RallyTrial Entry

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Please use this form to complete your AKC entry forms for a single dog, sign the AKC and OTCPBC Certifications, Agreements, and Waivers and submit payment for AKC Rally Trials to be held at the Obedience Training Club of Palm Beach County.

Saturday Nov 15, 2025
Sunday Nov 16, 2025

AKC INSTRUCTIONS

(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).
(Event Class) Consult the classification in this Premium list. If the event class in which you are entering your dog is divided, then, in addition to designating the class, specify the particular division of the class in which you are entering your dog, i.e, A or B division.
A dog must be entered in the name of the person who actually owned it at the time entries for an event 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 event 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 the AKC. (For complete rules, refer to Chapter 11, Section 3.)
Dogs listed in the AKC Canine Partners℠ Program may be eligible to enter all-breed AKC Rally 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. Sire and Dam information shall remain blank for mixed breed entrants.

Actual Owner(s)(Required)

³ A dog must be entered in the name of the person who actually owned it at the time entries for a trial closed. (For complete rules, refer to Chapter 11, Section 3.)

Call NAME

Email(Required)

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

Home Phone(Required)

Which Trials(Required)

OTCPBC is offering four trials over this show weekend. There will be two trials each day. The classes offered will be the same for all four trials. You may not enter a class twice in the same trial, but you may enter the same class in each of the four trials. For example, you may enter Novice A once in each of the four trials for a total of four Novice A entries. But you may not enter Novice A twice in a single trial.

Please check off each of the trials for which you are submitting entries. If you are entering all four trials, you may check the “Select All” option.

Saturday Trial A

Saturday Trial B

Sunday Trial C

Sunday Trial D

Saturday Trial A Entries

RO AKC Rally Trial A Saturday

^2,3 See Total listed below near the “SUBMIT” button for calculated fees for these entries. First entry $30.00 each trial. Second Entry of the SAME DOG in the SAME TRIAL $20.00. Third Entry of the SAME DOG in the SAME TRIAL $15.00. Combo entries: RAE entry $50.00. HTQ Rally ADV B/EXC B/Master Combo entry $65.00.

Price:

First Entry Saturday Trial A

^2,3 Select First Show Class for Saturday Trial A. This class list contains the classifications contained in the Premium list for Classes Offered. Select the Rally Class and the Division (A/B). Consult the rules regarding qualifications for A or B divisions. If you are entering Novice A or B, please select as your first entry for the trial. (Novice classes are not included in the choice lists for second and third/fourth entries for a trial.) If entering RAE (Advanced and Excellent), please enter B Division using the RAE item. RAE fees remain one full entry and reduced entry for second class of the same dog. For combination of Advanced B, Excellent B and Master, select HTQ. HTQ fees remain one full entry, one reduced entry for second class of the same dog, and one further reduced entry for third class of the same dog. If you are entering Choice, please select it as your last entry for this trial. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Second Entry Saturday Trial A

Select class and division for the second entry for the same dog for Saturday trial A. Do NOT select a class you have already selected for Saturday Trial A. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Third and Fourth Entries Saturday Trial A

Please Select classes for Third and Fourth Entries, if any. Do NOT select a class you have already selected for Saturday Trial A. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Advanced A

Advanced B

Choice

Saturday Trial B Entries

RO AKC Rally Trial B Saturday

^2,3 See Total listed below near the “SUBMIT” button for calculated fees for these entries. First entry $30.00 each trial. Second Entry of the SAME DOG in the same trial $20.00. Third Entry of the SAME DOG in the same trial $15.00. Combo entries: RAE entry $50.00. HTQ Rally ADV B/EXC B/Master Combo entry $65.00.

Price:

First Entry Saturday Trial B

^2,3 Select First Show Class for Saturday Trial B. This class list contains the classifications contained in the Premium list for Classes Offered. Select the Rally Class and the Division (A/B). Consult the rules regarding qualifications for A or B divisions. If you are entering Novice A or B, please select as your first entry for the trial. (Novice classes are not included in the choice lists for second and third/fourth entries for a trial.) If entering RAE (Advanced and Excellent), please enter B Division using the RAE item. RAE fees remain one full entry and reduced entry for second class of the same dog. For combination of Advanced B, Excellent B and Master, select HTQ. HTQ fees remain one full entry, one reduced entry for second class of the same dog, and one further reduced entry for third class of the same dog. If you are entering Choice, please select it as your last entry for this trial. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Second Entry Saturday Trial B

