SPONSORING ORGANIZATION :______HOMECOMING 2001____________________________________DOG’S REGISTERED NAME:____________________________________________________ISSR # ______________ SIRE:_______________________________________________________________________ISSR#_______________ DAM:___________________________________________________________________________ISSR#___________ PLACE OF BIRTH:_________________________________________________DATE OF BIRTH:_________________ VARIETY: (CIRCLE ONE) SEX: (CIRCLE ONE) PLUSH SMOOTH MALE FEMALE *CLASS ENTERED: ________________________________ Additional/Special Classes_______________________ BREEDER:________________________________________________Phone#:_____________________________ OWNER:____________________________________ CO-OWNER:________________________________________ ADDRESS:__________________________________ ADDRESS:__________________________________________ CITY:_________________STATE: _____ZIP:______ CITY:___________________STATE:_____ZIP:_____________ PHONE#:___________________________________ PHONE
#:__________________________________________ SIGNATURE OF OWNER/AGENT :________________________________________ NE #:____________________PLEASE CIRCLE THE SHOWS THAT YOU PLAN TO ATTEND:
*CLASSES: AGE AS OF DAY OF SHOW 2-4 MO., 4-6MO. – JUNIOR PUPPY 6-9 MO., 9-12 MO., 12-15 MO., 15-18 MO., 18-21 MO., 21 –24 MO. – SENIOR PUPPY NOVICE , AMERICAN BRED, BRED BY, OPEN, BREED CLUB CHAMPION -- ADULT PEE-WEE, JR., SR., HANDLING, JR., SR. VETERANS -- SPECIAL CLASSES** (**All dogs entered in a regular class can enter these special classes for FREE, all others will be charged a $10 fee.) ENTRY FEES AS FOLLOWS: PUPPIES UNDER 6 MONTHS PRE-ENTER $10.00 DAY OF SHOW $15.00 DOGS/BITCHES OVER 6 MONTHS PRE-ENTER $20.00 DAY OF SHOW $40.00*** ***Please Note: Due to the unusually high activity during Homecoming days it is very difficult to properly document judges sheets, and other show forms. We appreciate your assistance by sending in your pre-entries. Thank you! Please read the agreement on the reverse carefully. ENTRIES WILL NOT BE ACCEPTED WITHOUT SIGNATURE, PROPER FEES AND AGREEMENT ON BACK OF ENTRY FORM INITIALED. AGREEMENT By my initial I certify that I am the actual owner of the dog I have entered. In consideration of the acceptance of the entry, I hereby agree to abide by the rules and regulations of the Shiloh Shepherd Dog Club of America, Inc. in effect at the time of this show or obedience trial, and by any additional rules and regulations appearing in the premium list for the show or obedience trail. And I further agree to be bound to the “agreement” printed below. I certify and represent that the dog entered is not a hazard to people or other dogs. I acknowledge that the rules and regulations of the International Shiloh Shepherd Registry, Inc. have been available to me and that I am familiar with their contents. I agree that the club holding this show and /or obedience trail has the right to refuse this entry for cause which the club shall deem to be sufficient. In consideration of the acceptance of this entry and holding of the show or obedience trial and the opportunity to have the dog judged and to win prize money, ribbons, or trophies, I agree to hold this club, its members, directors, governors, officers, agents, superintendents, or show secretary, and the owner or lesser of the premises and any employees of the aforementioned parties, harmless from any claim of loss or injury which may be alleged to have been caused directly/indirectly to any person or thing by the act of this dog while in or upon the show or obedience trail premises or grounds or near any entrance thereto, and I personally assume all responsibility and liability for any such claim for loss of this dog by disappearance, theft, death or otherwise, and from any claim for damage or injury to the dog, whether such loss, disappearance, theft, damage or injury, be caused or alleged to be caused by the negligence of the club or any of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. I hereby assume the sole
responsibility for any to indemnify and save the aforementioned parties
harmless from any and all loss and expenses (including legal fees) by
reason of the liability imposed by the 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
or on account of damage to property, arising out of or in consequence of
my participation in this show or obedience trial, however such injuries,
death or damage to property may be caused and whether or not the same may
have been caused or may be alleged to have been caused by negligence of
the aforementioned parties or any of their employees or agents, or any
other persons. *Initial X____________
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