THE LAGOTTO ROMAGNOLO CLUB OF GREAT BRITAIN President: Sig Gilberto Grandi Judge’s List Application Form Please ensure that you read the LRCGB judges criteria fully before completing this form. Please fill in all details fully and return this form to the Honorary Secretary so that the committee may consider your application. Judges List Applied for …………………………………… FULL NAME…………………………………………………………………………………………AFFIX …………………………………… ADDRESS …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… POSTCODE…………………………………………………………… TEL NUMBER ………………………………………………………. EMAIL ADDRESS ………………………………………………………………………… (Please tick if you would be happy to receive confirmation of the committee’s decision via email) 1. Are you a Lagotto owner? Yes / No (delete as appropriate) If yes, for how long have you bred/exhibited/worked your dogs? …………………………………………………………………………………………………………………………………………………………… If no, please detail the breeds that you do own and for how long you have been exhibiting …………………………………………………………………………………………………………………………………………………………… 2. Please detail below Lagotto owned/bred by yourself who have gained a studbook number. If you do not own the breed please detail below any other breeds owned/bred by yourself who have gained their studbook numbers. ……………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………… 3. Date of your first judging appointment (any breed)……………………………………………….. LRCGB Judge’s List Application Form 4. In which breeds do you award CCs? …………………………………………………………………………………………………………………………………………………………………… 5. Please supply details of judging engagements for Lagotto (when applicable) Date Society Show type #Classes #Entries #New dogs judged 6. Please attach CV of other judging experience. Please list Gundog appointments first. 7. Are you passed by the UK Kennel Club to judge Championship Groups? Please give details. ……………………………………………………………………………………………………………………………………………………………. LRCGB Judge’s List Application Form 8. Other Breed Club/ Councils Judges Lists (Please state whether A1, A2, A3, B, C) ……………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………. 9. Please detail below all relevant seminars that you have attended including KC and Breed Seminars. Please provide copies of certificates. Seminar Date Organising Society Seminar Type Attendance Certificate enclosed Assessment taken and passed KC Regulations and judging procedures Y/N Y/N KC Conformation and Movement Y/N Y/N KC Hands on Assessment Y/N Y/N LRCGB Breed Specific Seminar/s Y/N Y/N LRCGB Breed Standard module Open Field Trial/GWT (for A3 list)** Y/N Y/N **Mandatory requirement for questionnaires received at Kennel Club after 01.05.2011. 10. Please give details of any stewarding experience you have. Show Date Show Society Show Type Breeds Stewarded LRCGB Judge’s List Application Form 11. Please give any other relevant information about your involvement with Lagotto e.g. Dogs imported; articles published; attendance at CIL Raduno or seminars etc. Please include details of: 1. Lagotto owned or bred which have won a Best/Reserve Best of Sex at a LRCGB Breed Speciality. 2. Lagotto owned or bred which have won an overseas show title or CAC/CACIBs 3. Numbers of Lagotto judged in Import classes in the UK and/or overseas shows. I accept that if approved for the Judging List, my name and details will appear on a published list (when applicable). Declaration I hereby declare that the information I have given is correct, and if at any time, altered circumstances render my replies no longer accurate, I undertake to notify the Committee of the LRCGB immediately. Signed Date Please indicate here. I DO/I DO NOT wish my details to be published on the LRCGB website judge’s list information (when applicable). Please send your completed form back to the LRCGB Secretary: Mrs Gael Stenton Eagle Cottage Stane Street Slinfold Horsham West Sussex RH13 0QX