§930.EXHIBIT A. Application Form for Field Trials on Non-Department-Owned or -Managed Sites

Field Trial Organization Name:

Contact Person's Name:

Contact Person's Address:

City:

State:

Zip:

Email Address:

Work Phone:

(       )

Home Phone:

(       )

Fax Number:

(       )

Cell Phone:

(       )

Dates of Field Trials:

Location:

County:

Property Owner's Name:

Distance & Direction From Nearest Community:

Type of Field Trial:

Pointing Dog − Horseback

Retriever

Pointing Dog − Walking

Flushing Dog − Shoot-To-Retrieve

Pointing Dog − Shoot-To-Retrieve

English Springer Spaniel

Beagle Hound

Fox Hound

Coon Hound

Other

Licensing or Sanctioning Sporting Dog Registry or Association if Applicable:

American Kennel Club (AKC)

American Rabbit Hound Association (ARHA)

National Shoot-To-Retrieve Field Trial Association (NSTRA)

United Kennel Club (UKC)

The American Field – Field Dog Stud Book (AFDSB)

Amateur Field Trial Field Clubs of America (AFTCA)

National Kennel Club (NKC)

Professional Kennel Club (PKC)

Club Sponsored Event

Request must be received at least four weeks prior to the date of the field trial.

Submit application to: IDNR, Attention: Field Trial Program, One Natural Resources Way, Springfield IL 62702-1271; Phone:  [phone]; Fax:  [phone]

 

(Source:  Added at 29 Ill. Reg. 8307, effective May 26, 2005)