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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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