Tuesday October 5th - Sunday October 10th, 2021 / Premium List Event No: 2021048905 – Revision #1 (080221) Greenwood WMA North Jersey County Rd 539 Lacey, New Jersey Club Motels: AKC Licensed • Quality Inn 2016 NJ-37, Manchester Township, NJ 08759 (732) 657-7100 Tuesday October 5th - Sunday October 10th, 2021 • Clarion Hotel 815 Rte 37 W, Toms River, NJ 08755 Greenwood WMA (732) 341-2400 County Rd 539 Lacey, New Jersey

Waiver: Participation in the field trial, either through entering or

observance of the trial constitutes a waiver of liability to the North Jersey • Brittany Club, its officers, directors, and members, i.e., they are in no way Grand Open Limited Gun is open to Brittanys only • responsible and cannot be held liable for any accidents involving anyone Grand Am Limited , Open Gun Dog, Open Derby, Open attending the trial, their horses, , birds, and/or equipment. Puppy is open to Brittany, German Shorthaired , German Wirehaired Pointer, , , , Wirehaired Pointing , . • All other stakes are open to ALL pointing breeds.

Entries are limited to the number of dogs that can be run during available JUDGES AND STAKES TO BE JUDGED daylight hours. Entries will close if the limit is reached prior to the specified Mike Mullineaux Clayton, DE Grand Open Limited Gun Dog time.

Grand Open Limited Gun Dog Marcus Ramseur Sicklerville, NJ Anthony Rusciano Newfield, NJ Grand Amtr Limited Gun Dog Bitches in season may compete in the Grand Open Limited Gun Dog & Dayna Rusciano Newfield, NJ Grand Amtr Limited Gun Dog Amateur Gun Dog. Please advise secretary. Frank Luksa East Windsor, NJ Open Gun Dog WRANGLER HORSES WILL BE AVAILABLE ALL DAYS. Jeff Drogin New York, NY Open Gun Dog Mitch Swierczynski Durham, CT Open All-Age Approved AKC Tracking Collars are permitted in all stakes. Vince Anderson Erie, PA Open All-Age This Field Trial will be held under the Rules and Procedures of the AKC and is published in the American Field. Joseph Cincotta Stockton, NJ Amateur Gun Dog

Stacey Goodie Colchester, CT Amateur Gun Dog Mail entries with Checks to: Rick Taglang, Field Trial Secretary Bruce Conover South Boston, VA Open Puppy, Open Derby 18 Creekview Rd. Barnegat, NJ 08005 [email protected]

John Perry Claymont, DE Open Puppy E-mail entries will be accepted. No phone entries are accepted.

Dan Jolly Chatsworth, NJ Open Derby Entries will close at Noon, Monday 10/04/2021 for all This trial will be run with a flexible format option stakes. Drawing will take place at 7:00 pm, Monday 10/04/2021 at Home of the Secretary.

STAKES SCHEDULE ENTRIES Region 2 Champagne Memorial Brittany Shooting Dog Championship OFFICIAL FIELD TRIAL or HUNT TEST ENTRY FORM Grand Open Limited Gun Dog not before 7:00am Tuesday October 5, 2021 $ 125.00 Club: Date(s): Event #: North Jersey Brittany 10/5-10/10 2021048905 Grand Amtr Limited Gun Dog Not before 7:00am Friday October 8, 2021 $ 65.00 Location: Event type Enter in Stake/Test: Open Gun Dog Not before 7:00 am Saturday October 9, 2021 $ 58.00 Greenwood WMA Barnegat, NJ (test/trial): Open All-Age To follow Open Gun Dog $ 58.00 Field Trial Open Puppy Not before 7:00 am Sunday October 10, 2021 $ 40.00 AKC No. Foreign & List Country AKC DNA FDSB # I enclose entry Amateur Gun Dog To follow Open Puppy $ 58.00 fees in the Open Derby To follow Amateur Gun Dog $ 47.00 amount of: $ Full Name of Dog: COURSE AND BIRDS All stakes are Single Course without bird field, except Grand Open Breed: Call Name: Sex: Color: Date of Birth: Limited Gun Dog & Grand Amtr Limited Gun Dog which will be a continuous course. Native and Released bobwhite quail in all stakes except no birds released for the Puppy stakes. Horseback handling Sire:

will be permitted in all stakes. A blank cartridge WILL NOT be fired in Dam: the Puppy Stake. 32 or 209 primer will be used for the REGION 2 Name of Breeder: Brittany Champagne Memorial Championship. Actual Owner(s): PRIZES Owner’s Address: • Allan Stuyvesant Memorial Amateur Gun Dog Trophy awarded to the highest placing Brittany in the Amateur Gun Dog Stake. City: State: Zip:

