Midland Lhasa Apso Association

Surname

 

 Forename

 

 Title

 

 Affix

 

 

Address

 

Post Code
Telephone No

 

 Email Address

 
Do You Own/breed Lhasa Apsos? Yes/No How Long... Years
Do you own/breed other breeds

(if yes please state which breeds)

 Yes/No
Have you awarded Challenge Certificates in other breeds: Yes/No
Give names of dogs, breed, and their K.C stud book Numbers,  which were owned/bred by you when they obtained their first Stud Book entries:
 
Have you attended a KC Seminar for:

(a) K.C. Regulations and Judging Procedures

 Yes/No
(b) K.C. Requirements of a Dog Show Judge

      Have you passed the written assessment

 Yes/No

Yes/No
(c) K.C.Anatomy, Conformation & Movement Yes/No
(d) K.C. Hands On Assessment run by a KC accredited trainer. Yes No
(e)K.C. Guidelines for the ring Steward Yes/No
(f) K.C. recommended Lhasa Apso Specific assessment/seminar organised by a Breed Clubin accordance with the code of best practice Yes/No
(g) An assessment run by the Lhasa Apso Breed Council

      Did you pass the relevant exam

 Yes/No

Yes/No
(h) Have you attended any other type of Seminar Yes/No
 How many times have you stewarded? Please give shows & dates:

 

 

 

 

 

 

 

 

  
Have you judged a Lhasa Apso Breed Club Show: Yes/No
Do you wish to be listed as a

Breed Specialist or Non Breed Specialists (delete which is not applicable)

NUMBER OF LHASA APSO'S JUDGED

The show Date judged Number of dogs entered Number dogs absent Total number of dogs judged
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
Please list any other relevant information:

 

 

 

 

 

 

 

 

 

 

 
Please send the completed form to:

Mrs J Hazelhurst (Corrolls)

269 Chesterfield Rd,

Staveley,

Chesterfield,

Derbyshire

S43 3SA

Tel: 01246 476259