs and/or children. Any exhibitor whose dogs and/or children create

unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior

may, at the discretion of the Trial Committee, be asked to leave the Trial site. In

such case, no refund of any fees paid will be made.

DIRECTIONS

Take I-75 to exit 341 following 484 toward Belleview/Dunnellon, turning right onto

SW Hwy 484. Turn left onto SW 16

th

_{Ave. Site will be on the right.}

(4)

PRIZES

FIRST PLACE ... Blue Ribbon

SECOND PLACE ... Red Ribbon

THIRD PLACE ... Yellow Ribbon

FOURTH PLACE ... White Ribbon

QUALIFYING ... Dark Green Ribbon

A Bar and Rosette will also be awarded for any team earning their

Master Agility Championship.

All awards not picked up by the exhibitor(s) become the property of the club.

CLASSES AND DIVISIONS

Class

Levels Offered in Standard, JWW and T2B Classes

Regular

Novice A & B, Open, Excellent, Masters, Premier

Preferred

Novice, Open, Excellent, Masters, Premier

HEIGHT DIVISIONS

REGULAR

PREFERRED

HEIGHT AT WITHERS

Handlers may opt to

run their dog in a

higher height

division.

Handlers must run

their dog in their

proper eligible

height.

Owners are responsible for entering their dog in

the proper height division.

8”

4”

For dogs 11 inches and under at the withers

12”

8”

For dogs 14 inches and under at the withers

16”

12”

For dogs 18 inches and under at the withers

20”

16”

For dogs 22 inches and under at the withers

24”

20”

For dogs over 22 inches at the withers. Regular

Dogs may not be entered in this height if they

are 22 inches and under.

24C”

n/a

Dogs may be entered at this height at their

owner’s discretion if their measurement is

22 inches and under at the withers.

Dogs who

measure into the 24” regular jump height

division may not enter 24-choice.

**TRIAL REGULATIONS FOR EXHIBITORS*

ACKNOWLEDGEMENT OF ENTRIES will be made as soon as entries are processed.

Acknowledgment of entries will include confirmation notices.

CONSULT FINAL CONFIRMATION FOR TIME OF JUDGING AND SCHEDULE.

DOGS This trial is open to all dogs fifteen (15) months of age or older that are registered with

the American Kennel Club or that have AKC Limited Registration, Purebred Alternative

Listing/Indefinite Listing Privileges (PAL/ILP), AKC Canine Partners listing number (if the

trial-giving club is offering the option of Canine Partners entries. See front page of

the premium for that information), or approved Foundation Stock Service (FSS) breeds

are eligible to participate. All American dogs that have been listed with AKC Canine

Partners may participate if the trial-giving club is offering the option of mixed breed

entries and provided their listing number has been recorded on the entry form. Dogs with

a Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an AKC Canine

Partners listing number must be spayed or neutered in order to compete. Wherever the

word “dog” is used in these regulations it includes both sexes. Dogs should be physically

sound. Dogs that are blind or deaf shall not be eligible, and neither are bitches in season,

aggressive dogs, or dogs suffering from any deformity, injury, or illness which may affect

the dog’s physical or mental performance. No dog shall compete if it is taped or

bandaged in any way or has anything attached to it for medical purposes. Refer to

Chapter 2 of the Registration and Discipline Rules for the listing of registerable breeds

that may participate. Puppies under four months of age are strictly prohibited from the

trial grounds.

DOGS MAY ARRIVE any time prior to judging, otherwise, they must be available for

measuring before their class begins.

ENTRIES NOT ON OFFICIAL AKC ENTRY FORMS OR PHOTOCOPIES OF ENTRY

FORMS without the Agreement and Rules attached to the Official AKC Entry Form are

NOT ACCEPTABLE.

ENTRIES RECEIVED WITHOUT FEES will not be accepted.

ENTRY FEES shall not be refunded in the event that a dog is absent, disqualified, excused

by Veterinarian or Judge, or barred from competition by action of Trial Committee. If

because of riots, civil disturbances or other acts beyond the control of the management,

it is impossible to open or to complete the match, no refund of entry fees will be made.

ERRORS ON ENTRY BLANKS-Owners are responsible for errors in making out entry forms,

and no entry fee will be refunded in event of such errors or cancellation of entries after

trial has closed.

