Directions to Hanover Shoe Farms, Sells Station Road Site: PREMIUM LIST From West or South: Rt. 97 to Littlestown. At the traffic light take Rt. 194 North to Early Entries Close on Friday, Oct. 23, 2015 Sell Station Road. Left on Sell Station; 1.3 miles to site. 6pm at the FTS address, From East and North: Rt. 194 South out of Hanover. Sells Station Road is 0.8 miles Day of Trial Entries close at 7:00am past the main entrance to Hanover Shoe Farms. Turn right on Sell Station; 1.3 miles ENTRIES WILL NOT BE ACKNOWLEDGED BY MAIL to the site.

General Site Descriptions: The Sells Station Road soccer complex is fenced and REGION 8 remote from busy roads. The weather may be hot, and field conditions vary from dry through wet and muddy. Please provide shade and water for your . BASENJI CLUB of AMERICA, INC.

Map of area:

BASENJI NATIONAL SPECIALTY

Motels: Travelodge, Gettysburg PA 717-334-9281 ASFA FIELD TRIAL Boston Inn, Westminster, MD 800-634-0846 1863 Inn of Gettysburg, Gettysburg, PA 717-334-6211 Comfort Inn, Gettysburg, PA 717-337-2400 Super 8-Gettysburg, Gettysburg, PA 717-337-1400 Motel 6, York, PA 717-846-6260 Econolodge ,Hanover, PA 717-646-1000 ***Eisenhower Hotel and Conference Center, (717) 334-8121 2634 Emmitsburg Rd, Gettysburg, Pennsylvania 17325*** ***HOST HOTEL***

Wednesday, October 28, 2015 Hanover Shoe Farms, 950 Sells Station Road Littlestown, Pennsylvania, 17340 VETERINARIAN ON CALL: Cell Phones On-Site: 410-868-6369, 908-580-9212, 610-750-2318 VCA-Conewago BCOA much appreciates the continuing 3002 Hanover Pike generosity of Hanover Shoe Farms Inc. Hanover, PA 17331 in permitting the use of their Soccer Complex for this event.

Early-entry fee $25.00 for each entered; 1.35 MILES FROM THE ENTRANCE OF THE FIELD Day of Trial Entry $35.00 Kennel & Breeder Stakes: $10.00 per pair

Permission has been granted by the American Field Association for the holding of this event under ASFA Rules and Regulations Audrey Silverstein, Chairman, ASFA Scheduling Committee Basenji Club of America, Inc. - Club Officers 2012 KENNEL STAKE: Open to 2 entries owned by the same person and kenneled together. Must be indicated on entry. NOT RUN AS A SEPARATE STAKE Jon Curby…President Pam Geoffroy…Vice President Janet Ketz…Secretary Denise Vertrees …Treasurer BREEDER STAKE: Open to 2 entries bred by the same person. Must be indicated on entry. Directors: Lisa Auerbach, Kim Brown, Bryan Gregory, Karen Hutchinson, Jackie NOT RUN AS A SEPARATE STAKE. Jones, Suzanne La Croix, Michael Work

JUDGES BEST IN FIELD WILL NOT BE OFFERED Robert Marciszewski, 11330 Glen Arm Rd, Glen Arm, MD 21057 Dean Wright, 446 Baltimore Street, Hanover, PA 17331 Conditions of Entry: Basenjis must be 1 year of age or older on the day of the trial. A stake will be split if 20 or more entries are present in any one stake at the time of the draw. All FIELD COMMITTEE hounds will run twice, in trios if possible or braces unless excused, dismissed or disqualified. Co-Field Trial Chairman: Mark Baime [email protected] 908-580-9212 Bitches in season, Basenjis with breed disqualifications and lame Basenjis will be excused. and LeeBeth Cranmer [email protected] 610-750-2318 Hounds not present at roll call will be scratched. Each entry will be examined at inspection

