<p> Jack Shuler 6342 Shuler Road, Salem, IL 62881</p><p>EVALUATION/CRITIQUE APPLICATION</p><p>Name: ______Address: ______</p><p>City: ______State: ______Zip: ______</p><p>Telephone: H ______C ______email ______</p><p>Breed of dog: ______Age: ______Sex: ______Neutered: ______</p><p>Dog’s call name: ______AKC Registration Number: ______</p><p>Dog’s Registered Name: ______</p><p>Does dog have a recognizable I.D. (or alert) at end of trail: Y _____ N _____ If yes, what: ______</p><p>How long have you been working this dog in trailing: ______</p><p>Age of dog when trailing training started: ______Number of training trails worked to date: ______</p><p>Do you maintain training records for each of your training trails: Y ______N ______If yes, how do you keep these records: </p><p>______</p><p>Has this dog been worked on actual calls: Y _____ N _____ If yes, how many: ______</p><p>What kinds of calls: ______Keep this page for your records</p><p>Upon acceptance of application, you will be contacted and arrangements will be made for a mutually agreeable time and date for the evaluation/critique. A 50% deposit is payable when date is set.</p><p>Costs and terms:  Evaluation/Critique $150.00  50% deposit required upon reservation of date, with balance due day of test  Payments may be made by personal check to Jack Shuler, or by PayPal to [email protected]  No refunds of deposits will be made for missed appointments Equipment needed  Harness, trailing lead, 6’ leash, chain or flat collar, water (dog and self), dog water dish  Clothing appropriate for weather & work in all venues, hiking, combat boots or other footwear suitable for all terrains and conditions that may be encountered  If you keep training records, bring them with you for examination Overnight lodging  If you need overnight lodging, we have an arrangement with the Salem Super 8 Motel for a special rate for our clients. Make your reservations by phone at 618-548-5882 or by email to [email protected]. You must state that you are training with Jack Shuler to receive the special rate.  RV camping is available at the Marion County Fairgrounds in Salem, or at Stephen Forbes State Park 17 miles NE of Salem Transportation  Client will be responsible for their own transportation to and from my location, and between all testing venues</p><p>------For office use only</p><p>Date/s set for test: ______</p><p>Training hours: ______</p><p>Release form on file: ______</p>