Trial-Rally/Obedience JUNE 20-21, 2026

JUNE 20, 2026-RALLY DOUBLE TRIAL RUNS CONCURRENTLY EVENT# 2026120430 & 31

JUNE 21, 2026-OBEDIENCE TRIAL EVENT#2025120429

THIS FORM IS FOR ON-LINE ENTRIES ONLY! PLEASE READ CAREFULLY.

IMPORTANT! DO NOT SUBMIT PRIOR TO OPENING DATE/TIME MAY 14,2026 @ 8AM-ANY ENTRY RECEIVED PRIOR TO THAT DATE AND TIME WILL BE INVALID ACCORDING TO AKC RULES

CLOSING DATE/WAITLIST FOR ALL ENTRIES:

CLOSING DATE: JUNE 3, 2026, after which time entries cannot be accepted, cancelled or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules. If the trial is full, a waitlist will be started for entries received prior to closing date. Entry fees (minus $4 processing fees) for those NOT entered into the trial will be refunded after this date.

If mailing a paper entry DO NOT use this form. You can find the mailing form on the premium. Please visit our website SICDTC.org or AKC.org for premium.

ALL on-line entries include a $4.00 non-refundable processesing fee. You do NOT need a PayPal account to use this form and make payment.

Please submit one entry form/per dog.

ENTRY FEES:EACH Trial Entry includes $4.50 AKC Recording/Event Fee

RALLY: $37.00 for the FIRST entry of each dog. DOGS ENTERED IN MORE THAN ONE CLASS SAME DOG/SAME TRIAL $32.00 FOR SECOND ENTRY, $27 FOR THIRD OR MORE ENTRIES FOR THE SAME DOG/SAME TRIAL.

OBEDIENCE:$37.00 for the FIRST entry of each dog. DOGS ENTERED IN MORE THAN ONE CLASS (SAME DOG/SAME TRIAL) $32.00 FOR ADDITIONAL ENTRY

SATURDAY JUNE 20, 2026, RALLY TRIAL#1 -STARTS 9AM

SATURDAY JUNE 20, 2026 RALLY TRIAL#2 -STARTS 9AM

RALLY Dog's Jump Height (if NOT required for class enter zero)

Possibly earn a RACH at this trial?

SUNDAY JUNE 21, 2026 OBEDIENCE TRIAL-STARTS AT 9AM

Possibly earn an OTCH at this Trial?

OBEDIENCE Dog's Jump Height (if NOT required for class enter ZERO) PREFERRED ENTER IN NEXT BOX

REGULAR/OPTIONAL CLASSES

PREFERRED OBEDIENCE ONLY-Dog's Jump Height (if NOT required for class enter ZERO)

PREFERRED CLASSES ONLY

Owner's Name

First NameLast Name

Owner's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Owner's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Owner's Email (confirmation will be sent to this email)

example@example.com

Enter Dog's AKC Registration Number (or if Foreign Registration enter info)

Enter Dog's Call Name

Enter Dog's Registered Name & Titles

Dog's Date of Birth

Date

Dog's Gender

Indicate Breed or All American

Indicate Variety if applicable

Enter Breeder Name (Pure Bred ONLY)

Enter Sire's Name /Titles (Pure Bred ONLY)

Enter Dam's Name /Titles (Pure Bred ONLY)

Co-Owner's Name (if more than 1 use comment box below)

First NameLast Name

Comments/More Information

Handler Name (ONLY if different than owner)

First NameLast Name

Handler Day of Trial Phone Number (if different than owner)

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Name FOR HANDLER ON DAY OF TRIAL

First NameLast Name

Emergency Contact Mobile Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

For MINOR Jr Handler's ONLY: Please insert ID# Should you not have your Junior Handler number, this may be obtained from the American Kennel Club. (Phone) 919-816-3770 or juniors@akc.org. Please be aware that an adult most accompany the minor to the trial.

