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General Event Information
The electronic Agility Test Schedule & Entry Form for this event are not available. Please download the indicated PDF file if shown below.
CLICK HERE to download Agility Test Schedule PDF
file.
Planned Class Schedule:
The following class schedule has been filed for this event but is subject to change without notice.
| Starters Standard Agility |
Beck, Gregory A.
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| Advanced Standard Agility |
Beck, Gregory A.
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| Masters Standard Agility |
Dean, Becky
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| Starters Gamblers |
Beck, Gregory A.
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| Advanced Gamblers |
Beck, Gregory A.
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| Masters Gamblers |
Dean, Becky
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| Starters Jumpers |
Beck, Gregory A.
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| Advanced Jumpers |
Beck, Gregory A.
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| Masters Jumpers |
Dean, Becky
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| Starters Snooker |
Beck, Gregory A.
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| Advanced Snooker |
Beck, Gregory A.
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| Masters Snooker |
Dean, Becky
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| Masters Pairs Relay |
Dean, Becky
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| Standard Level 1 |
Beck, Gregory A.
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| Standard Level 2 |
Beck, Gregory A.
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| Standard Level 3 |
Dean, Becky
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| Gamblers Level 1 |
Beck, Gregory A.
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| Gamblers Level 2 |
Beck, Gregory A.
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| Gamblers Level 3 |
Dean, Becky
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| Jumpers Level 1 |
Beck, Gregory A.
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| Jumpers Level 2 |
Beck, Gregory A.
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| Jumpers Level 3 |
Dean, Becky
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| Snooker Level 1 |
Beck, Gregory A.
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| Snooker Level 2 |
Beck, Gregory A.
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| Snooker Level 3 |
Dean, Becky
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| Performance Pairs Relay Level 3 |
Dean, Becky
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| JHP - Beginners |
Johnson, Karl
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| JHP - Elementary |
Johnson, Karl
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| JHP - Intermediate |
Johnson, Karl
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| JHP - Senior |
Johnson, Karl
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| JHP - Snooker - All Levels |
Johnson, Karl
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| Grand Prix of Dog Agility - Local Qualifier |
Dean, Becky
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| Performance Grand Prix - Local Qualifier |
Dean, Becky
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| Dog Agility Steeplechase® - Local Qualifier - Rd 1 |
Dean, Becky
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| Performance Speed Jumping - Local Qualifier - Rd 1 |
Dean, Becky
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| Veterans Standard |
Dean, Becky
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| Veterans Gamblers |
Dean, Becky
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| Veterans Jumpers |
Dean, Becky
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| Veteran Snooker |
Dean, Becky
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| Starters Standard Agility |
Beck, Gregory A.
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| Advanced Standard Agility |
Beck, Gregory A.
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| Masters Standard Agility |
Dean, Becky
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| Starters Gamblers |
Beck, Gregory A.
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| Advanced Gamblers |
Beck, Gregory A.
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| Masters Gamblers |
Dean, Becky
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| Starters Jumpers |
Beck, Gregory A.
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| Advanced Jumpers |
Beck, Gregory A.
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| Masters Jumpers |
Dean, Becky
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| Starters Snooker |
Beck, Gregory A.
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| Advanced Snooker |
Beck, Gregory A.
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| Masters Snooker |
Dean, Becky
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| Starters Pairs Relay |
Beck, Gregory A.
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| Advanced Pairs Relay |
Beck, Gregory A.
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| Masters Pairs Relay |
Dean, Becky
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| Standard Level 1 |
Beck, Gregory A.
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| Standard Level 2 |
Beck, Gregory A.
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| Standard Level 3 |
Dean, Becky
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| Gamblers Level 1 |
Beck, Gregory A.
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| Gamblers Level 2 |
Beck, Gregory A.
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| Gamblers Level 3 |
Dean, Becky
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| Jumpers Level 1 |
Beck, Gregory A.
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| Jumpers Level 2 |
Beck, Gregory A.
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| Jumpers Level 3 |
Dean, Becky
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| Snooker Level 1 |
Beck, Gregory A.
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| Snooker Level 2 |
Beck, Gregory A.
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| Snooker Level 3 |
Dean, Becky
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| Performance Pairs Relay Level 1 |
Beck, Gregory A.
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| Performance Pairs Relay Level 2 |
Beck, Gregory A.
