AMERICAN HERDING BREED ASSOCIATION

SANCTION FORM for TRIAL/TEST

SPONSOR (club or individual): NEW MEXICO HERDING DOG ASSOCIATION
ADDRESS: PO BOX 782
MOUNTAINAIR, NM 87036
PHONE: 505-847-5031 / EMAIL:
DATE(S) OF TRIAL:
LOCATION: FREE TO BE RANCH, MOUNTAINAIR, NM 87036
JUDGE(S) Please include name, address, phone # and email:
GERI ABRAMS, PO BOX 782, MOUNTAINAIR, NM 87036 – 505 228 2989 –
SUSAN ABRAMS, 16300 W. SIMMONS RD, EDMOND OK 73003- 405431-6045 – triofarms2pldi.net
MARY STAR CHARLTON, 2819 CALLE DE SONORO, SANTA FE, NM 87501 – 505-471-2688 –
MALCOLM CHARLTON, 2819 CALLE DE SONORO, SANTA FE, NM 87501 – 505-471-2688 –
BONNIE DALEY, 16300 W. SIMMONS RD, EDMOND, OK 73003 - 509-279-8377 –
SANDY KIEFT, 1103, BULLOCK, SOCORRO, NM 87801 – 575-838-6404 –
DEBBIE STULL, PO BOX 729, BOVINA, TX, 79009 – 806-225-4035 –
KATHIE WOODS, 223 W. HILL RANCH RD, EDGEWOOD, NM, 87015 – 505-281-0477 –

CLASSES OFFERED (indicate type of stock for each class):

HTD I: SHEEP - GOATS / HTD II: SHEEP - GOATS / HTD III: SHEEP - GOATS
HTAD I: / HTAD II: / HTAD III: / Course #:
for HTAD classes, indicate: Gather , Take Pen , Type of sort
HRD I: / HRD II: / HRD III:
RLF I: / RLF II: / RLF III:
For HRD/RLF classes, provide full details with course description and diagram
JUNIOR HERDING DOG TEST: / HERDING CAPABILITY TEST:

TOTAL NUMBER OF EACH TYPE OF STOCK PRESENT:

Sheep: / Ducks: / Goats: / Cattle: / Other (type, number):
NUMBER OF HEAD PER GROUP:

DESCRIPTION OF AREA(S):

Dimensions: 40 ACRE FENCED PASTURE
Terrain: NATURAL GRASS
Fencing: 48’TALL –FIELD FENCE / Other:
STOCK SUPERVISOR:
COURSE DIRECTOR:
ENTRY LIMIT PER DAY:
ALL-BREED: X / LIMITED TO (indicate breed):

If applicable, Other Event Being Held Same Day: Clinic: , Introduction to Herding , Test

Sanctioned by: / Entry Limit:

Sponsor’s insurance carrier and policy numbers:

As the sponsor of an American Herding Breed Association (AHBA) sanctioned event, I/we agree to hold the AHBA, its officers, directors and members harmless and blameless and to defend them from any loss, claim, suit or damage which may occur at or as a result of this event. I/we agree to indemnify the AHBA, its officers, directors and members from any loss, damage, claim or expense, including attorneys fees and costs, which may in any way arise or result from this event. I/we have read the AHBA Herding Program pertaining to this event and agree to abide by said Rules. I/we agree that although I/we will abide by said Rules, control over the conduct of the event and those present is solely mine/ours and not that of the AHBA.

Dated:

(signature of trial secretary/sponsoring individual)

(print name)

Contact name, tel. & email if different from sponsor’s:

1/2013