Application for Permanent Height Card

Please type or print clearly.  Illegible forms will not be accepted

Three separate measurements, on three different trial weekends, under three different judges are required.    The measuring judge must be the judge of record or the supervising judge for the weekend.

 

Dogs must be a minimum of  2 yrs. old on the date they are measured.  Dogs Birthdate:  ___________

 

 

Dog’s Call Name:                                                                      Registration #                                                

 

Owner’s Name:                                                                          Breed:                                                                                 

 

 

 

Date:                                                                                                                   The approved measuring judge

                                                                                                                                must complete this portion in ink.

Host Club:                                                                                                                 Please print clearly.

 

Measuring Judge:                                                                                                               

                                            Please print                                            Approved Judge #1

 

By signing below I certify the above dog correctly measured into the             Standard Division jump height.

 

Judge’s Signature:                                                                                                                                              

 

 

 

Date:                                                                                                                   The approved measuring judge

                                                                                                                                must complete this portion in ink.

Host Club:                                                                                                                 Please print clearly.

 

Measuring Judge:                                                                                                               

                                           Please print                                             Approved Judge #2

 

By signing below I certify the above dog correctly measured into the             Standard Division jump height.

 

Judge’s Signature:                                                                                                                                              

 

 

 

Date:                                                                                                                   The approved measuring judge

                                                                                                                                must complete this portion in ink.

Host Club:                                                                                                                 Please print clearly.

 

Measuring Judge:                                                                                                               

                                            Please print                                            Approved Judge #3

 

By signing below I certify the above dog correctly measured into the             Standard Division jump height.

 

Judge’s Signature:                                                                                                                                              

 

 

To apply for a Permanent Height Card,

please submit this form with a $10.00 (US Funds) processing fee to:

 

North American Dog Agility Council (NADAC)

P.O. Box 1206, Colbert, OK 74733-1206     NADACSharon@aol.com

 

NO CHARGE TO NADAC ASSOCIATES:  Associate/Member #_______________________ Exp: ____________