CHAMPION CLAIM FORM
To be completed by the applicant, giving details of certificates for which Champion Status is claimed. 5 NPA Certificates under 4 different judges are required, with no more than 2 certificates as a young bird.
Breed …………………............................................... Ring Number ………………....
Colour ………………………………………………. Sex ………………………..........
Show………………………………… Judge………………………… Date……………
Show………………………………… Judge………………………… Date……………
Show………………………………… Judge………………………… Date……………
Show………………………………… Judge………………………… Date……………
Show………………………………… Judge………………………… Date……………
Name & address of owner Name & address of breeder/or as owner
………………………………………… ...............................................................
………………………………………… …………………………………………
………………………………………… …………………………………………
………………………………………… …………………………………………
Membership Number…………………. Date of application………………….....
Flying breeds : please supply evidence from breed club if the bird is not NPA rung, confirming ownership, and breeder if you did not breed the bird.
Upon completion this form should be forwarded to the Secretary:
The National Pigeon Association
PO Box 337, Abergele, LL18 9HN email: secretary@nationalpigeonassociation.org
For official use only
The pigeon is registered in owner’s name ………
The breeder is as shown ………
Show returns checked ………
Ring register amended A/C ………
Certificate issued ……… Certificate number ………………