Club Request For Non-Approved Individual To Judge A Specialty Show Form
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j u d g i n g o p s @ a k c . o r g
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September 2015
S
-
PECIALTY CLUB REQUEST FOR NON
APPROVED INDIVIDUAL TO JUDGE
THEIR SPECIALTY SHOW
P
. Designated areas of applications should be completed before submitting to the
LEASE TYPE OR PRINT IN BLACK OR BLUE INK
Department for consideration. Reminder: even if the Department views request favorably, the approval is not final until
individual requested has met all requirements as outlined in the Judging Approval Process. Please keep copies for your
records. All forms available at:
Specialty Club:________________________________________________________ Date of Event:____________________
Location of Event:______________________________________________________________________________________
Type of specialty show for which the request is being made:
Parent Club Specialty
Local Breed Club Specialty
Has an application been submitted for this event?
Yes
No. Is the event an
independent or
designated specialty
REQUESTED INDIVIDUAL
__________ Name:______________________________________________________________________________________
Mr./Mrs./Miss/Ms.
Address:________________________________________________________________________________________________
City:___________________________ State:______ Zip code:__________ Email:_____________________________________
Verify Email: _______________________________________
Over 21 years of age?
Yes
No
Home Phone#_________________________ Work Phone #________________________ Fax #________________________
Cell Phone# __________________________ Number of years owning/breeding/exhibiting this breed:______________________
LIST BELOW ACCOMPLISHMENTS OF THE INDIVIDUAL BREEDING/OWNING/EXHIBITING IN THIS BREED:
Completed form may be printed and signed or signed elctronically. Forms may be submitted by mail, email or fax to the Judging Operatins
Department.
F
P
C
S
ORM MUST BE COMPLETED BY
RESIDENT
OR
ORRESPONDING
ECRETARY
_________________________________________
________________________________________________________
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IGNATURE
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