Admiral Halsey HOT Dog Teamwork Award
APPLICATION

  • Please read the award description and rules before completing this form.  CLICK HERE for a PDF copy.
  • To be accepted, this form must be completed by the owner or co-owner of record for the dog listed.
  • Applications are due each year by August 25 to include titles earned during the previous club title year: July 1 through June 30.
  • If the award is not picked up during the National Specialty weekend, it will be mailed to the person completing the form.

Please Provide the Following Information and Submit.

HOT Dog Teamwork Award

NOTE: Items marked with an asterisk (*) are required.

Contact Information

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Address


If outside the US, choose 'OTHER' at the end of the list.
Information about Your Toller



AKC FIELD TITLES AWARDED:

Choose all that apply.

List title and date.

Names and Phone Numbers of Amateurs or Professional Trainers I worked with:





Add additional co-owners

Certification & Signature

I certify that I am a member in good standing with full voting privileges in the Nova Scotia Duck Tolling Retriever Club (USA). I further certify that I was the owner of said dog and with my co-owner(s) fully trained and handled the dog to the title for which I am making application.

*


Need assistance with this form?

  • NOTE: You will have the opportunity to review your answers and go back and make corrections prior to final submission.  Don't forget to hit the Confirm button after reviewing.  You will receive an email notification after final submission.
  • If you have multiple dogs to enter, use your BACK button to return to the form.  Once there do a REFRESH of the page and then enter the new information and submit.  You must do the REFRESH for the form to go through.
  • Incomplete forms will be deleted after 7 days.