JOVOB7 1216 v1.4P Edit© 2016 American Kennel Club, Inc.

Report of Dog Show or Obedience Trial(Licensed or Member Clubs Only)

Upon completion of a Dog Show or Obedience Trial, the Superintendent or Event/Trial Secretary must fill out this report. This report along with the event records described in the Rules Applying to Dog Shows, Chapter 17, Section 2, and the appropriate fees must be received by Event Operations within seven days after the event. Please answer all questions; if additional space is needed please attach 8½”x 11” paper only.

Each event, including combined Specialties, Back-to-Back All Breed, and Limited Breed Events require a separate report for each event. (There is no recording fee or event service fee for junior showmanship, sweepstakes, futurities, brace/team, multi-dog classes, obedience/rally non-regular classes, or special attractions.)

Office Use Only

Name of Club Date of Event Event #

Submission Items Please submit the following within seven days of the event

Marked catalogJudges booksThis form with both pages completed

Payment attached to this form(check or credit card info—Do not email Credit Card number)

Mail to this addressAmerican Kennel Club

Event Operations Conformation/Obedience

PO Box 900051 Raleigh, NC 27675-9051

Payment MethodCheckCheck Number Amount of Check

Credit CardCredit Card Number

Expiration Date Card Type

Name on Credit Card

Billing Address

Questions? Contact us. . .American Kennel Club

Event Operations Conformation/Obedience

PO Box 900051 Raleigh, NC 27675-9051

Tel 919 816-3579Fax 919 816-4220

www.akc.org

Fees Conformation and/or ObediencePer Rules Applying to Dog Shows, Chapter 11, Section 2, recording fees are $0.50 per first entry of each dog and Event Service Fees are $3.00 per entry (not per dog).

Event SecretaryIndividuals may act as Event Secretary for up to 8 events per year with no fee due. The fee for each event after the eighth is $10 per event. Superintendents pay for each event.

Secretary’s/Superintendent’s fee (if applicable)$Subtotals & Grand Total

Service Fees: Total billable entries x $3.00Recording fees: First entry for each dog x $0.50Event Secretary Fee ($10 per event, if applicable)Total Due for Event

+$+$

$

Total number of First entry for each dogTotal number of entriesJunior Showmanship entriesEntries withdrawn after closingTotal billable entriesService Fees: Total billable entries x $3.00Recording fees: First entry for each dog x $0.50

--=$$

JOVOB7 1216 v1.4P Edit© 2016 American Kennel Club, Inc.

Were there any complaints against any judge? If so, list name of complainant, basis of complaint, and name and number of the judge. If you have any supporting documentation, attach it to this report.

If any judge arrived late for assignment, give details:

Name Reason

Name Reason

Name Reason

Did all judges approved on the panel for this event by the AKC® officiate? Yes No If not, list the judges that did not officiate below, the date the club was notified, and the reason given to the club:

Name Date Reason

Name Date Reason

Name Date Reason

If any judges were used at this event that have NOT been approved previously by the Judging Operations Department of the AKC® for the specific breeds/classes judged, list their names and addresses and the additional breeds/classes judged:

Name Address

Breeds/Classes

Name Address

Breeds/Classes

If any judges were used at this event that have been approved previously by the Judging Operations Department of the AKC® for the specific breeds/classes judged, but were not approved to judge those breeds/classes at this event, list the names and the breed(s) judged:

Name Breed(s)/Classes

Name Breed(s)/Classes

Name Breed(s)/Classes

Describe any unusual occurrences at the show or trial that resulted in formal complaints to the Event Committee or civil authorities (attach 8½” X 11” page if additional space is needed):

If the Event Committee was called upon to consider acts of prejudicial conduct, were all committee members familiar with the contents of the pamphlet “Dealing with Misconduct at American Kennel Club Events” and was the procedural checklist followed?

Yes No (Records of action must be submitted to the Secretary of the AKC® within 5 days.)

If the Event Committee was called upon to consider any act of dog aggression, were all committee members familiar with the “Disqualified by Event Committee” form? Yes No (Copy of this form must be faxed to the attention of Event Operations within 72 hours of the incident, regardless of whether the dog was disqualified or not.)

Additional Comments

Signature of Trial or Show Secretary Date

Printed Name of Trial or Show Secretary

Email Address Phone Number

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