ROM Application
Application in PDF please click here!
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: ___________________
QUALITATIVE REQUIREMENTS:
1. Name:_____________________________________
Award___________________
Date published_____________
2. Name:_____________________________________
Award___________________
Date published_____________
3. Name:______________________________________
Award___________________
Date published_____________
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