HUNTING TEST PREMIUM LIST Twenty-Sixth Annual CSSCG Spaniel Hunt Test

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1 HUNTING TEST PREMIUM LIST Twenty-Sixth Annual CSSCG Spaniel Hunt Test Member of the American Spaniel Club since 1946 Licensed Club of the American Kennel Club 613 Lee Maddox Rd, Jackson, Georgia December 3, 2016 Event # Eve December 4, 2016 Event # AKC Licensed Hunting Test for Spaniels CSSCG thanks Mr. Luke Weaver for his continued support of our club and use of his farm. These tests are held under the rules and procedures of the American Kennel Club Hunt Test entries are limited to 50 in all testing categories each day. WD Test for Spaniels December 2, 2016 Per Ch. 1, Sec. 4 of the AKC Spaniel Hunt Test Regulations, entry priority is given to Spaniels (except the Irish Water Spaniel) and Airedales. Tests are open to all registered breeds of flushing Spaniel, Airedale, Irish Water Spaniel, and eligible breeds, as listed at akc.org, six months of age or older on the day of the Hunt Test. Standard Qualifying rosettes will be issued to all dogs receiving passing scores. Bird bands awarded to all dogs receiving passing scores. Title rosettes awarded to all dogs earning a new title. SUBSIDIZED ENTRY FEE FOR JUNIOR HANDLERS

2 Entry Fees $60 for all levels Junior Handler: $40 Please make check payable to CSSCG, Inc. CSSCG reserves the right to charge the greater of $30.00 or 5% of the check amount, plus the entry fee and amount of any fees charged to CSSCG by a bank or financial institution for any check not honored. Mail entries with check payable to CSSCG to: Venée Gardner, Hunt Test Secretary 167 Roe Hampton Ln Stone Mountain, GA No phone entries accepted vgardian@gmail.com Entries Close November 23, 2016 at 6:00 pm Eastern time after which time entries cannot be accepted, cancelled, altered or substituted except as provided for in Chapter 11, Section 6 of the Dog Show Rules. Drawing will take place at 7:00 PM at the Secretary s address the date of closing. Judges and Tests to be Judged Saturday December 3, 2016 Junior, Senior, and Master Division A Vickie Dahlk Frank Martinez Judge's Number: Judge's Number: Agnes Cir PO Box Barneveld, WI Atlanta, GA Junior Hunt Test, field work: 8:00am Eastern Time Senior Hunt Test field work to follow Junior Hunt Test Master Hunt Test field work to follow Senior Hunt Test Senior & Master land blinds to follow all field work Master water blind & water marks to follow land blinds Junior & Senior water marks may run concurrent to Master water work Junior, Senior, and Master Division B Lois H Mccracken Judge's Number: PO Box 1982 Sumter, SC Sunday December 4, 2016 Junior, Senior, and Master Division A Junior, Senior, and Master Division B Lois H Mccracken Vickie Dahlk Judge's Number: Judge's Number: PO Box Agnes Cir Sumter, SC Barneveld, WI Test Schedule All tests start at 8:00 am each day., with a briefing shortly before on Saturday. For each Division, respectively: Frank Martinez Judge's Number: PO Box Atlanta, GA Birds to be Used Junior Hunting Test: chukar and/or pigeon for land and water work. Senior and Master Hunting Tests: chukar and/or pheasant for the land and water work. Scratches, Refunds, No Shows Before entries close, an entry must be pulled by contacting the Hunt Test Secretary and receiving confirmation of cancellation to be eligible for a refund. After entries close, entry fees paid will be refunded only for a: bitch in season, or dog that is injured, ill, or dies A refund request must be accompanied by a veterinary certificate prior to the test. Please allow a reasonable time for any refund to be made.

3 There will be no refunds: for no-shows in event a dog or handler is disqualified, excused by a judge, or barred from a test by action of Hunt Test Committee for weather issues if test cannot be started or completed by reason of riots, civil disturbance, act of God, public emergency, or any other cause beyond the control of the Hunt Test Committee. EMERGENCY INFORMATION 613 Lee Maddox Rd. Jackson, GA Lat Long MEDICAL, FIRE, POLICE, AMBULANCE: DIAL 911 Butts County Fire & Emergency Medical Services Hunt Test Veterinarian (Emergency On-call 24 hour/7days) Jackson Veterinary Clinic Dr. Alan Burdette 369 East Second Street Jackson, Georgia Clinic Hours Monday-Friday: 7 AM - 6 PM Saturday: 7:30 AM - 1 PM DIRECTIONS TO EMERGENCY VETERINARIAN: (about 15 minutes): Turn right from on Lee Maddox Rd toward GA-36 E (0.4 mi). Take the 1st left onto GA-36 E (6.1 mi). Continue onto S. Mulberry St (282 ft). Turn right onto E 2nd St (0.2 mi). Destination is on the left. Emergency Room Sylvan Grove Hospital 1050 Mcdonough Rd Jackson, GA DIRECTIONS TO EMERGENCY ROOM: Turn right from on Lee Maddox Rd. Turn left onto GA-36 E (6.1 mi). Turn left onto 3rd St (0.2 mi). Turn right onto Brookwood Ave (0.8 mi). Turn right toward McDonough Rd (69 ft). Turn right onto McDonough Rd. (0.2 mi). Destination will be on the left. Officers of the Cocker Spaniel Specialty Club of Georgia, Inc. Susan Roman, President, 2301 Anderson Mill Rd., Austell, GA Frank Martinez, Vice Pres., POB , Atlanta, GA Deborah Torras, Secretary, POB , Atlanta, GA Marcie Ziesmer, Treasurer, 4620 Glory Maple Trace, Powder Springs, GA Hunt Test Committee Deborah Torras, Chairwoman, POB , Atlanta, GA Venée Gardner, Hunt Test Secretary, 167 Roe Hampton Ln, Stone Mountain, GA Members: Danny & Jan Epting, Venée Gardner, Marty Griner, Deborah Torras Official Gun Captain: Bill Towhey Official Guns: Shoni Benton, Roger Heges, Al Keller, Bill Towhey, John Zipf Head Marshall: Deborah Torras Assistant Marshall: Deb Travers Chief Bird Planters : Danny Epting, Bob Phiel Hospitality Chair: Susan Roman

