Sanction Form

SHOW ME STOCK DOG LEAGUE EVENT SANCTION FORM

Host:

Address:

Phone:

Email:

Dates of Event:

Type of Event:

(i.e.: Trial, Training Day, Workshop)

Judge/Clinician:

Classes Offered and entry fee for each:

 

 

 

Insurance Requested:  Yes____ No____  If insurance endorsement is desired, include property owner’s name and detailed description of property location:

Send to: Jerry Dunn, 2248 Denmark Rd, Union, Mo  63084

If insurance is requested include endorsement fee of $50 payable to SMSDL

Official Use Only

date received_____________________amount paid____________

approved_____________________denied____________________

date notified insurance company____________________________

date in newsletter______________________________________