FAST CAT SECRETARY FORM

AKC SECRETARY FORM - FAST CAT or CAT

This form should be submitted with result records within 7 days from the event. One secretary report form should be used per event. Upon submission a green checkmark will confirm your submission is complete and has been received. For assistance please email performanceresults@akc.org or call Performance Events at 919-816-3908.
Club Name:
Event Number:
EVENT TYPE: (select one)
MISCONDUCT INFORMATION

If the answer is yes to the below, send a full report to: performanceresults@akc.org
Was there any misconduct OR were there any complaints, injuries to participants or dogs, or irregularities of any kind in connection with the event OR any matters requiring attention of the Event Committee under any of the regulations or procedures?

Location of the Event:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If the location changed from what was originally approved please provide an explanation:

Was a Lure Operator Service Provider used?
If yes, please provide the Service Provider's business name:
Service Provider Owner/Agent:

First NameLast Name
Service Provider's Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Were there any complaints over the lure operator?
Was the place where the event was held unsatisfactory?
Was there any protest against a dog made to the Event Committee?
If the answer is yes to any of the last three questions, send a full report to: performanceresults@akc.org

Please provide the names and members of the Event Committee who were present during the running of the event, and the appropriate hours and dates each were present:

Name

First NameLast Name
Email Address:
example@example.com - An acknowledgement or receipt of entry will be sent to this email address.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I (we) certify that electronic typed signatures shall serve as original signatures. I certify that the information provided on this form is true and correct.
Signature:
Date:

MonthDayYear

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

AKC SECRETARY FORM - FAST CAT or CAT