Championship Forms

Championship Name *

Location Name and Address *

Sponsoring Club

Start Date *

End Date

Dual Sanctioned Stakes Offered

Open All Age:

Name Judge 1 OAA

Enter TBD if you do not have a judge.

City

State State

Name Judge 2 OAA

Enter TBD if you do not have a judge.

City

State State

Amateur All Age:

Name Judge 1 AAA

Enter TBD if you do not have a judge.

City

State State

Name Judge 2 AAA

Enter TBD if you do not have a judge.

City

State State

Open Shooting Dog:

Name Judge 1 OSD

Enter TBD if you do not have a judge.

City

State State

Name Judge 2 OSD

Enter TBD if you do not have a judge.

City

State State

Amateur Shooting Dog:

Name Judge 1 ASD

Enter TBD if you do not have a judge.

City

State State

Name Judge 2 ASD

Enter TBD if you do not have a judge.

City

State State

Derby Classic:

Name Judge 1 Derby

Enter TBD if you do not have a judge.

City

State State

Name Judge 2 Derby

Enter TBD if you do not have a judge.

City

State State

Field Trial Secretary

Field Trial Secretary's Name *

Address *

City *

State *

ZipCode *

Home Phone

Alternate Phone *

Email Address *

Organization President

President's Home Phone

President's Alternate Phone

President's Email

Organization Secretary

Organization Secretary *

Organization Secretary Home Phone

Organization Secretary Alternate Phone

Organization Secretary Email *

Person Completing Form *

Email of Person Completing Form *

Are your club dues paid? (payment is required) *

Yes

No

If No, click here to renew membership dues. It will open in a new window, so none of your work on this form will be lost.

Preview Event Ad (Upload American Field Ad)

Maximum upload size: 33.55MB

NGSPA Championship Approval Form

Open All Age:

Amateur All Age:

Open Shooting Dog:

Amateur Shooting Dog:

Derby Classic:

Field Trial Secretary

Organization President

Organization Secretary