Open to all Breeds and All American dogs - West Highland White Terrier Club of ...

Page created by Dale Lang
 
CONTINUE READING
Premium List

          West Highland White Terrier Club of America
                      Member of the American Kennel Club

              Four FAST Coursing Ability Tests
                            (fenced)
              Two Tests Per Day, run consecutively
              Open to all Breeds and All American dogs
   For all dogs at least 12 months of age and individually registered/listed with the AKC
registration as purebreds, Foundation Stock Service (FSS) dogs, Purebred Alternative Listing
                             (PAL) dogs or AKC Canine Partners

      Kimberton Fairgrounds, Rt 113 North, Kimberton, PA
       (for GPS directions, use 762 Pike Springs Rd, Phoenixville, PA 19460)

                                October 8, 2021
           (Event #2021056922 Test 1) (Event # #2021056923 Test 2)

                                October 9, 2021
              (Event #2021056924 Test 1) (Event #2021056925 Test 2)

 Permission has been granted by the American Kennel Club for theholding of this
          event under The American Kennel Club Rules and Regulations
Limited to 85 Entries per test or 170 per day                                              West Highland White Terrier Club of America Officers:
                                                                                               Cathy Blacklock, President; Kenny Fodill, 1st Vice
   Entries open for West Highland White Terriers on July 12.                                   President; Kristen Tarrer, 2nd Vice President; Cindy
             For others, entries open on August 16.                                            Ladutko, Recording Secretary; Patty Fleming,
 Pre-Entries will be accepted until September 16, 2021 at 6 pm                                 Corresponding Secretary.

                   Mail Entries to: Jody Brinley                                               Directors:–
   320 Woodland Ave., New Cumberland, PA 17070-1880                                            Class of 2021 – Becky Koester, Judy Nuss
 Expedited deliveries should NOT require signature for delivery.                               Class of 2022 – Tom Barrie, Christopher Goss, Shelley
                                                                                               Marvin
             Make checks payable to WHWTCA                                                     Class of 2023 - Cheryl Flannagan, Mary Ann Neal, Bob
                                                                                               McCaskill
                 ENTRY FEES per Test per dog
              Pre-Entry............................................. $20.00                                        WHAT IS FAST CAT?
      After Sept 16nd................................................................ $25.00     •   Fast CAT is a timed straight 100-yard dash for dogs.
                                                                                                 •   Dogs are held at the start line and the lure is activated,
       LATE ENTRIES ACCEPTED (IF LIMIT HAS NOT BEEN
                                                                                                     prompting the dog to follow, chasing it to the finish line
             REACHED) UNTIL OCTOBER 2, 2021
                                                                                                     and into a catch pen.
                                                                                                 •   One person releases the dog, another person catches
                 NO DAY OF SHOW ENTRIES ALLOWED
                                                                                                     the dog at the finish line. The owner or someone
                                                                                                     familiar with the dog is recommended to catch the dog.
                                                                                                 •   The course is completely fenced and dogs are run
                TEST HOURS: 9 A.M. until completion.                                                 individually.
                                                                                                 •   Dogs are timed when they complete the 100-yard dash.
    Friday, October 8, 2020 and Saturday, October 9, 2020                                        •   The time is converted to miles per hour (MPH).
                                                                                                     FORMULA: 204.545 / RUN TIME = MPH
                                                                                                 •   Based on the dog’s size at the withers, a handicap is applied to
                TEST HOURS 9:00 AM until completion                                                  calculate points earned:
                                                                                                         o 18” or greater: Handicap = 1.0
Event Chair: Robert McCaskill, westiedoc@windstream.net                                                  o 12” up to less than 18”: Handicap = 1.5.
                                                                                                         o Below 12”: Handicap = 2.0.
Event Secretary: Jody Brinley, 320 Woodland Ave., New                                            •   MPH × HANDICAP = POINTS (ROUNDED TO NEAREST0.01)
Cumberland, PA 17070, brynleawesties@comcast.net, 717-774-
2094, cell: 717-385-2757.
                                                                                                                       FIELD & EQUIPMENT
Test Committee: Susan Ammerman, Jody Brinley, Renee
Glover, M.D., Virginia McAlister, Robert McCaskill & Andi                                      A continuous lure will be used. The lure will consist of white
Turco-Levin                                                                                    plastic bags. The field is mowed grass and basically level. Please
                                                                                               refer to “Eligibility and Rules” for details on class eligibility.
CONDITIONS OF ENTRY                                                     TOP 20 BY BREED BY YEAR
                                                                         The AKC Fast CAT website will feature the Top 20 fastest dogs by
    •   All entries must be one year of age or older on the day of       breed. Dogs must complete at least 3 qualifying runs in each
        the test.                                                        calendar year to qualify for the Top 20. The standings will be
    •   Dogs must be present before the end of roll call. No             updated as event results are processed at
        refund for absent dogs.                                          https://www.apps.akc.org/apps/fastcat_ranking
    •   Bitches in season and lame dogs will be excused. Entry
        fees will be refunded if trial secretary is notified
        before the end of the test.                                                                     TIPS FOR
    •   All dogs run at owners’ sole risk. The hosting club and                                        HANDLERS
        property owners, their agents, members, representatives,
        volunteers, etc. assume no responsibility for any loss,          1. Dogs may run with a flat collar. No harnesses, clothes, or
        damage, or injury sustained by exhibitors and handlers or        other types of collars are allowed.
        to any of their dogs or property and further assumes no
        responsibility for injury to children or spectators before,      2. Keep well away from the FAST CAT course when not
        during, or after this event.                                     entering or leaving the course. This is for the protection of your
    •   There will be a $50 returned check charge.                       dog and also to avoid distracting dogs running the course.
    •   A $5 fine will be assessed for any loose dog on the field that
        is not competing in the course in progress or for any            3. A dog that relieves itself on the course will fail the test, so
        handler not cleaning up after their dog.                         potty your dog before your run.
    •   No entry fees will be refunded if the event cannot be
                                                                         4. Dogs will be brought to the start line on leash and released
        started or completed by reason of riots, civil disturbances,     only upon a verbal signal (“Tally-Ho!”) from the Huntmaster.
        fire, extreme and/or dangerous weather conditions, an act
        of God, public emergency, act of a public enemy, strikes or      5. Dog must be retrieved upon completion of the run and leave
        any other cause beyond the control of the Club or its            the field runoff area on leash.
        members and representatives.
                                                                         6. Handlers are advised to warm up their dogs prior to their
                      RIBBONS & ROSETTES                                 run and walk them for about 10 minutes afterwards.
WHWTCA will award a light blue flat ribbon to each dog that              7. Coursing Ability is a physically demanding sport so please
receives one qualification leg toward a FAST CAT Title and a light       make sure your dog is in good shape. If you are not sure, make
blue rosette to each dog that receives a FAST CAT Title.                 an appointment with a veterinarian to get an opinion.

