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| Southeastern Regional Show, Breed Survey and Club Trial |
| The Registration Process is CLOSED as of Fri 2/26/10! |
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Fill out the entry form.
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Entry Deadlines


[1] Friday 19 February 2010 |
[2] Friday 26 February 2010 |
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All fully completed entry forms with payment and/or breed surveys with payment MUST be received on or before this date. |
Late entries will be accepted until this date, except for breed surveys. The entry fee surcharge of 100% per dog has been waved. |
| You will receive a FREE show catalog per entered dog if you submitted your completed entry form and payment on or before the above two dates. |
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The entry form is a 1-page Adobe Acrobat 5.0 PDF file for show entries. The PDF file has fillable form fields and an online submit button. You can pay by check or money order. We can e-mail, fax or mail you the entry form.
a) You must mail copies of the dog’s registration, pedigree and other applicable documents together with your check payment or money order and your signed entry form on or before the above dates.
b) All payments must be in US Dollars.
c) The original documents must be presented to the trial/show secretary at check-in.
d) It is possible to provide the name of the dog handler plus signature during show check-in.
INCOMPLETE ENTRIES, ENTRIES THAT ARE NOT SIGNED, AND ENTRIES WITHOUT PROPER DOCUMENTATION AND/OR PAYMENT WILL NOT BE ACCEPTED.

Mail completed entries, fees, and copies of the required documents to Donna Agee (trial/show secretary). Entries that are not received on or before the event deadline dates will not be accepted.
c/o State Farm Insurance
Donna Agee
6404 Carmel Road, Suite 200
Charlotte, NC 28226
Tel. (704) 541-9999
Please take advantage of electronically transmitting your entry form data.
We will not accept any entries after 26 February 2010.

For assistance in completing the entry form contact us by e-mail at CGSWDC@aol.com. Please provide your contact information (telephone, fax and e-mail). To receive the entry form as an e-mail attachment, by fax or by mail please read more details below!

As requested by the German Shepherd Dog Club of America-Working Dog Association, Inc. (GSDCA-WDA) you will need to read, understand and agree to the Release Statement and Waiver of Liability listed on the entry form and in the chapters below.

• No entry fee refunds!
• We reserve the right to refuse any entry!
• Adult dog handlers must be 18 years or older.

Young dog handlers 8–18 years of age can compete in Schutzhund Trials, Conformation Shows and Breed Surveys according to the GSDCA-WDA Junior Sports Program. At least one parent, guardian or sponsor must be a member of GSDCA-WDA, and the parent or legal guardian must sign all
release forms accepting responsibility for the Junior participant.

Please note that you will not be able to pay your entry fees with PayPal or your credit card.

| Entry Fees |
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| Event |
Description |
Age |
Entry Fee |
| BH |
Begleithundprüfung |
15 months |
$50 |
| SchHA |
Schutzhundprüfung A |
18 months |
$50 |
| SchH1 |
Schutzhundprüfung 1 |
18 months |
$75 |
| SchH2 |
Schutzhundprüfung 2 |
19 months |
$75 |
| SchH3 |
Schutzhundprüfung 3 |
20 months |
$75 |
| OB1 |
Obedience Exam 1 |
18 months |
$25 |
| TR1 |
Tracking Exam 1 |
15 months |
$25 |
| AD |
Ausdauerprüfung |
16 months up to 6 years |
$40 |
| Breed Survey |
First time |
18 months or older |
$135 |
| Breed Survey |
Life time |
18 months or older + 12 months |
$135 |
| Breed Survey |
Try to upgrade |
18 months or older + 12 months |
$135 |
| Conformation Show |
Baby Puppy Class |
3-6 months |
$40 |
| Conformation Show |
Junior Puppy Class |
6-9 months |
$40 |
| Conformation Show |
Senior Puppy Class |
9-12 months |
$40 |
| Conformation Show |
Youth Class |
12-18 months |
$50 |
| Conformation Show |
Young Dog Class |
18-24 months |
$50 |
| Conformation Show |
Adult (Open) Class |
24 months or older (without title) |
$40 |
| Conformation Show |
Veterans Class |
6 years or older (with title) |
$60 |
| Conformation Show |
Working Dog Class |
24 months or older (with title) |
$60 |
| Dental Notation |
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Dog must have adult teeth. |
$15 |

Our fees and charges are for all GSDCA-WDA members in good standing and other dog owners with German Shepherd Dogs planning to participate in the Southeastern Regional Show, Breed Survey and Club Trial. GSDCA-WDA membership is a requirement to participate in the breed survey program.

| Documents required for Breed Survey, Conformation Show and AD |
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| Description |
Reg. |
AKC Pedigree with certified Tattoo or Microchip or FCI recognised Pedigree |
Proof of Hip Certifi- cation *) |
Score Book |
Breed Survey Entry Form |
Original Breed Survey |
Show Card |
AD Certifi- cation |
| Breed Survey, first time |
X |
X |
X |
X |
X |
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X |
X |
| Breed Survey, lifetime |
X |
X |
X |
X |
X |
X |
X |
X |
| Puppy 3-12 months |
X |
X (if avail.) |
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| Youth 12-18 months |
X |
X |
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| Young Dog 18-24 months |
X |
X |
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| Adults (no title) |
X |
X |
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| Veterans (with title) |
X |
X |
X |
X |
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| Working Dog (with title) |
X |
X |
X |
X |
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| Trial and AD |
X |
X |
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X |
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View required GSDCA-WDA Rules and Regulations to enter a German Shepherd Dog in the trial, show or Breed Survey.

