Online Futurity Nomination form

AKITA CLUB OF AMERICA

This page was last updated on 04/28/2008

Futurity Rules - Updated 4/10/06 - Please Read!

Litter Nomination - $30.00 (before whelping)
Late Litter Nomination - $70.00 (after whelping)
($30 Nomination + $40 late fee)

Litter Is Eligible For Year

Name of Dam
AKC Number
Owner/Lessee
Date Joined ACA
Address
City, St, Zip
Email
Date of Breeding
Litter Due Date
Name of Sire
AKC Number
I certify that I am the actual owner of the dog whose name I have entered above. In consideration of the acceptance of this nomination, I agree to abide by the rules and regulations of the American Kennel Club in effect at the time of the show and by any additional rules and regulations regarding this Futurity Stakes event. By entering your name in the space below, you are signing this form and agreeing to the above statement.
Name (signature)
Email Address
Phone Number
Litter Nomination	Normal - Litter nominated before whelping Late - Litter nominated after whelping
Amount Due
Payment method	PayPal Check/Money Order
Futurity Judge Suggestions (in order of preference, for two years hence)
Futurity Judge 1
Futurity Judge 2
Futurity Judge 3