Official American Kennel Club Entry Form

Transcription

Official American Kennel Club Entry Form
Field Trial/Hunting Test Premium Event #2015027612
STAKE
THE AMERICAN BRITTANY CLUB
SCHEDULE
Open Limited Gun Dog
ABC Tarheel Open Limited Gun Dog Classic
THIS IS AN AKC GRAND CHAMPION STAKE
Also The
Tarheel Open Shooting Dog Championship
February 17, 2015 – February 19, 2015
Open to All Qualified AKC Registered Brittanys
Bitches In Season May Not Compete
This Field Trial will be held under the Rules and Procedures of the
AMERICAN KENNEL CLUB
MAIL ENTRIES WITH CHECKS TO:
Linda Ouellette, Field Trial Secretary
822 Nursery Road, Pamplin, VA 23958
Phone: 434-547-3176 or 732-995-0648
Email: [email protected] or [email protected]
Entries Close: Saturday, February 14, 2015 at 3:00 PM
Drawing will take place on Saturday, February 14, 2015 at 6:00 PM
At 822 Nursery Road, Pamplin, VA 23958
Running order may be obtained by calling the Field Trial Secretary
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Single Course without Bird Field
Native & Released Bobwhite Quail
Shotguns will not be Permitted; Solid Barrel Blank Pistols Only
Horseback Handling Permitted
Tracking Collars will be permitted for use under AKC Rules and
Regulations but will NOT be supplied by the Tarheel Brittany Club
PRIZES
AKC Rosettes to All Placed Dogs
American Field Championship Rosettes to 1st & 2nd Placed Dogs
$250.00 Purse to Winner
$170.00 Purse to Runner-Up
Tri Tronics Award Points Trial
OFFICERS
President
Vice-President
Secretary
Treasurer
Dr. Robert Rankin. 2502 NW 234th St., Edmond, OK 73025
Tom Robin, 6800 Park Road, Ann Arbor, MI 48103
Mary Jo Trimble, 10370 Fleming Rd., Carterville, IL 62918
Gerilyn Sennott, 352 Whitney Road, Lake Zurich, IL 60047
JUDGES AND STAKE TO BE JUDGED
Howard Shultz
P. O. Box 95, Beallsville, MD 02839-0095
Grand Hour Open Limited Gun Dog Classic
Jeff Smith
1288 Harkers Island Road, Beaufort, NC 28516
Grand Hour Open Limited Gun Dog Classic
$125.00
COURSE, BIRDS AND TRACKING COLLARS
Hosted By The Tarheel Brittany Club
AKC Licensed Field Trial
Dick Cross Wildlife Management Area
Route 4, South Hill, VA
Not Before 8:00 AM
February 17, 2015
One Hour Heats
ENTRY FEE
FIELD TRIAL COMMITTEE
Event Chair:
Event Committee:
Ronnie & Ivan Clark, 173 Starlight Lane, Kenbridge, VA
Ronnie & Ivan Clark, Martha Greenlee, Marvin Roth
Linda Ouellette
Official American Kennel Club Entry Form
Club: AmericanBrittany Club
Date: February 17-19, 2015
____________________________________________________________________
Official American Kennel Club Entry Form
Club: American Brittany Club
Date: February 17- 19, 2014
____________________________________________________________________
Location: Dick Cross WMA
Event Type (test or trial) Trial
_________Boydton/South Hill, VA________________ #2015027612_________
Grand
Enter in Stake/Test: Open Ltd. Gun Dog Classic Breed: Brittany
Sex:
Location: Dick Cross WMA
_________Boydton/South Hill, VA
Event Type (test or trial) Trial
#2015027612__________________
Grand
Enter in Stake/Test: Open Ltd. Gun Dog Classic Breed: Brittany
Sex:
_____________________________________________________________________________________
_____________________________________________________________________________________
I enclose Entry Fees
Reg #
DOB
FDSB#
in the amount of:
$125.00___________________________________________________________
Breeder:
____________________________________________________________________
Name of Dog:
Call Name:
____________________________________________________________________
I enclose Entry Fees
Reg #
DOB
FDSB#
in the amount of:
$125.00___________________________________________________________
Breeder:
____________________________________________________________________
Name of Dog:
Call Name:
____________________________________________________________________
________AKC # _______AKC Litter # ________ILP #. ________Foreign #
List Country _________________________________
_______AKC# ________AKC Litter # _______ILP# _______Foreign #
List Country .____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Sire:
____________________________________________________________________
Dam:
____________________________________________________________________
Actual Owner (s)
____________________________________________________________________
Owner’s Address:
Sire:
____________________________________________________________________
Dam:
____________________________________________________________________
Actual Owner (s)
____________________________________________________________________
Owner’s Address:
____________________________________________________________________________________
City:
State:
Zip:
____________________________________________________________________________________
Names of Owner’s Agent/Handler:
____________________________________________________________________
____________________________________________________________________________________
City:
State:
Zip:
____________________________________________________________________________________
Names of Owner’s Agent/Handler:
____________________________________________________________________
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, I (we) agree to abide by the rules and regulations of the American Kennel Club in
effect at the time of this trial, and by any additional rules and regulations appearing in the premium list for this trial, and entry form. I (we)
certify and represent that the dog entered is not a hazard to persons or other dogs. The entry is submitted for acceptance on the foregoing
representation and agreement. 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 the entry and of the holding of this event and of the opportunity to have the dog judged
and to win ribbons or trophies, I (we) agree to hold the AKC, the event giving club, their members, director, governors, officers, agents
superintendents or event secretary and the owner 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, any AKC approved judge, judging at this event, harmless from any claim for
loss or injury which may be alleged to have been caus4ed 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 or 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 therefrom, 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 /or this club and myself
(ourselves) or as to the construction, interpretations and effect of this Agreement shall be settled by arbitration pursuant to the applicable rules
of the American Arbitration Association. However, prior to arbitration all applicable AKC bylaws, rules and procedures must first be
followed as set forth in the AKC charter and bylaws, rules, published policies and guidelines. I (we) agree to conduct myself (ourselves) in
accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord
with them. The rules applying to registration and discipline, as well as other rules, published policies and guidelines are available at
www.akc.org.
