Obedience Trial Entry

Please use this form to complete your AKC entry form for a single dog, sign the AKC and OTCPBC Certifications, Agreements, and Waivers and submit payment for AKC Obedience Trials to be held at the Obedience Training Club of Palm Beach County. This form uses PayPal to collect payment. You do not need a PayPal account to pay via PayPal. For this entry to be complete, you must complete it through successful online payment processing.

Completion of this form and payment does not guarantee you a space(s) in the trial. The Trial Secretary will email you to confirm entry or waitlist status if your entry processes through online payment. Refunds of entries will be done via PayPal to the account you used when registering.
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Obedience Trial Entry

"*" indicates required fields

AKC INSTRUCTIONS

Enter dog’s AKC recognized breed. Mixed Breed dogs entering classes for Agility, Obedience, and Rally Trials should mark Breed as “All-American Dog” and enter ILP or PAL registration number. “Breeder, Sire and Dam” information shall remain blank for mixed breed entrants.
Variety. If you are entering a dog of a breed in which there are varieties for show purposes, please designate the particular variety you are entering, i.e. Cocker Spaniel (solid color black, ASCOB, parti-color), Beagles (not exceeding 13 in., over 13 in. but not exceeding 15 in.), Dachshunds (long-haired, smooth, wirehaired), Collies (rough, smooth), Bull Terriers (colored, white), Manchester Terriers (standard, toy), Chihuahuas (smooth coat, long coat), English Toy Spaniels (King Charles and Ruby, Blenheim and Prince Charles), Poodles (toy, miniature, standard).
Consult the classification in this Premium list for Classes Offered. Select Obedience Class and the next section Division (A/B). Consult the rules regarding qualifications for A or B divisions. If entering RAE (adv and exc) or UDX (open and utility), please enter B Division. RAE and UDX fees remain one full entry and reduced entry for second class of the same dog.
Full registered name of dog including all AKC recognized titles.
Eligible dogs include AKC registered purebred, AKC registered PAL (Preferred Alternate Listing)/ILP (Indefinite Listing Privilege), Canine Partners (All-American Dog), FSS (Foundation Stock Service) for dogs aged 6 months or older. Enter the dog’s registration number (including letters) in the space provided.
A dog must be entered in the name of the person who actually owned it at the time entries for a trial closed. If a registered dog has been acquired by a new owner, it must be entered in the name of its new owner in any trial for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his/her name. State on entry form whether transfer application has been mailed to AKC. (For complete rules, refer to Chapter 11, Section 3.)

Dates of trials*

Please select the dates of the trials you are entering.

Saturday, January 11, 2025

Sunday, January 12, 2025

Actual Owner(s)*

A dog must be entered in the name of the person who actually owned it at the time entries for a trial closed. If a registered dog has been acquired by a new owner, it must be entered in the name of its new owner in any trial for which entries closed after the date of acquirement, regardless of whether the new owner has received the registration certificate indicating that the dog is recorded in his/her name. State on entry form (here) whether transfer application has been mailed to AKC. (For complete rules, refer to Chapter 11, Section 3.)

Email*

Enter email address to be used for an acknowledgment or receipt of entry.

Home Phone*

Enter a phone number that can be used to reach you on trial day.

Full Name of Dog*

Full registered name of dog including all AKC recognized titles.

Dog's Call Name*

Enter dog’s call name

Dog Registration Number*

Eligible dogs include AKC registered purebred, AKC registered PAL (Preferred Alternate Listing)/ILP (Indefinite Listing Privilege), Canine Partners (All-American Dog), FSS (Foundation Stock Service) for dogs aged 6 months or older. Enter the dog’s registration number (including letters) in the space provided

Breed*

Enter dog’s AKC recognized breed. Mixed Breed Dogs mark Breed as “All-American Dog”

Variety

If the breed which has varieties for show purposes, designate particular variety.

Sex*

Male

Female

Enter dog’s sex

OTCPBC Obedience Trial Saturday

Price:

See Total for calculated fees for these entries. First entry $28.00 each trial. Second Entry of the SAME DOG in the same trial $18.00. UDX entry $46.00. Open B & Preferred Open Combo entry $46.00. Utility B & Preferred Utility Combo entry $46.00

First Entry Saturday*

Select First Show Class for Saturday . For combination of Open B and Utility B, please select UDX. This class list contains the classifications contained in the Premium list for Classes Offered. Select the Obedience Class and the Division (A/B). Consult the rules regarding qualifications for A or B divisions. If entering UDX (open and utility), please enter B Division. UDX fees remain one full entry and reduced entry for second class of the same dog. Open B & Preferred Open Combo entry $46.00. Utility B & Preferred Utility Combo entry $46.00

Second Entry Saturday*

Select class and division for the second entry for the same dog for the Saturday trial. Do NOT select a class you have already selected for Saturday.

