AKC Titles Earned
January 1, 2015to December 31, 2015
Agility, Obedience, Rally Obedience, Tracking, Herding, VCD, etc
Please complete a separate form for each dog.
Please return this form by February 15, 2016 to: Beth Strick
3505 Barker St
Hudsonville, MI 49426
Dog's Registered Name: ______
Call name: ______Birth Date ______
Owner: ______
To be eligible for any awards, you must have worked at 2 GRAC functions. Please list them here:
______
Title Form Instructions
Photo Plaque
On earning a first title*, each dog is entitled to a wooden photo title plaque provided by GRAC. Please include 5x7 photo of dog, or give to Beth or Judy by February 15. *Note: If you are a new member to GRAC, it is not required that this be your dog’s very first title; the first title since becoming a member will entitle you to a photo plaque as well. If you need a New Title photo plaque, check here: ______
Is the photo you will put on this plaque Landscape _____ or Portrait _____?
8x10 Plaque
Dogs earning a high level title (MACH, PACH, PAX, RAE, UDX, OTCH, etc.) are entitled to an 8x10 plaque provided by GRAC. Second level of these titles can obtain shingles to add to their 8x10.
New Titles
Dogs earning titles through the MX, UD, RE will receive title Shingles if your dog already has a photo plaque. Please check box on your form whether or not you would like to receive these.
NOTE: Please complete and return this form to Beth even if you do not wish to receive plaques or shingles. GRAC would like to use our Awards Program to recognize the outstanding performances of all of our dogs in the past year! If you are not sure about what you are entitled to, please email Judy for clarification so you don’t miss out!
AKC Agility
Title (include initials and description) / Date Earned / Shingle / Plaque / No plaque or shingle**By checking this box, you are indicating that you do not wish to receive any plaque or shingle for this title from the club.
AKC Obedience
Title (include initials and description) / Date Earned / Shingle / Plaque / No plaque or shingle**By checking this box, you are indicating that you do not wish to receive any plaque or shingle for this title from the club.
AKC Rally
Title (include initials and description) / Date Earned / Shingle / Plaque / No plaque or shingle**By checking this box, you are indicating that you do not wish to receive any plaque or shingle for this title from the club.
Other AKC
Title (include initials and description) / Date Earned / Shingle / Plaque / No plaque or shingle**By checking this box, you are indicating that you do not wish to receive any plaque or shingle for this title from the club.
High Level Titles (8x10 plaque for accomplishing MACH, PACH, PAX, RAE, UDX, OTCH, etc.)
Title (include initials and description) / Date Earned / Plaque / No plaque**By checking this box, you are indicating that you do not wish to receive any plaque or shingle for this title from the club.
List Special Accomplishments and/or Awards – High in Trial, High Combined, etc.
Note: This is will only be listed in the Awards Brochure for 2015. No plaques will be given.
Club / Accomplishment / DateSpecial Awards
Is your dog eligible for the Sandy Obedience Award?
Check if eligible / Award / Award DescriptionSandy / First obedience title at any level. Dog& owner are eligible only once - average of 3 highest scores.