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| Performance Pairs Relay Level 3 |
Dean, Becky
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| JHP - Beginners |
Johnson, Karl
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| JHP - Elementary |
Johnson, Karl
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| JHP - Intermediate |
Johnson, Karl
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| JHP - Senior |
Johnson, Karl
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| JHP - Jumpers - All Levels |
Johnson, Karl
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| Dog Agility Steeplechase® - Local Qualifier - Rd 2 |
Dean, Becky
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| Performance Speed Jumping - Local Qualifier - Rd 2 |
Dean, Becky
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| Veterans Standard |
Dean, Becky
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| Veterans Gamblers |
Dean, Becky
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| Veterans Jumpers |
Dean, Becky
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| Veteran Snooker |
Dean, Becky
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| Dog Agility Masters Team Qualifier |
Dean, Becky
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| Dog Agility Masters - Team Standard Agility |
Dean, Becky
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| Dog Agility Masters - Team Gamblers |
Dean, Becky
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| Dog Agility Masters - Team Jumpers |
Dean, Becky
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| Dog Agility Masters - Team Snooker |
Dean, Becky
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| Dog Agility Masters - Three-Dog Relay |
Dean, Becky
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| Performance Versatility Pairs Tournament |
Dean, Becky
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| Performance Versatility Standard |
Dean, Becky
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| Performance Versatility Gamblers |
Dean, Becky
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| Performance Versatility Jumping |
Dean, Becky
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| Performance Versatility Snooker |
Dean, Becky
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| Performance Versatility Relay |
Dean, Becky
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Back
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A Licensed Event
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Titling Event w/Tournaments & JHP Classes
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hosted by
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Minnesota Agility Club
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Being Held At: Washington County Fairgrounds
Lake Elmo, MN
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September 1 - 3, 2012
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Closing Date: Monday, August 13, 2012
Secondary Closing Date: Monday, August 20, 2012
(For move up in level only)
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Judges
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Becky Dean - Dublin, OH
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Karl Johnson - St. Cloud, MN
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Gregory A. Beck - Durham, NC
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Declaration of Trademarks & Service Marks
USDAA®, the USDAA logo, CYNOSPORT® the CYNOSPORT logo, DOG AGILITY MASTERS®, GRAND PRIX OF DOG AGILITY®, DOG AGILITY STEEPLECHASE®, SPRING FESTIVAL OF DOG AGILITY®, AGILITY DOG®, ADVANCED AGILITY DOG®, MASTER AGILITY DOG®, AGILITY DOG CHAMPION®, are the registered trademarks of United States Dog Agility Association, Inc. PERFORMANCE GRAND PRIXSM, PERFORMANCE VERSATILITY PAIRSSM, PERFORMANCE SPEED JUMPINGSM, JUMPERS MASTERSM, GAMBLERS MASTERSM, SNOOKER MASTERSM, RELAY MASTERSM, PERFORMANCE DOG SM, ADVANCED PERFORMANCE DOGSM, MASTER PERFORMANCE DOGSM, and PERFORMANCE DOG CHAMPIONSM are trade and service marks may not be used for commercial or other purposes without the express written consent of United States Dog Agility Association, Inc.
Vendors
Vendors are welcome at this event. Please contact the Show Chair to register and receive vendor information.
Classes Offered
VETERANS CLASSES ARE BEING OFFERED AT THIS EVENT
2012 Local Qualifiers for:
Grand Prix of Dog Agility® & Performance Grand PrixSM World Championships
Dog Agility Steeplechase® & Peformance Speed JumpingSM Championships
Dog Agility Masters®Team and Performance Versatility PairsSM
NOTE: Day-to-Day Move-Ups! (see Entries & Acceptance)
and Mixed Height Pairs! (see Class Descriptions)
Use of Electronic Timing Systems
One or more electronic timing systems may be utilized for measuring performance times at this event.
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| Organizing Committee |
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The Organizing Committee is the governing body for this event and shall be the sole authority on matters relative to conduct of the event.
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Chairperson
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Secretary
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Trophy & Awards
Jodi Ebert
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Equipment Manager
Bonnie Griep
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Hospitality Coordinator
Jodi Ebert
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Volunteer Coordinator
Kaitlyn Harren
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Volunteer Coordinator
Shenna Lemche
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Committee At-Large
Denise Yokom
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| Site Information |
Washington County Fairgrounds
12300 40th Street North
Lake Elmo, MN 55042
United States
View on Google Maps
www.washingtoncountyfair.org
Surface Type:
Outdoor on Field Grass
Ring Configuration:
Two 100' wide x 120' deep rings. Juniors in a 100' x 100' ring with snow fencing
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Additional Site Information - Washington County Fairgrounds
There is plenty of close parking at the show site. Food may not be be available on the show grounds, but will be provided for workers. There are many restaurants within 5 minutes of the show site. Please pick up after yourselves and your dogs. Set-Up: You may set up the evening before the event AFTER the rings and restricted areas are roped off and equipment is unloaded and setup. If you setup before then, you may have to move. Please check your confirmation for specific times.
