GOLDEN RETRIEVER CLUB OF NORTHUMBRIA
JUDGES QUESTIONNAIRE
Please state the list for which you would like to be considered A1 /A2 /A3 /B /C.
Full Name _______________________________________________
Address ______________________________________________
______________________________________________
Post Code _________ Telephone Number _________________
Kennel Club Affix _____________________
1. Date when you first became active in Golden Retrievers___________
Date when you first became active in other Breed(s) ___________
2. Date when you commenced judging Golden Retrievers ___________
Date when you commenced judging other Breed(s) ___________
3. Are you on a list of Judges compiled by a Breed Club or Council, or
The Kennel Club List of potential Championship Show Judges for
Golden Retrievers?
YES/NO? If Yes, please state Club/s name and list.
Name of Club List
__________________________________________ _________
__________________________________________ _________
__________________________________________ _________
__________________________________________ _________
__________________________________________ _________
4. Do you award Challenge Certificates in any other breeds?
_________________________________________________________
_________________________________________________________
_________________________________________________________
5. Please detail below the Clubs on whose judges list you appear in
breeds OTHER THAN GOLDEN RETRIEVERS and supply the
number of the list, e.g. A1, A2, A3, B.
Name of Club List
____________________________________ ____________
____________________________________ ____________
____________________________________ ____________
____________________________________ ____________
6. Please detail below the names and Kennel Club registration numbers
of GOLDEN RETRIEVERS owned or bred by you, which have been
entered in the Kennel Club Stud Book by virtue of their
Championship Show Wins. (Continue on separate sheet if necessary)
Name of Dog/Bitch KC Reg. No. KCSB No.
_______________________ ____________ _________
_______________________ ____________ _________
_______________________ ____________ _________
_______________________ ____________ _________
_______________________ ____________ _________
_______________________ ____________ _________
Please detail below the names and Kennel Club registration numbers of
dogs/bitches of OTHER BREEDS owned or bred by you which have been
entered in the Kennel Club Stud Book by virtue of their Championship
Show wins.
Breed Name of Dog/Bitch KC Reg. No. KCSB No.
____________ ___________________ __________ _________
____________ ___________________ __________ _________
____________ ___________________ __________ _________
____________ ___________________ __________ _________
____________ ___________________ __________ _________
7. Please give details of seminars attended enclosing copies of
Certificates in support of A),B),C),& D.)
A) At least one breed Specific seminar run in accordance with KC Code of
Best Practice and if you passed examination or assessment if applicable.
B) Seminar given by KC Accredited Trainer on Regulations and
Judging Procedures and confirm exam passed.
C) Seminar given by KC Accredited Trainer on Conformation and
Movement.
D) Attended and passed a Hands on Assessment given by a KC
Accredited Trainer (C&M)
Date Club Trainer Result
A) ________ _______________ __________ _______
B) ________ _______________ __________ _______
C) ________ _______________ __________ _______
D) ________ _______________ __________ _______
Details of any other seminars attended
Date Club Trainer Result
________ _______________ __________ _______
________ _______________ __________ _______
________ _______________ __________ _______
________ _______________ __________ _______
8. Please list Stewarding Appointments (Max. of 12)
Name of Show Date Name of Show Date
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
9. Please give details of your attendance at Breed Club Shows
Name of Show Date Name of Show Date
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
10. Number of GOLDENS you own at present
Dogs_______________ Bitches_________________
11. OTHER BREEDS you own at present.
Breed_____________ Dogs ____________Bitches________
Breed_____________ Dogs ____________Bitches________
12. Please use this space to give any additional information, which you
would like taken into consideration. This might include activities in
the dog world such as participation in Field Trails, Gundog Working
Tests or working activities, etc. Please use separate sheet
JUDGES QUESTIONNAIRE
Please state the list for which you would like to be considered A1 /A2 /A3 /B /C.
Full Name _______________________________________________
Address ______________________________________________
______________________________________________
Post Code _________ Telephone Number _________________
Kennel Club Affix _____________________
1. Date when you first became active in Golden Retrievers___________
Date when you first became active in other Breed(s) ___________
2. Date when you commenced judging Golden Retrievers ___________
Date when you commenced judging other Breed(s) ___________
3. Are you on a list of Judges compiled by a Breed Club or Council, or
The Kennel Club List of potential Championship Show Judges for
Golden Retrievers?
YES/NO? If Yes, please state Club/s name and list.
Name of Club List
__________________________________________ _________
__________________________________________ _________
__________________________________________ _________
__________________________________________ _________
__________________________________________ _________
4. Do you award Challenge Certificates in any other breeds?
_________________________________________________________
_________________________________________________________
_________________________________________________________
5. Please detail below the Clubs on whose judges list you appear in
breeds OTHER THAN GOLDEN RETRIEVERS and supply the
number of the list, e.g. A1, A2, A3, B.
Name of Club List
____________________________________ ____________
____________________________________ ____________
____________________________________ ____________
____________________________________ ____________
6. Please detail below the names and Kennel Club registration numbers
of GOLDEN RETRIEVERS owned or bred by you, which have been
entered in the Kennel Club Stud Book by virtue of their
Championship Show Wins. (Continue on separate sheet if necessary)
Name of Dog/Bitch KC Reg. No. KCSB No.
_______________________ ____________ _________
_______________________ ____________ _________
_______________________ ____________ _________
_______________________ ____________ _________
_______________________ ____________ _________
_______________________ ____________ _________
Please detail below the names and Kennel Club registration numbers of
dogs/bitches of OTHER BREEDS owned or bred by you which have been
entered in the Kennel Club Stud Book by virtue of their Championship
Show wins.
Breed Name of Dog/Bitch KC Reg. No. KCSB No.
____________ ___________________ __________ _________
____________ ___________________ __________ _________
____________ ___________________ __________ _________
____________ ___________________ __________ _________
____________ ___________________ __________ _________
7. Please give details of seminars attended enclosing copies of
Certificates in support of A),B),C),& D.)
A) At least one breed Specific seminar run in accordance with KC Code of
Best Practice and if you passed examination or assessment if applicable.
B) Seminar given by KC Accredited Trainer on Regulations and
Judging Procedures and confirm exam passed.
C) Seminar given by KC Accredited Trainer on Conformation and
Movement.
D) Attended and passed a Hands on Assessment given by a KC
Accredited Trainer (C&M)
Date Club Trainer Result
A) ________ _______________ __________ _______
B) ________ _______________ __________ _______
C) ________ _______________ __________ _______
D) ________ _______________ __________ _______
Details of any other seminars attended
Date Club Trainer Result
________ _______________ __________ _______
________ _______________ __________ _______
________ _______________ __________ _______
________ _______________ __________ _______
8. Please list Stewarding Appointments (Max. of 12)
Name of Show Date Name of Show Date
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
9. Please give details of your attendance at Breed Club Shows
Name of Show Date Name of Show Date
_________________ _______ ________________ ______
_________________ _______ ________________ ______
_________________ _______ ________________ ______
10. Number of GOLDENS you own at present
Dogs_______________ Bitches_________________
11. OTHER BREEDS you own at present.
Breed_____________ Dogs ____________Bitches________
Breed_____________ Dogs ____________Bitches________
12. Please use this space to give any additional information, which you
would like taken into consideration. This might include activities in
the dog world such as participation in Field Trails, Gundog Working
Tests or working activities, etc. Please use separate sheet