FAX, TELEPHONE AND UNSIGNED ENTRIES cannot be accepted.

JUDGES ARE NOT REQUIRED TO WAIT FOR DOGS. If you are not present when it is your

turn, you will be marked absent. Please be at the line on time!

MOVE-UPS – The deadline for move-ups for the trial is 6pm on the Monday before the

trial. Day to day move-ups are accepted for up to ½ hour after completion of the

last run.

NO ENTRY SHALL BE MADE AND NO ENTRY SHALL BE ACCEPTED, WHICH

SPECIFIES ANY CONDITIONS AS TO ITS ACCEPTANCE.

RETURNED CHECKS do not constitute a valid entry fee. A charge of $25.00 will be made

for each returned check.

TRIAL COMMITTEE will use due care and diligence for the welfare of dogs and exhibitors,

but will not be responsible for, nor assume any liability in the event of an accident or

misfortune to either dogs or exhibitors participating in this show.

WAITLIST – If needed a waitlist will be held until move-ups have closed the Monday

before the trial. Only entry fees replaced with someone from the waitlist will be

refunded.

WALKTHROUGHS – will be determined by the final confirmation.

(5)

Class Changes Effective January 1, 2020

Entering a Mixture of Regular and Preferred Classes Within the Same Trial Weekend –

Multiple Jump Heights Within the Same Trial Day

Effective January 1, 2020, exhibitors may enter a mixture of both Regular and Preferred

classes on the same trial day and/or during a trial weekend. Any mixture of Regular and

Preferred classes is allowed. Please note that if a dog qualifies in Regular Master Standard

and Preferred Master JWW (or vice versa) on the same trial day, then NO Double Q shall be

earned toward either the MACH or PACH title. The Double Q still requires that Standard Agility

and Jumpers With Weaves be either both Regular OR both Preferred on the same trial day.

Additionally, within the same Regular or Preferred classes, a dog may now be entered in

multiple jump heights within the same trial day. For example, the same dog may now be

entered in 20-inch Master STD/JWW while also entered in 24C-inch Premier STD/JWW on the

same trial day.

A separate entry form must be submitted when the same dog is being entered in a mixture of

Regular and Preferred and/or different jump heights within the same trial weekend thereby

clearly indicating which class(es) and/or jump heights belong together for each trial day of the

weekend.

Fix and Go On (FNG)

FNG allows exhibitors to immediately reattempt an obstacle at any time while on course when

the dog’s performance of an obstacle is not to their expectation. This allows the dog to

successfully complete the obstacle then finish the course or leave the ring on a positive note.

Using FNG will result in a non-qualifying score. Fix and Go On is not pre-entered; rather, it

occurs during the run.

Entering for Exhibition Only (FEO)

(Competitor note – by publishing this information, it informs you that the club is

offering this at the event.)

FEO allows exhibitors to work with their dogs in a trial environment. FEO is only offered in the

Time 2 Beat and FAST classes. Participation in FEO is non-qualifying.

• FEO runs are treated as trial entries. The exhibitor must enter the class(es)

(T2B and/or FAST) prior to the closing date, pay class entry fee(s) and the

Trial Secretary must record the entry in the Trial Catalog as part of the

results for that class. FEO does not need to be noted on the entry form; the

handler will declare the day of the show.

• Dogs may be entered in any jump height for FEO runs. If entered in an

ineligible jump height, the team is committed to FEO for that run and must

declare FEO on the start line. Day of show jump height changes are not

allowed.

• Dogs may be entered in any level of FAST (Novice, Open, Excellent,

Master). If the dog is not eligible for the level entered, the team is committed

to FEO for that run and must declare FEO on the start line. Day of show level

changes are not allowed.

• The exhibitor must declare FEO in the ring prior to leading out. FEO may be

declared earlier (ex. when checking in at the gate board).

• Toys are allowed in the ring:

• Toys must be non-audible

• Toys may not leave the handler’s hand

• Toys that roll freely cannot be used

• Food/treats are not allowed in the ring

• FEO should be utilized for the benefit of the dog and not as a punitive

correction. Harsh verbal and /or physical corrections shall not be tolerated.

Any determination of harshness by the judge shall be immediately whistled

and the handler will be dismissed from the ring.

• A judge must monitor the entire run. Judges can stop a run at any time.