Washington County Fairgrounds RV Sites
On Site RV parking is $20 per night. Please include with your entry fees payable to "MN Agility Club". Sites have hook-ups and are located away from the ring area. There will be no overnight camping allowed by the ring area.
Veterinarian Information
Rivertown Animal Hospital 5639 Memorial Ave N. Stillwater, MN (North of Show Site off of Hwy 5) 651-430-2229 / Hours: Friday until 6 pm, Saturday until 1 pm
| After hours Emergency Clinic: Animal Emergency Clinic - Oakdale Center 1163 Helmo Ave N, Oakdale MN 55128 651-501-3766 |
Express & Overnight Entries
Entries sent by Fedex, Express Mail or other courier service will only be accepted if the waiver allowing delivery without signature is signed. The club will not be responsible for deliveries delayed if a signature is required.
No Entry For Exhibition Only
No entry "For Exhibition Only" shall be accepted, except as provided for in Chapter 10 when Intro Program classes are offered. See additional note for club policy regarding dogs that measure up.
General Rule on Eligibility
This event is sanctioned by the United States Dog Agility Association, Inc. ("USDAA").
This test is open to all persons with dogs being at least 18 months of age (14 months of age pursuant to Chapter 10 for Intro Program when offered), regardless of pedigree or absence thereof, who have a current registration with USDAA and whose owners and the dog's handler are currently in good standing with USDAA.
This event will be held under USDAA® Official Rules and Regulations, a copy of which may be viewed and printed online at www.usdaa.com.
Policy on Refusal of Entry
The Organizing Committee of an event may refuse the entry of any competitor or dog for just cause should the Committee view that participation by the competitor or dog could be prejudicial to the sport. However, in such case, the Committee must notify the competitor in writing upon receipt of entry, but in no case, more than three days following the event closing date for acceptance of entries. The burden of responsibility for the appropriateness of such action rests solely with the host group and its Organizing Committee.
NSF Check/Credit Card
Any check or credit card that is charged back by the bank or other financial institution may be assessed a service charge of up to $40 per incident at the discretion of the host group.
Returned checks or credit card returns do not constitute a valid entry. Amounts shall be paid within 30 day of postmarked notice of the returned payment if such date follows the event date. Any fees not received within 30 days of notice will result in cancellation of event results for all classes related to the entry for which payment was made. No reinstatement of results is possible, and all awards must be returned within 10 days of notification or the dog's registration may be suspended pending restitution.
Any unpaid fees or shortfalls must be paid prior to the start of the event, or entry is canceled without recourse.
Refund Policy
There shall be NO REFUNDS for entries withdrawn after the closing date for acceptance of entries, for absentee, dismissal from the event as a result of disciplinary action, dismissal from a class, or for any other reason. Also, no entry fees will be refunded if the event cannot open or be completed by reason of riots, civil disturbances, acts of terrorism, fire, "act of God", public emergency, strike, or any other cause beyond the control of the host organization.
MAC Refund Policy for Injury/In-Season
A portion of Entry Fees for bitches that come in season and for injured dogs after the closing date will be refunded (minus USDAA recording fees and other club costs) if a veterinarian’s certificate is presented to the Trial Secretary prior to the start of judging.
Submission of Entries with Secondary Move-Up Date
All entries or cancellations must be received at the Secretary's address no later than the closing date, after which time no entries will be accepted or cancelled. For entries received by the closing date, the level of entry into a given class may be advanced by notifying the Secretary in writing via email by the "Secondary Closing Date". No other changes, cancellations or additions may be made after the initial closing date.
To be accepted, entries must be complete, signed (by parent or legal guardian if handler is a minor), received by the closing date and accompanied by the correct fees and include a valid USDAA registration number on a completed registration form.
Next-Day Move-Ups Allowed At This Event
Competitors earning a qualification during the Event that is needed to complete a title may advance their level THE NEXT DAY at the same event, i.e. move-ups on consecutive days ARE allowed.
