Today’s Companion Kennel Club Registration Form

Dog’s Information:

Show Name_______________________________________ Call Name______________

Breed___________________________________________ DOB_________

Circle one:  Male   Female 

If acceptable, pedigree is attached. Circle one:  N/A    Acceptable

Owner’s Information:

Full Name________________________________________ Preferred Name__________

DOB___________ Circle one:  Male  Female

Rules & Qualifications:

I herby clarify that my dog is either purebred or a mixed breed, and is the champion of my heart. I also hold witness that all of this information is true. I agree to follow all rules and regulations, and use good sportsmanship at all times. If I do not follow these rules, I understand my showing privileges make be revoked. I promise never to abuse a living creature, and understand that doing so could result in canceling of my membership. If I do not understand these rules, I will promptly contact an official of TCKC.

Signature___________________________          Date _________________________

Witness’s Signature _____________________________ Date ____________________