Armband #                                    Class Entered                      Variety:                        Date of Show(s)                                                                                                

                                                      (*see list below)                        Plush                            

_________________               ______________________                  Smooth                 _Apr 10th, 2010_    

                                                                                            

Dog’s Call Name:                   Additional Special Classes        Sex:                                

                                               (“see list Below)                            Male                        _Apr 11th, 2010_      

_________________               ______________________                Female                                                                                                                



Official Shiloh Shepherd

Specialty Entry Form




Sponsoring Organization:SSDCA-MAC_________________________________________________________


Dog’s Registered Name:____________________________________ ISSR#:____________________________


Place of Birth:_______________________________________Date of Birth:_____________________________


Sire:____________________________________________________ISSR#:____________________________


Dam:___________________________________________________ISSR#:____________________________


Owner:____________________________________ Co-Owner:______________________________________


Address:___________________________________ Address: ________________________________________


City:______________________________________ City: ___________________________________________


State:___________ Zip Code:________________    State:____________ Zip Code:______________________

__

Phone#:____________________________________ Phone#:  ______________________________________


Breeder:____________________________________________ Phone #:______________________________


(Please select appropriate Classes from the table below and write your selections in the boxes at the “Class Entered” boxes at the top of this form)


*Puppy Classes:

      2-4 months      4-6 months      6-9 months      9-12 months


*Adult Classes:

      Novice      American Bred      Bred By       Open      Breed Club Champion-Adult


*Specialty Classes:

      Pee-Wee      Jr. Handling      Sr. Handling      Jr. Veterans      Sr. Veterans


(** All Dogs entered in a regular class can enter these special classes for FREE, all others will be charged a $10 fee.)


ENTRY FEES ARE AS FOLLOWS:

Checks

Postmarked

before                 __Mar 27th, 2010___ $20 per show/per dog.


PayPal

Payment prior to  __Mar 27th, 2010___ $20.91* per dog/per show


All entries postmarked after the above dates are $30 per dog/per show.PayPal entry fees made after the above date are $31.20*per dog/per show.   

                                                                *Additional cost covers PayPal’s $0.30 & 2.9% fees


*** Please Note: Due to the unusually high activity during our shows 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 class entry guide and agreement below carefully. ENTRIES WILL NOT BE ACCEPTED WITHOUT SIGNATURE, PROPER FEES AND AGREEMENT ON BOTTOM OF THIS ENTRY FORM INITIALED.



**** ANY TEMPORARY (Pink) papered dog over 14 months of age will not be allowed to enter unless extensions have been filed for with the ISSR, Inc. Any pink papered dog over 36 months of age is considered to be unregistered and may only enter non-Shiloh specific events like handler classes STM seminars, etc.****


Class Entry Guide

Puppy Classes: 2-4, 4-6, 6-9, 9-12 your puppy must be 2 mo. or older on the day of show to enter. Any puppy that turns 4 months of age on the day of show will have to enter the 4-6 mo. Class, etc. Puppies over 12 mo. of age must be entered as an adult. Puppies that have finished their puppy championships can only be entered into Best of Breed Puppy competition.

Adult Classes: (for dogs 12 months and older) Novice: Neither handler or dog have earned any points.

                                                                     American Bred: Inexperienced dog with professional handler

                                                                     Bred By: dog must be handled by breeder or member of immediate family

                                                                     Open: for champion pointed dogs only

                    Dogs that have finished their championships can only be entered into Best of Breed competition.

Handling classes as follows:  Pee Wee: for handlers under 5 years of age

                                               Junior: for handlers 6 – 12 years of age

                                               Senior: for handlers 12 - 18 years of age

Special dog classes for our older champions: Junior Veterans: for dogs 4 – 7 years of age

                                                                        Senior Veterans: for dogs 7 + years of age

AGREEMENT

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 and/or obedience trial. 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 trial has the right to refuse this entry for any cause that the club shall deem sufficient.  In consideration of the acceptance of my entry and holding of the show and/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, it’s 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 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 alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other persons.


ALL RIGHTS TO TELEVISE, VIDEOTAPE, ADVERTISE, PHOTOGRAPH, PROMOTE or otherwise exploit this event are vested in the Club, or in persons to whom assignments of such rights have been made in writing by the Club. All persons and animals on the Show Grounds at any time while the show is in progress, do by attending this show or participating therein, grant to the Club the right to photograph, televise, videotape, audiotape or otherwise use their likeness and voice in any manner without further release or consent. The Club is not responsible for the actions or products of any commercial vendors at this show.


SEE ADDITIONAL RULES IN PREMIUM

***OWNER (OR DULY AUTHORIZED AGENT) MUST SIGN AT THE X, INDICATING THAT THEY HAVE READ AND AGREE TO ABIDE BY THE ABOVE LISTED AGREEMENT AND ALL ADDITIONAL RULES AND REGULATIONS LISTED IN THE PREMIUM.


I have read in it’s entirety, fully understand, and completely agree to the terms and conditions laid out in the above Agreement.  I have also been provided with a copy of, and hereby agree to, all additional rules and regulations listed in the premium.

Signature  X____________________________________________ Date________________

For registration instructions please click on: Registration instructions