Event Approval Form

Name of Championship
Location
Sponsoring Club
Start Date
End Date
   
STAKES OFFERED (Yes / No)
Open All Age
Amateur All Age
Open Shooting Dog
Amateur Shooting Dog
Derby Classic
   
OPEN ALL AGE
   
Name of Judge 1
Hometown
Experience
   
Name of Judge 2
Hometown
Experience
   
AMATEUR ALL-AGE
   
Name of Judge 1
Hometown
Experience
   
Name of Judge 2
Hometown
Experience
   
OPEN SHOOTING DOG
   
Name of Judge 1
Hometown
Experience
   
Name of Judge 2
Hometown
Experience
   
AMATEUR SHOOTING DOG
   
Name of Judge 1
Hometown
Experience
   
Name of Judge 2
Hometown
Experience
DERBY CLASSIC
   
Name of Judge 1
Hometown
Experience
   
Name of Judge 2
Hometown
Experience
   
Field Trial Secretary
Address
Home Phone
Alternate Phone
Email Address
   
Organization President
Home Phone
Alternate Phone
Email Address
   
Organization Secretary
Address
Home Phone
Alternate Phone
Email Address
   
Email of person submitting information A value is required.Invalid format.Please select an item.

 
 

 

 

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Complete prior to event

 

 

COMPLETE AFTER EVENT

 
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The NGSPA was incorporated in the State of Ohio in 1954
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