4 NOTES TO PARTICIPANTS Friday WD Test : Friday, December 2 at 10:30 AM at. Entry is limited to 12 Spaniels, $25, and is on a walk-up basis. CAMO ROSETTES awarded for a passing score. Not every parent club may accept scores earned at this test - contact HT Chairwoman to verify PC approval. Judges Appreciation Dinner : Friday evening at a local restaurant TBA. All are welcome to attend. Saturday & Sunday Lunch A lunch, beverage, and dessert will be available each hunt test day for the nominal fee of $8.00 per person - a bargain price for fine Southern hospitality and food! Several other options are also within driving distance. Saturday Night Dinner Saturday evening at a local restaurant TBA. All are welcome to attend. Please Note Bitches in season are not eligible to participate, nor are they allowed on the grounds. Training, severe correcting or disciplining of dogs will not be permitted on the hunt test grounds. Both AKC and CSSCG require Blaze Orange Clothing LARGER than a hat be worn when in the hunting test field. Blaze orange is not required during hunt dead and water work. We ask you turn off (or to vibrate) any cell phones. CSSCG assumes no responsibility for any loss, damage, or injury by handlers or guests, to any children, dogs, or property. Move-ups, Test Levels, Scorecards Dogs may be moved up to a higher test level (in a second event) if a title is acquired after entries have closed in the second test, subject to the approval of the Hunting Test Committee of the second event, & the availability of birds, provided that the dog is moved up at least one-half hour prior to the start of the second Test. Dogs so moved up will be placed at the end of the drawn running order. Dogs having earned a title may run at the same or lower test level, but no title lower than already earned will be awarded. Scoresheets will be available at the conclusion of the testing, for review only by the handler scored. Directions to the Hunt Test Site From Atlanta: Take I-75 south to exit 201 (GA-36) Jackson. Turn left onto GA-36 East/Barnesville-Jackson Rd (2.4 mi). Turn left onto Lee Maddox Rd (approx. 0.4 mi). Luke Weaver Farm is on left behind white house. From Macon: Take I-75 north to exit 201 (GA-36) Jackson. Turn right onto GA-36 East/Barnesville-Jackson Rd (2.3 mi). Turn left onto Lee Maddox Rd (approx. 0.4 mi). Luke Weaver Farm is on left behind white house. Lodging (mostly located at exit 212) Red Roof Inn Bill Gardner Parkway, Locust Grove, GA - (678) La Quinta Inn & Suites Bill Gardner Pkwy, Locust Grove, GA - (678) Super Bill Gardner Parkway, Locust Grove, GA - (770) Comfort Suites Bill Gardner Parkway, Locust Grove, GA - (678) Ramada Limited Stanley K Tanger Boulevard, Locust Grove, GA - (770) Event Photos CSSCG welcomes In Motion Photos this weekend. Images will be available for sale.

5 AMERICAN KENNEL CLUB HUNT TEST ENTRY FORM AMERICAN KENNEL CLUB HUNT TEST ENTRY FORM CSSCG # & CSSCG # & Lee Maddox Rd, Jackson, GA Lee Maddox Rd, Jackson, GA Saturday December 3, 2016 Sunday December 4, 2016 Saturday December 3, 2016 Sunday December 4, 2016 Enter in Test: Junior Hunter Senior Hunter Master Hunter I enclose entry fees in the amount of: $ Name of Dog: Call Name: AKC Reg # AKC Reg # Enter in Test: Junior Hunter Senior Hunter Master Hunter I enclose entry fees in the amount of: $ Name of Dog: Call Name: Or ILP # or Foreign Registry Country of Registry Or ILP # or Foreign Registry Country of Registry Breed Male Female D.O.B. Sire Dam Breeder Name of Actual Owner Owner s Address City State Zip Phone AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: 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 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 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 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 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 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 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 injuries, including death at any time resulting there from, 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 THE ENTRY, EXHIBITION OR OTHERWISE STATED IN THIS PREMIUM H LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO 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: Breed Male Female D.O.B. Sire Dam Breeder Name of Actual Owner Owner s Address City State Zip Handler Junior Handler? Handler Junior Handler? Phone AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: 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 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 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 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 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 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 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 injuries, including death at any time resulting there from, 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 THE ENTRY, EXHIBITION OR A OTHERWISE STATEDIN THIS H PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO 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. ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB, UNLESS TTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB, UNLESS Signature of owner or his agent duly authorized to make this entry: Date: Date:

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