Name _______________________________________________
Eligibility Requirements: To be eligible for this award, members must have attended a minimum of three meetings during the calendar year. Officers and Board of Directors are not eligible. Attend a Meeting: 10 pts. Chair a Committee: 20 pts. Serve on a Committee: 10 pts. Attend other club function (match, seminar, ect.): 10 pts. Work at a club function (match, seminar, cts.): 10 pts. Attend Specialty Show: 15 pts. Work at Specialty Show: 15 pts. Enter Match: 5 pts. Enter Specialty Show: 10 pts. Foster a Rescue: 30 pts. Transport a Rescue: 15 pts. Present a Program at a meeting: 15 pts.
| Activity | Date |
| ___________________________________________________________________________________ |
| ___________________________________________________________________________________ |
| ___________________________________________________________________________________ |
| ___________________________________________________________________________________ |
| ___________________________________________________________________________________ |
| ___________________________________________________________________________________ |
Use additional sheets as needed.