WBA Judges License Application
	Applicants first name:                       Middle:                          Last:                                               Address:                                                 City                                  State                       Zip           Phone Number:                                         E-Mail Address:                                                            Reference 1   Name:                                                     Phone:                E-Mail                              Reference 2  Name:                                                      Phone:                E-Mail                               Reference 3  Name:                                                      Phone:                E-Mail                               Do you have a Judges Cetificate from another Registry Yes(   )   No (    ) Have you ever Judged in a show ring before Yes (   )  No (   ) How Long have you been breeding dogs in years (   ) American Bulldogs (   ) Olde English Bulldogges (  ) Pitt Bulls (   )  Others:                                        How many generations have you bred with your Line: (   ) not counting foundation stock. Have you read and understand the WBA standard fore the breed you want to judge Yes (   ) No (  ) --------------------------------------------------------------------------------------------------------------------------- This information is confirdential and will not be past on without you concent. You may fill this form out and E-Mail it back to the WBA or mail it in.. Call 1-386-437-4762 if you need more information or any help with this form.    WBA Registry    1700 Ridgewood Avenue, suite D    Holly Hill, Florida    32117                          Thank You,  WBA Pres. Ray Giacobbe