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TEXAS COASTAL BRITTANY CLUB

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					                    AGREEMENT AND DISCLAIMER                                                       TEXAS COASTAL BRITTANY CLUB
Entries accepted with the understanding that I (we) agree to hold the Texas                                   A.K.C. Licensed       Event #2011048104
Coastal Brittany Club, its Officers, Directors, Field Trial Committee, or Club                                        FIELD TRIAL PREMIUM LIST
                                                                                                             This Field Trial is Held Under the Rules and Procedures
Members and the Owner or Lessor of the grounds and any employees of the                                                 of the AMERICAN KENNEL CLUB
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                                         The Boyd Ranch
act of this dog while in or upon the field trial grounds or near any entrance
thereto, and I (we) personally assume all responsibility and liability for any such                                      Wortham, Texas
claim; and I (we) further agree to hold the aforementioned parties harmless                                             November 4-6, 2011
from any claim for loss of this dog by disappearance, theft, damage, or injury,
be caused or alleged to be caused by the negligence of the Texas Coastal              Open All Age and Amateur All Age OPEN TO BRITTANYS ONLY. All remaining stakes
Brittany Club or any of the parties aforementioned, or by the negligence of any       open to all AKC pointing breeds. Entries are limited to the number of dogs that can be
other person, or any other cause or causes.                                           judged during available daylight hours on the dates of the trial. Entries will close when the
                                                                                      limit is reached if this occurs prior to the specified closing time.
I (we) hereby assume the sole responsibility for and agree to indemnify and
                                                                                              MAIL ENTRIES TO:                  Mary Crawford, Field Trial Secretary
save the aforementioned parties harmless from any and all loss and expense
                                                                                                                                  11902 Mile Dr., Houston, TX 77065
(including legal fees) by reason of the liability imposed by law upon any of the
                                                                                                                                               Phone: 281.469.2234
aforementioned parties for damage because of bodily injuries, including myself
                                                                                                                                                 Fax: 281.890.1639
(ourselves) or on account of damage to property, arising out of or in                 No phone entries will be taken. Entries must be completed and accompanied by fee.
consequence of my (our) participation in this field trial, however, such injuries,
death, or damage to property may be caused, and whether or not the same
                                                                                      ENTRIES CLOSE AT 6:00 PM (CST), Wed, Oct 26, 2011
may have been caused or may be alleged to have been caused by negligence                                              with the Field Trial Secretary,
of the aforementioned parties or any of their employees or agent, or any other                                    11902 Mile Drive, Houston, TX 77065
persons.
                                                                                                   DRAWING TO BE HELD AT 7:00 PM (CST), Wed, Oct 26, 2011
                         Emergency Numbers                                                                  At 11902 Mile Drive, Houston, TX 77065


Ambulance, Fire Dept., Police Dept.                        911                                             JUDGES AND STAKES TO BE JUDGED
                                                                                        Joe Schneider    21810 729 CR 450            Open Puppy
Hospital -      Mexia Regional Hospital           254-562-5332                                                 Dayton, TX 77535      Open Gun Dog
                                                                                                                                     Amateur All Age
                600 S. Bonham, Mexia                                                    Janeen Schneider 17993 729 CR 450            Open Puppy
                                                                                                               Dayton, TX 77535      Open Gun Dog
Vet -        Bennett Vet Hospital                 254-562-6533                                                                       Amateur All Age
                                                                                        Joyce Miley            36089 Tompkins Rd     Open All Age
             Hwy. 171 West, Mexia                                                       53311                  Hempstead, TX 77445   Amateur Gun Dog
                                                                                        Tom Longfellow Z2659 650 CR 172              Open All Age
Jim Crawford                              cell    281-610-6055                                                 Gatesville, TX 76528  Open Derby
                                                                                        Grant Stanfill         619 Hosford           Open Derby
Mary Crawford                             cell    281-610-6056                                                 Red Oak, TX 75154
                                                                                        Z3263
                                                                                        Steve Reynolds ZH675 5210 Cleveland Blvd     Amateur Gun Dog
                                                                                                               #140-108
                                                                                                               Caldwell, ID 83607
                                                                                              OFFICIAL AMERICAN KENNEL CLUB FORM                                     FIELD TRIAL

                STAKES, SCHEDULE & ENTRY FEES                                                  Club                 Texas Coastal Brittany Club                       Event #     2011048104
Open All Age               Friday Nov 4, 2011, 7:30 AM CST                   $50.              Location              Boyd Ranch, Wortham, TX                          Stake
Open Puppy                 To follow OAA                                     $40.
Open Gun Dog               To follow OP                                      $50.              Date                       Nov 4-6, 2011                               Entry Fee        $
Open Derby                 To follow OGD                                     $50.
Amateur All Age            To follow OD                                      $50.              Name                                                                   Call Name
Amateur Gun Dog            To follow AAA                                     $50
                        Stakes with less than 4 entries will not be drawn.                     AKC #                                                    FDSB #
                   AKC Approved Tracking Collars are permitted.
                                                                                               Breed                                    Sex                     Birth Date

