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I hereby apply to participate in the Breeder of Merit Program. I certify by my signature that I have read, understand, and will comply with
the requirements of the Breeder of Merit Program, including ensuring all dogs from AKC registered litters produced by me will be registered
with AKC. I certify by my signature that all the information appearing on this application is correct, that I am in good standing with the
American Kennel Club (AKC), and that I agree to abide by all AKC rules and regulations. I acknowledge that upon request I will be required
to provide the AKC copies of recommended parent club health screenings applicable to the breed(s) for litters produced while enrolled in
the Breeder of Merit Program. I agree to maintain membership in an AKC licensed club while participating in the Breeder of Merit Program.
By signing, I agree to the arbitration clause at the bottom of this page.
Each application for the Breeder of Merit Program will be considered on its merit. Applications will be veri ed through AKC records. The granting of Breeder of
Merit Program participation is at the sole discretion of the American Kennel Club and is not guaranteed. The American Kennel Club reserves the right to reject an
application or revoke participation in the Breeder of Merit Program after participation has been granted. Once submitted, the application and any supplemental
materials become the property of the AKC. The Breeder of Merit Program does not imply a recommendation of a breeder by AKC.
ARBITRATION CLAUSE: I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THIS APPLICATION OR AS TO
THE CONSTRUCTION, INTERPRETATION AND EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE
AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST
FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
List AKC name and number of titled* AKC dogs you have bred or co-bred:
SIGNING/CERTIFYING/SUBMITTING THE FORM
TITLED DOGS
*Required titles may be in Conformation, Companion, and Performance Events. CGC does not qualify
To submit this form to the AKC via email –
• Click the box that says “Click here to type your full name and submit via email.” Once you have clicked this box, you will see a
section to Enter Your Name.
• Please enter your full name in this eld. This will be considered your electronic signature and will verify that you have read and
agree to all the terms for the AKC Breeder of Merit Program.
• Verify that all required elds have been completed and all information is correct.
• Save a copy for your records.
• Click the “Click here to email to AKC.” This will pop up an email box with the AKC Breeder of Merit email address.
• Click “Send.”
To mail or fax this form to the AKC –
• Click the box that says “Click here to sign the form and submit via postal service.”
• Save a copy for your records.
• Click the “Click here to print and send to AKC.”
• Once printed, sign the form and submit it to:
AKC Special Services Department, PO Box 900059, Raleigh, NC 27675-9059 or fax to (919) 816-3770.
Read the certifying language and the Arbitration Clause at the bottom of the page. If agreed:
AKC Special Services Department
PO Box 900059 • Raleigh, NC 27675-9059
Fax: 919-816-3770 • breederofmerit@akc.org
© 2014 The American Kennel Club
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