Non-Regular Judge's Number Request for Obedience or Rally

Non-Regular Judge's Number Request Obedience or Rally

Obedience@akc.org ~ Tel.919-816-3575
Dear Applicant:

In an effort to assist applicants and to prevent people from applying prematurely, we request that you review the following minimum requirements. Failure to meet any requirement will result in the application being returned.

Non-Regular Obedience Judge applicants must have personally owned, trained and titled a dog to an AKC Utility Dog (UD) title.

Non-Regular Rally Judge applicants must have personally owned, trained and titled a dog to an AKC Companion Dog Excellent (CDX) title and a Rally Excellent (RE) title.

Applications will be reviewed for the above information to determine that the applicant meets all minimum requirements.

If you have any questions, please contact the Companion Events department by email at Obedience@akc.org or by phone (919) 816-3575.
I am requesting a Non-Regular Judge's number for:

ObedienceRally
Do you have an AKC Judge No. from any of our other sports?

YesNo
Judge's No.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email *
(If approved, the contact information provided will be listed in the judges' directory unless otherwise noted.)

List below the dogs owned by you that you have personally trained and handled in obedience or rally trials.

	AKC Registration or Listing Number	AKC Registered Name	Breed	Highest Obedience or Rally Title Earned	Year
1.
2.
3.
4.
5.

Have you ever been suspended from the privileges of the American Kennel Club?

YesNo
If yes, state the date and circumstances:
Which of the following have you read in general preparation?

Obedience RegulationsRally RegulationsRules Applying to Dog ShowsDealing with MisconductOther
I (we) certify that electronic typed signatures sent via email shall serve as original signatures.
Signature:*
Date*

MonthDayYear
Date
Please scroll up and verify that all fields of data are what you intended to submit. Please verify auto-fill has not changed the data from what you originally intended!
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Non-Regular Judge's Number Request Obedience or Rally