THE GERMAN SHEPHERD DOG CLUB OF SA INC
Award Application Form
If your dog has obtained a title or an award, as listed below during the Club Financial year 1 October to 30
September, this form MUST BE COMPLETED and returned to the Secretary by 15 October for the year that the
Award was received.
Non-receipt of an application will mean that your award will not be available for collection at the
Club Presentation Day/Night.
To complete this form on line for emailing, first save to your computer and then use the TAB key to move to the fields required. Supporting
documentation can be scanned and attached with form for emailing to Secretary.
Breeders name: Membership No:
(Include FULL PEDIGREE NAME, Breed Survey Status, Hip/Elbow Status, H.Neg and any ANKC recognised titles previously gained. This will
be included on the award. If hand written, PLEASE PRINT CLEARLY TO AVOID SPELLING ERRORS)
For each of the categories that follow you must tick the appropriate Title and attach a photocopy of the three (3) pass cards for each title
gained for each ward you are applying for.
CCD CD CDX UD OC UDX
TD TDX T.Ch
AD ADX ADM ADO AG Ch
JC JDX JDM JDO
SD SDX SDM GD GDX GDM
SPD SPDX SPDM
HSAa HIAs HXAs HSAc HIAc HXAc
HSAd HIAd HXAd
HSBa HIBs HXBs HSBc HIBc HXBc
HSBd HIBd HXBd
HSCa HICs HXCs HSCc HICc HXCc
HSCd HICd HXCd
AUSTRALIAN CHAMPION GRAND CHAMPION
Please provide a copy of Australian/Grand Champion Certificate. No “Champion” awards will be back dated prior to 1 October 2005
BREEDERS AWARDS – APPLICATIONS BY BREEDERS ONLY
EXCELLENT EXCELLENT IN OBEDIENCE
EXCELLENT SELECT EXCELLENT IN TRACKING
EXCELLENT IN AGILITY
Please provide a copy of the appropriate certificate/paperwork.
Awards will be presented to recipients on Presentation Day/Night.
If an award relates to a previous financial year, your application will require approval by the committee.
COMPLETE AND MAIL TO:
The Secretary, GSDC of SA Inc, GPO Box 1421, ADELAIDE SA 5001 or email completed form and scanned
documents to firstname.lastname@example.org BY 15 OCTOBER.