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AFFILIATED WITH
UNITED KENNEL CLUB, IN
"Conceived by Hunters for Hunters"


I submit $_________________ for entry fees.
Enter in Hunt Category:______________________________________________________

Name of Retriever:__________________________________________________________

UKC Registration #R_______________-_____________HRC Points:__________________

Breed:______________________________Male______Female______DoB:____________

Sire:_____________________________________________________________________

Dam: ____________________________________________________________________

Registered Owner:__________________________________________________________

Owner's H.R.C. Membership #:________________________________________________

Owner's Address:___________________________________________________________

City:_____________________________________________State______Zip____________

Phone Number: (____)______________________________________________________

Name of Handler:___________________________________________________________

'"I certify this dog's immunization is current":
(Signature of Owner/Agent)____________________________________________________
Address of Handler (If Handler signs above):Street_________________________________
City_________________________________________State_________Zip_____________
HRC MEMBERSHIP # OF HANDLER__ ________________________________________

I agree NOT to hold the landowner(s) responsible for loss of property, damage or injury incurred during this event. UKC and the host Club are NOT responsible for loss, accident or theft, and further assume no responsibility for any damage or injury sustained by the handlers, or to any of their dogs or property and further assume no responsibility for injury to children not under the control of their parents or guardians.

Southern Illinois
HUNTING RETRIEVER CLUB
CLASS "AA" HUNT
Saturday, April 28, 2001

HUNT LOCATION
Doug Johnson Property
13378 Davidson Rd. Marion, IL 62959

OPEN TO RETRIEVERS & VERSATILE GUN DOG BREEDS
This Hunt is held under the rules of the
Hunting Retriever Club and United Kennel Club.

SEND ENTRIES & CHECK TO HUNT SECRETARY:

Kathy Gibson
P.O. Box 3262 Carbondale, IL 62902
Ph. 618-549-1359
Fax: 618-549-0649
E-mail: hrcsec@midwest.net

Entries will close on April 21, 2001

Started entries close on the 50th entry received.
Seasoned entries close on the 40th entry received.
Finished entries close on the 60th entry received.
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No Hunting Retriever may compete in 2 different categories per Licensed Hunt
(1 entry per dog.)
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JUDGES (* Denotes Apprentice Judge)

STARTED Tim Gibson, Carbondale, IL
* Leon Dilliner, Sesser, IL

SEASONED, Jim Merrow, Pittsburg, IL
* Scott Cutsinger, Pittsburg, IL

FINISHED Terry Jones, Haubstadt, IN
Bob Region, Deville, LA
Scott Whitaker, Jackson, TN
* Doug Johnson, Marion, IL


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