Regular Tracking Judging Approval

I am requesting Regular Status approval for the following test level:*

Under the provisional system, you are eligible to accept an unlimited number of assignments at the test level you are approved to judge.

To submit a request for Regular Status for Tracking Dog and Tracking Dog Urban (TD/TDU), submit this completed form after you have judged a minimum of six (6) TD/TDU tests with at least three (3) different judges, none of which may be a spouse. In addition, a satisfactory observation judging at this provisional test level must have been conducted within two years of this request, or a minimum of three (3) positive co-judge Tracking Judge Evaluations must be received. The Companion Events Judging Approval Committee will review your judging records and you will be notified of the Committee’s action.

To submit a request for Regular Status Tracking Dog Excellent (TDX), submit this completed form after you have judged a minimum of six (6) TDX tests with at least three (3) different judges, none of which may be a spouse. In addition, a satisfactory observation judging at the provisional level must have been conducted within two years of this request, or a minimum of three (3) positive co-judge Tracking Judge Evaluations. The Companion Events Judging Approval Committee will review your judging records and you will be notified of the Committee’s action.

To submit a request for Regular Status Variable Surface Tracking (VST), submit this completed form after you have judged a minimum of three (3) VST tests with at least three (3) different judges, none of which may be a spouse. In addition, a satisfactory observation judging at the provisional level must have been conducted within two years of this request, or a minimum of three (3) positive co-judge Tracking Judge Evaluations. The Companion Events Judging Approval Committee will review your judging records and you will be notified of the Committee’s action.

Judge Number:*

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email:*

Completed Assignments (for the level in which you are applying):*

	Complete Club Name (no initials)	Date	Number of Dogs Judged	Co-Judge Name
1.
2.
3.
4.
5.
6.
7.
8.

Have you received an observation from an AKC Field Representative for the level in which you are applying?*

List All Observation/Evaluations (for the level in which you are applying):

	Name of Field Representative or Co-Judge Evaluator	Date	Class	Number of Dogs
1.
2.
3.

List required AKC Judges' Education classes/webinars you have completed in last three years.*

	Date Completed	Comments/Specifics
AKC Stewards of Children

I certify that I understand and acknowledge that if I am charged with cruelty, inhumane treatment of animals, or similar offenses involving inhumane or cruel treatment of dogs, or charged with any crime involving moral turpitude, especially as it concerns dog-related activities, the AKC may temporarily place my judging privileges on referral while the charges are pending. Further, after receiving notification of the referral, I am prevented from judging or from accepting assignments to judge. When the charges are resolved and AKC's inquiry into the matter determines that no action will be taken by the AKC to cause a suspension of my judging privileges, the temporary judging referral will be removed.

"I certify that I am a member in good standing with the American Kennel Club, 21 years of age or older, and that all information submitted in this application is truthful and accurate."

I certify that this electronic typed signature, sent via email, shall serve as my official signature. Signature:*

Date:*

Regular Status Tracking Judging Request