Individual Puppy Re-nomination
The Puppy re-nomination must be from a litter previously nominated by its breeder.
Re-nomination submitted before the puppy reaches four (4) months of age - $20.00
Re-nominations submitted after four (4) months of age - $60.00

National Specialty Year: (required)

Name of Puppy

Date Litter Whelped

AKC Litter Registration # (required)

Name of Dam and AKC Registration # (required)

Breeder of Litter (required)

Sire of Litter and AKC Registration #(required)

**INFORMATION MUST BE RECEIVED BY NATIONAL SPECIALTY CLOSING DATE**

Owner of puppy (required)

Address (required)

Phone Number

Your Email (required)

I certify that I am the breeder, owner, or co-owner of the puppy nominated 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 this show and by any additional rules and regulations regarding this futurity/maturity
event.

E-Signature

Today's Date

Re-nomination submitted before the puppy reaches four (4) months of age - $20.00
Re-nominations submitted after four (4) months of age - $60.00
Please select
Before 4 months - $20After 4 months - $60

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