The 18th Annual Rip
Van Wrinkle Basenji Club Specialty Match, Friday, June 20th, 2014
JUDGE: Karen Christensen
WHERE: Tailgating
at the Shawangunk Kennel Club dog show, after Basenji judging - Ulster County
Fairgrounds, Libertyville Rd., New Paltz, NY 12561 – Get there at 10:30 - Vegetarian Pot Luck
Lunch at around NOON.
PLEASE PRE-ENTER! - Early Entries close Monday, June 16th – Day of show the fees
go up to $15 first entry, $5 addÕl entry of same dog.
Dog's Name:
_________________________________________Sex _________
Date of
Birth:__________________________ Other than basenji?______________
Class(es) entered:
o Musical Sits,
o Musical Downs,
o Best Yodeler,
o Best Wrinkles,
o Curliest Tail,
o 15th Annual Bambi Memorial Veggie Eating
Contest,
o Costume Class (What animal would I be if I werenÕt a dog)
Breed & Fun Pre-Entry Fees: $6
for first entry, $2 for each addÕl entry of same dog. NO BITCHES IN
SEASON
Raffle for Basenji
Health Endowment ~Tickets: 6 for $10.
Basenji ÒstuffiesÓ, donated to the club by member
Kathe Romeo. There will be FOUR winners.
TOTAL:$_____.___(checks
to the Rip Van Wrinkle Basenji club & mail to Susan
Marsicano, 12 Muse
Road, Woodstock, NY 12498)
Owner's Name:___________________________________________Email____________
Address_________________________________________________Phone____________
I (we) waive any and all
claims, causes of action, I (we) might otherwise have against the RVW club, and
any approved judge, judging at this show. I (we) agree to hold this club, its
members, directors,
governors, officers, agents, superintendents or show secretary and the owner or
lessor of the premises and any employees of the aforementioned parties 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 upon the show, obedience or agility trial 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 of this dog by
disappearance, theft, death or otherwise, and from any claim for damage or
injury to the dog, whether such loss, disappearance, theft, damage, or injury
be caused or alleged to be caused by the negligence of the club or any of the
parties aforementioned, or by the negligence of any other person, or any other
cause or causes.
I (we) hereby assume the
sole responsibility for and agree to indemnify and save the aforementioned
parties harmless from any and all loss and expenses (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 including myself (ourselves) on or account of damage to property,
arising out of or in consequence of my (our) participation in this show,
howsoever such injuries, death or damage to property may be caused, and whether
or not the same may have been caused or may have been alleged to have been
caused by negligence of the aforementioned parties or any of their employees or agents, or any other
persons.
I CERTIFY that I am the actual owner of the
dog, and agree to be bound by Òthe AgreementÓ printed above. 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 foregoing representation and
agreement.
á
Signed
_________________________________________ Date________________