Versatility Online Application If you are human, leave this field blank.Dog & Owner InformationApplication For *Versatility Certificate (VC)Versatility Certificate Intermediate (VCI)Versatility Certificate Excellent (VCX)Master Versatility Certificate (MVC)Please choose oneDog's Registered Name: *CKC Registration Number:Sex: *MaleFemaleBirthdate: *Sire: *Dam: *Owner(s): *Owner Address: *CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict 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 IslandsZip codePhone Number: *Email: *Point TallyInstructions:Please indicate the highest achievement earned in Conformation, Obedience and Field and the highest achievement earned in each AREA of the Performance category (tracking, agility, scent hurdle and draft dog). To be eligible for a VC the dog must have at least 1 point from 3 of the 4 categories and a total of 6 points from all categories. To be eligible for a VCI the dog must have at least 1 point from 3 of the 4 categories, 2 points from 2 of the 4 categories and a total of 9 points from all categories. To be eligible for a VCX the dog must have at least 2 points from 3 of the 4 categories and a total of 12 points from all categories. To be eligible for a MVC the dog must have at least 3 points from 3 of the 4 categories and a total of 20 points from all categories. EXAMPLE: Ch. OTCh. Fred WC JH TDX AGN AGNJ RA has 15 points Conformation Category – 3 points Obedience Category – 5 points Field Category – 2 points Performance Category: Tracking Area – 3 points, Agility Area – 2 points Conformation CategoryPoint Value:Champion - 3 points6 - 9 Championship Points - 2 points1 - 5 Championship Points - 1 pointPoints of Highest Conformation Achievement:Obedience CategoryPoint ValueG.M.O.T.Ch - 8 pointsM.O.T.Ch - 7 pointsO.T.Ch.X - 6 pointsO.T.Ch. (UD) - 5 pointsCDX - 4 pointsCDI - 3 pointsCD - 2 pointsPCD - 1 pointsPoint ValueRAE - 4 pointsRE - 3 pointsRA - 2 pointsRN - 1 pointPoints of Highest Obedience Achievement:Field CategoryPoint ValueWCX - 3 pointsWCI - 2 pointsWC - 1 pointPoint ValueGMH - 7 pointsMH - 5 pointsSH - 4 pointsJH - 2 pointsPoint ValueFTCh/AFTCh - 8 pointsQFTR - 5 pointsJFTR - 4 pointsPoints of Highest Field AchievementPerformance CategoryPoint ValueTCh - 5 pointsUTDX - 4 pointsTDX - 3 pointsUDX - 3 pointsTD - 2 pointsPoints of Highest Tracking Achievement:Point ValueAgility Master Champion Select - 7 pointsAgility Master Champion - 7 pointsAGMX - 5 pointsAGX - 4 pointsAGI- 3 pointsAGN - 2 pointsAGMXS - 5 pointsAGXS - 4 pointsAGIS - 3 pointsAGNS - 2 pointsAGMXJ - 4 pointsAGXJ - 3 pointsAGIJ - 2 pointsAGNJ - 1 pointAGMXJS - 4 pointsAGXJS - 3 pointsAGCJS - 2 pointsAGNJS - 1 pointPoints of Highest Agility Achievement:Point ValueSHDCh - 3 pointsSHDX - 2 pointsSHD - 1 pointPoints of Highest Scent Hurdle Achievement:Point ValueDDX - 4 pointsDD - 2 pointsPoints of Highest Draft Dog Achievement:Total Performance Category Points:(total of highest achievements in each area)Total Point TallyTotal points of all areas combinedDocumentationDocumentation InformationFor all CKC Titles, any of the following: – Copy of CKC Title Certificate – Copy of ‘New Title’ listing from the CKC website For Show Awards (points) – Copy of show results from the CKC website File Upload *File UploadFile UploadFile UploadFile UploadConfirmationElectronic signature *By checking this box you hereby affirm that the above statements and attached documentation are true to the best of your knowledge.Date: *Submit