                               TITLES
Titles are earned at specific point levels and the highest suffix may
appear after the dog’s name: BCAT = 150 points DCAT = 500 points
     FCAT = 1,000 points FCAT# = Each additional 500 points
Tests will run concurrently. Exhibitors will be                 Volunteers are Needed – include with your entry form or email Bob
assigned a block. You will run your dog, take a small           McCaskill at westiedoc@windstream.net
break and run again. It is the responsibility of each
entrant to be ready when their dog is called to the line.       If you are able to help out at the FAST CAT, please volunteer.
Any conflicts will run at the end of the day.
                                                                Helpers are always appreciated and greatly needed! Don’t
                                                                worry if you’ve never doneit before, we will bring you up to
The WHWTCA FCAT trial will incorporate and follow AKC FCAT
                                                                speed.
Best Practices.
                                                                Name:

                                                                Email:

                                                                I can do/am interested in the following:
                      HOTELS/MOTELS
Hampton Inn-Exton, 4 N. Pottstown Pike, Exton, PA. (610) 363-
5555.
Residence Inn, 10 Pottstown Pike, Exton, PA 19341 (610)
5949705
Extended Stay America, 877 N. Pottstown Pike, Exton, PA (610)
524-7185
Comfort Suites, 700 West Uwchlan Avenue, Exton, PA (610) 594-
4770
Motel 6, 815 West Dekalb Pike, King Of Prussia, PA 19406
(610) 265-7200
OFFICIAL AMERICAN KENNEL CLUB                                                                                                                         OFFICIAL AMERICAN KENNEL CLUB
                                                        LURE COURSING ENTRY FORM                                                                                                                              LURE COURSING ENTRY FORM
CLUB                                       Fri, Oct 8, 2020                                  Sat, Oct 9, 2020                                                      CLUB                                        Fri, Oct 8, 2020                                  Sat, Oct 9, 2020
WHWTCA                                    □          Test 1                                        □ Test 1                                                        WHWTCA                                     □          Test 1                                        □ Test 1
                                          □          Test 2                                        □ Test 2                                                                                                   □          Test 2                                        □ Test 2
Location:                                                                                   Event Type                                                             Location:                                                                                    Event Type
Kimberton Fire Company Grounds                                                              FAST CAT                                                               Kimberton Fire Company Grounds                                                               FAST CAT
Kimberton, PA.                                                                                                                                                     Kimberton, PA.
Height at withers: CIRCLE ONE                                                                Entry fee $20 per test pre-entry                                      Height at withers: CIRCLE ONE                                                               Entry fee $20 per test pre-entry
Under 12”                          12-18”                   over 18”                                    $2 per test after 9/18                                     Under 12”                           12-18”                   over 18”                                  $25 per test after 9/18
Call Name:                                              Breed                               I enclose                                                              Call Name:                                               Breed                               I enclose entry                     $
                                                                                            entry fees in
                                                                                                                                  $
                                                                                                                                                                                                                                                                fees in the
                                                                                            the amount of:                                                                                                                                                      amount of:
Breeder                                                                                     Sex                         Date of Birth                              Breeder                                                                                      Sex                        Date of Birth

