The 15th Annual Rip
Van Wrinkle Basenji Club Specialty Match, June 26th, 2011
JUDGE: Mary Van De Carr ~ Held at the
Stockade Polo & Saddle Club, Glenville, NY
PLEASE PRE-ENTER! - Early
Entries close Monday, June 20th
(Day of show entries will CLOSE
AT 10 am - fees will go up to $12 first entry, $4 addÕl entry of same dog.)
Dog's Name:
_________________________________________Sex _________
Date of
Birth:__________________________ Other than basenji?______________
PARADES: o Title Holders o Rescues o Veterans
o HANDLING CLASS (run by Sue
Schulz)
FUN:
o
Musical Sits
o Musical Downs
o
Best Yodeler,
o
Best Wrinkles
o
Curliest Tail
o 13th Annual Bambi
Memorial Veggie Eating Contest,
o Costume Class (My Favorite
COUNTRY WESTERN ARTIST)
Pre-Entry
Fees: $6 for first entry, $2 for each addÕl entry of same dog,
Parades always free.
Raffle
for Basenji Health Endowment ~Tickets: 6 for $10.
1. A 1954
hardcover edition, with original, clean, dustcover, of "Good-bye My
Lady," by James Street.
2. A
signed 1978 copy, with notes in the back, of "The Basenji
Illustrated," by Robert W. Cole.
TOTAL:$_____.___(checks to the Rip Van Wrinkle
Basenji club - mail to Susan
Marsicano, 12 Muse
Road, Woodstock, NY 12498-2509)
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________________