AMERICAN HERDING BREED ASSOCIATION

SANCTION FORM for TRIAL/TEST

SPONSOR (club or individual):

THIS IS A FILL-IN FORM

NEW MEXICO HERDING DOG ASSOCIATION

ADDRESS: PO BOX 782 MOUNTAINAIR, NM 87036 PHONE: 505-847-5031 EMAIL: nmherdingdog@gmail.com DATE(S) OF TRIAL: LOCATION: FREE TO BE RANCH, MOUNTAINAIR, NM 87036 JUDGE(S) Please include name, address, phone # and email:
GERI ABRAMS, PO BOX 782, MOUNTAINAIR, NM 87036 505 228 2989 ftbranch@gmail.com SUSAN ABRAMS, 16300 W. SIMMONS RD, EDMOND OK 73003- 405431-6045 triofarms2pldi.net MARY STAR CHARLTON, 2819 CALLE DE SONORO, SANTA FE, NM 87501 505-471-2688 mscharlton@comcast.net MALCOLM CHARLTON, 2819 CALLE DE SONORO, SANTA FE, NM 87501 505-471-2688 mscharlton@comcast.net BONNIE DALEY, 16300 W. SIMMONS RD, EDMOND, OK 73003 - 509-279-8377 gabebc07@yahoo.com SANDY KIEFT, 1103, BULLOCK, SOCORRO, NM 87801 575-838-6404 sandy.kieft@gmail.com DEBBIE STULL, PO BOX 729, BOVINA, TX, 79009 806-225-4035 deborahstull@gmail.com KATHIE WOODS, 223 W. HILL RANCH RD, EDGEWOOD, NM, 87015 505-281-0477 jetandsadie@gmail.com

CLASSES OFFERED (indicate type of stock for each class): HTD I: HTD II: HTD III: HTAD I: HTAD II: HTAD III: Course #: for HTAD classes, indicate: Gather , Take Pen , Type of sort HRD I: SHEEP HRD II: SHEEP HRD III: SHEEP RLF I: RLF II: RLF III: For HRD/RLF classes, provide full details with course description and diagram JUNIOR HERDING DOG TEST: HERDING CAPABILITY TEST: TOTAL NUMBER OF EACH TYPE OF STOCK PRESENT: Sheep: Ducks: Goats: Cattle: Other (type, number): NUMBER OF HEAD PER GROUP: DESCRIPTION OF AREA(S): Dimensions: 7 ACRE FENCED PASTURE WITH PEN PLUS A 100 ACRE FENCED PASTURE Terrain: NATURAL GRASS Fencing: 48TALL - WELDED CATTLE PANEL WITH NON BARB WIRE STRAND ON TOP Other: NMHDA HRD COURSE #3 STOCK SUPERVISOR: COURSE DIRECTOR: ENTRY LIMIT PER DAY: ALL-BREED: X LIMITED TO (indicate breed): If applicable, Other Event Being Held Same Day: Clinic: Sanctioned by: Sponsors insurance carrier and policy numbers:
As the sponsor of an American Herding Breed Association (AHBA) sanctioned event, I/we agree to hold the AHBA, its officers, directors and members harmless and blameless and to defend them from any loss, claim, suit or damage which may occur at or as a result of this event. I/we agree to indemnify the AHBA, its officers, directors and members from any loss, damage, claim or expense, including attorneys fees and costs, which may in any way arise or result from this event. I/we have read the AHBA Herding Program pertaining to this event and agree to abide by said Rules. I/we agree that although I/we will abide by said Rules, control over the conduct of the event and those present is solely mine/ours and not that of the AHBA. (signature of trial secretary/sponsoring individual)

, Introduction to Herding

, Test Entry Limit:

Dated:

(print name)

Contact name, tel. & email if different from sponsors:

1/2013