WELSH SPRINGER SPANIEL CLUB
Judging List Questionnaire
Name
*
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Telephone (Best contact number - Landline or Mobile)
*
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Country Code
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Area Code
Phone Number
Email
example@example.com
Affix
Please tick the list you are applying for (should the committee feel your application fails to meet the required criteria you may be placed on an alternative list, if applicable.)
A3 List
B List
JEP Level 3
JEP Level 2
JEP Level 1
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UK WSS Judging Experience
Rows
Name of Society
Date
Show Type
No. of Classes *with dogs present
No. of Dogs Entered
Actual No. Dogs Present & Judged
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TOTALS
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OTHER JUDGING EXPERIENCE (UK Only) Do not include WSS classes or those breeds to which you award CCs -
Rows
Name of Society
Date of Show
Type of Show
Breed Type / Variety
No. of Classes *with dogs present
Actual No. of Dogs Present
1
2
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5
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TOTALS
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1 - Do you, or have you, owned Welsh Springer Spaniels?
Yes
No
1.1 - If yes, give the date when you first became active in the breed
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
2 - Date which you first became active in Other Breeds
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
3 - Date you commenced judging Welsh Springer Spaniels
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
4 - Date you first commenced judging
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
4.1 - Which breed was this?
5 - Please give details of any Welsh Springer Spaniels Bred or Owned by yourself in The Kennel Club Stud Book by reason of their wins:
6 - Please give details of any Other Breed(s) Bred or Owned by yourself in The Kennel Club Stud Book by reason of their wins:
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7 - Please list any judging seminars and examinations and results, undertaken for this breed, including Judges Development Seminar. (please provide documentary evidence of attendance).
7.1 - Kennel Club Seminars
Rows
Attendance Only
Attended and Passed
Date
Society Name
Trainer Name
Requirements of a Dog Show Judge
Confirmation and Movement
Points of a Dog
Ring Stewarding Quiz (if applicable)
Critique Writing Seminar (if applicable)
7.2 - Upload Seminar Certificates
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of
8 - Please state the number of times you have stewarded at Open/Championship Shows and over what timescale
9 - Are you on a list of judges compiled by a Breed Club for Welsh Springer Spaniels? If yes, please state the details below:
10 - Do you award Challenge Certificates in any other breeds? If yes, please detail below:
11 - Please give any further background information you wish to be considered, e.g. attendance at a breed club show.
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I confirm that the information I have given is correct. If, at any time, altered circumstances render my application inaccurate, I undertake to notify the Welsh Springer Spaniel Club Committee immediately.
I am willing for my personal details to appear on the Club’s website and Judging list
Signed
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Please verify that you are human
*
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