Application for
Borzoi Club of America, Inc.
ANNUAL VERSATILITY AWARD
Updated 4-20-2014
Registered Name of Dog:______
Registration Number: ______
Owner(s):______
Phone:______Email:______
Address:______
City/State/Zip:______
Breeder(s):______
All of the following titles and points must be earned within the award year.
CONFORMATION
AKC Champion Title: Yes ___No ___ If no, how many points earned? _____
Grand Champion Title: Yes ___ No____ If no, how many points earned?
Bronze___ Silver___ Gold___ Platinum___ If no, how many points earned?
Number of U.S. wins during the award year:
Best of Breed: ______Best of Opposite Sex: ______Group 1:_____ Group 2: _____ Group 3:_____ Group 4:_____ All-Breed Best In Show: _____
National/Specialty Best of Breed:_____
National/Specialty Best of Opposite Sex: ______
National/Specialty Award of Merit:______
OBEDIENCE & RALLY & TRACKING
Obedience Titles: ___BN___CD___GN___CDX___GO___UD__VER___UDX___OM___OTCH
If no titles, number of legs: BN__CD__GN__CDX__GO__UD__VER__UDX__OM__
Rally Titles: __RN __RA __RE __RAE
If no titles, numbers of legs: ___RN ___RA ___RE ___RAE
Tracking Titles: __TD __TDX __VST
COURSING (Lure & Open Field)
AKC Titles:___ FC ___ LCX ___ LCX# ___
If no titles, how many AKC points earned: ____
ASFA Titles: __ FCH __ LCM ___ LCM# ___ VCH ___ VLCM ___
If no titles, number of ASFA points earned: ____
Number of Best in Field: ____
NOFCA/NACA Titles: __ CC __ CM
TCC Titles: __CBC __CMC
If no titles, number of NOFCA/NACA/TCC points earned: ___
AGILITY (AKC & USDAA)
List AKC Titles:
If no titles, number of legs earned on which title(s):
USDAA Titles: __ AD __ AAD __ MAD
RACING (Oval Track & Straight Track)
Racing Titles: __ ORC __ SORC __ GRC __ SGRC
If no titles, number of ORC or GRC points earned: ____
Number of SORC or SGRC points earned: ____
I certify that the information in this application is true and correct and have provided verifiable documentation.
Signature of Owner:
______
Please send with ALL the proper documentation to the BCOA Versatility
chairperson: Kay Novotny, 1871 Three Mile Drive, Reno NV 89509-3994