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/ HUNGARIANWIRE-HAIRED VIZSLA CLUB OF GB
JUDGING QUESTIONNAIRE

Surname:First Name/Initials:Mr/Mrs/Miss/Ms

Address:Post Code:

Tel:Email:Affix:

Which list application is for:

Please give details of all your judging experience of HWVat shows held in the U.K.
You may include future appointments which have been confirmed in writing
Name of Society / Date / Type of Show / No. of Classes actually judged* / No. of Dogs entered ** / Actual No. present & judged ***
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TOTALS

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Classes in which dogs were actually present ** The total number of entries including repeats is not required.

Number of HWV registered in your name at the Kennel Club:

State number of years you have consistently owned and exhibited HWV:

Details of all breeds, commencing with Gundogs, in which you have already awarded or been approved to award Challenge Certificates:

Breed / 1st Awarded CCs / Most recent Appt

KENNEL CLUB CHAMPIONSHIP SHOW JUDGES COMPUTER NUMBER:

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DETAILS OF STEWARDING APPOINTMENTS COMPLETED

Date / Type / Name of Society / Date / Type / Name of Society
1 / 7
2 / 8
3 / 9
4 / 10
5 / 11
6 / 12

Other judging experience (UK only):

Name of Society
. / Date / Type of
Show / No. of
Breed
Classes
* / No. of
Variety
Classes
*
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2
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4
5
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7
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10
11
12
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14
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16
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*Only the number of classes actually judged is required. Not the names of breeds/varieties judged or the number of dogs entered or judged.

PLEASE CONTINUE APPOINTMENTS ON ADDITIONAL SHEETS IF NEEDED

PLEASE INCLUDE COPIES OF CERTIFICATES FOR SEMINARS WITH APPLICATION FORM

KC SHOW REGULATIONS, RINGPROCEDURE & PRACTICAL ASPECTS OF JUDGING

Completed & passed assessment:Date

Details of Organiser:

ANATOMY, CONFORMATION & MOVEMENT

Give details of seminars attended & date you passed or obtained a Certificate of

Attendance Date

HANDS ON, CONFORMATION & MOVEMENT

Give details of seminars attended & date you passed or obtained a Certificate of

Attendance Date

BREED SPECIFIC SEMINAR

Give details of seminar and date you passed or gained Certificate of Attendance

Date

HWVCGB MEMBERSHIP

Give date of joining and total years continuous membership Date Years

Do you have any disability which would impair your judgingYES/NO

If you answer YES please give details:

Should you be included on the HWVCGBList of Judges, will you agree to submit a critique on your judging for all shows to the canine press withinthe time limit & in the format required by the same. In addition you agree to send a copy of your critique to the Honorary Secretary of the HWVCGB YES/NO

State if you give consent for your details to be made available both in print and via the internet (Society and Canine Press) YES/NO

With effect from 01.01.2012 all judges awarding CC’s for the first time in any Gundog breeds must have attendeda Kennel Club Field Trial at Open Stakes Level or an Open Gundog Working Test for the relevant Sub-Group, prior to their being considered to award CC’s. If this is applicable to you please ensure that a copy of your attendance record at the event is enclosed with this application.

I hereby declare that the information I have given is correct and if at any time altered circumstances render any of my replies inaccurate I undertake to notify HWVCGB immediately.

SignatureDate

Please return to Mr T.A. Pearson, 16 Front Street, Rookhope In Weardale, Co Durham DL13 2AY