Patriot Sporting Spaniel Club - To essft.com

HUNT TEST PREMIUM LIST
AKC LICENSED HUNT TEST
Events # 2013513501 & 2013513502
Saturday & Sunday, May 18 and 19, 2013
193 Sam Brown Hill Road
Brownfield, ME 04010
Open to all AKC registered breeds of flushing spaniels six months of age or over on the day of
the hunting test. This licensed hunt test is held under the Rules and Regulations of the American
Kennel Club
Mail entries with check or money order payable to the Patriot Sporting Spaniel Club Inc.
(PSSC) to:
Bryan MacLaren, Hunt Test Secretary
107 Hovey Road. Londonderry, NH 03053
(603) 867-6162
bryan.maclaren@comcast.net
Entries limited to 35 dogs each day.
Entries will close at 5:00 PM EDT, May 10, 2013 with the Hunt Test Secretary.
The drawing will take place at 7:00 PM EDT, May 10, 2013 at 107 Hovey Road. Londonderry,
NH

Hunt Test Information
May 18, 2013
Schedule and Entry Fees
Master May 18, 8am $65
Senior May 18, 8am $65
Junior May 18, 8am $65
Courses and Birds
Chukars or ducks will be used in all land and water series. Waterfowl decoys may be in the water
in all water series.
Master and
Senior
Judges
Len Hieronymus, 16 Willensview Lane. Belmont, ME
04952
Pat Janelle, 397 South Main St. Attleboro, MA 02703
Junior Randy Beltz, 126 Old Bennington Road, Greenfield
NH 03047
Bev Matthews, 495 Mulberry St. Windsor Locks, CT
06096
Prizes
Standard AKC Rosettes to all dogs receiving qualifying scores.
Gun Captains
Robert MacDonald & John Halpin
Head Marshall
Jen Zulik
Bird Planter
Pat Zulik
Hunt Test Committee
Elsie McDonald, Chairman 422 Hampshire Rd. Brownfield, ME 04018
Steve Church, 41 Saint Laurent St., Epping, NH
Faith MacLaren, 107 Hovey Road. Londonderry NH 03053
Pat Zulik, 13 Main St Hiram ME 04041
Jen Zulik, 13 Main St Hiram ME 04041
Jay Chaplin 98 Mechanic St. Orange, MA 01364
Dave White 84 Forest Rd. Hancock, NH 03449

Hunt Test Information
May 19, 2013
Schedule and Entry Fees
Master May 19, 8am $65
Senior May 19, 8am $65
Junior May 19, 8am $65
Courses and Birds
Chukars or ducks will be used in all land and water series. Decoys may be used in all water
series.
Master and
Senior
Judges
Len Hieronymus, 16 Willensview Lane. Belmont, ME
04952
Pat Janelle, 397 South Main St. Attleboro, MA 02703
Junior Randy Beltz,
Bev Matthews, 495 Mulberry St. Windsor Locks, CT
06096
Prizes
Standard AKC Rosettes to all dogs receiving qualifying scores.
Gun Captains
Robert MacDonald & John Halpin
Head Marshall
Jen Zulik
Hunt Test Committee
Elsie McDonald, Chairman 422 Hampshire Rd. Brownfield, ME 04018
Steve Church, 41 Saint Laurent St., Epping, NH
Faith MacLaren, 107 Hovey Road. Londonderry NH 03053
Pat Zulik, 13 Main St Hiram ME 04041
Jen Zulik, 13 Main St Hiram ME 04041
Jay Chaplin 98 Mechanic St. Orange, MA 01364
Dave White 84 Forest Rd. Hancock, NH 03449

