Dam of Merit Award Application

Use this form for the following awards:

Register of Merit (ROM) – To qualify for this Award: Dams – 4 CHAMPION Titled Offspring.
Register of Merit Excellent (ROMX) – To qualify for this award: Dams – 6 CHAMPION Titled Offspring.
Register of Merit Supreme (ROMS) – To qualify for this award: Dams – 10 CHAMPION Titled Offspring.

Eligibility is based upon the owner belonging to the BTCA at time of the application. Awards are processed annually.

Complete the application
Include the registered name, AKC registration number, and DATE CH title was earned within the year applying for the award of all offspring. ONE PER LINE. Add additional lines as needed.

**Champion titles do not all have to be earned in a single calendar year.

Member's First Name (Owner of Dam) *

Phone *

Member's Last Name

Email Address *

Member (Owner) Address *

City, State and Zip Code *

Dam's AKC Registration Number *

Dam's AKC Registered Name *

Please follow the instructions. Missing information may void your award application.

Please State the Registered Name, Registration Number, and DATE the CH Title was earned from progeny of the dam within the year applying for the award.

#1 Date CH Title Earned *

#1 AKC Registered Name *

#1 AKC Registration Number *

#2 Date CH Title Earned *

#2 AKC Registered Name *

#2 AKC Registration Number *

#3 Date CH Title Earned *

#3 AKC Registered Name *

#3 AKC Registration Number *

#4 Date CH Title Earned *

#4 AKC Registered Name *

#4 AKC Registration Number *

#5 Date CH Title Earned

#5 AKC Registered Name

#5 AKC Registration Number

#6 Date CH Title Earned

#6 AKC Registered Name

#6 AKC Registration Number

#7 Date CH Title Earned

#7 AKC Registered Name

#7 AKC Registration Number

#8 Date CH Title Earned

#8 AKC Registered Name

#8 AKC Registration Number

#9 Date CH Title Earned

#9 AKC Registered Name

#9 AKC Registration Number

#10 Date CH Title Earned

#10 AKC Registered Name

#10 AKC Registration Number

Upload photos of your Biewer(s) submitted with this application, if you want the dog(s) recognized in the awards presentation.

Click or drag a file to this area to upload.

Choose File

Accepted file types: jpg, png, pdf, gif, Max. file size: 10 MB, Max. files: 10. You may select multiple files at once by holding the CTRL or COMMAND (MAC) key and choosing your files.

Upload Champion Certificates for each progeny. *

Click or drag a file to this area to upload.

Choose File

Accepted file types: jpg, png, pdf, gif, Max. file size: 20 MB, Max. files: 25.
You may select multiple files at once by holding the CTRL or COMMAND (MAC) key and choosing your files.

Thank you for your message. It has been sent.

There was an error trying to send your message. Please try again later.