Trial Chairman's Agility Trial Report

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(To be filled out by the Trial Chairman.)

Please completely fill out this form and submit to AKC within 7 days of the conclusion of your agility trial.

Clubs are required to retain a copy of the course maps used at their trials along with their copies of the event records for the period of one year. NOTE: Clubs may continue to have the trial secretary retain the event records on behalf of the club.

Is this report for a Licensed Trial or a Sanctioned Match?

Club(s) and Event Dates

One form may be submitted for ALL days of your trial weekend.

Click on ADD on the Right Side of the Event Name-Date to include additional day(s) on this report

	Event Name - Date (ID#):	Start Time	End Time

NEW! Please include overall times for when judging started and ended each trial day.

Event's Location:

Event's City:

Event's State:

Please include the SHOW SITE's LOCATION, city and state where the trial was held.

Sanctioned Match - Club Name, Date, Location

Please provide your Club's Name, Date of Match, and Estimated Times

	Club's Name	Match Date	Start Time	End Time

NEW! Please include overall times for when judging started and ended.

Event's Location:

Event's City:

Event's State:

Please include the SHOW SITE's LOCATION, city and state where the match was held.

Trial Chairman

Name:

Telephone #:

(555 555 5555)

Email:

Trial Secretary:

Name:

Judge(s):

Event Committee Members who were present (besides the Trial Chair):

1a) Was the Judge knowledgeable?

1b) Was the Judge easy to work with?

2) Was there any reportable Dog Aggression?

3) Was there any reportable Misconduct?

4) Were there any other reportable problems at the show site?

If any of the above answers need explanation, please use the Comment section below and reference the question's #.

Comments:

Please review your report submittal prior to clicking Submit. An email confirmation with a copy of your report will be sent back to you immediately.

JEAGL2 (05/12)

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