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

City

State State

Name Judge 2 OAA

City

State State

Amateur All Age:

Name Judge 1 AAA

City

State State

Name Judge 2 AAA

City

State State

Open Shooting Dog:

Name Judge 1 OSD

City

State State

Name Judge 2 OSD

City

State State

Amateur Shooting Dog:

Name Judge 1 ASD

City

State State

Name Judge 2 ASD

City

State State

Derby Classic:

Name Judge 1 Derby

City

State State

Name Judge 2 Derby

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 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.

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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