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 or snail mail it to Peggy Zionts Goldngal5@aol.com. Mailing address is: 1051 Land Harbor, 41 Black Pine, Newland, NC 28657. 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 Peggy Zionts Goldngal5@aol.com


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

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 the expected number of 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:
MAJOR includes such things as being a Board member, Trial Secretary for WC or specialty, Membership chair, web-site maintenance, newsletter editor, etc. Anyone doing such time consuming jobs would qualify with that activity alone. MINOR includes such things as attending meetings, writing articles for the newsletter, working at an event, etc. Minor activities would require two volunteer contributions (ex: attended one meeting and throwing ducks one day at the WC)

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