                                                                                               Sire
                               COURSES & BIRDS
                                                                                               Dam
All Stakes except Open Puppy-Single course with native and released birds.
                              (without bird field)                                             Breeder
Open Puppy-Single course, no birds released.
             A blank cartridge will not be fired in the puppy stake.                           Owner                                                                Phone

                                                                                               Address                                                          Email
    Horseback handling permitted in all stakes; no handler horses will be provided.
                                                                                               City                                                         State                Zip

                                       FIREARMS                                                Agent/Handler                                                        Phone
Shotguns will not be permitted on the grounds. Only a solid barrel firearm or plugged
                                                                                               Address                                                          Email
barrel firearm, with blank shells, which prevents a projectile of any kind from leaving the
barrel permitted in any stake.                                                                 City                                                         State               Zip
                                                                                              AKC Rules, Regulations, Policies and Guidelines available on the AKC website: www.akc.org
                                                                                                                                               AGREEMENT
                                                                                              I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner
                                          PRIZES                                              whose name I have entered above. In consideration of the acceptance of this entry, I (we) agree to abide by
     Standard AKC Rosettes to placed dogs. Trophies to first placed dogs.                     the rules and regulations of The American Kennel Club in effect at the time of this event, and any additional
                                                                                              rules and regulations appearing in the premium list of this event and entry form and any decision made in
                                                                                              accord with them. 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
                                       OFFICERS                                               to hold the AKC, the event-giving club, their members, directors, governors, officers, agent, 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
President      Patricia Mankin 1203 Spring Branch Dr, Baytown, TX 77520                       have been caused directly or indirectly to any person or thing by the act of this dog while in or about the
Vice President Jim Crawford     11902 Mile Dr., Houston, TX 77065                             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
Secretary      Robert Power 809 Sul Ross, Houston, TX 77006                                   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 therefrom, sustained by any person
                                                                                              or persons, including myself (ourselves), or on account of damage to property, arising out of or in
                          FIELD TRIAL COMMITTEE                                               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
    Larry Mankin, Chairman, 1203 Spring Branch Dr., Baytown, TX 77520                         negligence of the aforementioned parties or any of their employees, agents, or any other persons. I (WE)
              Mary Crawford Patricia Mankin Robert Power Dave Jones                           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 THIS PREMIUM LIST) AND
                                                                                              MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF
                                                                                              THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE
                           FIELD TRIAL MARSHALS                                               RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION
                                      Club Members                                            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.
                                                                                               Signature of owner or his agent
                                                                                               duly authorized to make this entry:___________________________________________________

                                                                                              Phone________________________________ Email____________________________________
                                                    TEXAS COASTAL BRITTANY CLUB
                                                                    Boyd Ranch
                                                                  Wortham, Texas
                                                                   Nov 5-6, 2011

ENTRIES:   Entries close on Wednesday, Jan 19, 2011 @ 6:00 pm CST at the Crawford home, 11902 Mile Dr., Houston, TX 77065, 281-469-2234.
           Entries must be completed and paid in full before your dog will be drawn.
           Contact the Crawfords at JandMBrittanys1@juno.com if you have any questions.

MOTELS:    Best Western, Hwy 84, east of downtown Mexia                 254-562-0200
           Triangle Motel, intersection of Hwys 171 & 14, Mexia         254-562-2838
           Kings Inn,             “                                     254-562-3814
           Inn of Mexia,          “                                     254-562-5593

EMERG.     Ambulance Service, Fire & Police             911
NO’S:      Veterinarian-Bennett Vet Hospital            254-562-6533 ofc
                  Hwy 171, Mexia                        254-786-4988 home
           Hospital-Mexia Regional Hospital             254-562-5332
                  600 S Bonham, Mexia

           Jim Crawford                cell             281-610-6055
           Mary Crawford, FT Secretary cell             281-610-6056

FOOD:      Lunch on Friday, Saturday.

WATER:     Water is available for horses and dogs. Bring your own drinking water. There is no smoking on the course.

CAMPING:   The gate will be unlocked Thursday at 2:00 pm.
           No entry into the grounds until then.
           Limited electrical hookups available at $10 a nite; no water hookups.

                                                         Directions to TRIAL GROUNDS
                                                                    Wortham, TX
                                                 From State Hwy 14 (between Wortham and Mexia TX),
                           travel west on Cty Rd 250 (CR 250 is approx 3.3 mi. south of Wortham and 4.6 mi. north of Mexia);
                                                    travel approx. 7 mi. to gate on right side of road.


                             **Please note that the OGD will start Friday afternoon based on previous trial’s entries.


                                                    We look forward to seeing you at the trial !
                                 Remember you are responsible for leaving your area CLEAN when you leave!

				
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