Papillon Canada

Application for Record of Merit Canada Status

 

 

Registered Name of dog__________________________________________________________

 

CKC Registration Number________________________________________________________

 

Please choose one of the following:

 

o  Sire of Merit - List ten (10) titled offspring, copies of CKC Title Certificates must be included for each dog.

o  Dam of Merit – List four (4) titled offspring, copies of CKC Title Certificates must be included for each dog.

 

  1. Registered Name of Dog_______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained________________________________________________

 

  1. Registered Name of Dog_______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained________________________________________________

 

  1. Registered Name of Dog_______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained________________________________________________

 

  1. Registered Name of Dog______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained________________________________________________

 

  1. Registered Name of Dog_______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained________________________________________________

 

  1. Registered Name of Dog_______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained________________________________________________

 

  1. Registered Name of Dog_______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained________________________________________________

 

  1. Registered Name of Dog_______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained________________________________________________

 

  1. Registered Name of Dog_______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained_______________________________________________

 

  1. Registered Name of Dog_______________________________________

 

CKC Registration Number______________________________________

 

Title Obtained________________________________________________

 

 

ROMC Certificate to be issued to:

 

Name________________________________________________________________________

 

Address ______________________________________________________________________

 

City__________________________________________________________________________

 

Province___________________________________Postal Code_________________________

 

Phone number_________________________________________________________________

 

Email Address_________________________________________________________________

 

 

We also require the following information:

 

-          Three (or more) generation Pedigree for the dog

-          Picture of dog (if possible)

-          If a duplicate copy of the certificate is required, please enclose $2.00 to cover costs and submit name and address where second copy is to be mailed.

 

Mail all information to:

 

Robin Mercer, ROMC Coordinator

1399 Elizabeth Street

RR #1

Campbellcroft, ON   L0A 1B0

905-797-3074

mercerpaps@sympatico.ca