for breed disqualifications. Spayed, neutered, cryptorchid, and monorchid Basenjis (without Field Trial Secretary: Audrey Silverstein, [email protected] Mail entries to: 3620 Cemetery Lane, Westminster, MD 21158, breed disqualifications) may be entered. Audrey’s cell (410) 868-6369 Battery powered, continuous loop lure machines will be used. The lure will consist of white plastic strips. Backup equipment will be available. The course will be reversed for the finals, Records Desk & Field Clerk: Audrey Silverstein runoffs and Best of Breed. The members of BCOA reserve the right to alter the course plan Huntmasters: Mark Baime, Holly Hamilton, Elizabeth Lundell, Mike Roach as required by weather and/or field conditions on the date of the trial. Exhibitors are Lure Operators: Bob Jordan, Harry Van Vliet requested to not bring bitches known to be in season to the field. There will be a $5.00 fine assessed for any loose hound not participating in the course. Any person may, upon reasonable complaint, be asked to leave the grounds of the field trial by the Field Trial RIBBONS AND TROPHIES First – Blue, Second - Red, Third - Yellow, Fourth – White, NBQ – Green, High Scoring Committee. Single - Blue/Gold, Best of Breed - Purple & Gold Rosette All placement ribbons are Rosettes!! AND LOTS of prizes!!! See last page of premium.

Trial Hours: 7:00 am – Completion. Roll Call: 7:30am.

ENTRIES WILL NOT BE ACKNOWLEDGED BY MAIL.

ELIGIBILITY Only purebred Basenjis may be entered in the regular stakes. All entries in the regular stakes shall be individually registered with the AKC(ILP/PAL included), the UKC, an ASFA-recognized foreign or ASFA Board approved registry.

STAKES OFFERED: Open: Any eligible Basenji, excluding ASFA Field Champions of Record that has met certification requirements. Field Champion: Any ASFA Field Champion. Veteran: Any eligible Basenji whose age is at least six years of age. Points & placements go toward V-FCH & V-LCM titles. Single Stake: Any eligible Basenji including those disqualified to run in other stakes. Spayed, neutered, monorchid or cryptorchid hounds without breed disqualifications may be entered; Basenjis with breed disqualifications are not eligible to enter except in the Single Stake. Not eligible for Best of Breed or Best in Field. Basenjis are eligible to earn TCP and CPX titles from the Singles stake.

OFFICIAL AMERICAN SIGHTHOUND FIELD ASSOCIATION ENTRY FORM OFFICIAL AMERICAN SIGHTHOUND FIELD ASSOCIATION ENTRY FORM BASENJI CLUB of AMERICA, INC. BASENJI SPECIALTY TRIAL BASENJI CLUB of AMERICA, INC. BASENJI SPECIALTY TRIAL Hanover Shoe Farms, Littlestown, PA Hanover Shoe Farms, Littlestown, PA Wednesday, October 28, 2015 Wednesday, July 28, 2015 Early-Entries close October 23, 2015. Day-of-Trial Entries accepted on the day of the Early-Entries close October 23, 2015. Day-of-Trial Entries accepted on the day of the trial, and close at the FTS CAR at 7:00 a.m. trial, and close at the FTS CAR at 7:00 a.m. ENTRIES WILL NOT BE ACKNOWLEDGED BY MAIL ENTRIES WILL NOT BE ACKNOWLEDGED BY MAIL Early Entries: $25 for each hound entered Early Entries: $25 for each hound entered Day of Trial Entries : $35 for each hound entered. Day of Trial Entries : $35 for each hound entered. FTS: Audrey Silverstein, 3620 Cemetery Lane, Westminster, MD 21158 FTS: Audrey Silverstein, 3620 Cemetery Lane, Westminster, MD 21158 Telephone: (410) 868-6369 Telephone: (410) 868-6369

Fee Paid The Field Secretary cannot accept conditional, unsigned, incomplete or unpaid Fee Paid The Field Secretary cannot accept conditional, unsigned, incomplete or unpaid entries; please check your completed entry carefully. entries; please check your completed entry carefully. Breed: Call Name: Breed: Call Name: BASENJI BASENJI Registered Name of Hound: Registered Name of Hound:

Stake: Additional Stakes Stake: Additional Stakes  Open  FCH  Veteran  Single  Kennel  Breeder  Bench  Open  FCH  Veteran  Single  Kennel  Breeder  Bench Registration Number: (please write in registering body before number) Registration Number: (please write in registering body before number)

 If possible, please Date of Sex:  If possible, please Date of Sex: separate my hounds Birth:   Bitch separate my hounds Birth:  Dog  Bitch Name of actual owner(s): Name of actual owner(s):

Address: Phone: Address: Phone:

City: State: Zip: City: State: Zip:

E-mail (Optional) (Optional) Region of Residence: E-mail (Optional) (Optional) Region of Residence:

 Check if this is the first ASFA trial for this hound. Attach a Hound Certification or waiver if  Check if this is the first ASFA trial for this hound. Attach a Hound Certification or waiver if entered in Open, Veterans, Limited. entered in Open, Veterans, Limited.  Check if this is a first-time entry, a copy of the official Registration of this hound must  Check if this is a first-time entry, a copy of the official Registration of this hound must accompany this entry unless NGA. accompany this entry unless NGA.  Check if any information has changed since the last ASFA trial entry. Regarding  Check if any information has changed since the last ASFA trial entry. Regarding  Check if this hound has been dismissed within the last 6 trials entered. Must be marked in order to  Check if this hound has been dismissed within the last 6 trials entered. Must be marked in order to qualify for a “clean” trial requirement. qualify for a “clean” trial requirement.

I CERTIFY that I am the actual owner of this dog, or that I am the duly authorized agent of the actual owner I CERTIFY that I am the actual owner of this dog, or that I am the duly authorized agent of the actual owner whose whose name I have entered above. In consideration of the acceptance of this entry and the opportunity to have name I have entered above. In consideration of the acceptance of this entry and the opportunity to have this dog this dog judged and to win prize money, ribbons, or trophies, I (we) agree to abide by the rules and regulations of judged and to win prize money, ribbons, or trophies, I (we) agree to abide by the rules and regulations of the the American Sighthound Field Association in effect at the time of this lure field trial, and by any additional rules American Sighthound Field Association in effect at the time of this lure field trial, and by any additional rules and and regulations appearing in the premium list for this lure field trial. I (we) agree that the club holding this lure regulations appearing in the premium list for this lure field trial. I (we) agree that the club holding this lure field trial field trial has the right to refuse this entry for cause, which the club shall deem to be sufficient. I (we) agree to has the right to refuse this entry for cause, which the club shall deem to be sufficient. I (we) agree to hold this club, hold this club, its members, directors, governors, officers, agents or other functionaries, any employees of the its members, directors, governors, officers, agents or other functionaries, any employees of the aforementioned aforementioned parties and the owner(s) of the trial premises or grounds harmless from any claim for loss or parties and the owner(s) of the trial premises or grounds harmless from any claim for loss or injury which may be injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or upon the while in or upon the lure field trial premises or grounds or near any entrance thereto and I (we) personally lure field trial premises or grounds or near any entrance thereto and I (we) personally assume all responsibility and assume all responsibility and liability for any such claim, and I (we) further agree to hold the aforementioned liability for any such claim, and I (we) further agree to hold the aforementioned parties harmless from any claim parties harmless from any claim loss of this dog by disappearance, theft damage or injury be caused or alleged to loss of this dog by disappearance, theft damage or injury be caused or alleged to be caused by the negligence of be caused by the negligence of the club or any of the aforementioned parties or by the negligence of any person the club or any of the aforementioned parties or by the negligence of any person or any other cause or causes. I or any other cause or causes. I (we) certify and represent that the dog entered is not a hazard to person or other (we) certify and represent that the dog entered is not a hazard to person or other . This entry is submitted for dogs. This entry is submitted for acceptance of the forgoing representations and agreements acceptance of the forgoing representations and agreements

SIGNATURE of owner or his agent SIGNATURE of owner or his agent duly authorized to make this entry duly authorized to make this entry AMERICAN SIGHTHOUND FIELD ASSOCIATION AMERICAN SIGHTHOUND FIELD ASSOCIATION HOUND CERTIFICATION HOUND CERTIFICATION Rule effective October 1, 1994: Ch. V, Sec. 4 (a) OPEN STAKE: To be eligible to enter the Rule effective October 1, 1994: Ch. V, Sec. 4 (a) OPEN STAKE: To be eligible to enter the open stake, a hound must have been certified by a licensed judge within the year preceding open stake, a hound must have been certified by a licensed judge within the year preceding the closing date for the entry or have previously competed in the Open Stake. This eligibility the closing date for the entry or have previously competed in the Open Stake. This eligibility requirement also applies to a hound entered in the Limited or Veteran Stake, which has not requirement also applies to a hound entered in the Limited or Veteran Stake, which has not competed in Open previously. Please complete this portion of this form and attach it to the competed in Open previously. Please complete this portion of this form and attach it to the entry form for the hound’s first entry, including an entry for a Fun Trial. entry form for the hound’s first entry, including an entry for a Fun Trial. Registered Name of Hound: Registered Name of Hound: Registration Number: ______Breed: Registration Number: ______Breed: Registered Owner’s Name: Registered Owner’s Name: I hereby certify that on (date) ______, the above named hound completed a I hereby certify that on (date) ______, the above named hound completed a lure course of at least 500 yards, running with another hound of the same breed (or another lure course of at least 500 yards, running with another hound of the same breed (or another breed with a similar running style). During the course the above named hound showed no breed with a similar running style). During the course the above named hound showed no inclination to interfere with the other hound. I further certify that I am a licensed judge for the inclination to interfere with the other hound. I further certify that I am a licensed judge for the ASFA. ASFA. Name of Licensed Judge: ______Name of Licensed Judge: ______Signature:______Date: ______Signature:______Date: ______I hereby certify that the hound running in the certification course is the hound identified I hereby certify that the hound running in the certification course is the hound identified above above and that information provided on this form is true and correct. and that information provided on this form is true and correct. Signature: ______Date: Signature: ______Date: ______Owner or Authorized Agent of Hound Owner or Authorized Agent of Hound This certification form must be attached to the entry form the first time this hound is entered in an open, limited, or veteran This certification form must be attached to the entry form the first time this hound is entered in an open, limited, or veteran stake. Any hound entered in open, limited, or veteran (as a first time entered hound), which has not been certified, shall be stake. Any hound entered in open, limited, or veteran (as a first time entered hound), which has not been certified, shall be declared ineligible by the records coordinator and shall forfeit any points and placements awarded. declared ineligible by the records coordinator and shall forfeit any points and placements awarded. PLEASE RETAIN A COPY FOR YOUR RECORDS. PLEASE RETAIN A COPY FOR YOUR RECORDS. AMERICAN SIGHTHOUND FIELD ASSOCIATION AMERICAN SIGHTHOUND FIELD ASSOCIATION HOUND CERTIFICATION WAIVER HOUND CERTIFICATION WAIVER Waiver of Requirement: This requirement will be waived for a hound that has earned a lure Waiver of Requirement: This requirement will be waived for a hound that has earned a lure coursing or racing title from another recognized organization, if such title requires competition, coursing or racing title from another recognized organization, if such title requires and if a waiver for such title has been approved by the ASFA, or a CKC Hound Certification competition, and if a waiver for such title has been approved by the ASFA, or a CKC Hound Form. If your hound qualifies for a waiver, complete this portion of this form and attach it to Certification Form. If your hound qualifies for a waiver, complete this portion of this form and your entry form. Proof of waivers must accompany this certification form. attach it to your entry form. Proof of waivers must accompany this certification form. Registered Name of Hound: Registered Name of Hound: Registration Number: ______Breed: Registration Number: ______Breed: Registered Owner’s Name: Registered Owner’s Name: CKC: FCH FCHX CWA: ARX TRP SRA DPC CKC: FCH FCHX CWA: ARX TRP SRA DPC AKC: QC SC FC LGRA: GRC NAWRA: RCH SR AKC: QC SC FC LGRA: GRC NAWRA: RCH SR WRA: CR WRCH NOTRA: ORC OTR SORC SOR WRA: CR WRCH NOTRA: ORC OTR SORC SOR Hound Certification previously submitted. Hound Certification previously submitted. I hereby certify that the hound identified above has completed the requirements for the title I hereby certify that the hound identified above has completed the requirements for the title indicated above (or that the required Certification was previously submitted) and that the indicated above (or that the required Certification was previously submitted) and that the information provided on this form is true and correct. information provided on this form is true and correct. Signature: ______Date: Signature: ______Date: Owner or Authorized Agent of Hound Owner or Authorized Agent of Hound

Sec-06 rev 03/11© Sec-06 rev 03/11© PRIZES, PRIZES, PRIZES!!!!!!!!!!!

Lure Coursing trophies—ASFA--Donated by BCOA unless otherwise noted For Open, Field Champion, Veteran, Singles Stake, Breeder and Kennel Stakes:

1st place—National logo on beach tote 2nd through 4th—National logo tile coasters

High Scoring Champion of Record—An orthopedic bed donated by LeeBeth Cranmer; a Rosette and a National logo keepsake box

BOB in Field Trial—BCOA medallion, BOB plaque from ASFA, Leather slip lead donated by Mid-Atlantic Basenji Club, a 10x10 stone with Basenji drawing by Kim Thornborrow as well as: 1-16.5# bag Evanger’s Dog Food plus 1 case