Stud Dog/Brood Bitch Application

Owner's First Name *

Owner's Last Name *

Email Address *

Signature *

Name of Sire/Dam *

Dog's Sex

*Notes:

New Champion does not have to be owned by a GPCA Member
New Champion must have finished Title in the previous Calendar Year (Jan. 1st – Dec. 31st)
AKC Reports for “get” can be provided in lieu of AWARDS month and page.

Get #1 Information

Get 1 - Name of New AKC Champion & AKC Number

Get 1 - Date Championship Finished*

Get 1 - Awards Vol. (mo) Title was published

Get 1 - Page

Get #2 Information

Get 2 - Name of New AKC Champion & AKC Number

Get 2 - Date Championship Finished*

Get 2 - Awards Vol. (mo) Title was published

Get 2 - Page

Get #3 Information

Get 3 - Name of New AKC Champion & AKC Number

Get 3 - Date Championship Finished*

Get 3 - Awards Vol. (mo) Title was published

Get 3 - Page

Get #4 Information

Get 4 - Name of New AKC Champion & AKC Number

Get 4 - Date Championship Finished*

Get 4 - Awards Vol. (mo) Title was published

Get 4 - Page

Get #5 Information

Get 5 - Name of New AKC Champion & AKC Number

Get 5 - Date Championship Finished*

Get 5 - Awards Volume (month) Title was Published

Get 5 - Page

Get #6 Information

Get 6 - Name of New AKC Champion & AKC Number

Get 6 - Date Championship Finished*

Get 6 - Awards Volume (month) Title was Published

Get 6 - Page

Get #7 Information

Get 7 - Name of New AKC Champion & AKC Number

Get 7 - Date Championship Finished*

Get 7 - Awards Volume (month) Title was Published

Get 7 - Page

Get #8 Information

Get 8 - Name of New AKC Champion & AKC Number

Get 8 - Date Championship Finished*

Get 8 - Awards Volume (month) Title was Published

Get 8 - Page

Get #9 Information

Get 9 - Name of New AKC Champion & AKC Number

Get 9 - Date Championship Finished*

Get 9 - Awards Volume (month) Title was Published

Get 9 - Page

Get #10 Information

Get 10 - Name of New AKC Champion & AKC Number

Get 10 - Date Championship Finished*

Get 10 - Awards Volume (month) Title was Published

Get 10 - Page

Upload Health Documentation / AKC Progeny Report

Click or drag files to this area to upload.

Choose File

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