PREMIUM LIST EVENT # CLUMBER SPANIEL CLUB OF AMERICA (AKC LICENSED)

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PREMIUM LIST EVENT # 2018131110 CLUMBER SPANIEL CLUB OF AMERICA (AKC LICENSED)

A.K.C. SPANIEL HUNTING TEST This Spaniel Hunt Test is limited to 25 entries, plus the 30 th entry, at which time entries will close. Priority is given to breeds approved by AKC to any entries received on same day as run in Spaniel Hunt Tests prior to July 1, 2014. If the limit is not reached by March 23, 2018 a random drawing will be held for those breeds approved after July 1, 2014, providing those entries were received by mail prior to said closing date. SATURDAY, APRIL 7, 2018 LUCKIAMUTE VALLEY PHEASANTS 17115 MAPLE GROVE ROAD, MONMOUTH, OR 97361

. Send Entries with check made payable to CSCA Hunt Test Secretary: Kathleen Kelly 2905 NW 108th St. Vancouver, WA 98685 360-607-1670 kjkelly52@outlook.com OFFICERS OF CSCA President: Jan Sutherland: moonrysn@hotmail.com Vice President: Cathy Dorris: txcathy@msn.com Secretary: Darcy Moss: dgarvin_moss@yahoo.com Treasurer: Benjamin Hoyle: Hoylebt@gmail.com

OFFICIAL AMERICAN KENNEL CLUB HUNT TEST ENTRY FORM Note: This entry Form Must be Completed in Full Club: CSCA Location: Monmouth, Or Date: April 7, 2018 arbitration 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 Telephone: Email: I submit $ for entry fees. EVENT #2018131110 Enter in Stake/Test: Name of Dog (Print) A.K.C. Reg. Number Or A.K.C. Litter Number (if Dog not Reg.) Or Foreign Reg. No. Breed Sire Dam Breeder Names of Actual Owner (Print) Owner s Address Master Hunter Senior Hunter Junior Hunter Call And Country of Registry MALE FEMALE Date of Birth City State Zip Code Name of Owners Agent/Hander (Print) Phone Email AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website at www.ask.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 whose name I have entered above. In consideration of 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 additional rules and regulations appearing in the premium list of this event and entry form and any decisions made in accord with them. I (we) agree that the club holding this event has the right to refuse 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 to hold the AKC, the event-giving club, their members, directors, governors, officers, 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 injury which may be alleged to have 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 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 indemnity, 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 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 entry, exhibition or attendance at the event between the AKC and myself (ourselves) or as to the construction, interpretation and effect of this Agreement shall be settled by arbitration pursuant to applicable rule of the American Arbitration Association. However, prior to Entries close at 3:00 p.m. PDT on Friday, March 23, 2018 unless entries have reached the limit of 25 dogs prior to this date. v at 2905 N.W. 108 th St, Vancouver, WA. JUDGES Robert Wickwire #24093 3302 SE Summerfield Dr. Corvallis, Or 97333- All Levels Linda Fraser #18601 875 Seashell Place Parksville, BC All Levels HUNTING TEST Chair Chairman: Julie Wickwire 3302 SE Summerfield Dr, Corvallis, Or 97333 rjwick@comcast.net COMMITTEE MEMBERS: Julie Wickwire Robert Wickwire,, Steven Gerbovitz, Kathleen Kelly, Lois Hamilton, Valana Wells, Jack Rutherford TESTS OFFERED ENTRY FEES BIRDS Junior Hunter $65.00 Pigeons, Chukaars or Pheasants Senior Hunter $75.00 Chukars and7or Pheasanats Master Hunter $75.00 Chukars and/or Pheasants HUNTING TEST SECRETARY Kathleen Kelly 2905 NW 108 th St, Vancouver, WA 98685 kjkell52@outlook.comt 360-607-1670 SCHEDULE 8:00 A.M. Saturday, April 7, 2018: Junior Hunter, followed by Senior Hunter, followed by Master Hunter. Hunt Dead test for Senior and Master will be at the discretion of the committee and judges. Water test will follow all land work. PRIZES: Orange Rosettes will be awarded to all qualifying dogs. SAFETY: An item of blaze orange clothing must be worn by field marshals, bird planters, handlers, gunners, judges, and all members of the gallery. CSCA will have blaze orange vests available for guests to borrow. Also, the club asks that you refrain from smoking while in the field.

SMOKING IS PERMITED IN PARKING AREA A REMINDER: Please remember that training of dogs is not permitted on any part of the grounds the day of a test. You are asked to keep your dog on a leash or confined when not on the course being tested. LUNCH Lunch will be available. If you would like a sandwich, chips and a drink, please place Your order at the Secretary s table on Friday. Morning. The cost is $10.00 RV Parking Self-Contained RV s and Trailers will be allowed to park overnight on site Reminder Please bring your own lawn chairs and rain gear DIRECTIONS FROM I-5: FROM THE NORTH Take I-5 South to the exit for Hwy 22 toward the Oregon Coast. Proceed to Dallas, then take Hwy 223 south to Airlie Rd. Turn left on Airlie to Maple Grove Road, then right approximately 2 miles to 17115 which is a white house on the right. FROM THE SOUTH Via I-5 to the Lebanon/Corvallis exit to Corvallis. Then take Hwy 99W, Third Street, north to the Suver Junction. Suver is just a couple of buildings about 10 miles north and has a flashing yellow light. Turn left there on Airlie Road and proceed about 9 miles where it crosses the Luckiamute River. The next left is Maple Grove Road, about 2 miles to 17115. The ranch house is on the right.. ACCOMODATIONS MOTEL 6 Salem Expo Center 3195 Portland Rd. Salem, Or Phone: 503-585-2900 Airlie Farm Bed and Breakfast 14810 Airlie Rd. Monmouth, Or Phone: 503-838-1500 Comfort Suites Corvallis 1730 NW 9 th St. Corvallis, Or Phone: 877-683-0804

EMERGENCY PLAN Veterinarians: Dallas Animal Clinic 135 SE Fir Villa Rd Dallas, Or 97338 503-623-3943 Willamette Veterinary Hospital 1562 SW 3 rd St Corvallis, Or 97333 541-753-2223 24 hr. hour services Ambulance: Call 911 Fire Dept: Call 911 Police Dept: Call 911 Hospital: Good Samaritan Regional Medical Center 3600 NW Samaritan Dr Corvallis, Or 97330 541-768-5111