|Show/Conformation Title Application
All dogs participating in the Champion Certification program must be registered with the ADF and have a micro chip ID #.
If your dog is not registered with the ADF you may submit an individual application for registration with the required fee along with this
All video tapes and applications become the property of the American Dog Federation.
Certificate will be issued within 3 weeks of submission.
Once your video has been approved the decisions of judges are final.
All fees to the ADF are in US Dollars, non refundable and subject to change without notice
Please print clearly
Check the title you are applying for:
( ) CHAMPIONSHIP
( )MERIT CHAMPION FOR SPAYED OR NEUTERED DOGS
Micro Chip #
Date of Birth______/_______/________
Male( ) Female( ) Neutered( ) Spayed( )
Name of Dog:_____________________________________________________________________________
cCo Owners Name________________________________________________________________________
One of our representatives will call you after the judges approve your application and initial ( video phone video, face time Youtube)
Best time to call___________________ Phone #_____________________________________
Fee: $75.00 Method Of Payment to ADF
O Credit/ DebitCard OCheck O Money Order
Name on credit card(please print):______________________________________________________________
Card # Below Exp.Date CVS
Cardholder authorizes this charge
Card Holders Signature:___________________________________________________
Please mail to: Printable Page or Copy and Paste
AMERICAN DOG FEDERATION
PO BOX 7681
NORTHPORT, FLORIDA 34286
| AMERICAN DOG FEDERATION
Application for Testing