GRCC Annual Awards Application – Online Form

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If you are human, leave this field blank.

All applications must be received no later than June 15th, 2018

Please ensure all applicable fields are completed

Trophy Name *

Dog’s Reg. Name *

CKC Registration # *

Date of Birth *

Date of Current Eye Examination

Owners Name: *

Co-owners Name(s):

All owners/co-owners must be GRCC members in good standing.

Address *

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City

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin Islands

Zip code

Phone *

Email *

Please Attach Eye report

Please attach Hip Report

Event Information

Please list all applicable information Date, Event, Class, Accomplishment, Point Value If event information is in PDF or Word format, please skip this section and upload the file below.

Event Information File Upload

If your event information is in PDF or Word format, please up load it here.

E-signature *

By checking this box, I/we acknowledge that the trophy requirements, as listed in the GRCC Awards Booklet, have been met; that the dog described above has no disqualifications to the breed standard and the the information listed on this application for is correct.

Date *

All applications must be received no later than June 15th, 2018

Submit