1. Complete a Collie Club of Canada APPLICATION FOR A REGISTER OF
MERIT form. (see below)
2.
Include a photograph and 3-generation pedigree of the candidate for the CCC records.
3. For each titled
offspring supply, on a
separate sheet of paper,
(1) the offspring's:
(a) registered name,
(b) registration number,
(c) country of registration,
(d) sex,
(e) variety,
(f) colour,
(g) titles earned,
(h) date each title was earned
(2) the name & CKC/AKC/Foreign Reg.No. of the offspring’s non-applicant sire or dam, whichever applies.
4. For all CKC titles please include either a copy of the certificate OR the issue, date and page where the title is published in the CKC on-line results.
For all non-CKC titles please include (1) a copy of the certificate OR test sheet that includes the testers name and signature, date & location AND, (2) if a progeny is not CKC-titled, a copy of the progeny’s registration certificate confirming sire and dam.
5. Include your non-refundable fee, payable to the COLLIE CLUB OF CANADA for the amount of $10.00 (CCC Members) or $25.00 (non‑members) for each Application. ROM and ROMX applications are considered separate applications unless submitted at the same time.
6. Send the completed application, all required documentation, fees, photo and pedigree to:
Marilyn Clayton, CCC ROM(X) Committee,
1299 Maple Rd., North Saanich, BC V8L 5P7
ALL INCOMPLETE APPLICATIONS WILL BE RETURNED. A RE‑APPLICATION FEE OF $5.00 IS REQUIRED WITH EACH RE‑SUBMISSION. PHOTOS MAY BE SUBMITTED ELECTRONICALLY.
COLLIE CLUB OF CANADA
APPLICATION FOR A REGISTER OF MERIT
APPLICANT’S NAME: _________________________________________________________
ADDRESS: __________________________________________________________________
CITY & PROVINCE: ___________________________________________________________
POSTAL CODE: ______________ TELEPHONE: __________________________________
FAX: _____________________ EMAIL: ___________________________________________
THE APPLICANT MUST BE A LEGAL OWNER OF THE ROM/ROMX CANDIDATE.
THE CANDIDATE MUST BE THE
SIRE/DAM OF ALL LISTED TITLEHOLDERS.
DOG’S NAME:
________________________________________________________________
CKC NO: ___________________ SEX:
________ VARIETY: ___________________________
COLOUR:
___________________________ BIRTHDATE: _______________________
BREEDER:
__________________________________________________________________
SIRE:_______________________________________________________________________
CKC NO: _________________
VARIETY: __________________________
DAM:________________________________________________________________________
CKC NO: _________________
VARIETY: __________________________
____________________________________________________________________________
Applicant
Signature and Date
For each titled offspring the
following must be submitted on a separate sheet of paper:
Name; CKC/AKC/Foreign Reg.No.; Sex;
Variety; Colour; the Name & CKC/AKC/Foreign Reg.No. of the offspring’s
non-applying sire/dam; list of titles and dates each title was earned.
For all CKC titles please include either a copy of the certificate OR the issue, date and page where the title is published in the CKC on-line results.
For all non-CKC titles please include (1) a copy of the certificate OR test sheet that includes the testers name and signature, date & location AND, (2) if a progeny is not CKC-titled, a copy of the progeny’s registration certificate confirming sire and dam.
Fees for each application are $10.00 for CCC Members and $25.00 for non‑members. Fees are non-refundable and must accompany this application. ROM and ROMX titles are considered separate applications unless submitted at the same time.
Make cheques and money orders payable to the COLLIE CLUB OF CANADA. Incomplete applications will be returned & a re‑application fee of $5.00 is required for each re‑submission.
Please also include a 3-generation pedigree and photo of the candidate for our files & website.
Send the completed application, required documentation, fees, pedigree and photo to:
MARILYN CLAYTON, CCC ROM(X) Committee
1299 Maple Rd., North Saanich, BC V8L 5P7
Phone: 250-656-0418 Email: trainingmydog@shaw.ca