Sandlapper GRC Award Application Form

AKC and/or GRCA Titles Only

Please complete a separate form for EACH golden

(Every field must be completed)

If you're not using the online award form, you can download a hard copy form here and email a copy of it to Maureen McKowen at: moesgoldens@gmail.com - Or snail mail it to Maureen McKowen, at: 486 Davis Rd., Piedmont, SC 29673 Be sure to mail your check, if snail mailing your form. If paying by check, the cost is $5/plaque. Make check out to: SGRC.

Email title documentation (copy of AKC/GRCA Certificate) to Maureen McKowen moesgoldens@gmail.com

Use PayPal to pay the SGRC Member portion ($5.50/each) of the plaque.

Your full name

Email address

Registered name with titles

Is this Golden a

Full names of all owners (please put a capital M after the name, if an owner is a SGRC Member):

Name of breeder(s):

Award requested - plaque, bar or upper level

List titles earned this year (AKC/GRCA only)

I declare that the dog named above falls within the criteria for annual awards as approved and voted on by the membership of Sandlapper Golden Retriever Club. :
“applies to Sandlapper GRC members in good standing, who have been members of the club for at least 6 months of the year, and who have actively participated in club functions and activities as established by the club *applies to Golden Retrievers only who are owned by and live with a club member; dogs that are co-owned by members must physically reside with the member in order to be eligible for an award or award must have been completed in its entirety by club member/co-owner.

I also declare that I have met the requirements of and qualify as an active member as defined for trophies and awards:

Do you declare that you and your Golden qualify per the definitions above?

Use PayPal to pay the SGRC Member portion ($5.50/each) of the plaque.