Competitors are responsible for keeping accurate records of their qualifying scores and the judges from whom these scores were earned prior to this event to ensure that the dog is eligible to move up based upon scores earned at this Event. Competitors are advised to confirm scores earned with the scorekeeper and judge at the conclusion of a class to ensure the qualifying score has been accurately calculated and awarded in accordance with regulations. If for any reason it is determined that the score or previous scores were inaccurate, making the entry ineligible for the higher level class, any results (including awards) shall be forfeited and the entry will be deemed invalid without refund or other recourse.
Move-up forms supplied by this event must be used to notify the secretary BEFORE she leaves the site the day on which you earn your title.
Statement of Responsibility
Competitors alone are responsible for the behavior of their dogs, children or guests. A competitor whose dogs, children or guests create unnecessary disturbances or repeatedly engage in unsafe or disruptive behavior may, at the discretion of the Event Organizing Committee, be asked to leave the test site.
Policy on Fault Limits
In the event of a larger entry, fault limits may be set at the discretion of the Organizing Committee and/or Judge without pre-event notice.
Prohibitions on Aids & Devices
No leads, collars, food, toys or other aids or devices shall be permitted on the course at any time, except as provided for in Chapter 10 when Intro Program classes are offered, or in Chapter 8 when Junior Handler Program classes are offered.
Spam Blocker
Confirmations will be sent via email using the secretary's address. If you have a spam blocker on your email account, please configure it to allow email from the secretary's address since confirmations will be sent from this account.
Junior Handler Class Descriptions
JH Beginners Class: Dog/handler teams that have not previously earned the JH Beginners AgilitySM certificate are eligible for entry into this class. Completion of one round in this class within stipulated time without faults shall earn the USDAA’s JH Beginners AgilitySM certificate of accomplishment. The obstacle course shall be comprised of ten obstacles set in a simple horseshoe or “M” design. The standard course time shall be 60 seconds. A-Frame is set at 4’6” and the table is set at 12”.
JH Elementary Class: Dog/handler teams having earned the JH Beginners AgilitySM certificate but not having earned the JH Elementary AgilitySM certificate are eligible for entry into this class. Completion of two rounds in this class within stipulated time without faults shall earn the JH Elementary AgilitySM certificate of accomplishment. The obstacle course shall be comprised of ten obstacles set in a simple horseshoe or “M” design. The standard course time shall be 60 seconds. A-Frame is set at 5’0” and the table is set at 12”.
Note: the 4 ’ high Dog Walk may be used for the Intermediate and Senior Levels
JH Intermediate Class: Dog/handler teams having earned the JH Elementary AgilitySM certificate but not having earned the JH Intermediate AgilitySM certificate are eligible for entry into this class. Completion of three rounds in this class within stipulated time without faults shall earn the JH Intermediate AgilitySM certificate of accomplishment. The obstacle course shall include 12 to 14 obstacles, being slightly more challenging than a figure of “8”. The standard course time shall be 75 seconds. A-Frame is set at 5’6” and the table is set at 12” or 16”.
JH Senior Class: Dog/handler teams having earned the JH Intermediate AgilitySM certificate are eligible for entry into this class. Completion of three rounds in this class within stipulated time without faults shall earn the JH Senior AgilitySM certificate of accomplishment. The obstacle course shall include 13 to 15 obstacles, being slightly more challenging than a figure of “8”. The standard course time shall be at a rate of two yards per second not to exceed 75 seconds. A-Frame is set at 5’10” (5’6” for 8” and 12” jump heights) and the table is set at 12” or 16”.
JH Jumpers:
Open to all junior handler/dog teams. This course will be run off-leash. The course will consist of jumps and tunnels and will be scored on a time plus faults basis.
JH Snooker:
Open to all junior handler/dog teams. This course will be run off-leash. This non-standard class will be judged according to rules and regulations for Starters Snooker. The course may consist of the A-Frame, pipe tunnel(s), collapsed tunnel and jumps (the weave poles, dogwalk or see-saw will not be used).
JH Gamblers:
Open to all junior handler/dog teams. This course will be run off-leash. This non-standard class will be judged according to rules and regulations for Starters Gamblers. The course may consist of the A-Frame, pipe tunnel(s), collapsed tunnel, jumps and table (the dogwalk or see-saw will not be used).
Titling Class Rules & Descriptions
One or more titling classes shall be held at this Event from those described in Chapters 3 - 8 of USDAA Official Rules & Regulations, which are downloadable from www.usdaa.com/rulesReg_eBook.cfm, and any amendments there to, which are downloadable from www.usdaa.com/rulesReg.cfm, each of which are hereby incorporated by reference.
