Originating Club
Surname / First Name / Mr/Mrs/Miss/Ms
Address
Post Code / Telephone / Affix
Please give details of all your judging experience of English Setters at all shows held in the UK. 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***
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Total
* Classes in which dogs were actually present. ** The total number of entries including repeats is not required.
*** This requirement must be included for all shows held after 1st January 1995.
Please us a continuation sheet if necessary
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Stud Book Entries: Name & number of English Setters owned or bred by you
1 / 23 / 4
5 / 6
7 / 8
9 / 10
11 / 12
Where you an owner or breeder of at least 3 dogs when they obtained their first entry in the KC Stud Book? Yes/No
Approximate number of English Setters registered in your name at the Kennel Club …………..
Details of all breeds, commencing with Gundogs, in which you have already awarded or have been approved to award
Challenge Certificates:
Breed / 1st Awarded CC's / Most recent Appt.Kennel Club Championship Shows Judges Computer Number ………………………….
Details of Stewarding Appointments Completed.
Date / Type / Name of Society / Date / Type / Name of Society1 / 2
3 / 4
5 / 6
7 / 8
9 / 10
11 / 12
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Other Judging Experience (UK only)
Name of Society / Date / Type of Show / No of Breed Classes / No of Variety Classes1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Totals
* Only the number of classes actually judges is required. Not the names of breed/variety judged or the number of dogs entered or judges
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KC show regulations, ring procedure & practical aspects of judging
Completed & passed assessmentDate
Details of organiser/club
Anatomy, conformation & movement
Give details if seminars attended & dates you passed of obtained a Certificate of AttendanceDate
Do you have any disability which would impair your judging a championship show entryYes/No
Of English Setters with CC's on offer.
If your answer is Yes please give details.
Should you be included in the English Setters Joint Breed Clubs List, will you agree to submitYes/No
Acritique on your judging for all shows to the canine press within the time limit & in the format
Requiredby the same?
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 the Joint English Setter Clubs immediately
Date Signed
Please return to the originating club as below.
Southern English Setter SocietyHon. Secretary
Mr D. Lewis
217 Hale Drive
Mill Hill
London. NW7 3EH.
______
Office Use Only
Form sentDate returnedApproved by joint Judges Committee
A1 ListA2 ListA3 ListB ListC list
ConfirmedConfirmedConfirmedConfirmedConfirmed
Nominating Clib
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