*) Effective September 1, 2008, in order to be eligible for a V rating at GSDCA-WDA sanctioned shows, dogs born after January 1, 2004 must have an “ED” stamp with the result “normal”, “fast normal”, or “noch zugelassen” in the pedigree.

| General Registration Requirements |
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If you enter your dog in the conformation show (Working Dog Class) then you must bring your original AKC or SV pedigree, proof of hip and ED certification, score book and breed survey documents (if applicable). For all other conformation classes, please have your pedigree available in case the judge wants to see it. All dogs older than twelve months must have a certified tattoo or certified microchip.”
In other words this means the dog needs to be registered with the AKC (if dog is born in USA), SV (if dog is born in Germany) or other FCI recognised kennel club and that you must have the 4-generation pedigree for it. 4-generation AKC pedigrees need to be tattoo or microchip certified by the GSDCA-WDA. Read about exceptions below:
In order to enter and compete in GSDCA-WDA events all German Shepherd Dogs over 12 months of age must have tattoo or microchip identification. German Shepherd Dogs that were born in the USA on or after January 1st, 2005, must have their tattoo number or microchip certified on their original 4-generation AKC pedigree. Three-generation AKC pedigrees for German Shepherd Dogs born prior to January 1st, 2005 will continue to be accepted for certification and for entry into GSDCA-WDA events. AKC pedigrees that have been tattoo or microchip certified by USCA will be accepted at all GSDCA-WDA events provided they meet the 3 or 4-generation requirement above.
| Release Statement for Dog Owners/Agents and/or Handlers |
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This release statement is included with the entry form and needs to be signed by the dog owner/agent and/or handler.
| It is understood that every dog at this event will at all times be in the care and control of the dog’s owner/agent and/or handler. It is further understood that the undersigned agrees to be fully responsible for the actions of his/her dog(s) while on the event grounds. I agree to hold HARMLESS the event-giving club (Carolina German Shepherd Working Dog Club), the German Shepherd Dog Club of America, Inc., the German Shepherd Dog Club of America-Working Dog Association, Inc., as well as their members, officers, directors and all property owners for the loss and/or injury which may have allegedly been caused directly or indirectly |
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to any person or thing by any act of my dog while on the event premises. I hereby assume all responsibility and liability for such claims. I further relinquish all claims and agree to hold HARMLESS the event-giving club (Carolina German Shepherd Working Dog Club), the German Shepherd Dog Club of America, Inc., the German Shepherd Dog Club of America-Working Dog Association, Inc., their members, officers, directors and all property owners for loss and/or injury which may have allegedly been caused directly or indirectly to myself or my dog during participation in this event. n |
| Waiver of Liability for Dog Owners/Agents and/or Handlers |
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This waiver of liability is included with the entry form and needs to be signed by the dog owner/agent and/or handler.
| I indemnify and hold harmless the event-giving club (Carolina German Shepherd Working Dog Club), the German Shepherd Dog Club of America, Inc., and the German Shepherd Dog Club of America-Working Dog Association, Inc. their members, directors, officers, agents, employees, instructors, and staff members from any and all claims, demands, actions, causes of action or liability of any kind whatsoever, for death, bodily injury or property damage caused in whole or in part by my acts, omissions and/or negligence, the acts, omissions and/or negligence of any of my agents, servants, employees or assigns, or brought onto the premises by me, my agents, servants, employees or assigns. |
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The right of indemnification granted above, will exist irrespective of whether the acts, omissions and/or negligence of the German Shepherd Dog Club of America, Inc. and/or the German Shepherd Dog Club of America-Working Dog Association, Inc. or the acts, omissions and or negligence of any third person or party, also contributed to the loss and will exist as set forth above in all circumstances except where the loss was caused solely as a result of the negligence of the German Shepherd Dog Club of America, Inc. and/or the German Shepherd Dog Club of America-Working Dog Association, Inc. n |
| Waiver of Liability for CGSWDC Members, Volunteers and Officials |
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| For and in consideration of membership in the German Shepherd Dog Club of America-Working Dog Association, Inc. (the GSDCA-WDA), the sum of $1.00 and other good and valuable consideration, I hereby agree to waive and relinquish any right to sue or make claim against the GSDCA-WDA, its members, agents, servants, employees, successors and/or assigns, for any bodily injury, property damage, loss and/or damages of any type sustained by me. Irrespective of whether such loss, damages, bodily injury or property damage are caused in whole or impart by the acts, omissions, carelessness, recklessness or negligence of the GSDCA-WDA, its members, agents, servants, employees, successors and/or assigns, and including but not limited to negligence, acts, omissions, carelessness |
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and/or recklessness associated with the inspection, maintenance and/or repair of premises or equipment. In addition, in the event a third person or third party including another GSDCA-WDA member, brings suit against the GSDCA-WDA, its members, agents, servants, employees, successors and/or assigns as a result of my acts or omissions or those of my agents, servants or employees, then I will agree to defend and indemnify the GSDCA-WDA and its members, agents, servants and/or employees from any liability, losses, damages, settlements, judgments, cost of suit or attorneys fees associated with the claim, irrespective of whether the negligent acts or omissions of the GSDCA-WDA or its members, agents, servants and/or employees also contributed to the loss. n |
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| Fill out PDF Entry Form from inside a Browser Window |
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Please note that you should be connected to the web (Internet), be online and viewing the entry form within a web browser window during the time you follow these steps. You should be able to transmit your entry form data to us by clicking on the red submit button inside the PDF file.
| Step |
Instructions |
1
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Click on the PDF icon or the text link, which will open the entry form file # (Adobe Acrobat 5.0 PDF v1.4 file, 337 kbytes) inside a new web browser window. Please wait until the PDF file is completely loaded. Depending on your computer and Adobe Reader version this could take several seconds up to a minute or so.