AKC No. or CP or PAL/ILP No.                                                                                                                                       AKC No. or CP or PAL/ILP No.
or Foreign & List Country:                                                                                                                                         or Foreign & List Country:
Full Name of Dog                                                                                                                                                   Full Name of Dog

Sire                                                                                                                                                               Sire

Dam                                                                                                                                                                Dam

Actual Owner(s)                                                                                                                                                    Actual Owner(s)

Owner’s Address                                                                                                                                                    Owner’s Address

City, State, Zip                                                                                                                                                   City, State, Zip

Name of Owner’s Agent/Handler (if any) at Trial                                                                                                                    Name of Owner’s Agent/Handler (if any) at Trial
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website:www.akc.org                                                      AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website:www.akc.org
AGREEMENT                                                                                                                                                          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      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
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 event, and any       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
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       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
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   (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
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-       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
giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any         to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or
provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge,              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
judging at this event, 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        any AKC approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly
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    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
for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally,      responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or
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             damage to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties
expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries,             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
including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property,            damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on
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       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
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          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
any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY,                                             or any of their employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT
EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT GIVING CLUB (UNLESS OTHERWISE STATED IN                                                        OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT GIVING CLUB
THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECTOFTHISAGREEMENT                                                      (UNLESS OTHERWISE STATED IN THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION
SHALL BESETTLEDBY ARBITRATIONPURSUANTTO THEAPPLICABLERULESOFTHEAMERICAN ARBITRATION ASSOCIATION. HOWEVER,                                                          AND EFFECTOFTHISAGREEMENT SHALL BESETTLEDBY ARBITRATIONPURSUANTTO THEAPPLICABLERULESOFTHEAMERICAN
PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND                                                                                             ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND
PROCEDURESMUSTFIRSTBEFOLLOWEDASSETFORTHINTHEAKCCHARTERANDBYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES                                                            PROCEDURESMUSTFIRSTBEFOLLOWEDASSETFORTHINTHEAKCCHARTERANDBYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES
AND GUIDELINES                                                                                                                                                     AND GUIDELINES

Signature of owner or his agent duly authorized to make this entry:                                                                                                Signature of owner or his agent duly authorized to make this entry:

Telephone                                                     Email                                                                                                Telephone                                                     Email
OFFICIAL AMERICAN KENNEL CLUB                                                                                                                         OFFICIAL AMERICAN KENNEL CLUB
                                                        LURE COURSING ENTRY FORM                                                                                                                              LURE COURSING ENTRY FORM
CLUB                                       Fri, Oct 8, 2020                                  Sat, Oct 9, 2020                                                      CLUB                                        Fri, Oct 8, 2020                                   Sat, Oct 9, 2020
WHWTCA                                    □          Test 1                                        □ Test 1                                                        WHWTCA                                     □          Test 1                                         □ Test 1
                                          □          Test 2                                        □ Test 2                                                                                                   □          Test 2                                         □ Test 2
Location:                                                                                   Event Type                                                             Location:                                                                                     Event Type
Kimberton Fire Company Grounds                                                              FAST CAT                                                               Kimberton Fire Company Grounds                                                                FAST CAT
Kimberton, PA.                                                                                                                                                     Kimberton, PA.
Height at withers: CIRCLE ONE                                                                Entry fee $20 per test pre-entry                                      Height at withers: CIRCLE ONE                                                                 Entry fee $20 per test pre-entry
Under 12”                          12-18”                   over 18”                                    $2 per test after 9/18                                     Under 12”                           12-18”                   over 18”                                    $25 per test after 9/18
Call Name:                                              Breed                               I enclose                                                              Call Name:                                               Breed                                I enclose entry                       $
                                                                                            entry fees in
                                                                                                                                  $
                                                                                                                                                                                                                                                                 fees in the
                                                                                            the amount of:                                                                                                                                                       amount of:
Breeder                                                                                     Sex                         Date of Birth                              Breeder                                                                                       Sex                          Date of Birth

AKC No. or CP or PAL/ILP No.                                                                                                                                       AKC No. or CP or PAL/ILP No.
or Foreign & List Country:                                                                                                                                         or Foreign & List Country:
Full Name of Dog                                                                                                                                                   Full Name of Dog

Sire                                                                                                                                                               Sire

Dam                                                                                                                                                                Dam

Actual Owner(s)                                                                                                                                                    Actual Owner(s)

