Handlers Name

Video RallyTitles Claim Form

Dogs Registered Name

Results Claimed (Three qualifying scores of 190 or above, under three different judges)

Rally Online Number

Date (eg Jan 2018)

Judge

Score

Score

Other Non RallyOnline Video Events: give details

1

2

3

We will validate your claim against RallyOnline records. We will then send you your certificate and rosette. The cost of the certificate and rosette is £10.00, or £14.00 if you live outside the UK.

5

6

Which  vRLex Title Level are you claiming?

1

2

Results Claimed (Six qualifying scores of 175/180 or above,  under four different judges)

Judge

3

4

Other Non RallyOnline Video Events: give details

Month of ROL event

Month of ROL event

 Events from January 2018 onwards count

Month of ROL event

Which  vRL Title Level are you claiming?

Date (eg Jan 2018)

Month of ROL event

Month of ROL event

Month of ROL event

Month of ROL event

Month of ROL event

Month of ROL event

 Events from January 2018 onwards count

Email address

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PLEASE EMAIL  ADMIN@RALLYONLINE.ORG IF YOU’VE CHANGED YOUR ADDRESS SINCE YOU REGISTERED WITH US!