VOLUNTEERS NEEDED!

Trials can’t happen without your help! If you don’t know how

to do a job, we can teach you.

There will be an online worker sign-up that will be posted

after the trial has closed and entry numbers determine how

we’ll break things down. You can also sign up at the trial.

Volunteers will receive Canine Cash, snacks and drinks.

Canine Cash can be used for future trial entries or for MADTA

events and classes. Canine Cash can also be used at any

product vendor, but MADTA food vendor only.

RV Space Reservation Form

Please send a SEPARATE CHECK FOR RV PARKING to coordinator noted below.

__Thursday _Friday ___Saturday

Printed

Name:_____________________________________________________

Email:____________________________________________________

Phone:_________________________________________________________

RV

Type:_______________Length:_

License Plate:____________________________________________________

Please mail the completed form

with payment

to:

Carrie Solomon cssolomon@outlook.com

3305 Kranz Avenue

The Villages, FL 32163

240-778-5363

(6)

OFFICIAL AMERICAN KENNEL CLUB AGILITY

ENTRY FORM

MADTA

Day of Wk

Actual

Date

STD

JWW

T2B

FAST

Prem

STD

Prem

JWW

FRIDAY

10-8-21

N/A

SATURDAY

10-9-21

N/A

SUNDAY

10-10-21

N/A

Class Fee $24/$13 each additional run, same dog, same day; Jr.handlers $20/$11

Opening Date: June 24, 2021 Closing Date: September 24, 2021 Checks made out to: MADTA

Mail to: Jacqui O’Neill, Trial Sec., 87 Pecan Course Circle, Ocala, FL 34472

IMPORTANT:

CAREFULLY READ INSTRUCTIONS

BEFORE FILLING OUT

ENTRY FEE ENCLOSED

$

Choose Either Regular OR Preferred Classes

Circle one jump height | Circle class selections | Only one selection per class (both Master & Premier allowed)

REGULAR Classes

8” 12” 16” 20” 24” 24C”

STD NovA

NovB Open Exc Master Premier

JWW

NovA

NovB Open Exc Master Premier

FAST NovA

NovB Open Exc Master

T2B T2B

PREFERRED Classes

4” 8” 12” 16” 20”

STD

NovP OpenP ExcP MasterP PremierP

JWW

NovP OpenP ExcP MasterP PremierP

FAST NovP OpenP ExcP MasterP

T2B T2BP

Non-Regular Classes International Sweepstakes

□

STD

□

JWW

This Dog Needs To Be Measured

□

Yes

□

No

SEX HEIGHT AT WITHERS

BREED VARIETY CALL NAME

AKC® NAME (INCLUDE AKC TITLES ONLY)

AKC® NO

□

Enter Complete Registration # below

ILP NO.

□

PAL NO.

□

FOREIGN REG. NO & COUNTRY

□

DATE OF BIRTH

PLACE OF BIRTH (LIST COUNTRY)

BREEDER SIRE DAM ACTUAL OWNERS

OWNERS ADDRESS NEW ADDRESS

CITY, STATE ZIP + 4

HANDLER ENTER JR. HANDLER # if applicable

Exhibitor or owner MUST sign on the signature line beneath the instructions.

AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site,

www.akc.org.

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 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 person. 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 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

Handlers whose dogs measure into the 8” through 20” regular jump height divisions may opt to enter in a higher or 24-choice height division for all Regular titling classes, but not in a division lower than their proper height division. Dogs who measure into the 24” regular jump height division may not enter 24-choice. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height division higher or lower than their proper height division.

All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or back-to-back

trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog(s) measured prior to running.

Dogs listed in the AKC Canine PartnersSM_{program may be eligible to enter all-breed AKC agility trials at the club’s option. These dogs should be listed as All American}

Dog and must include their AKC number on the entry form and check the AKC No. box.

Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it may be obtained from the

American Kennel Club (919) 233-9767. If the Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the Junior Handler to the Owner? _____________________________________________

SIGNATURE of owner or his agent duly authorized to make this entry.

