PLEASE PRINT OR TYPE ALL INFORMATION

Australian Shepherd Club of America

Conformation Entry Form
HOST CLUB
Breed
Color
Registered Name of Dog
Registration #
Birth date

MonthDayYear
Date
SEX

MALEFEMALE
DATE OF SHOW
FRI
SAT
SUN
ALTERED CONFORMATION CLASS
1 Friday A.M
1 Saturday A.M.
1 Sunday A.M.
2 Friday P.M
2 Saturday Midday
3 Saturday P.M
2 Sunday P.M.
INTACT CONFORMATION CLASS
1 Friday A.M.
1 Saturday A.M.
1 Sunday A.M.
2 Friday P.M.
2 Saturday Midday
3 Saturday P.M.
2 Sunday P.M.
NON-REGULAR
1 Friday A.M.
1 Saturday A.M.
1 Sunday A.M.
2 Friday P.M.
3 Saturday Midday
2 Saturday P.M.
2 Sunday P.M
JUNIORS
1 Friday A.M
1 Saturday A.M
1 Sunday A.M
2 Friday P.M.
2 Saturday Midday
3 Saturday P.M.
1 Sunday P.M.
TOTAL ENTRY FEE*
Other dog Entered in brace
Junior Name
JR Birth date

MonthDayYear
Date
Junior Relation to owner(s)
JR Member ID
If the Conformation Entry is being held by Junior, please provide necessary info above.
Sire
Dam
Breeder
Call Name
Owner
Member ID
Address
City
ST
Zip
Email
example@example.com
Phone
Emergency Contact Name & Number
Printed Name of Exhibitor
Date

MonthDayYear
Date
EXHIBITOR/OWNER OR PARENT/LEGAL GUARDIAN (IF JR IS UNDER 18) MUST READ AND SIGN THIS FORM
IMPORTANT AGREEMENT IMPORTANT LEGAL AGREEMENT—Please read the following carefully as it, among other things, may prevent you from suing ASCA® and persons/entities affiliated with it. This agreement could even require you to defend them from demands and suits by third parties that include an assertion of wrongdoing by you. (1) The person signing this Agreement represents being authorized to enter into it on behalf of him/herself, as well as (if different) the owner(s)/exhibitor(s)/handler(s) of the dog(s) for which an entry form is being submitted (all these parties collectively referred to herein as “Applicant”). (2) “Releasees” here collectively refers to the Australian Shepherd Club of America® (ASCA®); its affiliate clubs; and the officers and board of directors, staff, contractors, insurers, attorneys, and agents of ASCA® and of those clubs. (3) This Agreement voluntarily is entered into by Applicant in exchange for the acceptance of the associated entry form and permission to participate in related activities. (4) Applicant agrees to abide by the rules and regulations of ASCA® and any other rules and regulations applicable to this event. (5) Applicant certifies that the entered dog will not pose a hazard to people, property, stock animals, or other dogs, and further that the dog is current with rabies shots along with any other vaccinations required by its state of residence. (6) Applicant acknowledges and assumes the risks to Applicant and Applicant’s dog associated with participation in the event, among which could be ones associated with poor condition of the facilities and surrounding areas; security measures or lack of them; electrical appliances; fittings; show rings; the presence of unfamiliar persons; and the presence/involvement of other animals—whether stock, dogs, or otherwise. (7) Applicant further agrees to comply with all recommended and required health and safety precautions, among which may be those related to social distancing; quarantining; wearing of face coverings; and non-participation of persons exhibiting symptoms or for whom there otherwise has been a likelihood of recent exposure to COVID-19 or other contagious diseases. (8) Applicant additionally acknowledges and agrees to assume the risks associated with taking part in the event though others might neglect compliance with health and safety precautions/requirements or pose an undue risk of spreading disease. For example, as is true as to any public event, there is some risk that Applicant and/or those affiliated with Applicant may catch COVID-19 or another contagious disease at the event. (9) To the maximum extent permissible, this release is to be interpreted under Texas law, without application of its choice of law rules. (10) To the extent that Applicant—or another party suing on behalf of Applicant, or suing to recover based on injuries/death/damage to Applicant/Applicant’s dog/Applicant’s property—sues ASCA® (or a board member or staff member or agent of ASCA®) as a defendant, the sole appropriate forum (to the maximum extent permitted by law) for the suit shall be the state or federal courts serving Brazos County, Texas (where ASCA® has its headquarters). (11) Applicant hereby releases and waives any claims Applicant otherwise might assert against the Releasees as to any injury or damage claim connected in any way to any alleged act or omission arising out of, or occurring concurrent with, the event and related activities, interactions, communications, and even adjacent premises. (12) This release is made not only as to Applicant but also for anyone who might assert a claim on behalf of Applicant or based on purported injury or damage to Applicant/Applicant’s dog/Applicant’s property, as well as any heir, beneficiary, assignee, executor, trustee, agent, or survivor of Applicant. (13) Applicant further agrees to assume sole responsibility for and indemnify and hold Releasees harmless from related claims, demands, judgments, and settlement payments. (14) These waiver, release, and indemnification provisions extend even to claims or demands asserting that the acts or omissions resulted in bodily injury or death or from intentional wrongdoing, as well as to attorney fees and other costs of defense. (15) The duties of indemnification further extend to any claims or demands asserted against Releasees that are alleged to have arisen out of the acts or omissions of Applicant, Applicant’s dog, or others affiliated with Applicant. Among other things, this means that Applicant would pay the legal defense of Releasees if someone sued them based on a claim Applicant carelessly exposed the claimant to COVID-19. (16) Applicant’s promises in this agreement apply without regard to the type of claim or cause of action asserted against Releasees. (17) To the extent any provision of this agreement is unenforceable, the remainder of it nonetheless is to be enforced. (18) This agreement is to be interpreted to provide Releasees with the maximum permissible legal protection from—among other things—claims and suits pursued by Applicant (and/or those acting on behalf of Applicant or over injury/damage to Applicant), as well as from ones based on the purported wrongful acts or omissions of Applicant. (19) Nothing in this Agreement requires you to indemnify Releasees from claims by third parties that involve no allegations of improper acts or omissions by you, those affiliated with you, nor your dog(s). (20) Applicant acknowledges having read, understood, and had the opportunity for independent legal review of this document prior to signing it.ype a question
SIGNATURE OF OWNER/HANDLER OR PARENT/LEGAL GUARDIAN (IF JR IS UNDER 18)
PERSON SIGNING THIS FORM IS RESPONSIBLE FOR ALL ERRORS AND RULE VIOLATIONS
AS USED HERE, “ASCA®” MEANS THE OWNER AND THE OPERATOR OF THE EVENT PREMISES, THE AUSTRALIAN SHEPHERD CLUB OF AMERICA, ITS AFFILIATE CLUBS, AND EACH OF THEIR MEMBERS, OFFICERS, DIRECTORS,
EMPLOYEES, SHOW CHAIRMEN, SHOW COMMITTEES AND AGENTS. October 8, 2020
Should be Empty:

Australian Shepherd Club of America

DATE OF SHOW

ALTERED CONFORMATION CLASS

INTACT CONFORMATION CLASS

NON-REGULAR

JUNIORS

EXHIBITOR/OWNER OR PARENT/LEGAL GUARDIAN (IF JR IS UNDER 18) MUST READ AND SIGN THIS FORM

PERSON SIGNING THIS FORM IS RESPONSIBLE FOR ALL ERRORS AND RULE VIOLATIONS