NAME: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADDRESS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tel: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Affix: . . . . . . . . . . . . . . . . . . . . . . . . .
Email address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I confirm that all information provided on this form is correct
Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . .
Please return the completed form to the BTA Hon. Secretary, ystwythbay@gmail.com
Mrs Lisa Williams, Ystwyth, Main Road, Caldicot, Monmouthshire, NP26 3EH,
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Q.1 How long have you [a] owned Bedlington Terriers . . . . . . . . . . . . . . . . . . . . .
[b] Exhibited Bedlington Terriers . . . . . . . . . . . . . . . . . . . . .
[c] bred Bedlington Terriers . . . . . . . . . . . . . . . . . . . . .
Q.2 Please list all Bedlington Terriers bred or owned by you when they first qualified for entry into
The K.C. Stud Book and the year qualified:
Q.3 On which Bedlington Terrier Breed Club Judging Lists does your name appear:
Q.4 Please list any other Breed Club Judging Lists on which your name appears:
Q.5 Please complete the record of Seminars attended under a K.C Accredited Trainer, and Examinations passed where applicable.
[attach a photocopy of K.C. certification].
a. Requirements of a Dog Show Judge. [Examination]
Date of Seminar . . . . . . . . . . . . . . . . Name of Trainer . . . . . . . . . . . . . . . . . . . .
b. Conformation and Movement
Date of Seminar . . . . . . . . . . . . . . . . Name of Trainer . . . . . . . . . . . . . . . . . . . .
c. Conformation [hands on] Assessment Examination
Date of Seminar . . . . . . . . . . . . . . . . Name of Trainer . . . . . . . . . . . . . . . . . . . .
Q.6 Please list your Stewarding experience at both Championship and Open Shows:
1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. . . . . . . . . . . . . . . . . . . . . . .
2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .
3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Q.7 Please supply details of any Breed Specific Seminars run under the K.C. Code of Best Practice you
have attended and assessments passed: [Attach photocopy of Certificate]
Organising Club: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . .
Assessor[s]: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Q.8 Please supply any further information in support of this application:
[on a separate sheet if necessary]
Q.9 For Non Breed Specialists only: Please explain why you wish to be considered for inclusion on the
B.T.A. Judges List. Please send a CV of your qualifications and judging experiences.
Q.10 For which list would you like to be considered? . . . . . . . . . . . . . . . . . . . .
BEDLINGTON TERRIER ASSOCIATION
(Established 1924)
Judging List ~ Application for Inclusion / Upgrading