Register of Merit (ROM) Program Application

  • Candidate Border Collie Information

  • Registered Name:Call NameGenderAKC #Date of BirthColor 
  • Reg NameAKC # 
  • Reg NameAKC # 
  • Owner Information

    Note: You may list co-owners, but give only one address to which the certificate will be sent.
  • Candidate's Offspring Information

    NOTE: If number of litters exceeds five, complete information for first five litters, submit form and see link on confirmation page for additional litters.
  • NameAKC # 
  • NameAKC # 
  • NameAKC # 
  • NameAKC # 
  • NameAKC # 
  • Please list all additional litters beyond five in this box, including the same information as in the previous litters listed.