Scent Work -OFFICIAL ENTRY FORM

OFFICIAL ENTRY FORM

US Mail: Nicole Griffin, Trial Secretary 180 West Highland Drive Henderson, NV 89015
INSTRUCTIONS:

Please check the box for each class you want to enter. Dogs may enter two different levels within each element, at each trial. Dogs entering the Advanced, Excellent, or Master classes must have earned the required title, as stipulated in the AKC Scent Work Regulations. Dogs may enter either the Novice “A” class or the Novice “B” class—not both. Novice “A” classes are open to dogs who have not completed any title for that particular element, who have not completed a comparable title with another organization and whose handlers are neither Scent Work judges nor professional detection dog handlers.

Fields highlighted in blue and with asterisk are REQUIRED. Failure to complete these fields may result in your entry being returned. Fields highlighted in gray must be completed if the information is known.

***You MUST read the Agreement and sign at the bottom. NO form will be processed without your signature!***

Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website, www.akc.org
SATURDAY TRIAL # 1 12/13/2025

Container Novice AContainer Novice BContainer AdvancedContainer ExcellentInterior Novice AInterior Novice BInterior AdvancedInterior ExcellentExterior Novice AExterior Novice BExterior AdvancedExterior ExcellentBuried Novice ABuried Novice BBuried AdvancedBuried Excellent
SUNDAY TRIAL # 2 12/14/2025

Container Novice AContainer Novice BContainer AdvancedContainer ExcellentInterior Novice AInterior Novice BInterior AdvancedInterior ExcellentExterior Novice AExterior Novice BExterior AdvancedExterior ExcellentBuried Novice ABuried Novice BBuried AdvancedBuried Excellent
ENTRY FEES:

$25.00 per class (plus $1.36 PayPal servicing fee) for Novice and Advanced for online entries. $30.00per class ( plus $1.54 PayPal servicing fee)for Excellent for online entries.
# of classes entered : (Novice and Advanced)
Amount due # of Novice & Advanced classes entered X $26.36
# of classes entered : (Excellent)
Amount due # of Excellent classes entered X $31.54
Total amount due*
AKC Registered Name*
Call Name*
Date of Birth*

MonthDayYear
Date
Registration #*
Check one*

AKC/PAL/ILP/CPForeign
Sex*
Breed*
Variety
Breeder
Sire
Dam
Owner*
Owner’s Address*
City*
State*
Zip*
Phone Number*
Please enter a valid phone number.
E-Mail*
example@example.com
Handler Name (if different from owner)
Junior Handler No. (if applicable)
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. 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 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 of 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.
SIGNATURE of owner of his agent duly authorized to make this entry.
Signature*

Clear
Phone Number*
E-Mail*
example@example.com
In Case of Emergency :
Phone Number
Total Entry amount $*

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OFFICIAL ENTRY FORM

ENTRY FEES: