NORTHERN PIEDMONT RETRIEVER CLUB

Dedicated to promoting the skills and breeding of working retrievers.

A NAHRA Affiliated Organization

NAHRA LICENSED HUNTING RETRIEVER FIELD TEST

Single Senior

August 13, 2011

PA State Game Lands No. 169

Newville, Pennsylvania

______

Event Date Time Entry Fee

Senior Saturday, August 13, 2011 8:00 AM $40.00

JUDGES: Tom Johnston, Liverpool, PA & Frank Plewa, Gettysburg, PA

FIELD TEST COMMITTEE:

Chairperson: Bill Everly Secretary: Larry Housman

Head Marshall: Jackie Lutskus Gun Captain: Mike Minchoff

Bird Steward: Bruce Jenkins

ENTRIES:

All entries are to be made in advance. Send entry fee and a complete entry form. Additional entry forms may be downloaded from the NAHRA website ( http://www.nahra.org/images/stories/PDF/ft_entryform_triple.pdf ). Entries must be received no later than Monday, August 8, 2011. If using an overnight carrier, please use one that does not require a signature! There will be no refunds after the deadline without a verifiable veterinary excuse. A $10.00 handling fee may be retained from any refund. A drawing to determine the running order for each event will be conducted by the Test Secretary at the close of the entry period. Make checks payable to NPRC and send along with completed entry forms (including signature) to:

Larry Housman

Field test Secretary

1278 Battery Avenue

Baltimore, MD 21230-4302

BIRDS: Ducks, pigeons and/or Chukars

AWARDS: Official NAHRA Rosette Ribbons and bands to all qualifying dogs.

FIELD TEST HEADQUARTERS/ DIRECTIONS:

On State Game Lands Number 169 in the designated parking area. Directions are enclosed. Please remember to keep the grounds clean and discard your trash in the proper receptacles. Please refrain from consuming alcoholic beverages while on the test grounds.

From Interstate 81 to Exit 37 (Newville/Rt. 233). Take RT. 233 NORTH to Newville. In Newville, TURN LEFT AT THE TRAFFIC LIGHT ONTO RT. 641. Take RT. 641 WEST approximately 5.5 miles and TURN RIGHT ONTO OAKVILLE ROAD. NAHRA signs will be posted from here to the Test Headquarters. Go approximately 1.5 miles and TURN RIGHT ONTO MOUNTAIN ROAD (cross over creek). Go approximately 1.5 miles to GAME LANDS ROAD and TURN RIGHT. Continue on Game Lands Road for about ½ mile to Bridgewater Road. TURN RIGHT ONTO BRIDGEWATER ROAD and follow this road ½ to 1 mile and the TEST HEADQUARTERS will be in the parking lot ON YOUR LEFT. GPS Coordinates are: 40.162189, -77.490467.

HOTELS/MOTELS: The following hotels/motels are all located just off Interstate 81 or the PA Turnpike Rte 76. Allow approximately one half hour from the hotel/motel to the test headquarters.

Carlisle: Sleep Inn Hotel 717-249-8863 Pets Ok w/ additional charge

I-81 Exit 47

Howard Johnson’s 717-243-5411 Pets Ok w/ additional charge

PA Turnpike Exit 226; I-81 Exit 52

Motel 6 717-249-7622 Pets Ok

PA Turnpike Exit 226; I-81 Exit 52

Clarion Hotel & Convention Ctr. 717-243-1717 Pets Ok w/ additional charge

PA Tunpike Exit 226; I-81 Exit 52

Days Inn Carlisle 717-258-4147 Pets Ok in smoking rooms only

I-81 Exit 45

Super 8 Motel 717-245-9898 Pets Ok w/ additional charge

I-81 Exit 45

Scotland: Comfort Inn 717-263-6655 Pets Ok w/ additional charge

I-81 Exit 20

Shippensburg: Amerihost 717-532-5200 No Pets Allowed in rooms

I-81 Exit 29

CAMPGROUNDS: Dogwood Acres Campground 4500 Enola Rd. Newville PA 717-776-5203

Western Village Campground 200 Greenview Dr Carlisle PA 717-2431179

WAIVER OF LIABILITY:

The Northern Piedmont Retriever Club (NPRC), the North American Hunting Retriever Association (NAHRA) and the owner/operators of the field test grounds and test headquarters are not responsible for any damages and/or injuries sustained to humans, animals, and/or property while on the field test grounds or traveling to and from the field test grounds. All participants, spectators and guests recognize that this is an outdoor gunning event and attend at their own risk and agree to hold harmless NPRC, NAHRA, their officers, the field test committee and the field test property owners/operators from any and all claims of personal property loss, damages and/or injury. Filing of subject Official NAHRA Entry Form constitutes acceptance of the above terms.

