CLUB: OFFICIAL AMERICAN KENNEL CLUB FIELD TRIAL or HUNT TEST ENTRY FORM DATE: EVENT NUMBER Southern Maryland English Setter Club 2/22/15 LOCATION: EVENT TYPE (TEST OR TRIAL) Rosaryville State Park Upper Marlboro MD Hunting Test ENTER IN STAKE/TEST I enclose entry fees in the amount of: 2015618402 Event # 2015618402 HUNTING TEST PREMIUM LIST Southern Maryland English Setter Club AKC LICENSED HUNTING TESTS ___________ In Retriever Trials ONLY this dog is qualified for (circle answer): Limited All-Age Stake YES Breed: NO Restricted All-Age Stake YES NO Reg. #: Special All-Age Stake YES NO Sex: Date of Birth: Foreign No. !AKC No. ! AKC Litter No. ! ILP No. ! & list country: ________________________ Full Name of Dog: Call Name Sire: Sunday February 22, 2015 Rosaryville State Park ROUTE 301, Upper Marlboro, MD 20772 www.somdenglishsetterclub.com Dam: Name of Breeder: Actual Owner(s): ALL TEST LEVELS OPEN TO ALL AKC REGISTERABLE POINTING BREEDS Owner’s Address: Entries are limited to the number of dogs that can be run during available daylight hours. Any changes to event will be posted on club website. City: State: Zip: Name of Owner’s Agent/Handler: AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website: www.akc.org AGREEMENT 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 ACK 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 damages 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 THE 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 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: __________________________________________________________________________ Telephone: Email address: This Hunting Test is held under the Rules and Procedures of the AMERICAN KENNEL CLUB BITCHES IN SEASON MAY NOT COMPETE AND ARE NOT PERMITTED ON THE GROUNDS Make checks payable to Southern Maryland English Setter Club Mail with completed entry forms to: Susan Sullivan, Hunting Test Secretary 1728 Tacoma Road Edgewater, MD 21037 443-286-7713 [email protected] Entries will close at 5:00 PM, Wednesday, February 18, 2015 with the Hunt Test Secretary at the above address. Drawing will be held at 5:00 PM, Thursday, February 19, 2015 at 1728 Tacoma Road, Edgewater, MD 21037 Running Order Posted on club website www.somdenglishsetterclub.com NO ENTRY CONFIRMATION WILL BE SENT. Southern Maryland English Setter Club HUNTING TEST Sunday February 22, 2015 PRIZES Tests & Judges 94007 Standard AKC rosettes awarded to each dog receiving a qualifying score. Tracey Johnson 1260 Washington Junior Hunter AvenueWoodbine, NJ 08270 80041 Robert Kiefiuk 8466 RUGBY RD PASADENA, Z1834 David Rye 25998 MD 21122-‐2750 Junior Hunter Senior/Master Hunter 8775 Crane Hwy Bel Alton, MD 20611 Patricia Hudson 25998 Senior/Master Hunter 10485 Cedar Hill Road Gordonsville, VA, 22942-8425 Hunting Test Marshall: Bud Desavoie Master of Guns: John Thereault SCHEDULE & ENTRY FEES Master –7:30 AM Sunday, February, 22 2015 $48 Senior – to follow Master $48 Junior - 8:00 AM Sunday February 22, 2015 $42 COURSES & BIRDS All test levels are single course with a bird field. Quail, Chukar and Pheasant may be released in all stakes SHOOTING DONE BY OFFICIAL GUNNERS ONLY JUNIOR TEST WILL BE BLANK PISTOL ONLY USE OF AKC APPROVED TRACKING COLLARS IS PERMITTED HORSEBACK HANDLING NOT PERMITTED AT ANY LEVEL AN ACCEPTABLE ARTICLE OF BLAZE ORANGE CLOTHING MUST BE WORN BY THE HANDLERS AND GALLERY DURING THE MASTER AND SENIOR LEVEL TESTS. OFFICERS OF THE Southern Maryland English Setter Club John Ward, President, 2109 Horace Ward Rd Owings MD 20736 LuAnn Fullwood, Vice President, 24322 Sparks Rd Ridgely MD 21660 Ray Mealy, Secretary/Treasurer, 571 Carla Dr Huntingtown MD 20639 HUNTING TEST COMMITTEE Chair: Luann Fullwood 24322 Sparks Rd Ridgely MD 21660 Jerry Mealy, Jim Paxton, Susan Sullivan John Thereault, Caroll Mealy, Breakfast and Lunch will be available DIRECTIONS TO ROSARYVILLE STATE PARK Rosaryville State Park is 4 ½ miles South of Upper Marlboro MD on route 301 PLEASE NOTE W AIVER: Participation in the trial, either through entering or observance of the trial, constitutes a waiver of liability to the Southern Maryland English Setter Club, its officers, directors & members, i.e., they are in no way responsible and cannot be held liable for any accidents involving anyone attending the event, their horses, dogs, birds &/or equipment. Disaster Plan Upper Marlboro FD 911 Prince Georges County PD 911 Southern MD Emergency Vet Service 301 638 9988 Southern MD Hospital 301 868 8000 7503 Surrats Rd Clinton MD 20735