THE JOINT ENGLISH SETTER BREED CLUBS JUDGING QUESTIONNAIRE 1. Personal Details Surname First Name Mr/Mrs/Miss/Ms Address Post Code Telephone No. Email Affix 2. English Setter Judging Experience Please give details of all your English Setter judging experience at shows held in the UK. You may include future appointments, which have been confirmed in writing. * Only include classes where dogs were actually present and judged. ** Do not include second and subsequent entries. *** This requirement must be included for all shows held after 1st January 1995. Name of Society holding the show Date of Show Type of Show No. of Classes actually Judged* No. of Dogs entered** Actual No. of Dogs present & Judged*** 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Please use continuation sheet if necessary Page 1 of 4 Total Feb ‘11 3. Breed Experience *Delete as applicable KC Stud Book Entries: List the names and KCSB number of any English Setter, either owned or bred by you, and entered in The Kennel Club Stud Book, by reason of their wins. Name of Dog K.C.S.B. No. K.C.S.B. No. Name of Dog 1 7 2 8 3 9 4 10 5 11 6 12 Were you the owner or breeder of at least 3 dogs when they obtained their first entry in the KC Stud Book? Yes / No* Approximate number of English Setters registered in you name at the Kennel Club? _______ What year did you actively start exhibiting (showing) English Setters? _______ 4. Other Ch. Show Judging Experience *Delete as applicable Give details of all breeds, commencing with Gundogs, in which you have already awarded or have been approved to award Challenge Certificates in the UK Year 1st Awarded CC’s Breed Have you been passed by the KC to judge the Gundog Group at Ch. Shows? Kennel Club Championship Show Judges Computer Number: Most Recent Appt. Yes / No* ________________________________ 5. Stewarding Experience List details of Stewarding Appointments completed Date Name of Society Date 1 7 2 8 3 9 4 10 5 11 6 12 Page 2 of 4 Name of Society Feb ‘11 6. Other Judging Experience (UK Only) Please list on a separate sheet details of other Gundog Breeds and variety classes judged. Details to include; Name of Show, Date of Show, Type of Show, Breed Judged, Number of Classes Judged and Actual Number of Dogs Present and Judged. 7. KC / English Setter Training Experience Have you attended and passed the following Seminars? *Delete as applicable Kennel Club “Requirements of a Dog Show Judge” covering relevant KC Rules and Regulations, Ring Procedures and Practical Aspects of Judging. a Date: Organising Society: Passed / Failed* Name of KC Accredited Trainer: Kennel Club “Conformation and Movement” b Date: Organising Society: Passed / Failed* Name of KC Accredited Trainer: Kennel Club *Hands-on Assessment” c Date: Organising Society: Passed / Failed* Name of KC Accredited Trainer: Joint English Setter Clubs - Module 1 d Date: Organising Society: Passed / Failed* Joint English Setter Clubs - Module 2 e Date: Organising Society: Passed / Failed* Joint English Setter Clubs - Module 3 f Date: Organising Society: Passed / Failed* g Have you attended and passed with credit a Gundog Group Judging Development Programme, relevant to English Setters? Yes / No* Date: Organising Society: Give details of any other Breed Specific seminars attended for English Setters: Date: Organising Society: h Page 3 of 4 Feb ‘11 8. Other Information a) *Delete as applicable Please provide details of any further information concerning you experience in English Setters that should also be taken into consideration: b) If you do not own or show English Setters please provide details of your main breed and relevant experience to date in that breed? Details to include; Name of Breed, Year started in the breed, Number of show champions bred or owned by you, and which judging list you are currently on. c) Have you attended a Kennel Club licensed Field Trial at Open Stake level for the relevant gundog sub-group? Yes/ No* If Yes please state: 1. Name of the organising society – 2. Date of the trial - d) Is there any disability that would impair your judging of English Setters? e) Yes/ No* Should you be included in the Joint English Setter Judging List, will you agree to submit a critique on your judging for all shows to the canine press within the time limit & in the format required? Yes / No* f) Should you be included in the Joint English Setter Judging List, please confirm that you agree to have your details held on a database relevant to the English Setter Judging List, and also to be published in an annual English Setter Judging List, either in hard copy or on one of the English Setter breed club web sites? Yes / No* I hereby declare that the information I have given is correct, and, if at any time altered circumstances render any of my replies inaccurate I undertake to notify the Joint English Setter Breed Clubs immediately. Signed: Name: Date: Please return this completed Judging Questionnaire to any English Setter Breed Club Secretary (ESA, ESSofS, ESSofW, MESS, NESS or SESS), or to the Joint Judges Committee secretary; Mr Steve Collier, Whittle Bridge Farm, Preston Road, Charnock Richard, Chorley, PR7 5LE, or Email steve.roszarke@btopenworld.com Page 4 of 4 Feb ‘11