Championship Forms

Name of Championship *

Do not edit this field!

Location Name and Address *

Start Date *

End Date *

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

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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Name

First

Last

NGSPA Championship Approval Form

Open All Age:

Amateur All Age:

Open Shooting Dog:

Amateur Shooting Dog:

Derby Classic:

Field Trial Secretary

Organization President