SIGN HERE

X

______________________________________________________

Telephone Number: __________________________________________________

Email Address: ___________________________________________________

□

New Email

In Case of Emergency - Name:

Phone#: ______________

(7)

FLORIDA HORSE PARK RELEASE FORM

FLORIDA AGRICULTURE & HORSE PARK AUTHORITY, INC. COMPLETE RELEASE FROM LIABILITY IN CASE OF INJURY OR LOSS, WAIVER INDEMNITY AGREEMENT

I/we understand that horseback riding and related activities, such as eventing and jumping, are very dangerous and involve the risk of serious injury and/or death, and/or property damage, including injury and/or death to horses, spectators, and others. Accordingly, I/we agree that any activity engaged in by me on the premises owned by the state of Florida, or related to horses or horseback riding, if on the premises, is done at my own risk. Accordingly, I/we release and agree to hold harmless the state of Florida, the Florida Agriculture & Horse Park Authority along with its board of directors and employees, and any and all persons or entities who are guarantors or indemnitors of the above, all agents, employees, promoters, sponsors, other horse riders, horse owners, advertisers, sales persons, photographers, volunteers, (hereinafter called Releases) from all liability for negligence or otherwise. I/we assume full responsibility for the risk of bodily injury, illness, death of myself and/or my horse(s) and any property damage due to the negligence of Releases or otherwise while the premises owned by the state of Florida, the Florida Agriculture & Horse Park Authority along with its board of directors and employees or heavily engaged in horseback riding-related activities, and/or while training, riding, competing, officiating, observing, volunteering, teaching, boarding, working for, or for any purpose relating to horseback riding, eventing or participating as rider or spectator in such activities. I/we agree not to sue any Releases, and I/we release and agree to indemnity for the Releases from and for all liability for the undersigned, his/her person, representatives, assignees, heirs, and demands therefore on account of injury to her person or property, or death of undersigned whether caused by the negligence of the Releases or otherwise. I/we agree that this release, waiver and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of this state where these activities are conducted, and if any part hereof is held invalid, it is agreed that the balance shall continue of full force and effect. I/we have read and voluntarily signed the release and waiver of liability and indemnity agreement and further agree that no oral representations, statements or inducements apart from the foregoing written agreements have been made nor shall be made except by a written and signed addendum.

WARNING: Under Florida law, an equine activity sponsor or equine professional is not liable for an injury to or the death of, a participant in equine activities resulting from the inherent risks of equine activities.

Rules and Regulations

1. Animals of any kind brought to the facility must observe all regulations of the State of Florida Animal Health Division, and for equines must include a valid proof of a Negative Coggins Test (within prior 12 months).

2. FHP requires all animals to be treated in a humane manner in accordance with state humane society guidelines. 3. Dogs must always be on a leash and under control of the handler.

4. All trash and manure must be disposed of in designated areas only.

5. All motorized vehicles, including but not limited to cars, trucks, golf carts, motorcycles, mopeds, ATVs, etc. shall be operated by a licensed driver.

6. Greywater or sewage dumping is not permitted.

7. No smoking in offices, stable pavilions, spectator pavilions, equine buildings, equipment, bleachers or arenas.

8. All obstacles/jumps on the cross-country course are only to be used on scheduled schooling days. (see our website at www.flhorsepark.com for a list of schooling days)

Arenas (including grass, fiber, and covered) are not to be used unless scheduled in advance and approved. 9. Please report any damage to the facilities by calling (352) 307-6699 or email maintenance@flhorsepark.com 10. The Florida Horse Park reserves the right to remove dangerous, disruptive, or unlawful persons from the property. 11. Absolutely NO LUNGING IN THE COVERED ARENA, FIBER ARENAS, OR GRASS ARENAS. The small sand arenas northeast of the covered arena is designated for lunging.

12. Open campfires are not permitted. Fires should be in contained fire rings. Please have fun and be safe!

By submitting the form below you are signing our waiver and agreeing to follow all the rules while on the property!