Jr Handler ID#

Jr Handler Relationship to Dog's Owner

Jr Handler Date of Birth

Date

Jr Handler Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

By signing the entry form, 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

AGREEMENT-MUST BE SIGNED TO ENTER
I (we) agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient. 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 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 there from, 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 persons.
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 ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE
CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BYARBITRATION 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.

INSTRUCTIONS
1. (Variety) if you are entering a dog of 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 (longhaired, 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).
2. The following categories of dogs may be entered and shown in Best of Breed competition: Dogs that are
Champions of Record and dogs which, according to their owners’ records, have completed the requirements for a
championship, but whose championships are unconfirmed. The showing of unconfirmed Champions in Best of Breed
competition is limited to a period of 90 days from the date of the show where the dog completed the requirements for a
championship.
3. (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, age division, color division, weight division.
4. A dog must be entered in the name of the person who 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 name. State on entry form whether transfer application has been
mailed to the AKC. (For complete rules, refer to Chapter 11, Section 3.)

____________________________________

Signature

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 show, obedience trial and/or agility trial, and by any additional rules and regulations appearing in the premium list for this show, obedience trial and/or agility trial, and further agree to be bound by the “Agreement” printed on the reverse side of this entry form. 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. SIGNATURE of owner or his agent duly authorized to make this entry.

Choose option by clicking the box on the left and then select from drop down menu PAYMENT MUST BE INCLUDED WITH ON-LINE ENTRY A non-refundable $4.00 Processing Fee Has Been Applied. You do not need a PayPal account to pay using this form. Venmo is available Under PayPal Option IMPORTANT! SIGNING AND CLICKING SUBMIT BELOW WILL SEND YOUR ENTRY IMMEDIATELY!

SATURDAY-RALLY TRIAL #1 JUNE 20, 2026 EVENT #2026120430

NOTE* A FIRST CLASS ENTRY FEE $37 IS REQUIRED- EXCEPT RACH BUNDLE OPTION SINCE IT IS ALREADY INCLUDED

$37.00

	Quantity	Price
RALLY FIRST CLASS ENTRY FEE (TRIAL #1)		$37.00
RALLY 2ND CLASS ENTRY (SAME TRIAL#1)		$32.00
RALLY 3RD CLASS ENTRY OR MORE (SAME TRIAL #1)		$27.00
RALLY RACH BUNDLE ENTRY-MASTER, ADVANCED B, EXCELLENT B		$96.00

Item subtotal:

SATURDAY-RALLY TRIAL #2 JUNE 20, 2026 EVENT #2026120431

NOTE* A FIRST CLASS ENTRY FEE $37 IS REQUIRED- EXCEPT RACH BUNDLE OPTION SINCE IT IS ALREADY INCLUDED

$37.00

	Quantity	Price
RALLY FIRST CLASS ENTRY FEE (TRIAL #2)		$37.00
RALLY 2ND CLASS ENTRY (SAME TRIAL#2)		$32.00
RALLY 3RD CLASS ENTRY OR MORE (SAME TRIAL#2		$27.00
RALLY RACH BUNDLE ENTRY-MASTER, ADVANCED B, EXCELLENT B		$96.00

Item subtotal:

SUNDAY-OBEDIENCE TRIAL CLASSES-JUNE 21, 2026 EVENT #2026120429

NOTE* A FIRST CLASS ENTRY FEE $37 IS REQUIRED FOR THIS TRIAL

$37.00

	Quantity	Price
OBEDIENCE FIRST CLASS ENTRY FEE		$37.00
OBEDIENCE ADDITIONAL ENTRY FEE		$32.00

Item subtotal:

Non-Refundable Processing Fee

$4.00

Total

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Staten Island Companion Dog Training Club, Inc

CHOOSE TRIALS AND CLASSES YOU WANT TO ENTER BELOW, THEN ANSWER ALL REQUIRED QUESTIONS

Payment Methods