• Standard AKC rosettes, to all placed dogs. Name of Owner’s Agent/Handler: • Points will be awarded in the Amateur Gun Dog & the Grand Amateur Limited Gun Dog stakes for the Northeast Amateur Gun Agent/Handler’s Address:

Dog Trophy. City: State: Zip: • Points will be awarded in all stakes that are open to all breeds AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website:www.akc.org towards the NJ dog of the year award from the NJ field trial AGREEMENT I certify that I am the actual owner of the 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 association. 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. I (we) certify and represent that the dog OFFICERS entered is not a hazard to persons or other dogs. 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 to hold the AKC, the event-giving club, their members, directors, governors, officers, Ann Marie Martucci - President, 3288 Johnson Ave, Manchester, NJ 08759 agents, 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 Mark Dreyfus – Chairperson/VP, 57 Citadel Dr, Jackson, NJ 08527 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 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 John Perry - Secretary, 13 E Rivers End Dr. Claymont, DE 19703 aforementioned parties harmless from any 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 Judy Kiracofe - Treasurer, 300 Squankum Road, Farmingdale, NJ 07727 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 FIELD TRIAL COMMITTEE 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 Mark Dreyfus - Chairperson, 57 Citadel Dr, Jackson, NJ 08527 ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET Ralph Kiracofe Marsha Luisi Rick Taglang FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.

Brent Rupnow Dan Jolly Signature of owner or his FIELD TRIAL MARSHALS agent duly authorized to make this entry: ______Marsha Luisi Brent Rupnow Ann Marie Martucci Telephone: Email address:

NORTH JERSEY BRITTANY CLUB REGION 2 CHAMPAGNE MEMORIAL BRITTANY SHOOTING DOG CHAMPIONSHIP October 5-10, 2021 Greenwood Wildlife Management Area, County Rd 539 Lacey, New Jersey Note: All Entry Forms Must Be Completed And Fees Paid Before Any Dog Is Drawn. ***This Trial is sanctioned by the American Field, if your dog has a FDSB & DNA number please include it on your entry***

REGION 2 CHAMPAGNE MEMORIAL BRITTANY SHOOTING DOG CHAMPIONSHIP COMMITTEE Mark Dreyfus - Chairperson, 57 Citadel Dr, Jackson, NJ 08527 Judy Kiracofe, Ralph Kiracofe, Joe Luisi, Marsha Luisi, Ann Marie Martucci, Joanne Perry, John Perry, Brent Rupnow

Horses: The wrangler for the trial will be Robin Shandle (570) 660-7045. WRANGLER HORSES WILL BE AVAILABLE ALL DAYS. Directions to Greenwood WMA Latitude 39.852195° Longitude -74.381013° https://goo.gl/maps/UhDCfi6TgtxbKX6X7 Take the New Jersey Turnpike to exit 7A. 1. After you pay the toll, take Route 195 east to exit 16A. 2. At the exit ramp, make a right onto Route 537 West. 3. You will pass a Wawa and a McDonalds on your right. Continue on 537 past the entrance to Great Adventure on your right. Look for the light that intersects with Rt 539 and make a left onto Rt 539 south. 4. Continue down Rt 539 for about 20 minutes. 5. Once Rt 539 intersects with Rt 70 you will see a WAWA on the left, after that light you will need to bear right where rt 539 and rt 530 meet. Continue on Rt 539 south. 6. The area is heavily forested so there are no great landmarks. Look for brown WMA signs for Greenwood WMA. The main parking lot is a large dirt parking area on the right hand side about a quarter-mile south of mile-marker 18. Look for a Brittany Trial sign. If you pass the intersection for Rt 72 you went too far. We Would like to thank our Sponsor for their Support and Generosity!

Nutrena Animal Feeds 1-800-367-4894 https://www.nutrenaworld.com/