Show Application

Submitted By:

Email Address:

Approved this event

Reviewed the Regional Specialty Regulations and verified that the Club has met the BMDCA requirements for Regional Specialties and Supported Entries to hold the requested event(s) as outlined and has achieved the Activity Points required to hold the requested events.

That the Regional Club or All-Breed Club has a $1 million liability on file for this event.

I hereby certify by filling out this application that the Regional Club Board has:

Submitter Affirmation

SPECIALTY REQUEST FOR BMDCA RECOGNIZED REGIONAL CLUBS (FILL OUT ALL THAT APPLY)

City

Zip Code

Address

Venue/Location Name:

EVENT SECRETARY / SUPERINTENDENT & EVENT CHAIR INFORMATION

Event Chairs:

Show Secretary

Fully Superintended

Superintendent/Secretary Service Package

City

Zip Code

Address

Secretary Name

Phone #

City

Zip Code

Address

Event Chair Name

Phone #

Superintendent Name

Conformation Judge

AKC Judge #

Event Date

Supported with Sweeps at all Breed Show

Sweeps Judge

Conformation Judge

AKC Judge #

Event Date

Supported Entry at all Breed Show

Conformation Judge

AKC Judge #

Event Date

Specialty as part of Specialty Cluster before All-Breed Show

Sweeps Judge

Obedience Judge

AKC Judge #

Rally Judge

AKC Judge #

Event Information

Conformation Judge

AKC Judge #

Event Date

Designated with Sweeps at all Breed Show

Sweeps Judge

DATE CHANGE FOR AKC LICENSED BMDCA CLUBS

Request for Date Change (those recognized by AKC as an AKC licensed Breed Club before 2011)

Independent

Part of all Breed Show

Event End Date

Event Start Date

Previous Event Date(s)

Event End Date

Event Start Date

New Event Date(s)

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Regional Club Specialty App

Notice: If holding this event in conjunction with All-Breed Shows, the BMDCA Regional club must obtain permission from the All-Breed Club to hold this event at their show. Please fill out the AKC Host Club/Consent Form and obtain All-Breed Club signatures and submit separately via email to [email protected]. The application cannot be forwarded to AKC without this completed form.

Regional Clubs are responsible for contacting the BMDCA Medallion Awards Chair, Candi Konicki ([email protected]) directly to request the Medallion Awards. These must be listed in the Premium List to be awarded in the ring.

Regional Club must submit their events to the BMDCA Events Calendar.