KDA Show Sanctioning Form Please complete the form below Name of Requester * First Name Last Name Email * Licensee # * Name of Show Date of Show Venue Judge(s) Name of TD First Name Last Name Name of Show Secretary First Name Last Name Name of Show Manager First Name Last Name Opening Date MM DD YYYY Closing Date MM DD YYYY Insurance Coverage Company, Address, & Phone # Do you appropriate medical coverage? Yes No Other, please explain below If you answered "Other" above, please explain. Please list company & contact info for medical provider What arena(s) and footing will be available? What type of stabling will be available? What classes will be offered? Thank you! We will be in touch with any questions.