Agility Club Annual Awards Claim Form

Annual Awards Claim Form

Please complete all fields and only submit NEW points claims
using one form for each show.

Select Category of Award:

Name of Handler :

email address :

Club (for Club League) :

Kennel Club name of dog :

Breed :

Name and date of show :

Class:	Place:	Points:
Class:	Place:	Points:
Class:	Place:	Points:
Class:	Place:	Points:
Class:	Place:	Points:
Class:	Place:	Points:
Class:	Place:	Points:
Class:	Place:	Points:
Total this claim :

Your running total calculation :

This submission:

This form can be submitted to the Points Secretary either by printing and then sending by post to:

Jan Harvey, Clarendon, The Driftway, Upper Beeding, Steyning, West Sussex, BN44 3JX
or fax to 01903 815106

...or this form can be printed and directly emailed to the Points Secretary: