APA Application

Advanced Performance Award Application

AKC Name(Required)

AKC Number

Date of Birth (MM/DD/YYYY)(Required)

Name of Owner(s)(Required)

E-mail(Required)

Street Address

City

State

Zip Code(Required)

Name of Breeder(s)(Required)

Breeder E-mail

New APA Title

Full Name Including all AKC Recognized Titles As It Should Appear on The Plaque

Attach 3-Generation Pedigree AKC & AKC Recognized Titles Only (.pdf or .jpg only)

Max. file size: 10 MB.

Attach 300 dpi .jpg Photo

Max. file size: 10 MB.

Additional Plaque(s) $50 each

Please click the button below and take the verification test.