I CERTIFY that I am the actual owner of this 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 and the opportunity to have this dog race, I (we) agree to abide by the rules and regulations of the CANADIAN AMATEUR RACING ASSOCIATION in effect at the time of this race meet, and by any additional rules and regulations appearing in the premium list for this race meet. I (we) agree that the Basenji Club Of Canada, Greyhound Club of Canada, Ontario Racing Association, Whippet Club of British Columbia, Canadian Amateur Racing Association member Club, holding this Race meet has the right to refuse this entry for cause, which any of those named clubs shall deem to be sufficient. I (we) agree to hold the Club(s), its members, directors, governors, officers, agents or other functionaries, any employees of the aforementioned parties and the Owners of the Property of the practice premises or grounds 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 practice/certification meet 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 loss of this dog by disappearance, theft damage or injury be caused or alleged to be caused by the negligence of the Club(s) or any of the aforementioned parties or by the negligence of any person or any other cause or causes. I (we) certify and represent that the dog entered is not a hazard to person or other dogs. This entry is submitted for acceptance of the forgoing representations and agreements.