WI 53116 Dousman, W3592S30 Scuppernong Ct. Secretary Test Marshall Helen PREMIUM LIST Entries close at 6:00 PM CST, October 2, 2019. After which time entries cannot be accepted, cancelled, altered or substituted except as provided for in Chapter 11, Section 6 of the Show Rules.

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9663

Fox River Field Clumber Club Spaniel Club, Inc. of America, Inc.

Licensed by the American Member of the American Kennel Kennel Club Club

Saturday Sunday October 12, 2019 October 13, 2019 AKC Event #: AKC Event #:

2019626405 2019131120

Rock River Kennel Grounds W7283 Walnut Road, Beaver Dam, WI 53916

ENTRY LIMITED: 50 total This hunt test is open to all flushing spaniel breeds, Irish Water , Airedale , Curly Coated , Flat Coated Retrievers, Golden , Chesapeake Bay Retrievers, Labrador Retrievers, . First entry preference given to Field Spaniels on Saturday. First entry preference given to Clumber Spaniels on Sunday. A wait list will be maintained. Show Hours: 7:30 am – 6:00 pm; Judging starts at 8:00 am

Fox River Field Spaniel Club, Inc. EVENT PERSONNEL http://foxriverfieldspanielclub.org/

Officers Gun Captain …………………………………………………………. Jay Wills President……………………………………………..……...…..Danielle Brewer Head Marshall…………………………………………….Jennifer Amundsen Vice President ………………………………………..……….....….Julie Smiley Treasurer………………………………………..….………….... Marie Lindquist Secretary ………………………………………………………...Terry Middleton MOTEL INFORMATION PO Box 901, East Troy, WI 53210 262/949-8593 [email protected] Exhibitors are urged to use extreme care in the treatment of motel space. Board of Directors PLEASE be a responsible motel guest. Make reservations early! Becki Hirschy, Andrea Dobson, Lisa Schaitberger • Super 8, 711 Park Ave., Beaver Dam, WI 53916 920-887-8880 FRFSC HUNT TEST • Grand View Motel Beaver Dam 1510 N Center St, Beaver Dam, WI 53916 - 866-925-8676 Test Chairman…………………………………….……………….James Race • Super 8, 1730 S Church St., Watertown, WI 920-261-1188 111 Gaul Rd., Dousman, WI 53118 [email protected] • Boarders Inn & Suites, 5 Gateway Dr., Waupun, WI 53963 920-324-2500

HUNT TEST COMMITTEE ROUTES TO THE TEST SITE James Race, Michael Finnegan, Jennifer Amundsen, Becki-Jo Hirschy, Andrea Dobson, and all officers and directors of the FRFSC From Fond du Lac: Take Hwy 151 South to Breezy Point Rd (just North of Beaver Dam).

Turn left on Breezy Point Rd. After 1/4 mile, turn right (South) on Juniper Club of America, Inc. Rd. www.clumbers.org At stop sign, turn left (East) on Walnut Rd. Officers Go 1.8 miles on Walnut Rd to Rock River Kennels on the right. President…………………………………………………………Jan Sutherland Vice President ………………………………………………..Douglas Johnson From Madison: Take Hwy 151 North to Beaver Dam. Treasurer………………………………………………………..Benjamin Hoyle Just North of Beaver Dam, N of County Rd. A, turn right (East) on Walnut Secretary ……………………………………………………………Darcy Moss Rd. 12521 N.E. 226th Street, Battle Ground, WA 360/666-3215 [email protected] Go 1.8 miles on Walnut Rd to Rock River Kennels on the right.

Board of Directors From Milwaukee: Note: There is construction through Horicon, and Hwy Kim Daboo, Trish Gregory, Ron Porras, Denise Shelar, Debbie Wahman 33 may not go through. Take US 41 North to Hwy 60 West (Hartford Exit). Take Hwy 60 West CSCA HUNT TEST until it comes to a “T” at Hwy 26. Turn right on Hwy 26 North to County Rd A. Turn left on County Rd A West to Hwy 151 North. Test Chairman………………………………………..………..Michael Finnegan Take entrance to Hwy 151 North to Walnut Rd. Turn right (East) on 3774 Sky High Road, Cottage Grove, WI 53527 [email protected] Walnut Rd. HUNT TEST COMMITTEE Go 1.8 miles on Walnut Rd to Rock River Kennels on the right. Jennifer Amundsen, Michael Finnegan, Roe Froman, Gordie Froman, Cherilyn Hoerman, and Helen Marshall From the West: Take Hwy 33 East to Hwy 151. Take Hwy 151 North to Beaver Dam. TEST SECRETARY – BOTH TESTS Just North of Beaver Dam, N of County Rd. A, turn right (East) on Walnut Helen Marshall, Test Secretary Rd. Go 1.8 miles on Walnut Rd to Rock River Kennels on the right. S30 W35902 Scuppernong Ct. Dousman, WI 53118-9663 262-965-4963

ENTRY FEES

**EXHIBITORS PLEASE NOTE** Junior, Senior, Master Level ……..… $70.00 Payable to CSCA • All dogs coming into the state of Wisconsin require a Certificate of One check may be written for both days; all checks should be payable to CSCA Veterinary Inspection with proof of rabies vaccination.

• Training, correcting, or disciplining of dogs will not be permitted on the Please look carefully at entry form and check appropriate entry box(es) Hunting Test Grounds. which are separate for Saturday October 12 FRFSC event and Sunday • Please bring adequate water for your dogs and yourself. Be prepared to October 13 CSCA event. provide water for your dog while in the field.

MAIL ENTRIES WITH FEES TO: • All participants and spectators must wear blaze orange into the field. Helen Marshall, Test Secretary The item must be no smaller than a hat. S30 W35902 Scuppernong Ct. Dousman, WI 53118-9663 • Smoking will not be allowed in the field. 262-965-4963 • CELL PHONES…must be silenced in the field or gallery. Entry form must be signed, with agreement on back. • Decoys may be used in the water for the Senior & Master levels. ENTRIES WILL CLOSE with the Hunt Test Secretary • No entry shall be made and no entry shall be accepted by the Hunt Test WEDNESDAY, October 2, 2019 at 6:00PM, CST. Secretary which specifies any condition as to its acceptance. • Canadian exhibitors must submit entries with checks drawn on U.S. A waiting list will be maintained. The drawing for running order will take place at the Test Secretary’s home accounts or with international money orders in U.S. funds. • Wednesday, October 2, 2019 at 8:00PM, CST There will be no refunds for duplicate entries. Entries will be refunded for: 1. A bitch in season. 2. A dog is injured, ill or dies. 3. Entry cancelled LIMITED ENTRY: Entry limited to 50 dogs each day. before closing. NO PHONE entries accepted. • Returned checks do not constitute a valid entry fee. • The Club assumes no responsibility for any loss, damage or injury by PHEASANT WILL BE USED AT ALL LEVELS exhibitors, handlers, or to any of their dogs or property and further * * * * * * * * * * * * * * * * * assumes no responsibility for injury to children. • Fees include AKC recording fees. JUDGES • All persons attending this dog show/event, hereby waive any claim for damages against Fox River Field Spaniel Club, Inc. the Clumber 23814 S Plum Valley Dr, Crete, IL 60417 #58793 Frank Hauenschild Spaniel Club of America, Inc. or its members, in the event a motor Robert Deihl N84 W19194 Menomonee Ave, Menomonee Falls, vehicle must be entered to rescue a dog from overheating or suffocation WI 53051 #ZG711 due to improper ventilation. Jerry Mayer W355 S3384 Hawks Hollow, Dousman, WI 53118 #98070 Susan Sarracino-Deihl N84 W19194 Menomonee Ave, Menomonee Falls, WI 53051 #15877 FOOD AVAILABLE AT TEST SITE Saturday October 12, 2019 Sunday October 13, 2019 Food will be available during the test both days.

Divison A Divison A PRIZES Standard AKC Orange Rosettes will be awarded to all dogs Master, Senior A Master, Senior A qualifying at this test. Frank Hauenschild & Jerry Mayer & Susan Robert Deihl Sarracino-Deihl Special Rosette to dogs finishing titles at the FRFSC event Saturday, October 12, 2019 and at the CSCA event Sunday, October 13, 2019.

Divison B Divison B Junior, Senior B Junior, Senior B VETERINARIAN ON CALL: Jerry Mayer & Susan Frank Hauenschild & Beaver Dam Veterinary Clinic Sarracino-Deihl Robert Deihl 1129 Madison Street, Beaver Dam, WI 53916 (920)887-7181

OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM OFFICIAL AMERICAN KENNEL CLUB ENTRY FORM

Fox River Field Spaniel Club, Inc. Clumber Spaniel Club of America, Inc. Fox River Field Spaniel Club, Inc. Clumber Spaniel Club of America, Inc. Licensed AKC Spaniel Hunt Test Licensed AKC Spaniel Hunt Test Licensed AKC Spaniel Hunt Test Licensed AKC Spaniel Hunt Test October 12, 2019 Event # 2019626405 October 13, 2019 Event #2019131120 October 12, 2019 Event # 2019626405 October 13, 2019 Event #2019131120 Beaver Dam, WI Beaver Dam, WI Beaver Dam, WI Beaver Dam, WI Enter in FRFSC Test:  Master  Senior  Junior Enter in CSCA Test:  Master  Senior  Junior Enter in FRFSC Test:  Master  Senior  Junior Enter in CSCA Test:  Master  Senior  Junior

I enclose entry fees in the amount of: $______($70.00 per entry per day) I enclose entry fees in the amount of: $______($70.00 per entry per day) Payable to: CSCA Payable to: CSCA Full Name of Dog: Call Name: Full Name of Dog: Call Name:

 AKC No.  AKC Litter No.  ILP No.  Foreign No Reg. #: Country:  AKC No.  AKC Litter No.  ILP No.  Foreign No Reg. #: Country:

Breed: MALE  FEMALE  Date of Birth: Breed: MALE  FEMALE  Date of Birth: Sire: Sire: Dam: Dam: Name of Breeder: Name of Breeder:

Actual Owner(s) Actual Owner(s) Owner's Address: Owner's Address: City: State: Zip: City: State: Zip: Name of Owner's Agent/Handler: Name of Owner's Agent/Handler: Agent/Handler’s Address: Agent/Handler’s Address: City: State: Zip: City: State: Zip: Telephone: Email address: Telephone: Email address: AKC Rules, Regulations, Policies and Guidelines available on the American Kennel Club website www.akc.org AKC Rules, Regulations, Policies and Guidelines 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 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 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 event, and any additional rules and regulations 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 decision made in accord with them. I (we) agree 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. In 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 of this entry and of the holding of this event and of the opportunity to have the dog 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, 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 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 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 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 been caused directly or indirectly to any person or thing by the act of this dog while in 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 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 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 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 indemnify, 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 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 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 (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 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 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 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 CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND BETWEEN THE AKC AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS 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 SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES. GUIDELINES. SIGNATURE of Owner or His Agent SIGNATURE of Owner or His Agent Duly Authorized to Make this Entry ______Duly Authorized to Make this Entry ______