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Issue #4 Titles Earned Submission Form
ONLY include titles earned between January 1st, 2022 and March 31st, 2022.
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* Indicates required question
Dog owner(s) name(s)
*
Your answer
Dog's registered name (do not include titles)
*
Your answer
List CONFORMATION/SHOW titles here (abbreviations only)
Your answer
List AGILITY titles here (abbreviations only)
Your answer
List DOCK DIVING titles here (abbreviations only)
Your answer
List HERDING titles here (abbreviations only)
Your answer
List IGP titles here (abbreviations only)
Your answer
List LURE COURSING titles here (abbreviations only)
Your answer
List NOSEWORK titles here (abbreviations only)
Your answer
List OBEDIENCE titles here (abbreviations only)
Your answer
List PRECISION LURE COURSING titles here (abbreviations only)
Your answer
List RALLY OBEDIENCE titles here (abbreviations only)
Your answer
List TRICKS, STUNT DOG, and/or CANINE CONDITIONING titles here (abbreviations only)
Your answer
List sport and any other titles earned here (abbreviate titles but not sport name)
Your answer
What's the best way to contact you to answer any questions I may have about these titles?
*
Your answer
I certify that all titles listed in this form have been earned by the dog named, and were earned between the dates January 1st, 2022 and March 31st, 2022.
*
I understand and agree.
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