Signature(required) _____________________________________________________________________

Email(required) ________________________________________________________________________

Are you over the age of 18? (yes/no)(required) _______________________________________________

Parent Signature if No ___________________________________________________________________

What Date/Time will you be on the property?(required) _______________________________________

MARION ALACHUA DOG TRAINING ASSOC. INC. EVENT LIABILITY WAIVER AND AGREEMENT

EXPLANATION OF TERMS USED IN THIS WAIVER ARE:

Marion Alachua Dog Training Assoc. Inc. along with its Officers, Board of Directors, Members, Volunteers and Judges contracted for this event are hereinafter referred to as “MADTA”,

EVENTS covered under this waiver include but are not limited to Obedience, Rally, Agility, Fcat and Scentwork trials along with educational seminars and workshops, ring rentals , run thrus will hereinafter after be referred to as “EVENT”; PARTICIPANTS in events, etc include but are not limited to trial exhibitors, educational seminars and workshop attendees, family, friends and guests shall hereinafter after be designated as “PARTICIPANTS’;

PARENT ORGANIZATION under whose auspices this Event is being held includes but are not limited to the American Kennel Club and the United Kennel Club, will hereinafter be known as “PARENT ORGANIZATION”.

Acknowledgement of Risk: I acknowledge that the MADTA clubhouse and trial locations off-site along with the animals, guests, items and activities associated with the event therein may pose danger to people and animals. Such dangers may include but are not limited to animals that can bite, trip, knock down and fight, falls, indoor or outdoor surfaces that may be slippery or uneven, equipment that may trip, guests and clients who cannot control their dogs and activities involving my dog and/or other dogs that can result in injury from bites or other causes.

Assumption of Risk: Therefore, I, on behalf of myself, my spouse, minor/adult children and anyone who accompanies me onto MADTA property or location of event assume the risk of injuries, losses, damages, costs and expenses by any means above described, and other injuries, losses, damages, costs and expenses by any means above described, and other injuries, losses, damages, costs and expenses of every probable cause and description unless inflicted intentionally or recklessly by MADTA, and others who may not be Members of MADTA, but are volunteering as support personnel for the Event such as Ring Stewards, Table Steward, Timers, Leash Runners, Course Builders, Scribes and any other task that they may be assigned at the Event .

General Liability: Should a dog become injured in a dog fight or accident, gets fleas, ticks, or worms, contracts any illness or disease, is lost or stolen, becomes pregnant, or engages in any dangerous, vicious or unwanted behavior, during or after the term of this agreement, on or off MADTA premises, I accept the risk of the same and agree that MADTA, shall not be held responsible for it or any resulting injuries, losses, damages, costs or expenses. If any dog I bring to MADTA causes property damage, or bites or injures any dog, animal or person including but not limited to MADTA during or after the terms of this agreement on or off MADTA premises, I agree to hold MADTA harmless, and to pay all resulting losses and/or damages suffered or incurred by MADTA and to defend and indemnify MADTA from any resulting claims, demands, lawsuits, losses, costs or expenses, including any attorney fees.

COVID-19 Liability: I acknowledge that to the best of my ability that I do not have COVID-19 at the time of attending this event, and understand the risks of unknowing exposure to this and other illnesses by or to myself, my family, other participants, any all/all parties; and do not have symptoms. I agree that I will not knowingly expose others to any illness I may have or be at risk of having. I will follow all Parent Organization, and MADTA rules and requirements to reduce any exposure and the possibility of contracting or spreading the virus. I agree to fully cooperate with and abide by any Federal, County or State guidelines that have jurisdiction in the area in which the event is taking place. If any of the above should change prior to my arrival at the trial site or during the completion of the event that is the subject of this consent I will inform MADTA personnel and proceed accordingly in light of the new information

I agree that I am attending this MADTA event entirely at my own risk and assume all risk and full responsibility for my own health, wellbeing and safety during this class or event. I fully agree that the Parent Organization and MADTA are in no way liable for any present or future COVID-19 exposure incurred at any time by any person in attendance or not in attendance, during or after this event, and I hereby waive and release the Parent Organization and MADTA its officers, board of directors, club members and volunteers from any and all liability for damages thereto.

Binding Agreement: This agreement is binding upon the Participant and supersedes any/all prior discussions, representations, warranties and agreements of the parties and expresses the entire agreement between the Participant and MADTA, regarding the matters described above. The parties confirm that, except for that which is specifically written the Agreement, no promises, representations or oral understanding have been made.

I HAVE READ, UNDERSTAND AND ACCEPT THE RULES AND REGULATIONS OF MADTA AND THE PARENT

ORGANIZATION.

Date _________________________________________________________________________________

Signature _____________________________________________________________________________

Printed Name __________________________________________________________________________

DO NOT SEND WITH ENTRY!! MAIL TO: Mary Riley, 10689 SW 74th Ave, Ocala, Florida 34476