This information is for the awards slideshow at the banquet. Please submit this survey by December 9, 2022 if you plan on attending the banquet on January 7, 2023. Agility titles must be earned between November 1, 2021-October 31, 2022.
  • When entering title information, please type title abbreviations. Do not use full title names (eg: use NA, not Novice Agility)
  • For multiple dogs, please fill out multiple forms. 
  • Don't forget to also send a high resolution photo of your dog to macyearendawards@gmail.com by December 9, 2022.
Note that there is a separate form to submit your name and dog's name(s) if you also qualified for the year-end award by volunteering the equivalent of a full-day's work or $24 in vouchers.
 

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* 1. Owner's First Name

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* 2. Owner's Last Name

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* 3. Dog's Call Name

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* 4. Dog's Agility Titles earned between Nov 1, 2021- Oct 31, 2022
Please use abbreviated titles and note that they will be listed in the award slideshow at the banquet EXACTLY as you submit them. Please make sure your abbreviations are correct.

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* 5. Special Accomplishments (OPTIONAL)
This will be read at the banquet, while the slide with your dog's picture and titles is shown. Please limit your statement to 75 words or less.

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* 6. Owner's E-mail Address
(We will use this to contact you if we have any questions about your submission.)

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