Tournament Class Rules & Descriptions
One or more tournament classes are being held at this event, the rules and description of which may be downloaded on the Internet at www.usdaa.com/gen_formDoc.cfm, and are hereby incorporated by reference. A written copy may be obtained from the Event secretary.
Veterans Program Classes
Veterans level classes offered at this event are open to a competitor with any dog that is at least eight (8) years of age as of the first day of this event. Previous experience in the sport sufficient to establish proficiency and confidence in performance is strongly encouraged. Once a competitor has earned a qualifying score with a dog in a Veterans class, the dog is no longer eligible to enter that class in the Championship or Performance Programs when a Veterans class is offered. Complete program rules can be found at www.usdaa.com/rulesReg_eBook.cfm which are downloadable from www.usdaa.com/rulesReg.cfm
Team & Versatility Pairs Measure-up Policy - FEO
The handler of a dog entered in Team or Versatility Pairs that is required to jump a higher height by virtue of the judge's measurement must notify the secretary immediately. Should the higher jump height make the dog ineligible for their team (three jump heights), the secretary will make every effort to form complete teams from available dogs. The dog may not be moved to Versatility Pairs.
In the event the competitor is unprepared to run their dog at the higher jump height, they may run in the tournament For Exhibition Only. No member of the Team or Pair may earn a tournament qualification, but Team or Pairs partners are eligible for individual placements, tournament top ten points and Lifetime Achievement Qs in the individual tournament classes.
Mixed-Height Pairs Entry Allowed
Dogs entered as partners in pairs relay at this event may be combined without regard to jump height, i.e. a mini dog may be entered as a partner with an open dog. Any pair consisting of at least one open dog must qualify in accordance with the QCT set forth by the judge of record for Open Pairs AND will be considered an open pair for placement purposes.
Test Class & Tournament Awards
2012 Grand Prix of Dog Agility® World Championships - Local Qualifier - First through third place ribbons in each jump height.
- The first place qualifying handler/dog team in each height class shall earn a “bye” voucher, permitting them to directly advance to the final round of a Type I Regional Championship.
2012 Performance Grand PrixSM Championships - Local Qualifier - First through third place ribbons in each jump height .
- The first place qualifying handler/dog team in each height class shall earn a “bye” voucher, permitting them to directly advance to the final round of a Type I Regional Championship.
2012 Dog Agility Steeplechase® and Performance Speed Jumping In Round 2 prize money will be awarded in accordance to tournament rules. 2012 Dog Agility Masters® Team Tournament Individual Awards - Placement rosettes shall be awarded to first through third place in each jump height in each class other than team relay. In the three-dog relay class, first through third place teams will receive rosettes. 2012 Performance Versatility PairsSM Individual Awards - Placement rosettes shall be awarded to first through third place in each jump height in each class other than relay. In the relay class, 1st-3rd place pairs will receive rosettes. Standard Classes (Championship/Performance/Veterans) - First through third place rosettes in Masters/PIII/Vet and Advanced/PII classes, first through fifth place rosettes in Starters/PI classes, in each height category. Maroon ribbons will be awarded to all dogs with qualifying scores.
Nonstandard Classes (Championship/Performance/Veterans) - First through third place rosettes in Masters/PIII/Vet and Advanced/PII classes, first through fifth place rosettes in Starters/PI classes, in each height category(Open/Mini for pairs). Maroon ribbons will be awarded to all dogs with qualifying scores when applicable.
Junior Handler Awards
Standard Agility Classes
- a “gold medallion” will be awarded to all runs with 5 faults or less.
- a “silver medallion” will be awarded to all runs with 15 faults or less.
- a “bronze medallion” will be awarded for any run with more than 15 faults.
- Maroon ribbons will be awarded to all dogs with qualifying scores.
Nonstandard Agility Classes
- Each junior handler entered in snooker or jumpers will receive a dog toy.
