Traveling Trophy Submission Form

First, what is your dog's Registered name? (with all titles)

Call name?

Who are the owners? Please list all owners.

TROPHY SUBMISSIONS: If submitting wins for a TROPHY, which ones? (please select all that apply)

Agility Dog of the Year
All Age / Gun Dog of the Year
Derby Dog of the Year
Field Puppy of the Year
Obedience Dog of the Year
Show Dog of the Year
Show Bitch of the Year

Wins that apply for the above named TROPHY Submissions: (Event, date, placement, total #dogs entered/defeated)

Has your dog earned any of these titles in 2019? (Select all that apply)

Field Championship (FC)
Amateur Field Championship (AFC)
Master Agility Championship (MACH)
NAVHDA VC (VC)
Show Championship (AKC CH)
Grand Show Championship (AKC GCH)
Master Agility Championship (MACH)
Obedience Trial Championship (OTCH)
Master Hunter (MH)
Versatile Excellent (VX only, please list higher versatility awards as other)
Shooting Dog Excellent (SDX)
Retrieving Dog Excellent (RDX)
Other (please list below)

Please list ANY additional titles earned in 2019:

Date that each title was earned?

Is at least one owner a member of good standing with the SMWC?

Yes
No

Does at least one member live in the geographical area served by the SMWC?

Yes
No

If no owner lives in the geographical area served by the SMWC, has at least one owner participated in the running of an SMWC Event?