ROM Award Form

Application for

Stud

Bitch

Dog's Registered Name

AKC Registration Number

Dog's Date of Birth

Breeder/s

Owner/s

Address

Email

Award Requirements:

A Bitch must have produced at least 3 get who have achieved AKC championship or performance titles.

A Stud must have produced at least 5 get who have achieved AKC championship or performance titles.

Documentation requirements:

Names of qualifying get, including all titles. Duplicates are not allowed. If a dog is a champion and has a performance title, it still only counts as one dog.

Names of get and their achievements.

Please upload documentation of achievements.

I hereby affirm that these statements and the attached documentation are true to the best of my knowledge.

Signature of Applicant