Form Jeach6 - Bench Show Report P1
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1AKC® BENCH SHOW REPORT For Champion Classes & Run Off Winner. Report MUST be received in 7 days.
Club:__________________________________________ Event #:___________________ Event Date:__________
TOTAL DOGS in SHOW:
The individuals signing below are certifying that the information contained in this report is
accurate. (Note: A final competition round consisting of all BIS and Champion class winners should be held. The “Run Off” winner receives
additional bonus points for the bench show leader board, with competition is required.)
______________________________________________________________________
__________________________________________
Judge's Number
PRINT NAME
Sign Name
Date
_______________________________________
__
__________________________________________
Event Secretary - PRINT NAME
Sign Name
Date
Provide Bench Show
Winner Here
AKC#:
Name:
RUN OFF
USE BELOW TO RECORD ONLY & ALL CHAMPION CLASS WINNERS:
Total # of dogs entered in Champion Classes: _______
AKC Reg#: _________________________ Dog’s Name: _________________________________________________
Owner:________________________ Breed:__________ Club Name:______________________________________
Address:______________________________________________________________ Tel: ______________________
Handler:_______________________ Address:__________________________________Tel:____________________
Please circle one of each: Winner:
MALE
FEMALE
/ Champion Class dog entered:
GRAND
SUPREME
Was handler a youth
YES
NO
Judge's Signature:__________________________ Date:______
(17 yrs & younger)?
AKC Reg#: _________________________ Dog’s Name: _________________________________________________
Owner:________________________ Breed:__________ Club Name:______________________________________
Address:______________________________________________________________ Tel: ______________________
Handler:_______________________ Address:__________________________________Tel:____________________
Please circle one of each: Winner:
MALE
FEMALE
/ Champion Class dog entered: GRAND
SUPREME
Was handler a youth
YES
NO
Judge's Signature:__________________________ Date:______
(17 yrs & younger)?
AKC Reg#: _________________________ Dog’s Name: _________________________________________________
Owner:________________________ Breed:__________ Club Name:______________________________________
Address:______________________________________________________________ Tel: ______________________
Handler:_______________________ Address:__________________________________Tel:____________________
Please circle one of each: Winner:
MALE
FEMALE
/ Champion Class dog entered: GRAND
SUPREME
Was handler a youth
YES
NO
Judge's Signature:__________________________ Date:______
(17 yrs & younger)?
AKC Reg#: _________________________ Dog’s Name: _________________________________________________
Owner:________________________ Breed:__________ Club Name:______________________________________
Address:______________________________________________________________ Tel: ______________________
Handler:_______________________ Address:__________________________________Tel:____________________
Please circle one of each: Winner:
MALE
FEMALE
/ Champion Class dog entered: GRAND
SUPREME
Was handler a youth
YES
NO
Judge's Signature:__________________________ Date:______
(17 yrs & younger)?
AKC Reg#: _________________________ Dog’s Name: _________________________________________________
Owner:________________________ Breed:__________ Club Name:______________________________________
Address:______________________________________________________________ Tel: ______________________
Handler:_______________________ Address:__________________________________Tel:____________________
Please circle one of each: Winner:
MALE
FEMALE
/ Champion Class dog entered: GRAND
SUPREME
Was handler a youth
YES
NO
Judge's Signature:__________________________ Date:______
(17 yrs & younger)?
AKC Reg#: _________________________ Dog’s Name: _________________________________________________
Owner:________________________ Breed:__________ Club Name:______________________________________
Address:______________________________________________________________ Tel: ______________________
Handler:_______________________ Address:__________________________________Tel:____________________
Please circle one of each: Winner:
MALE
FEMALE
/ Champion Class dog entered: GRAND
SUPREME
Was handler a youth
YES
NO
Judge's Signature:__________________________ Date:______
(17 yrs & younger)?
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