NOT ENTERING 2ND CLASS SAT

Novice A

Novice B

Preferred Novice

Graduate Novice

Preferred Open

Graduate Open

Utility A

Preferred Utility

OTCPBC Obedience Trial Sunday

Price:

First Entry Sunday*

Select First Show Class for Sunday. For combination of Open B and Utility B, please select UDX. This class list contains the classifications contained in the Premium list for Classes Offered. Select the Obedience Class and the Division (A/B). Consult the rules regarding qualifications for A or B divisions. If entering UDX (open and utility), please enter B Division. UDX fees remain one full entry and reduced entry for second class of the same dog. Open B & Preferred Open Combo entry $46.00. Utility B & Preferred Utility Combo entry $46.00.

Second Entry Sunday*

Select class and division for the second entry for the same dog for the Sunday trial. Do NOT select a class you have already selected for Sunday.

NOT ENTERING 2ND CLASS SUNDAY

Novice A

Novice B

Preferred Novice

Graduate Novice

Preferred Open

GraduateOpen

Utility A

Preferred Utility

Jump Height*

Please select your dog’s jump height. Please scroll down to see the complete list. Select “Unknown” if you do not know the jump height or it is not required for the classes you are entering.

Jump Height Preferred Classes Only

Please select your dog’s jump height for Preferred classes if entering both Regular and Preferred and if Preferred Jump height is different than Jump Height for Regular Classes. Please scroll down to see the complete list. Select “Unknown” if you do not know the jump height or it is not required for the classes you are entering.

Dog's Date of Birth*

The date picker works best if you enter data in this order: Enter Dog’s Date of Birth by first selecting birth year, then select month and finally select date.

Dog's Birth Place*

USA

Canada

Foreign

Select Dog’s Birth Place

Breeder

Breeder information shall remain blank for mixed breed entrants.

Sire

Enter Sire Breeder, Sire and Dam” information shall remain blank for mixed breed entrants.

Dam

Enter Dam Breeder, Sire and Dam” information shall remain blank for mixed breed entrants.

Owner's Address*

Street Address Address Line 2 City State ZIP Code

NAME OF OWNER’S AGENT (IF ANY) AT THE SHOW

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

I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above. In consideration of the acceptance of this entry. I (we) agree to abide by the rules and regulations of the American Kennel Club in effect at the time of this show or obedience trial, and by any additional rules and regulations appearing in the premium list for this show or obedience trial or both, and further agree to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a hazard to persons or other dogs. This entry is submitted for acceptance on the forgoing representation and agreement. AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org

In Case of Emergency Phone*

Please enter phone to be used In Case of Emergency.

Agreement*

I (we) agree that the club holding this event has the right to refuse this entry for cause, which the club shall deem sufficient. In consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (we) agree that any cause of action, controversy or claim arising out of or related to the entry, exhibition or attendance at the event between the AKC and the event-giving club (unless otherwise stated in its premium list) and myself (ourselves) or as to the construction, interpretation and effect of this Agreement shall be settled by arbitration pursuant to the applicable rules of the American Arbitration Association. However, prior to arbitration all applicable AKC Bylaws, rules, regulations and procedures must first be followed as set forth in the AKC Charter and Bylaws, rules, regulations, published policies and guidelines.

Is the handler a Junior*

This IS a Junior Showmanship entry

This IS NOT a Junior Showmanship entry

Selecting yes will make available the items needed to complete entry for Junior Showmanship.

Junior Handler*

Enter Junior Handler, if any.

Junior Showmanship Class

JUNIOR SHOWMANSHIP JR.’S DATE OF BIRTH*

AKC JUNIOR HANDLER NUMBER*

AKC JUNIOR HANDLER NUMBER The number MUST be included. Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. Phone: (919) 816-3776. By signing the entry form I (we) certify that the Junior Showman does not now, and will not at any time, act as an agent/handler for pay while continuing to compete in Junior Showmanship

Junior Handler Address*

Enter Junior Handler Address

Junior Handler City State Zip*

Enter Junior Handler City, State Zip

Relationahip of Junior Handler to Owner*

If Junior Handler is not the owner of the dog identified in this entry form, what is the relationship of the Junior Handler to the Owner?

OTC COVID 19 Waiver*

We at OTCPBC, are dedicated to maintaining the highest level of safety while offering competitions. CDC COVID-19 policies will be strictly enforced. Your compliance with these guidelines is necessary for everyone in attendance. If you feel that either 1) your safety is at risk, or 2) you cannot comply with these guidelines, STOP and please do NOT Enter this show. By entering these shows, you agree to the COVID-19 procedures as established by the CDC and any conditions in the OTCPBC Premium for this trial. You also release the Obedience Training Club of Palm Beach County and AKC of any liability relating to COVID-19.

Total Trial Entries January Obed Trial

Are you ready?*

Yes I am ready

No I need to fix my data

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Comments

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