REGISTER OF MERIT APPLICATION
Dog's name:____________________________________________
AKC number:_____________________________
Sex: M / F Coat: L / S / W Size: S / M
Owners Name:___________________________________________
Address:_______________________________________________
_______________________________________________
Phone: _____________________________
QUANTITATIVE REQUIREMENTS:
Offsprings:
1. Name:___________________
Date championship completed:__________________
Date championship published: __________________
2. Name:____________________
Date championship completed:___________________
Date championship published: ___________________
3. Name:__________________________________
Date championship completed:___________________
Date championship published: ___________________
(continue on another page)
QUALITATIVE REQUIREMENTS:
1. Name:_____________________________________
Award___________________
Date published_____________
2. Name:_____________________________________
Award___________________
Date published_____________
3. Name:______________________________________
Award___________________
Date published_____________
(continue on another page)
Please note, if you cannot find any of this information, please contact Ann Wlodkowski or Joyce Warren and we will be glad to help you.
Please print/type all names clearly. Applications that are not legible will be returned.
Thank you.