Special Club Information Form

Specialty Club Requesting a Designated Specialties

This information is needed for the Show Premium. Information is needed by November 1 of the year prior to show.
Club Name*
Name of Club Contact Person*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Contact Person's Email*

Confirmation Emailexample@example.com
Specialty Chair*

First NameLast Name
Specialty Chair Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Specialty Chair Phone Number*
Please enter a valid phone number.
Specialty Chair Email*
example@example.com
Club Secretary*

First NameLast Name
Club Secretary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The wording in the Chintimini Kennel Club for you Designated Specialty will be: " your clubs name" CONSIDERS THE CLASSES AT THIS SHOW AS ITS SPECIALTY SHOW"
Select the days you want a designated specialty*

FridaySaturdaySunday
If holding Sweepstakes or other classes that require AKC approval, HAVE YOU COMPLETED THE AKC APPLICATIONS?*

YESNO
For each day we need the following information for the Show Premium. Complete fields that only apply to the days selected above. For example if you are only holding a Sunday Designated Specialty, only complete the Sunday section of this form
FRIDAY DESIGNATED
Friday Sweepstakes? (check all that apply)*

SweepstakesVeteran SweepsNo Sweepstakes
Friday's Sweeps Judge Name

First NameLast Name
Friday's Sweeps Judge Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Chintimini Kennel Club provides ribbons. If your club is providing rosettes and/or prizes we need to list them in the show premium. Please be specific about prizes. This information will go into the premium and we need specifics. If you only say "Prize", the we need the dollar value.Please list prizes and/or rosettes for the following:
Friday BEST OF BREED
Friday BEST OF WINNERS
Friday BEST OF OPPOSITE SEX TO BEST OF BREED
Friday WINNERS DOG
Friday WINNERS BITCH
Friday Other awards (class and prize)
SATURDAY DESIGNATED
Saturday Sweepstakes? (check all that apply)*

SweepstakesVeteran SweepsNo Sweepstakes
Saturday's Sweeps Judge Name

First NameLast Name
Saturday's Sweeps Judge Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Chintimini Kennel Club provides ribbons. If your club is providing rosettes and/or prizes we need to list them in the show premium. Please be specific about prizes. This information will go into the premium and we need specifics. If you only say "Prize", the we need the dollar value. Please list prizes and/or rosettes for the following:
Saturday BEST OF BREED
Saturday BEST OF WINNERS
Saturday BEST OF OPPOSITE SEX TO BEST OF BREED
Saturday WINNERS DOG
Saturday WINNERS BITCH
Saturday Other awards (winner and prize)
SUNDAY DESIGNATED
Sunday Sweepstakes? (check all that apply)*

SweepstakesVeteran SweepsNo Sweepstakes
Sunday's Sweeps Judge Name

First NameLast Name
Sunday's Sweeps Judge Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Chintimini Kennel Club provides ribbons. If your club is providing rosettes and/or prizes we need to list them in the show premium. Please be specific about prizes. This information will go into the premium and we need specifics. If you only say "Prize", the we need the dollar value. Please list prizes and/or rosettes for the following:
Sunday BEST OF BREED
Sunday BEST OF WINNERS
Sunday BEST OF OPPOSITE SEX TO BEST OF BREED
Sunday WINNERS DOG
Sunday WINNERS BITCH
Friday Other awards (winner and prize)
Should be Empty:

Specialty Club Requesting a Designated Specialties