ASCNE   ROM FORM

General Instructions:
1. Please fill out the form completely

2. Send form to :        Mary Ann Stoddart
                         52 Eastern Ave
                        South Deerfield, MA 01373
			ascne@library.umass.edu

3. One form per dog or Junior per day.
	Multiple class entries ( Conformation, Obedience, Herding) may be
	included on the same form, but it can only apply to one exhibitor.
4. Must be received by the ROM co-ordinator no later than 30 days after 
	the show in which they were earned
5. PUPPY NAME CHANGES  must be reported on a ROM form.  

Part 1. GENERAL INFORMATION
Show Name:_________________________________________  Date:________________
Judge's Name:___________________________________________________
Owner's or Parent's Name:____________________________________________
Owner's or Parent's Address:__________________________________________

Junior's Name:_________________________________________      Age:_____________

Dog's Registered Name:_____________________________________   Sex________  

Part 2. CONFORMATION

NON- REGULAR CONFORMATION     -     PUPPIES:
Class Entered:  __________Class Placement:   ___________ No  In Class________

Show Award : ( BP or BOSP)_____________________ 
No. of P-Dogs:________  No.of P-Bitches:__________ Tot.No.ofPups:_____________

REGULAR CONFORMATION     -      DOGS/BITCHES
Class Entered:  _____________________

Class Placement: ________________        No. of Dogs In Class: _______________
Show Award:  (WD,WB,etc)_______________________    

IF Taking a Show Award:
  Tot. No. of Class Dogs:______________ Tot. No. of Class Bitches:__________
  Tot. No. of Special Dogs:____________ Tot. No. of Special Bitches:________
	Grand Total of Entries              ________________________

Part 3. JUNIOR SHOW
Class Entered:_________________________________
Class Placement:______________________ No. of Jrs In Class:____________________

Show Award: ( BJH- Best Jr Handler)___________________
If taking a Show Award      Total No. of Juniors:_____________________

Part 4.  OBEDIENCE/ HERDING

Dog's Class___________________________              Score_______________

Show Secretary's Name ( Print):_____________________________________________
Show Secretary's Signature:_____________________________________________