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 (non­members) 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 RE­APPLICATION FEE OF $5.00 IS REQUIRED WITH EACH RE­SUBMISSION. 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 non­members. 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 re­application fee of $5.00 is required for each re­submission.

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