RoHM Update Application  (Use one per dog and only for updates) Kennel Name: ____________________________________  Breed:_______________________ Owner's Name: __________________________________________________________ Registered Name of Dog: __________________________________________________ Reg. Nos. of Dog (optional) ____________________ Photos: will be published on-line Birth Date:     /    /         Height: _________ Color: _________ Coat: ________ SEX: _______ Updated Health Clearances: Check all that apply and attach hard copies of each test for verification. All test copies must accompany the application. BAER: _______ CERF: _______ Orthopedic: _______ Other: _______ If other is checked please list the clearance and attach copies of the tests. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Updated Awards of Merit: Check all that apply and attach copies of awards to the application. Copies of awards must accompany the application ConformationChampionship(s):     List Issuing Organizations: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Updated Natural Hunting Awards: Natural Hunting Certificates: list quarry, date issued, person who witnessed terrier work and organization that issued the working certificate. Must attach a photocopy with application _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Updated Performance Awards: Good Citizen: _______ Obedience: _______ Agility: _______ Earth Dog: ________ G-T-G: _______ Trailing and Locating: _______ Other: _______ Copies of all Health Clearances, Conformation, Hunting and Performance Awards and the required fee must be sent to the RoHM Committee for verification and approval. All decisions of the RoHM committee are final. I certify that the information listed in this application and all information sent to RoHM is correct to the best of my knowledge: Signature: ___________________________________________________________________ Allow 4-6 weeks for completion of the paper work. Fee ($3 US) must accompany the application. Make checks payable to the RoHM Register and mail to: RoHM Register c/o 371 S. Yarnallton Pike Lexington, KY 40510