Check-In and Start Times
Subject to change based on entries. Please check your confirmation for changes. | Day | Championship/Performance/Veterans | Junior Handlers |
| | Check In | Judging Begins | Check-In | Judging Begins | | Saturday | 6:45 - 7:30 am | 8:00 am | 10:00 - 10:30 am | 11:00 am | | Sunday | 7:00 - 7:30 am | 8:00 am | 8:00 - 8:30 am | 9:00 am | | Monday | 7:15 - 7:30 am | 8:00 am | | |
Class Running Order - Saturday
| Ring 1 - Judge: Becky Dean | Ring 2 - Judge: Greg Beck | Ring 3 - Judge: Karl Johnson |
Veterans/PIII/Masters Gamblers Performance Grand Prix Qualifier Grand Prix Qualifier Veterans/PIII/Masters Standard Veterans/PIII/Masters Pairs Veterans/PIII/Masters Snooker Veterans/PIII/Masters Jumpers | PI/Starters Gamblers PII/Advanced Gamblers PI/Starters Standard PII/Advanced Standard Perf. Speed Jumping Round 1 Steeplechase Round 1 PI/Starters Snooker PII/Advanced Snooker PI/Starters Jumpers PII/Advanced Jumpers | JH Snooker JH Senior JH Intermediate JH Elementary JH Beginners |
Class Running Order - Sunday
| Ring 1 - Judge: Becky Dean | Ring 2 - Judge: Greg Beck | Ring 3 - Judge: Karl Johnson |
Masters/PIII/Veterans Jumpers Steeplechase Round 2 Perf.Speed Jumping Round 2 Masters/PIII/Veterans Standard Masters/PIII/Veterans Pairs Masters/PIII/Veterans Gamblers Masters/PIII/Veterans Snooker | Advanced/PII Gamblers Starters/PI Gamblers Advanced/PII Standard Starters/PI Standard Advanced/PII Pairs Starters/PI Pairs Advanced/PII Snooker Starters/PI Snooker Advanced/PII Jumpers Starters/PI Jumpers | JH Jumpers JH Senior JH Intermediate JH Elementary JH Beginners |
Class Running Order - Monday
| Ring 1 - Judge: Becky Dean | Ring 2 - Judge: Becky Dean | (1) Team/Versatility Gamblers (3) Team/Versatility Standard (5) Team/Versatility Relay | (2) Team/Versatility Jumpers (4) Team/Versatility Snooker |
Dog Measurements & Certification
All dogs not jumping 26" in the Championship Program or 22" in the Performance Program must be measured unless they have a permanent USDAA or World Cynosport Dog Registration card or a temporary card with 3 signatures as required by the regulations, making the dog eligible for their jump height (prior to 3 years of age). When not enrolling electronically, please send a copy of one the following items to facilitate the check-in process:
- photocopy of permanent dog registration card,
- printout of the dog-information page from your USDAA® competitor web account, or
- copy of your check-in letter from USDAA indicating your temporary card has been accepted by the USDAA office and your permanent registration card is in process.
A Dog that Measures Up at Check-In - May Run FEO
If a judge's measurement of a dog at check-in establishes that the dog is ineligible for the height class in which entered, the competitor may opt to run the dog in the lower jump height class "For Exhibition Only", and no awards or qualifying scores may be earned. The competitor may not change their entry from one program to another (e.g., from Championship to Performance).
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| Media Release & Rights of Privacy Waiver |
Media Rights Release
I HEREBY GRANT TO USDAA and its affiliated companies, representatives, agents and assigns, all rights and permission to use or appropriate his/her and their dog's name, biography, likeness, photograph, voice, performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media known now or in the future.
Waiver of Rights to Privacy, Publicity & Personality
FURTHER, I HEREBY RELEASE United States Dog Agility Association, Inc. and its affiliates, representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of publicity, right of personality, or any similar right.
1.1 - Consideration & Waiver of Liability
IN CONSIDERATION OF the acceptance of this entry and the opportunity to participate and/or to be judged in the event on the dates to which this entry form applies (the "Event"),I AGREE TO HOLD HARMLESS each of the parties listed below (including each of their members, officers, directors, agents and employees), hereinafter collectively referred to as the "Event Organizers", from any claim for loss or injury that may be alleged to have been caused directly or indirectly to any person or thing by the act of myself or the dog listed on the entry form while in or upon the event premises or grounds or near any entrance thereto -
- The Event's Organizing Committee
- The Event Organizer, being the USDAA Affiliated Group (or Groups) hosting or otherwise responsible for conduct of the event
- United States Dog Agility Association, Inc. ("USDAA"), World Cynosport Limited and affiliated companies
- Event Sponsors
- Property Owners of the premises upon which the event is held
I FURTHER AGREE TO HOLD HARMLESS the Event Organizers from any claim for loss or injury of the dog listed on my entry form for the Event as a result of disappearance, theft, death or other act, whether such loss or injury is caused or alleged to be caused for any reason, including negligence.I ASSUME ALL RESPONSIBILITY AND LIABILITY FOR ANY CLAIMS REFERENCED IN THIS "GENERAL AGREEMENT", INCLUDING LEGAL FEES.