Owner’s Address                                                                                                                                                    Owner’s Address

City, State, Zip                                                                                                                                                   City, State, Zip

Name of Owner’s Agent/Handler (if any) at Trial                                                                                                                    Name of Owner’s Agent/Handler (if any) at Trial
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website:www.akc.org
AGREEMENT                                                                                                                                                          AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website:www.akc.org
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      AGREEMENT
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 event, and any       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
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       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
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   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
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-       (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
giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the premises and any         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
provider of services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, and any AKC approved judge,              AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner and/or lessor of the
judging at this event, 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        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
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    approved judge, judging at this event, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any
for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog. Additionally,      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
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             responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage
expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries,             to this dog. Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parties harmless from
including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property,            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
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       bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to
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          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
any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY,                                             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
EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT GIVING CLUB (UNLESS OTHERWISE STATED IN                                                        employees, agents, or any other persons. I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR
THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECTOFTHISAGREEMENT                                                      RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT GIVING CLUB (UNLESS
SHALL BESETTLEDBY ARBITRATIONPURSUANTTO THEAPPLICABLERULESOFTHEAMERICAN ARBITRATION ASSOCIATION. HOWEVER,                                                          OTHERWISE STATED IN THIS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND
PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND                                                                                             EFFECTOFTHISAGREEMENT SHALL BESETTLEDBY ARBITRATIONPURSUANTTO THEAPPLICABLERULESOFTHEAMERICAN
PROCEDURESMUSTFIRSTBEFOLLOWEDASSETFORTHINTHEAKCCHARTERANDBYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES                                                            ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND
AND GUIDELINES                                                                                                                                                     PROCEDURESMUSTFIRSTBEFOLLOWEDASSETFORTHINTHEAKCCHARTERANDBYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES
                                                                                                                                                                   AND GUIDELINES

Signature of owner or his agent duly authorized to make this entry
                                                                                                                                                                   Signature of owner or his agent duly authorized to make this

Telephone                                                   Email:                                                                                                 Telephone                                                      Email
WHWTCA Obedience & Rally Trials and Fast CAT Test Boxed Lunch
Friday, October 8, 2021
Kimberton Fire Company Fairgrounds, Phoenixville, PA

Panera Napa Almond Chicken Sandwich:                            @ $15.00 _______
Panera Mediterranean Veggie Sandwich:                           @ $15.00 _______
Panera Toasted Steak & Cheddar Sandwich:                        @ $15.00 _______
Panera Bacon Turkey Bravo Sandwich:                             @ $15.00 _______
Panera Caesar with Chicken Salad:                               @ $15.00 _______

Name: ______________________________________ Selection: ______________________________________
Name: ______________________________________ Selection: ______________________________________
Name: ______________________________________ Selection: ______________________________________
Name: ______________________________________ Selection: ______________________________________
All lunches, except the salad, include potato chips and a freshly baked cookie. Lunch is by reservation only – there will be
NO EXTRAS. Bottled water, soft drinks, coffee and tea are available to all attendees.

WHWTCA Sweepstakes, Futurity and Fast CAT Boxed Lunch
Saturday, October 9, 2021
Kimberton Fire Company Fairgrounds, Phoenixville, PA

Panera Napa Almond Chicken Sandwich:                            @ $15.00 _______
Panera Mediterranean Veggie Sandwich:                           @ $15.00 _______
Panera Toasted Steak & Cheddar Sandwich:                        @ $15.00 _______
Panera Bacon Turkey Bravo Sandwich:                             @ $15.00 _______
Panera Caesar with Chicken Salad:                               @ $15.00 _______

Name: ____________________________________                      Selection: ____________________________________
Name: ____________________________________                      Selection: ____________________________________
Name: ____________________________________                      Selection: ____________________________________
Name: ____________________________________                      Selection: ____________________________________
All lunches, except the salad, include potato chips and a freshly baked cookie. Lunch is by reservation only – there will be
NO EXTRAS. Bottled water, soft drinks, coffee and tea are available to all attendees.
                       THERE WILL BE NO FOOD VENDORS ON THE KIMBERTON GROUNDS
                                        Deadline for all reservations is September 29, 2021
                                              No refunds after September 29, 2021

Payment is by check, money order, or PayPal. Make checks or money orders payable to WHWTCA. Any foreign checks, money orders, etc. must be in
US funds and drawn on a bank with a USA address and include an additional $12.00 bank service exchange fee.
Please mail this form and payment to: Bette Carroll, Registrar, 1871 Mill Creek Road, Manahawkin, NJ
08050
             Reservations may be emailed to ecarrollslk@gmail.com if payment is via PayPal.
                        Be sure to email BOTH sides of the Reservation Form

 Send               a PayPal Invoice to this Email address: ______________________________________________________________________
You can also read