NORTH AMERICAN OFFICIAL
HUNTING RETRIEVER ENTRY
ASSOCIATION FORM NAHRA
PRINT CLUB NAME, LOCATION and EVENT DATE BELOW
CLUB NAME: Northern Piedmont Retriever Club
LOCATION: Pennsylvania State Game Lands #169
Newville, Pennsylvania
EVENT DATE: August 13, 2011
PLEASE ENTER IN: ¨ ¨ ¨
(Separate form for each ) Senior
¨ ¨
IS DOG REGISTERED? YES NO / REG. Nbr or FTN:
REGISTRY: / DATE OF BIRTH / ¨ ¨
FEMALE MALE
REG. NAME:
CALL NAME: / BREED: / COLOR:
BREEDER:
SIRE:
DAM:
HANDLER:
NAME OF OWNER:
STREET:
CITY: / STATE: / ZIP:
IS OWNER A NAHRA MEMBER? MEMBERSHIP Nbr
Expiration Date: Email Address:
SIGNATURE OF OWNER OR AGENT: PHONE NUMBER:
JUDGES INITIALS: QUALIFIED: ¨ ¨
YES NO
1. 2. / DOG NBR:
3. 4.
OFFICIAL USE ONLY

© COPYRIGHT 1986 NORTH AMERICAN HUNTING RETRIEVER ASSOCIATION, Inc.

NORTH AMERICAN OFFICIAL
HUNTING RETRIEVER ENTRY
ASSOCIATION FORM NAHRA
PRINT CLUB NAME, LOCATION and EVENT DATE BELOW
CLUB NAME: Northern Piedmont Retriever Club
LOCATION: Pennsylvania State Game Lands #169
Newville, Pennsylvania
EVENT DATE: August 13, 2011
PLEASE ENTER IN: ¨ ¨ ¨
(Separate form for each ) Senior
¨ ¨
IS DOG REGISTERED? YES NO / REG. Nbr or FTN:
REGISTRY: / DATE OF BIRTH / ¨ ¨
FEMALE MALE
REG. NAME:
CALL NAME: / BREED: / COLOR:
BREEDER:
SIRE:
DAM:
HANDLER:
NAME OF OWNER:
STREET:
CITY: / STATE: / ZIP:
IS OWNER A NAHRA MEMBER? MEMBERSHIP Nbr
Expiration Date: Email Address:
SIGNATURE OF OWNER OR AGENT: PHONE NUMBER:
JUDGES INITIALS: QUALIFIED: ¨ ¨
YES NO
1. 2. / DOG NBR:
3. 4.
OFFICIAL USE ONLY

© COPYRIGHT 1986 NORTH AMERICAN HUNTING RETRIEVER ASSOCIATION, Inc.

NORTH AMERICAN OFFICIAL
HUNTING RETRIEVER ENTRY
ASSOCIATION FORM NAHRA
PRINT CLUB NAME, LOCATION and EVENT DATE BELOW
CLUB NAME: Northern Piedmont Retriever Club
LOCATION: Pennsylvania State Game Lands #169
Newville, Pennsylvania
EVENT DATE: August 13, 2011
PLEASE ENTER IN: ¨ ¨ ¨
(Separate form for each ) Senior
¨ ¨
IS DOG REGISTERED? YES NO / REG. Nbr or FTN:
REGISTRY: / DATE OF BIRTH / ¨ ¨
FEMALE MALE
REG. NAME:
CALL NAME: / BREED: / COLOR:
BREEDER:
SIRE:
DAM:
HANDLER:
NAME OF OWNER:
STREET:
CITY: / STATE: / ZIP:
IS OWNER A NAHRA MEMBER? MEMBERSHIP Nbr
Expiration Date: Email Address:
SIGNATURE OF OWNER OR AGENT: PHONE NUMBER:
JUDGES INITIALS: QUALIFIED: ¨ ¨
YES NO
1. 2. / DOG NBR:
3. 4.
OFFICIAL USE ONLY

© COPYRIGHT 1986 NORTH AMERICAN HUNTING RETRIEVER ASSOCIATION, Inc.