1.2 - Acknowledgment & Acceptance of Regulations
I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND USDAA® Official Rules and Regulations and rules for competition (e.g., tournament rules) that relate to the Event, whether incorporated in this General Agreement by reference or as stipulated herein for the Event to which this entry form pertains.
I ACCEPT AND AGREE TO ABIDE BY any and all rulings of the Organizing Committee (and its members), the Event's Disciplinary Action Committee and/or USDAA relative to matters related to the Event.
1.3 - Acknowledgment & Representation of Accuracy
I ACKNOWLEDGE, REPRESENT AND WARRANT that the information supplied by me in the entry form is correct and complete. If any portion of this information is found to be invalid or insufficient to establish the validity of my entry, such finding shall render my entry invalid in its entirety, for which there shall be no refund of fees paid or other recourse against the Event Organizers. Any acceptance of additional information or corrections to information after the closing date shall be at the sole discretion of the Event secretary.
1.4 - Representation of Ownership or Agency
I HEREBY REPRESENT AND WARRANT that I am the owner of the dog listed hereon, or that I have full authority from the dog's owner as their agent to enter the dog in competition and to assume their responsibilities for the care, custody and control of the dog for entry to the Event, and I AGREE TO HOLD HARMLESS the Event Organizers listed in paragraph 1.1
from any liability or claims, including legal fees, related to such ownership or agency status.
1.5 - Media Release, Grants & Waivers of Rights to Broadcast & Promote
COMPETITOR HEREBY GRANTS TO USDAA and its affiliated companies, representatives, agents and assigns, all rights and permission to use or appropriate his/her and their dog's name, biography, likeness, photograph, voice, performing persona, or other indicia of identity for broadcast, telecast, cablecast, transmission or distribution in any format or media known now or in the future.
1.6 - Waiver of Rights to Privacy, Publicity & Personality
FURTHER, COMPETITOR HEREBY RELEASES United States Dog Agility Association, Inc. and its affiliates, representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of publicity, right of personality, or any similar right.
1.7 - Signature/Electronic Submission Execution
THROUGH MY PHYSICAL SIGNATURE ON THE PAPER ENTRY FORM, OR THROUGH MY SUBMISSION OF AN ELECTRONIC ENTRY TO THE EVENT, I ACKNOWLEDGE, ACCEPT AND AGREE TO ABIDE by the provisions of this General Agreement, and all policies, rules, regulations and conditions of entry to the Event
FURTHER, IF ENTRY IS FOR A MINOR, THROUGH MY PHYSICAL SIGNATURE ON THE PAPER ENTRY FORM, OR THROUGH MY SUBMISSION OF AN ELECTRONIC ENTRY TO THE EVENT, I REPRESENT AND WARRANT THAT I AM THE PARENT OR LEGAL GUARDIAN OF THE COMPETITOR/HANDLER entered in the Event, and I ACKNOWLEDGE that I have reviewed all provisions of this General Agreement, policies, rules, regulations, and conditions of entry to the Event with the Minor and I SHALL BE SOLELY RESPONSIBLE FOR THEIR ACTIONS AND COMPLIANCE WITH ALL RULES, REGULATIONS, POLICIES AND PROVISIONS FOR THE EVENT, AND ASSUME FULL LIABILITY FOR MINOR'S ACTIONS AND ACTIONS OF THEIR DOG.
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USDAA® Official Entry Form - Minnesota Agility Club
- Lake Elmo, MN
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September 1 -
3, 2012
- Closing Date: Monday, August 13, 2012
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Return to: Sue Kvale, 9510 400th St.