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, I (we) agree to abide by the rules and regulations of the American Kennel Club in
effect at the time of this trial, and by any additional rules and regulations appearing in the premium list for this trial, and entry form. I (we)
certify and represent that the dog entered is not a hazard to persons or other dogs. The entry is submitted for acceptance on the foregoing
representation and agreement. 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 the entry and of the holding of this event and of the opportunity to have the dog judged
and to win ribbons or trophies, I (we) agree to hold the AKC, the event giving club, their members, director, governors, officers, agents
superintendents or event secretary and the owner 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, any AKC approved judge, judging at this event, harmless from any claim for
loss or injury which may be alleged to have been caus4ed 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 or 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 therefrom, 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 /or this club and myself
(ourselves) or as to the construction, interpretations and effect of this Agreement shall be settled by arbitration pursuant to the applicable rules
of the American Arbitration Association. However, prior to arbitration all applicable AKC bylaws, rules and procedures must first be
followed as set forth in the AKC charter and bylaws, rules, published policies and guidelines. I (we) agree to conduct myself (ourselves) in
accordance with all such Rules and Regulations (including all provisions applying to discipline) and to abide by any decisions made in accord
with them. The rules applying to registration and discipline, as well as other rules, published policies and guidelines are available at
www.akc.org.
Signature of Owner or their agent duly authorized to make this entry
X__________________________________________________________________
Telephone:
Email Address:
Signature of Owner or their agent duly authorized to make this entry
X__________________________________________________________________
Telephone:
Email Address:
The Tarheel Brittany Club Invites You To Join Us At
The Tarheel Open Shooting Dog Championship
Also, The ABC Tarheel Grand Open Limited Gun Dog
Classic, To Be Held At
Dick Cross WMA, Boydton (South Hill), VA
February 17, 2015 To Conclusion or February 19, 2015
FOOD:
Morning Coffee, and, Lunches will be available
all days.
MEET THE JUDGES: Monday Feb. 16th at the Clubhouse. Bring
your favorite Happy Hour Munchies.
CLUB DINNER:
PLEASE NOTE - THE TIDEWATER BRITTANY CLUB
SPRING TRIAL WILL IMMEDIATELY FOLLOW THIS
EVENT – SAME LOCATION!
Tuesday Feb. 17th at the Clubhouse. The
Tarheel Shooting Dog Championship/ABC
Tarheel OLGD Classic will host. Bring a desert
or munchies if you can!
HOTELS:
Judgment will begin on Tuesday morning, February 17, 2015 at 8:00
AM. We plan to run 6 braces each day.
DIRECTIONS:
CAMPING:
From Route 58 between South Hill, VA and
Clarksville, VA - take Route 4 South(East)
toward The Kerr Dam, approximately 5 miles to
the Dick Cross WMA Entrance on the Left
immediately after Pino’s Pizza Restaurant.
Green Signs are posted For Kerr Dam
Recreation Area on Route 58.
The Comfort Inn
918 E. Atlantic St.
South Hill, VA 23970
434-447-2600
Holiday Inn Express
101 Thompson St.
La Crosse, VA 23950
434-955-2777
Super 8 Motel
250 Country Lane
South Hill, VA 23070
434-447-2313
We Look Forward to Seeing You There!
PLEASE NOTE: You can attend 3 events in one week here
in south central Virginia!
Camping is permitted – No hookups.
KENNEL& BARN: The Kennel and Barn are available for our use.
PLEASE clean up after your dogs and horses.
You must clean your horse stalls. A
wheelbarrow is available. If you have
questions, please ask Linda Ouellette.
CLUBHOUSE:
The clubhouse will be available to us during the
Trial. There are cooking facilities, rest rooms
and a shower.
WATER:
Water for dogs, horses, plus potable water will
be available on the grounds.
The Tidewater Brittany Club will hold a trial at this location
on February 20 – 22, 2015.
The Northern Virginia Brittany Club will hold a trial at Slate
River Farm in Dillwyn, VA on February 13-15, 2015. This
is the weekend before this event.