Dog's Registered Name:_______________________________________________________Sex:_______

Owner's Name:_____________________________________email:_______________________________

Junior Handler Name:____________________________________________________________________

Name of Show Club______________________________________Date____________________________

CONFORMATION

Class:______________________________________________ Intact________ Altered________

Total Number in Show:
Puppy Dogs_______Puppy Bitches________
Class dogs________Class bitches_________
Special dogs_______Special bitches________

Awards Received_______________________________________Was BOW a dog____ or a bitch____

JUNIOR SHOWMANSHIP:

Class___________________________Number Defeated________ Best Junior Handler?_________

PERFORMANCE:

Obedience Class:_______________________________________Score:_____________

Agility Class:_______________________________Placement:______Score:___________

Tracking Class Passed:_____________________________________________________

HERDING: (may send in signed scoresheets with dog's name in lieu of this form)

Class______________________________Score______________Time____________

Show Secretary's Name:___________________________________________Phone________________

Signature of Show Secretary:_______________________________________________

Return completed form to Laura Clayton 5559 Sycamore Rd, Quincy, FL 32351. Form must be received within 30 days of show date. No results taken by phone or email. Please use a separate form for each win. To be eligible for a Year end Award, the dog or the owner must attend at least 50 percent of FASA events for that year and be a member in good standing of FASA. For confirmation of receipt, please send a self addressed, stamped envelope or email address. Points will be updated on www.fasaaussie.net. For questions phone 850-442-3381 or email dlclayton@tds.net. FASA Board will settle all disputes.