Cannon Falls, MN 55009 - Make check payable to:
Minnesota Agility Club
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| Dog and Handler Information |
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Dog's Call Name:
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USDAA#:
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Breed:
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Height:
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Birthdate:
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Address:
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City, St/Pr/Region:
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Postal Code:
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Day Phone:
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Night Phone:
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Class Entry Information
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| Jump Height: |
Veterans: 4" 8" 12" 16"
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Championship: 12" 16" 22" 26" |
Performance: 8" 12" 16" 22" |
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| If entering classes at DIFFERENT HEIGHTS in the SAME PROGRAM, submit a SEPARATE ENTRY FORM for each height class in that program. |
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| Saturday. Sep 1, 2012 |
Veteran |
Championship |
Performance |
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$12.00 |
Standard |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$12.00 |
Gamblers |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$12.00 |
Jumpers |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$12.00 |
Snooker |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$12.00 |
Pairs Relay |
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MST |
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PIII |
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If blank or incorrect, entry will be for draw team:
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Partner:
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Dog:
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USDAA#:
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Jump Height:
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$20.00 |
Tournaments |
Grand Prix of Dog Agility® |
Performance Grand Prix |
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$20.00 |
Tournaments |
Dog Agility Steeplechase® |
Performance Speed Jumping |
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$5.00 |
JHP |
Senior |
Inter |
Elem |
Begnr |
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$5.00 |
Misc |
JHP - Snooker - All Levels |
| Sunday. Sep 2, 2012 |
Veteran |
Championship |
Performance |
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$12.00 |
Standard |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$12.00 |
Gamblers |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$12.00 |
Jumpers |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$12.00 |
Snooker |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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$12.00 |
Pairs Relay |
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MST |
ADV |
STR |
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PIII |
PII |
PI |
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If blank or incorrect, entry will be for draw team:
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Partner:
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Dog:
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USDAA#:
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Jump Height:
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$5.00 |
JHP |
Senior |
Inter |
Elem |
Begnr |
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$5.00 |
Misc |
JHP - Jumpers - All Levels |
| Monday. Sep 3, 2012 |
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Championship |
Performance |
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$60.00 |
Tournaments |
Dog Agility Masters® Team |
Versatility Pairs
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Versatility Pairs list only one partner; if blank or incorrect, entry will be for draw team:
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#1: Handler:
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Dog:
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USDAA#:
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Jump Height:
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#2: Handler:
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Dog:
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USDAA#:
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Jump Height:
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Team / Pair Name:
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SUB-TOTAL |
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$25.00 |
Dog Registration (if not previously registered) - ATTACH SEPARATE FORM or Register Online |
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Discount (see footnote below for terms, if any discount is offered) |
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Add my voluntary contribution of $1.00 or more to support USA participation in IFCS events. |
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TOTAL FEES |
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PAIRS PARTNER INFORMATION: I've entered pairs as a draw. When selecting a partner for me, please do not select the following dogs:
1___________________________ 2__________________________ 3___________________________ 4__________________________
GENERAL AGREEMENT ACCEPTANCE: Through my signature, I declare that I have read USDAA Official Rules & Regulations and the General Agreement and Test Schedule provisions set forth for entry to this event, and I acknowledge that I understand and agree to abide by all such rules, regulations, policies and provisions stipulated therein, including any provisions incorporated by reference.
Signature:____________________________________________________ Date:___________________
Signature of Parent or
Legal Guardian, if a Minor:____________________________________________________ Date:___________________
GENERAL AGREEMENT ACCEPTANCE: Through my signature, I declare that I have read USDAA Official Rules & Regulations and the General Agreement and Test Schedule provisions set forth for entry to this event, and I acknowledge that I understand and agree to abide by all such rules, regulations, policies and provisions stipulated therein, including any provisions incorporated by reference.
Signature:__________________________________________________________ Date:__________________
Signature of Parent or
Legal Guardian, if a Minor:_____________________________________________ Date:__________________
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USDAA® Official Dog and Junior Handler Registration form
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DOG REGISTRATION - $25.00
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FOR USDAA USE ONLY
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REG #
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UJHP #
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______________
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JUNIOR HANDLER REGISTRATION - $25.00
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Dogs must be registered with USDAA in order to compete in USDAA sanctioned events. A registration card
and number with a "U" prefix will be issued to facilitate entry at USDAA events and tracking of show
results in the regular classes.
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Junior handlers (those 18 years of age and younger) and their dogs must be separately registered for
participation in the USDAA's Junior Handler Program (UJHP). A registration number with a "J" prefix
will be assigned for use in entering UJHP events. A dog competing in both programs (regular classes
and UJHP) must be registered separately for each program, for which the total fee is $50.00. Register online at www.usdaa.com and save more than 10%.
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You must complete ALL information for a valid registration:
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OWNER/HANDLER INFORMATION:
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Primary Owner: ___________________________________________________________________________________________________
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Name(s) to appear on awards:_____________________________________________________________________________________
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Junior Handler: _______________________________________ DOB:_____________ Telephone: _____________________________
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Address: _________________________________________________________________________________________________________
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City / State: _______________________________ Postal Code: _________________ Country: ____________________________
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Email Address: ___________________________________________________________________________________________________
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DOG INFORMATION:
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Formal Name: ________________________________________________________Call Name: _________________________________
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(Dog name to appear on certificates; please print clearly or type)
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Breed: ____________________________________________ DOB: _____________________ Height @ Withers: ___________________
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(Specify breed or state "All American to denote mix-breed)
(Estimate if unknown)
(To nearest 1/4")
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