Adobe Acrobat Reader 5.0 or higher and/or an Acrobat Reader browser plug-in needs to be installed to work properly. |
| 2 |
Fill in your entry form data into the highlighted form fields and click the appropriate check boxes. |
| 3 |
Some form fields may not be applicable to you. In such cases leave the fields blank or place “NA” (not applicable) instead. Please make sure that you enter a valid e-mail address. |
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When you are done filling out the entry form proof read all entered data before you print and then sign the entry form. |
| 5 |
Click the red transmit button at the bottom of the entry form page. Your entered form data will be transmitted to us for processing. It may take a few seconds but then you should see our “Thank You” page. You will also receive an automated confirmation e-mail that we received your entry form data. |
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Complete your package by adding a check payment or money order, payable to Donna S. Agee, printed and signed entry form and copies of all applicable documents and then mail the envelope to:

c/o State Farm Insurance
Donna Agee
6404 Carmel Road, Suite 200
Charlotte, NC 28226
Tel. (704) 541-9999 (day) |
| Note |
You MUST bring ORIGINALS of all applicable documents to the trial/show. Present these documents during show registration/check-in. |
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If you provided an e-mail address we will e-mail you a confirmation after we checked/verified your submitted entry for necessary documentation, correct payment, acceptability, etc. |
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Please note that it is not enough to just transmit your Entry Form Data electronically. You are NOT entered in the trial/show until we receive your complete package with a check payment or money order, printed and signed entry form and copies of all applicable documents on or before the deadlines.

In case an error message appears during this online process and you didn’t see our “Thank You” page then please follow the instructions above for the correct method.
Read our HELP section about Viewing Adobe PDF documents in a web browser. |
| Enter via Mail (U.S. Postal Service or courier services) |
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If you wish to submit your entry form via Mail (U.S. Postal Service or commercial courier services) follow the steps below.
| Step |
Instructions |
1
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Download the file # (Adobe Acrobat 5.0 PDF v1.4 file, 337 kbytes) by right mouse clicking on the PDF icon or on the PDF file name link and then select “Save Target as…” to save the PDF to your computer’s hard drive. |
| 2 |
Start Adobe Acrobat Reader 5.0 or higher, then open the PDF file. |
| 3 |
Fill in the highlighted form fields with your entry form data and click the appropriate check boxes. |
| 4 |
Some form fields may not be applicable to your dog. In such cases leave the fields empty or place “NA” (not applicable) instead. Please make sure that your entered e-mail address is valid. |
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When you are done filling out the form print it by using Adobe Acrobat Reader’s print menu. It will NOT be necessary to click the red transmit button which is a function for sending entry form data only. |
| 6 |
Sign and date the printed entry form. |
| 7 |
Complete your package by adding a check payment or money order, payable to Donna S. Agee, printed and signed entry form and all copies of applicable documents then mail the envelope to:

c/o State Farm Insurance
Donna Agee
6404 Carmel Road, Suite 200
Charlotte, NC 28226
Tel. (704) 541-9999 (day) |
| Note |
You MUST bring ORIGINALS of all applicable documents to the trial/show. Present these documents during show registration/check-in. |
| «!» |
If you provided an e-mail address we will e-mail you a confirmation after we checked/verified your submitted entry for necessary documentation, correct payment, acceptability, etc. |
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| Request for entry form to be e-mailed, faxed or mailed! |
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Please let us know if you wish to receive the entry form by e-mail, by fax or by mail. This is a free service. Just fill out the form below. |
Note: After clicking the Submit button it may take several seconds until our Thank You page is displayed. PLEASE WAIT. You will receive an automated confirmation e-mail which will confirm that we have received your information entered into this form. It may take up to 48 hours until your request is processed.
Please remember that it is possible to download the PDF Entry Form from this website right now.
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