Performance Events Department
Flyball Title Application Form
Effective July 1, 2012 the AKC will begin recording titles earned in North American Flyball Association (NAFA) events. When a dog earns the title of Flyball Champion (FDCh), Flyball Master (FM), or the ONYX title the owner may submit this completed application along with a copy of the NAFA title certificate plus a $20.00 recording fee and AKC will place the title on the dog’s record and it will appear on the dog’s pedigree. No AKC title certificate will be issued unless ordered through the use of this form for a fee of $10. Ordering a title certificate is at the discretion of the owner. Higher level titles will supersede any previously recorded. For example, FM will supersede FDCh on a dog’s pedigree. The AKC will record titles issued back to January 1, 2000. Please keep a copy of this form for your records.
Owner Name: ______
Address: ______
Telephone: ______Email: ______
Dog Name: ______
AKC Reg. Number: ______Breed: ______
NAFA Title to be Recorded: ______Date Earned: ______
With a new title, would you like an updated AKC Pedigree? 3 Generation Pedigree w/ Title: $25.00 4 Generation Pedigree w/ Title: $32.00 Fee included: Record Title Only: $20.00 Title Certificate: $10.00 (optional) Pedigree: $ (optional)
Total amount submitted: $______
Payment method: Check Enclosed (made payable to American Kennel Club) ______
Credit Card #: ______Exp. Date: ______
Printed Name of Cardholder: ______
Signature: ______
Submit to: AKC Performance Events Attn: PE Titles E-mail: [email protected] 8051 Arco Corporate Drive, Suite 100 Raleigh, NC 27617-3390 FAX: (919) 816-3905
This form can be found on the AKC website: www.akc.org/pdfs/events/performance/Flyball_Title_Application_Form.pdf