Judge S Affirmation Form

JUDGE’S AFFIRMATION FORM

This form is to be completed by the sponsoring club and forwarded to the prospective judge. The Judge should correct any errors or fill any empty blanks then sign and return to the Event Secretary. Please retain a copy for your records.

PROSPECTIVE JUDGE: AKC JUDGE.S #

ADDRESS: EMAIL:

CITY, STATE, ZIP:

PHONE: DAY EVENING FAX

SPONSORING CLUB:

EVENT SECRETARY’S NAME:

ADDRESS: EMAIL:

CITY, STATE, ZIP:

PHONE: DAY EVENING FAX

DATE MAILED/GIVEN TO JUDGE:

YOU AGREED TO JUDGE THE STAKES(S)/TESTS

FOR THE (CLUB NAME) TEST/TRIAL

TO BE HELD ON (DAYS) (DATES)

AT (SITE) IN (TOWN, STATE)

YOUR SIGNATURE BELOW CONFIRMS THAT YOU HAVE READ AND UNDERSTAND THE

LATEST RULES/REGULATIONS GOVERNING THE TRIAL OR TEST THAT YOU HAVE AGREED

TO JUDGE. YOU MUST SIGN THIS FORM AND RETURN IT TO ME NO LATER THAT (DATE).

SINCERELY,

(TEST OR TRIAL SECRETARY)

JUDGE’S AFFIRMATION:

I CERTIFY THAT I AM FAMILIAR WITH THE AMERICAN KENNEL CLUB’S RULES, REGULATIONS, AND POLICIES GOVERNING THIS EVENT AND AGREE TO ABIDE BY THEM.

I UNDERSTAND THAT I MAY BE HELD RESPONSIBLE FOR ANY INAPPROPRIATE COMMENTS MADE BY ME ABOUT DOGS, DOG EVENTS, JUDGES OR THE SPORT OF PUREBRED DOGS. ANY VIOLATIONS OF THE ABOVE MAY BE SUBJECT TO DISCIPLINARY ACTION.

JUDGE.S SIGNATURE DATE

AJC001 (5/06)