Futurity Individual Dog Nomination The nomination may be submitted by either an Owner or a Breeder. For non-TTCA Member-Breeder submissions, the Breeder must approve the nomination. Directions: Please read the TTCA Futurity Rules (https://ttca-online.org/wp-content/uploads/2020/05/TTCA-Futurity-Rules-2020.doc), and Breeders, also please read the TTCA Guidelines for Responsible Breeders (https://ttca-online.org/ol-ttca-code-of-ethics/). Create the Nomination Form by completing the fields below, then click the “Send” button to submit. This will send the form to the Futurity Chair for processing. After payment is received, and if applicable, the Breeder has approved the nomination, you will be emailed a Futurity Nomination Confirmation and Number. Fee: $50.00 NOMINATOR: Name (required) Email (required) DOG INFORMATION: Registered Name including current titles AKC or Foreign Registration # Gender MaleFemale Birthdate Dam Name Dam AKC or Foreign Registration # Sire Name Sire AKC or Foreign Registration #(s) Sire Owner(s) Name(s) Sire Owner's Phone#, Email BREEDER(S): If there is more than one breeder/owner of dam, list each in exact order as stated on AKC Registration or Lease; the first listed TTCA member-breeder shall be the breeder of record for Futurity reward purposes, and all contact information should be provided for this person regardless of who is paying the nomination fee. Name Street Address City State (or Province) Abbreviation Zip (or Code) Phone Email I have read and am in compliance with the TTCA Guidelines for Responsible Breeders. YesNo I have read and accept the TTCA Futurity Stakes rules. YesNo Date FUTURITY STAKES JUDGE NOMINATION (optional) Please review the Futurity Stakes Rules, Judges nomination eligibility, prior to making a nomination. A TTCA member-breeder or TTCA member-owner may provide one judge nominee annually for the Futurity Stakes two years ahead with a nomination, regardless of the number of litters or individual dogs that are nominated. Please include your complete Judge nominee’s contact information. Nominated Judge's Name Address City State (or Province) Abbreviation Zip (or Code) Phone Number Email FUTURITY STAKES TROPHY FUND SPONSORSHIP (optional) Amount $ Exact spelling of sponsorship information (name, kennel, in memory of, etc.) Sponsorship donation will be applied to the next upcoming Futurity Stakes Select one of the following two options: Add to the Futurity Stakes Fund YesNo Or apply to the following specific category or class Payment can be made online (ttca-online.org shop) or a check can be made payable to TTCA and mailed to TTCA Treasurer. Select one of the following two options: I will pay OnlineMail TOTAL AMOUNT $ Submit Form Δ