Hunt Test Information
Patriot Sporting Spaniel Club Officers
President Jay Chaplin 98 Mechanic St. Orange, MA 01364
Vice
President
Pat Janelle-Cutler 397 South Main St. Attleboro, MA
02703
Secretary Jack Klette 186 Lowe Street Leominster, MA 01453
Treasurer Dave White 84 Forest Rd. Hancock, NH 03449
Total Enclosed Entry Fees
Master Test: $65 x ____ # dogs = ________
Senior Test: $65 x ____ # dogs = ________
Junior Test: $65 x _____ # dogs = ________
Patron: $25 x ______ # listings= ________
Total Amount Enclosed: ________
Check or money order payable in US funds to: Patriot Sporting Spaniel Club Inc. (PSSC Inc.)
Refund Policy: Entry fees will be refunded if a dog is wounded or dies, or for any female in season at test time.
Other refunds are at the discretion of the Hunt Test Committee.
Completion of Entry
Please complete a separate entry form for each dog and each day of entry. (Note the different
event date and number on the separate form.) You may photocopy the blank forms to prepare
multiple applications. If you are entering a dog in both events on the weekend, please enter the
dog at the current competition level for both days. Dogs attaining titles on Saturday may be
moved up to a higher class on Sunday by the owner. Please complete the “Total Enclosed”
worksheet and submit it with your entry form(s) and check payment for the event.

Patrons
The cost of running a hunt test is assumed by the sponsoring club. Entry fees alone do not
assure that the event will cover all of the club’s expenses. Members, owners of competing
dogs, and other friends can become patrons of the event. Each patron will be listed in the
event catalogue.
Motels located near the Hunt Test Grounds
The Cornish Inn – Main St, Box 266 / Cornish, ME 04020 phone: 207- 625-8501
Bear Mountain Inn – 364 Waterford Rd / Waterford, ME 04088 phone: 866-450-4253
Peace with Inn – 254 West Fryeburg Rd (Rt.113N) / Fryeburg, ME 04037 phone: 877-935-7322
Midway Country Lodging – 712 South Hiram Rd / Cornish, ME 04020 phone: 207-625-8835
Related Information
Directions to the Event Grounds
The easiest way to find directions would be to go to a program such as Map Quest and enter your
departure location to the hunt test site at 193 Sam Brown Hill Rd. Brownfield, Maine.
Requirements
PSSC requires all handlers to report to the line with drinking water for your dogs.
The Patriot Sporting Spaniel Club and the AKC requires wearing an article of blaze
orange by all those in the field.
Severe training, correcting, or disciplining of any dog will not be allowed on the grounds.

OFFICIAL AMERICAN KENNEL CLUB HUNT TEST ENTRY FORM
Note: This Entry Form Must Be Completed in Full
Club: Patriot Sporting Spaniel Club
Location: 193 Sam Brown Hill Road. Brownfield, ME
Date: May 18, 2013
I SUBMIT $ for entry fees. EVENT # 2013513501
Enter in Stake/Test: Junior Hunter Senior Hunter Master Hunter
NAME OF CALL
DOG (Print) NAME
A.K.C. Reg Or A.K.C. Litter Number
Number (If Dog Not Reg.)
Or ILP No.
Or Foreign Reg. No. And Country of Registry
Breed MALE FEMALE D.O.B.
Sire
Dam
Breeder
Name of Actual Owner (Print)
Owner's Address
City State Zip Code
Name of Owners Agent/Handler (Print)
Phone Email
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website at www.akc.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 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 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
ver. 04-04 sw
OFFICIAL AMERICAN KENNEL CLUB HUNT TEST ENTRY FORM
Note: This Entry Form Must Be Completed in Full
Club: Patriot Sporting Spaniel Club
Location: 193 Sam Brown Hill Road. Brownfield, ME
Date: May 19, 2013
I SUBMIT $ for entry fees. EVENT # 2013513502
Enter in Stake/Test: Junior Hunter Senior Hunter Master Hunter
NAME OF CALL
DOG (Print) NAME
A.K.C. Reg Or A.K.C. Litter Number
Number (If Dog Not Reg.)
Or ILP No.
Or Foreign Reg. No. And Country of Registry
Breed MALE FEMALE D.O.B.
Sire
Dam
Breeder
Name of Actual Owner (Print)
Owner's Address
City State Zip Code
Name of Owners Agent/Handler (Print)
Phone Email
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club website at www.akc.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 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 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
ver. 04-04 sw