Select class and division for the second entry for the same dog for Saturday trial B. Do NOT select a class you have already selected for Saturday Trial B. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Third and Fourth Entries Saturday Trial B

Please Select classes for Third and Fourth Entries, if any. Do NOT select a class you have already selected for Saturday Trial B. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Advanced A

Advanced B

Choice

Sunday Trial C Entries

RO AKC Rally Trial C Sunday

Price:

First Entry Sunday Trial C

^2,3 Select First Show Class for Sunday Trial C . This class list contains the classifications contained in the Premium list for Classes Offered. Select the Rally Class and the Division (A/B). Consult the rules regarding qualifications for A or B divisions. If you are entering Novice A or B, please select as your first entry for the trial. (Novice classes are not included in the choice lists for second and third/fourth entries for a trial.) If entering RAE (Advanced and Excellent), please enter B Division using the RAE item. RAE fees remain one full entry and reduced entry for second class of the same dog. For combination of Advanced B, Excellent B and Master, select HTQ. HTQ fees remain one full entry, one reduced entry for second class of the same dog, and one further reduced entry for third class of the same dog. If you are entering Choice, please select it as your last entry for this trial. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Second Entry Sunday Trial C

Select class and division for the second entry for the same dog for Sunday trial C. Do NOT select a class you have already selected for Sunday Trial C DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Third and Fourth Entries Sunday Trial C

Please Select classes for Third and Fourth Entries, if any. Do NOT select a class you have already selected for Sunday Trial C. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Advanced A

Advanced B

Choice

SundayTrial D Entries

RO AKC Rally Trial D Sunday

Price:

First Entry Sunday Trial D

^2,3 Select First Show Class for Sunday Trial D. This class list contains the classifications contained in the Premium list for Classes Offered. Select the Rally Class and the Division (A/B). Consult the rules regarding qualifications for A or B divisions. If you are entering Novice A or B, please select as your first entry for the trial. (Novice classes are not included in the choice lists for second and third/fourth entries for a trial.) If entering RAE (Advanced and Excellent), please enter B Division using the RAE item. RAE fees remain one full entry and reduced entry for second class of the same dog. For combination of Advanced B, Excellent B and Master, select HTQ. HTQ fees remain one full entry, one reduced entry for second class of the same dog, and one further reduced entry for third class of the same dog. If you are entering Choice, please select it as your last entry for this trial. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Second Entry Sunday Trial D

Select class and division for the second entry for the same dog for Sunday trial D. Do NOT select a class you have already selected for Sunday Trial D. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Third and Fourth Entries Sunday Trial D

Please Select classes for Third and Fourth Entries, if any. Do NOT select a class you have already selected for Sunday Trial D. DO NOT SELECT A CLASS FOR WHICH YOU ARE NOT ELIGIBLE AT THIS TIME!

Advanced A

Advanced B

Choice

Dog Information

Breed(Required)

⁴ Enter dog’s AKC recognized breed. Mixed Breed Dogs mark Breed as “All-American Dog”

Variety

¹ If the breed has varieties for show purposes, designate particular variety.

Sex(Required)

Enter dog’s sex

Male

Female

Full Name of Dog(Required)

Full registered name of dog including all AKC recognized titles.

Registry Type(Required)

AKC No

Foreign Reg No

Dog Registration Number(Required)

⁴Eligible 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

Dog's Birth Place(Required)

Select Dog’s Birth Place

USA

Canada

Foreign

Dog's Date of Birth(Required)

Enter Dog’s Date of Birth by first selecting birth year, then select month and finally select date.

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.

Jump Height(Required)

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.

Owner and Handler Information

Owner's Address(Required)

Street Address Address Line 2 City State ZIP Code

In Case of Emergency Phone(Required)

Please enter phone to be used In Case of Emergency.

New Exhibitor

Are you a new exhibitor?

Yes- I am a new exhibitor.

No – I am not a new exhibitor.

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

Junior Handler Name

Enter Name of the Junior Handler, if any.

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

Consent(Required)

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 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 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 anyAKC 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 the determination of whether the injury is serious shall be made by the event veterinarian and is binding on me (us). 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.

I certify and agree..

Signature of owner or his agent(Required)

I am affixing my signature to the agreement.

Total Trial Entries Rally Trial

Are you ready?(Required)

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Yes I am ready

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